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 |
|---|---|---|---|---|
| Infect ag if pneumocystis carinii CPT 87281 | $138.00 | $230.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $72.00 | $120.00 | not published | 0 |
| Infect ag na hep b amp CPT 87516 | $295.20 | $492.00 | not published | 0 |
| Infect ag na herpes simplex quant CPT 87530 | $162.00 | $270.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $93.60 | $156.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $295.20 | $492.00 | not published | 0 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $57.00 | $95.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $78.00 | $130.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $835.80 | $1,393.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,675.80 | $2,793.00 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $99.00 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $36.60 | $61.00 | $41.38 – $41.38 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $175.20 | $292.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $117.60 | $196.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $84.60 | $141.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $65.40 | $109.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $183.60 | $306.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $89.40 | $149.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $50.40 | $84.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $85.80 | $143.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $149.40 | $249.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $99.00 | $165.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $70.80 | $118.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $461.40 | $769.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $151.20 | $252.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $203.40 | $339.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $835.80 | $1,393.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $414.00 | $690.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $183.00 | $305.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $388.20 | $647.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $133.20 | $222.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $136.80 | $228.00 | $51.31 – $51.31 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $196.80 | $328.00 | $142.63 – $142.63 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.00 | $445.00 | $142.63 – $142.63 | 1 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $96.00 | $160.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $129.00 | $215.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,050.60 | $1,751.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $300.00 | $500.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $393.60 | $656.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $472.20 | $787.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $451.20 | $752.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,080.86 | $3,468.10 | $29.85 – $43.65 | 2 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $898.02 | $1,496.70 | $20.00 – $29.25 | 2 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,688.48 | $2,814.13 | $18.84 – $27.55 | 2 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $73.99 | $123.31 | not published | 0 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $63.28 | $105.46 | not published | 0 |
| Infuse radioactive materials CPT 77750 | $365.40 | $609.00 | $251.73 – $352.42 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $507.90 – $711.06 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $194.69 – $272.56 | 2 |
| Initial foot exam pt lops HCPCS G0245 | $127.20 | $212.00 | $123.36 – $137.80 | 2 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $705.00 | $1,175.00 | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $253.20 | $422.00 | not published | 0 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $322.20 | $537.00 | not published | 0 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $178.80 | $298.00 | not published | 0 |
| Initial observation care CPT 99218 | $196.20 | $327.00 | not published | 0 |
| Initial observation care CPT 99219 | $268.20 | $447.00 | not published | 0 |
| Initial observation care CPT 99220 | $369.00 | $615.00 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $270.00 | $450.00 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $88.54 – $123.96 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.77 – $8.44 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $5,156.77 | $8,594.61 | $6.93 – $10.14 | 2 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.21 – $0.31 | 2 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $6,143.09 | $10,238.49 | $87.81 – $128.42 | 2 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.18 – $14.90 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $60,717.47 – $88,803.47 | 2 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.72 – $8.37 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.07 – $49.83 | 2 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $831.90 – $1,216.71 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $306.06 – $447.64 | 2 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.51 – $2.21 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.35 – $6.36 | 2 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $125.51 – $183.57 | 2 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $40.78 – $59.64 | 2 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.25 – $13.52 | 2 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $125.93 – $184.18 | 2 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $9,648.88 | $16,081.47 | $17.33 – $25.34 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.84 – $2.69 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $4,325.66 | $7,209.44 | $3.12 – $4.56 | 2 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $49.61 – $72.56 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $475.27 – $695.11 | 2 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $52.93 – $77.42 | 2 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.29 – $44.30 | 2 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $101.37 – $148.26 | 2 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $3,478.84 | $5,798.07 | $77.30 – $113.05 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $10,067.08 | $16,778.47 | $160.94 – $235.38 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,824,456.29 – $4,130,961.34 | 2 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $6,760.17 | $11,266.95 | $38.13 – $55.76 | 2 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $203.28 – $297.30 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.09 – $36.69 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.70 – $6.87 | 2 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $15.79 – $23.10 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $404.74 – $591.96 | 2 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,618.96 – $2,367.83 | 2 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $331.38 – $484.67 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.43 – $2.00 | 2 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $0.71 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $59.49 – $87.01 | 2 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $22.69 | $37.81 | not published | 0 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $248.59 – $363.58 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.87 – $1.27 | 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.