MercyOne Genesis Davenport Medical Center
1227 East Rusholme Street, Davenport, IA · MercyOne · · NPI 1972542264
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Hizentra injection HCPCS J1559 | not published | not published | $13.52 – $19.77 | 2 |
| Hla class i&ii antibody qual CPT 86828 | $92.40 | $154.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $321.60 | $536.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $369.60 | $616.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $393.00 | $655.00 | not published | 0 |
| Hla typing a b or c CPT 86813 | $590.40 | $984.00 | not published | 0 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $88.54 – $123.96 | 2 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $28.52 – $39.92 | 2 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $28.52 – $39.92 | 2 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $153.80 – $215.32 | 2 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $495.88 | $826.46 | not published | 0 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $56.73 | $94.55 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $153.04 | $255.06 | not published | 0 |
| Home health re-certification physician g0179 HCPCS G0179 | $66.60 | $111.00 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $343.20 | $572.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $247.20 | $412.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $109.80 | $183.00 | not published | 0 |
| Home/res vst new high mdm 75 CPT 99345 | $423.60 | $706.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $157.80 | $263.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $353.40 | $589.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $109.20 | $182.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $149.77 – $209.67 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $149.77 – $209.67 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $298.08 – $417.31 | 2 |
| Home visit est patient 99348 CPT 99348 | $164.40 | $274.00 | not published | 0 |
| Home visit new patient CPT 99343 | $258.60 | $431.00 | not published | 0 |
| Homocysteine CPT 83090 | $225.60 | $376.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $54.00 | $90.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $176.40 | $294.00 | not published | 0 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $28.52 – $39.92 | 2 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $88.54 – $123.96 | 2 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $28.52 – $39.92 | 2 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Human epididymis protein 4 (he4) CPT 86305 | $257.40 | $429.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $18.00 | $30.00 | $1.21 – $1.76 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $171.83 | $286.38 | not published | 0 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $124.75 | $207.91 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $38.99 | $64.98 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $91.30 | $152.16 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $263.40 | $439.00 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $27.75 | $46.25 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $69.62 | $116.03 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $171.60 | $286.00 | not published | 0 |
| Hymenotomy CPT 56442 | $93.60 | $156.00 | not published | 0 |
| Hymovis injection 1 mg HCPCS J7322 | $1,282.37 | $2,137.28 | $16.69 – $24.42 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Hyoscyamine sulfate inj HCPCS J1980 | $43.48 | $72.46 | not published | 0 |
| Hyperbaric oxygen therapy CPT 99183 | $1,267.80 | $2,113.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $29.40 | $49.00 | not published | 0 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $664.13 – $929.78 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $251.73 – $352.42 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $553.72 – $775.21 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $553.72 – $775.21 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $553.72 – $775.21 | 2 |
| Hypnotherapy CPT 90880 | $28.20 | $47.00 | not published | 0 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $13,055.02 | $21,758.36 | $17.60 – $25.75 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | $1,918.20 | $3,197.00 | not published | 0 |
| Hysterectomy/revise vagina 58280 CPT 58280 | $2,053.20 | $3,422.00 | not published | 0 |
| Hysteroplasty 58540 CPT 58540 | $1,770.60 | $2,951.00 | not published | 0 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $460.20 | $767.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $519.60 | $866.00 | $231.38 – $323.93 | 2 |
| Hysteroscopy ablation CPT 58563 | $3,272.40 | $5,454.00 | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $730.80 | $1,218.00 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | $555.00 | $925.00 | not published | 0 |
| Hysteroscopy lysis CPT 58559 | $670.20 | $1,117.00 | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | $760.80 | $1,268.00 | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $1,069.80 | $1,783.00 | not published | 0 |
| Hysteroscopy resect septum CPT 58560 | $756.00 | $1,260.00 | not published | 0 |
| Hysterotomy abdominal 59100 CPT 59100 | $1,639.20 | $2,732.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $394.13 | $656.89 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1,986.05 – $2,904.73 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,328.64 – $1,943.23 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $223.20 | $372.00 | not published | 0 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $2,438.40 | $4,064.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $341.40 | $569.00 | $22.14 – $32.38 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $19.99 – $29.23 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $33.60 | $56.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $425.40 | $709.00 | not published | 0 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $366.60 | $611.00 | not published | 0 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.23 – $45.23 | 1 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $790.26 | $1,317.10 | not published | 0 |
| Ibuprofen injection HCPCS J1741 | $63.55 | $105.91 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,004.00 | $1,673.33 | $209.69 – $306.68 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $111.43 – $162.97 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $37,575.00 | $62,625.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $42,525.00 | $70,875.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $15,727.80 | $26,213.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,922.80 | $16,538.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $298.08 – $417.31 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.57 – $52.60 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $56.86 – $79.60 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $23.44 – $32.82 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $1,403.40 | $2,339.00 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $894.60 | $1,491.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $713.88 | $1,189.80 | not published | 0 |
| I&d/bursa/foot 28001 CPT 28001 | $521.40 | $869.00 | not published | 0 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $518,105.33 – $757,764.63 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.14 – $71.60 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $986.40 | $1,644.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.