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 |
|---|---|---|---|---|
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.96 – $1.40 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $64.46 | $107.44 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $442.01 | $736.69 | $2.30 – $3.36 | 2 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.74 – $12.78 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $15.70 – $22.96 | 2 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $82.81 – $121.11 | 2 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $85.96 – $125.72 | 2 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.76 – $4.03 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $166.80 | $278.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $999.47 – $1,461.80 | 2 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $527.92 – $772.11 | 2 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.84 – $24.63 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.62 – $12.60 | 2 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.75 – $1.09 | 2 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,338.80 | $2,231.34 | $1.11 – $1.62 | 2 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.03 – $5.89 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | $152.35 | $253.91 | not published | 0 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.06 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.98 – $4.35 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,182,346.71 – $4,654,400.66 | 2 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $5,694.89 | $9,491.48 | $26.36 – $38.56 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $396.60 | $661.00 | not published | 0 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $50.23 – $73.46 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,277.15 | $2,128.59 | $3.96 – $5.80 | 2 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $282.56 – $395.59 | 2 |
| Inj, durolane 1 mg HCPCS J7318 | $1,987.31 | $3,312.18 | $6.39 – $9.35 | 2 |
| Inj dx for sinogram CPT 20501 | $409.20 | $682.00 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | $258.60 | $431.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $414.00 | $690.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $249.60 | $416.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $49.81 – $72.86 | 2 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $460.97 – $674.20 | 2 |
| Injection, cangrelor HCPCS C9460 | $1,356.24 | $2,260.40 | $18.96 – $27.73 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $693.00 | $1,155.00 | $282.56 – $395.59 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,239.24 | $8,732.07 | $66.85 – $97.78 | 2 |
| Injection, doxercalciferol HCPCS J1270 | $58.44 | $97.40 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $171.00 | $285.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $18.03 – $26.38 | 2 |
| Injection epidural blood patch or clot CPT 62273 | $928.20 | $1,547.00 | $662.89 – $928.05 | 2 |
| Injection eye drug CPT 67028 | not published | not published | $317.50 – $444.50 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $270.60 | $451.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $582.60 | $971.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $3,446.87 | $5,744.78 | $6.68 – $9.77 | 2 |
| Injection glatiramer acetate HCPCS J1595 | $3,493.72 | $5,822.86 | $153.53 – $224.55 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,987.41 | $9,979.01 | $11.82 – $17.29 | 2 |
| Injection into brain canal CPT 61026 | not published | not published | $662.89 – $928.05 | 2 |
| Injection into brain canal CPT 61055 | not published | not published | $282.56 – $395.59 | 2 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $872.71 – $1,221.79 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $852.20 – $1,193.08 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $371.70 – $520.38 | 2 |
| Injection, isavuconazonium HCPCS J1833 | $674.71 | $1,124.52 | $0.97 – $1.41 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.48 – $8.02 | 2 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $68.13 – $95.38 | 2 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,318.52 | $3,864.20 | $6.22 – $9.10 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.61 – $2.35 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $232.81 – $325.93 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $78.60 | $131.00 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $1,346.83 | $2,244.71 | $23.98 – $35.07 | 2 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.17 – $51.44 | 2 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $778.20 | $1,297.00 | $662.89 – $843.05 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $823.20 | $1,372.00 | $662.89 – $891.80 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $481.80 | $803.00 | $453.70 – $662.89 | 2 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,848.00 | $3,080.00 | $852.20 – $1,193.08 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $988.20 | $1,647.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,632.60 | $2,721.00 | $852.20 – $1,179.10 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,048.20 | $1,747.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,632.60 | $2,721.00 | $852.20 – $1,179.10 | 2 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $610.80 | $1,018.00 | $661.70 – $662.89 | 2 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $639.60 | $1,066.00 | $662.89 – $692.90 | 2 |
| Injection, siltuximab HCPCS J2860 | $9,427.67 | $15,712.78 | $155.03 – $226.74 | 2 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $348.00 | $580.00 | $282.56 – $377.00 | 2 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $363.60 | $606.00 | $282.56 – $343.20 | 2 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $436.20 | $727.00 | $282.56 – $395.59 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $106.80 | $178.00 | not published | 0 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $26.06 | $43.43 | not published | 0 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $852.20 – $1,193.08 | 2 |
| Injection treatment of nose CPT 30200 | not published | not published | $487.46 – $682.45 | 2 |
| Inject sacroiliac joint CPT 27096 | $1,168.20 | $1,947.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | not published | not published | $286.14 – $400.60 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $286.14 – $400.60 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $286.14 – $400.60 | 2 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $30.01 – $43.89 | 2 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $39.72 – $58.09 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $28,508.30 | $47,513.83 | $32.30 – $47.24 | 2 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.22 – $29.57 | 2 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $365.31 – $534.30 | 2 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $54.97 – $80.40 | 2 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $190.80 | $318.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $164.40 | $274.00 | not published | 0 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.42 – $24.01 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $181.63 – $265.65 | 2 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.63 – $24.32 | 2 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,232,237.04 – $3,264,800.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.49 – $13.87 | 2 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.00 – $48.27 | 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.