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 |
|---|---|---|---|---|
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $807.00 | $1,345.00 | not published | 0 |
| I&d lacrimal gland CPT 68400 | not published | not published | $927.11 – $1,297.95 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $667.20 | $1,112.00 | not published | 0 |
| Idursulfase injection HCPCS J1743 | $5,750.41 | $9,584.01 | $534.66 – $781.98 | 2 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $605.40 | $1,009.00 | not published | 0 |
| I&d vag hemtma obst/postpart CPT 57022 | $327.00 | $545.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $292.09 | $486.81 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $656.40 | $1,094.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $91.20 | $152.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $247.80 | $413.00 | $268.45 – $344.33 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $138.00 | $230.00 | $81.90 – $164.03 | 2 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,976.40 | $3,294.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $4,544.40 | $7,574.00 | not published | 0 |
| Imatinib 100 mg tab HCPCS S0088 | $207.25 | $345.42 | not published | 0 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $1,728.00 | $2,880.00 | not published | 0 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $18,478.85 | $30,798.08 | $54.58 – $79.83 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $56.86 – $79.60 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.57 – $52.60 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $56.86 – $79.60 | 2 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $7.20 | $12.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $102.00 | $170.00 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $44.40 | $74.00 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $1,815.00 | $3,025.00 | not published | 0 |
| Immune complex assay CPT 86332 | $78.00 | $130.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $9,307.69 | $15,512.81 | $45.76 – $66.92 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,061.21 | $6,768.69 | $13.46 – $78.20 | 2 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $2,839.91 | $4,733.19 | $46.31 – $67.73 | 2 |
| Immune globulin ig human im use 90281 CPT 90281 | $36.60 | $61.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $189.00 | $315.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $141.60 | $236.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $187.20 | $312.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $93.60 | $156.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $163.20 | $272.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $298.20 | $497.00 | $164.03 – $229.64 | 2 |
| Immunoglobulin assay CPT 86023 | $87.00 | $145.00 | not published | 0 |
| Immunology procedure CPT 86849 | $686.40 | $1,144.00 | not published | 0 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Impedence cardiogram CPT 93701 | $154.20 | $257.00 | $123.39 – $167.05 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $15,714.14 – $21,999.80 | 2 |
| Implant biventricular device 33976 CPT 33976 | $3,444.60 | $5,741.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $12,203.40 | $20,339.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $30,447.08 – $42,625.91 | 2 |
| Implant eye drug system CPT 67027 | not published | not published | $14,707.52 – $20,590.53 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | $199.80 | $333.00 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,282.14 – $8,794.99 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,282.14 – $8,794.99 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $557.40 | $929.00 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | $7,797.00 | $12,995.00 | not published | 0 |
| Implant spinal canal cath CPT 62351 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $16,918.02 – $23,685.23 | 2 |
| Implant spine infusion pump CPT 62362 | $816.60 | $1,361.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $2,587.80 | $4,313.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $8,427.00 | $14,045.00 | $4,102.15 – $6,282.14 | 2 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $214.20 | $357.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $763.20 | $1,272.00 | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | $160.80 | $268.00 | not published | 0 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $506.24 – $740.40 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $9.60 | $16.00 | not published | 0 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $222.29 – $311.20 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $41.44 – $60.61 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,725.00 | $2,875.00 | $987.27 – $1,443.95 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $3,247.80 | $5,413.00 | $763.88 – $1,117.23 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,725.00 | $2,875.00 | $739.59 – $1,081.70 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $684.69 – $1,001.41 | 2 |
| In-111 pentetreotide HCPCS A9572 | $2,902.20 | $4,837.00 | $1,832.70 – $2,680.45 | 2 |
| In-111 satumomab pend HCPCS A4642 | $2,307.60 | $3,846.00 | not published | 0 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incis 1 vertebral seg lumbar CPT 22214 | $2,073.60 | $3,456.00 | not published | 0 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $927.11 – $1,297.95 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise inner ear CPT 69801 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $525.13 – $735.18 | 2 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,183.16 – $3,056.42 | 2 |
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.