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 |
|---|---|---|---|---|
| Interrogation vad in person CPT 93750 | not published | not published | $87.86 – $123.01 | 2 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $23.44 – $32.82 | 2 |
| Interrog device eval heart CPT 93289 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $87.86 – $123.01 | 2 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $287.08 – $401.91 | 2 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $87.86 – $123.01 | 2 |
| Interstitial brachy inter CPT 77799 | $1,797.00 | $2,995.00 | $104.82 – $146.74 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | $571.20 | $952.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $581.40 | $969.00 | not published | 0 |
| Intra-atrial pacing CPT 93610 | $4,151.40 | $6,919.00 | $4,497.35 – $7,263.48 | 2 |
| Intra-atrial recording CPT 93602 | $4,151.40 | $6,919.00 | $4,497.35 – $7,263.48 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $4,911.00 | $8,185.00 | not published | 0 |
| Intracranial complete study CPT 93886 | not published | not published | $231.38 – $323.93 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $101.79 – $142.51 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $201.60 | $336.00 | not published | 0 |
| Intranasal reconstruction CPT 30620 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $3,690.00 | $6,150.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $312.60 | $521.00 | not published | 0 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $84.28 – $118.00 | 2 |
| Intrapul surf admin endo tube CPT 94610 | $94.20 | $157.00 | $102.05 – $194.69 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $418.48 – $585.87 | 2 |
| Intraventricular pacing CPT 93612 | $3,664.80 | $6,108.00 | $3,970.20 – $7,263.48 | 2 |
| Intrinsic factor antibody CPT 86340 | $122.40 | $204.00 | not published | 0 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $123.36 – $172.70 | 2 |
| Intro cath dialysis circuit CPT 36901 | $2,268.00 | $3,780.00 | $1,486.98 – $1,946.10 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,436.60 | $14,061.00 | $3,406.00 – $5,457.61 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $14,920.80 | $24,868.00 | $10,855.42 – $15,197.59 | 2 |
| Intro catheter aorta CPT 36200 | $1,702.20 | $2,837.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $2,270.40 | $3,784.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $688.80 | $1,148.00 | $746.20 – $897.45 | 2 |
| Intro long gi tube w/mult fluo CPT 74340 | $492.60 | $821.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,866.80 | $4,778.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,158.00 | $1,930.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $436.80 | $728.00 | $222.29 – $311.20 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $56.86 – $79.60 | 2 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $299.40 | $499.00 | not published | 0 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $199.66 – $279.52 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.69 – $49.97 | 2 |
| Ionm in operatng room 15 min CPT 95940 | $76.80 | $128.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $284.99 | $474.98 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $484.73 | $807.88 | not published | 0 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $380.22 | $633.70 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $64,192.30 | $106,987.16 | $175.56 – $256.77 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $155.40 | $259.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $237.60 | $396.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $298.80 | $498.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $117.60 | $196.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,060.36 | $1,767.26 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,317.81 | $8,863.01 | $62.47 – $91.36 | 2 |
| Iron CPT 83540 | $243.00 | $405.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $52.20 | $87.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $78.46 | $130.76 | $17.26 – $25.24 | 2 |
| Iron stain peripheral blood CPT 85536 | $372.60 | $621.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $124.11 | $206.85 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $319.80 | $533.00 | $35.75 – $37.57 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $141.00 | $235.00 | $56.86 – $79.60 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Irrigation syringe HCPCS A4322 | $21.60 | $36.00 | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $90.00 | $150.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $7,745.39 | $12,908.99 | $79.32 – $116.00 | 2 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $622.67 – $871.74 | 2 |
| Ivc venogram s&i CPT 75825 | $3,594.60 | $5,991.00 | $3,012.85 – $3,894.15 | 2 |
| IV Fluids (each additional hour) CPT 96361 | $60.00 | $100.00 | $44.17 – $61.75 | 2 |
| IV Fluids (first hour) CPT 96360 | $297.00 | $495.00 | $201.68 – $256.75 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $147.60 | $246.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $384.64 – $538.50 | 2 |
| IV Medicine Infusion (additional drug) CPT 96367 | $111.00 | $185.00 | $68.13 – $95.38 | 2 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $64.20 | $107.00 | $36.40 – $44.17 | 2 |
| IV Medicine Infusion (first hour) CPT 96365 | $309.60 | $516.00 | $201.68 – $282.35 | 2 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $381.97 – $534.76 | 2 |
| IV Push Injection (each additional drug) CPT 96375 | $68.40 | $114.00 | $44.17 – $61.83 | 2 |
| IV Push Injection (first drug) CPT 96374 | $181.20 | $302.00 | $160.55 – $201.68 | 2 |
| Ivp w/nephrotomography CPT 74415 | $481.20 | $802.00 | $170.40 – $238.57 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $426.00 | $710.00 | $170.40 – $238.57 | 2 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $5,633.09 | $9,388.48 | $132.74 – $194.14 | 2 |
| Jak2 targeted sequence analysis CPT 81279 | $495.00 | $825.00 | not published | 0 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $232.20 | $387.00 | $84.28 – $118.00 | 2 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $232.80 | $388.00 | $101.79 – $142.51 | 2 |
| Jejunstmy tube plcmt CPT 44372 | $364.20 | $607.00 | not published | 0 |
| J-tube placement CPT 44015 | $437.40 | $729.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | not published | not published | $13,678.01 – $19,149.22 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $79.20 | $132.00 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | $82.80 | $138.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.80 | $73.00 | not published | 0 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $26.95 | $44.91 | $0.34 – $0.47 | 2 |
| Kidney endoscopy CPT 50551 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy CPT 50553 | $5,098.80 | $8,498.00 | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Kidney endoscopy CPT 50575 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $8,851.56 – $12,392.18 | 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.