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 |
|---|---|---|---|---|
| Anogenital exam child w imag CPT 99170 | not published | not published | $192.56 – $269.59 | 2 |
| Anora (draw only) CPT 99001 | $94.80 | $158.00 | not published | 0 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Anoscopy CPT 46611 | not published | not published | $872.71 – $1,221.79 | 2 |
| Anoscopy ablation lesion 46615 CPT 46615 | $310.20 | $517.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $423.00 | $705.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $1,129.80 | $1,883.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $242.40 | $404.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $1,162.80 | $1,938.00 | $872.71 – $1,221.79 | 2 |
| Anoscopy remove lesion 46610 CPT 46610 | $445.20 | $742.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $498.60 | $831.00 | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $298.08 – $417.31 | 2 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $1,302.00 | $2,170.00 | not published | 0 |
| Antibody CPT 86744 | $36.60 | $61.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $159.60 | $266.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $109.80 | $183.00 | $118.95 – $164.03 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $246.00 | $410.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $57.60 | $96.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $42.00 | $70.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $382.20 | $637.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $439.80 | $733.00 | $93.60 – $344.33 | 2 |
| Antibody influenza virus CPT 86710 | $100.20 | $167.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $45.60 | $76.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $183.00 | $305.00 | $50.70 – $51.14 | 2 |
| Antibody tetanus CPT 86774 | $183.00 | $305.00 | not published | 0 |
| Antigen therapy services CPT 95145 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95146 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95147 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95148 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95149 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95165 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95170 | not published | not published | $44.17 – $61.83 | 2 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15.34 | $25.57 | $1.43 – $2.09 | 2 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.18 – $1.72 | 2 |
| Anti-inhibitor HCPCS J7198 | $10,270.62 | $17,117.70 | $2.35 – $3.43 | 2 |
| Anti mog serum - sendout CPT 86362 | $551.40 | $919.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $82.80 | $138.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $39.00 | $65.00 | not published | 0 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $1,378.20 | $2,297.00 | not published | 0 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $1,430.40 | $2,384.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $163.20 | $272.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $107.40 | $179.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $79.20 | $132.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $59.40 | $99.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $61.20 | $102.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $262.20 | $437.00 | not published | 0 |
| Antithrombin iii injection HCPCS J7197 | $19.51 | $32.51 | $3.92 – $5.73 | 2 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $8,977.01 | $14,961.69 | $4,798.65 – $7,018.35 | 2 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $953.76 – $1,394.95 | 2 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $1,776.00 | $2,960.00 | not published | 0 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $123.39 – $172.74 | 2 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $123.39 – $172.74 | 2 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $193.20 | $322.00 | $101.79 – $142.51 | 2 |
| Aortic circulation assist 33971 CPT 33971 | $1,450.80 | $2,418.00 | not published | 0 |
| Aortic hemiarch graft 33866 CPT 33866 | $2,064.60 | $3,441.00 | not published | 0 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $56.86 – $79.60 | 2 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,484.74 – $6,278.63 | 2 |
| Apheresis plasma CPT 36514 | $2,164.20 | $3,607.00 | $1,569.15 – $2,196.81 | 2 |
| Apheresis platelets CPT 36513 | $1,762.80 | $2,938.00 | $418.48 – $585.87 | 2 |
| Apheresis rbc CPT 36512 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Apheresis wbc CPT 36511 | $1,892.40 | $3,154.00 | $1,569.15 – $2,050.10 | 2 |
| Apl(pml-rara) quant - sendout CPT 81315 | $570.60 | $951.00 | not published | 0 |
| Appendectomy CPT 44950 | $1,209.60 | $2,016.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $159.60 | $266.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,644.60 | $2,741.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,126.80 | $1,878.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $848.40 | $1,414.00 | $919.10 – $1,750.98 | 2 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $446.40 | $744.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $166.20 | $277.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $848.40 | $1,414.00 | $919.10 – $3,504.35 | 2 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $558.60 | $931.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $207.60 | $346.00 | not published | 0 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $151.04 – $211.46 | 2 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $254.22 – $355.91 | 2 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $254.22 – $355.91 | 2 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $254.22 – $355.91 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $254.22 – $355.91 | 2 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $254.22 – $355.91 | 2 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $254.22 – $355.91 | 2 |
| Application clubfoot cast CPT 29450 | not published | not published | $151.04 – $211.46 | 2 |
| Application finger splntstatic 29130 CPT 29130 | $156.00 | $260.00 | $123.39 – $169.00 | 2 |
| Application halo femoral CPT 20663 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Application halo pelvic CPT 20662 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Application long leg splint 29505 CPT 29505 | $213.60 | $356.00 | $151.04 – $211.46 | 2 |
| Application lower leg splint 29515 CPT 29515 | $340.20 | $567.00 | $151.04 – $211.46 | 2 |
| Application multi layer compression below knee (both sides) CPT 29581 | $280.20 | $467.00 | $151.04 – $202.15 | 2 |
| Application of body cast CPT 29010 | not published | not published | $254.22 – $355.91 | 2 |
| Application of body cast CPT 29015 | not published | not published | $254.22 – $355.91 | 2 |
| Application of cylinder cast 29365 CPT 29365 | $319.20 | $532.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $296.40 | $494.00 | $254.22 – $321.10 | 2 |
| Application of long arm cast 29065 CPT 29065 | $257.40 | $429.00 | $254.22 – $278.85 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $254.22 – $355.91 | 2 |
| Application of long leg cast 29345 CPT 29345 | $444.60 | $741.00 | $254.22 – $321.10 | 2 |
| Application of paste boot 29580 CPT 29580 | $205.80 | $343.00 | $151.04 – $211.46 | 2 |
| Application short leg cast 29405 CPT 29405 | $319.20 | $532.00 | $230.10 – $254.22 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $591.60 | $986.00 | $640.90 – $1,750.98 | 2 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,203.20 | $3,672.00 | $1,750.98 – $2,169.70 | 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.