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 |
|---|---|---|---|---|
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney function study CPT 78725 | not published | not published | $384.64 – $538.50 | 2 |
| Kidney imaging morphology CPT 78700 | $757.80 | $1,263.00 | $384.64 – $538.50 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | $699.00 | $1,165.00 | $515.24 – $721.34 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $806.40 | $1,344.00 | $515.24 – $721.34 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $486.00 | $810.00 | $101.79 – $142.51 | 2 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $372.00 | $620.00 | $101.79 – $142.51 | 2 |
| Kit case 4.2mm spinejack HCPCS C1062 | $10,027.20 | $16,712.00 | not published | 0 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $86.40 | $144.00 | not published | 0 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $6.60 | $11.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,575.00 | $17,625.00 | not published | 0 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $7.20 | $12.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $12,555.00 | $20,925.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,866.60 | $3,111.00 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,969.20 | $3,282.00 | not published | 0 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $28.20 | $47.00 | not published | 0 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $755.40 | $1,259.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29880 | $784.20 | $1,307.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $3,717.00 | $6,195.00 | $341.85 – $478.59 | 2 |
| Knee MRI (with contrast) CPT 73722 | $2,693.40 | $4,489.00 | $756.26 – $1,058.77 | 2 |
| Knee MRI (without contrast) CPT 73721 | $2,653.20 | $4,422.00 | $231.38 – $323.93 | 2 |
| Knee X-ray CPT 73564 | $293.40 | $489.00 | not published | 0 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $238.20 | $397.00 | not published | 0 |
| Knee X-ray (3 views, both knees) CPT 73562 | $288.60 | $481.00 | not published | 0 |
| Knee X-ray (standing, both knees) CPT 73565 | $128.40 | $214.00 | $84.28 – $118.00 | 2 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,161.19 | $3,601.99 | not published | 0 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $53.40 | $89.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $49.80 | $83.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $120.00 | $200.00 | not published | 0 |
| Labioplasty 56800 CPT 56800 | $468.60 | $781.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $56.40 | $94.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $43.74 | $72.90 | not published | 0 |
| Lactic acid CPT 83605 | $84.00 | $140.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $81.00 | $135.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $87.00 | $145.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $2,722.80 | $4,538.00 | not published | 0 |
| Lam facetec & foramot lumbar CPT 63047 | $2,326.20 | $3,877.00 | not published | 0 |
| Lam facetec & foramot thrc CPT 63046 | $2,625.00 | $4,375.00 | not published | 0 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | $3,634.20 | $6,057.00 | not published | 0 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | $4,352.40 | $7,254.00 | not published | 0 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $3,180.00 | $5,300.00 | not published | 0 |
| Laminotomy single cervical CPT 63040 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Laminotomy single lumbar CPT 63042 | $3,033.00 | $5,055.00 | not published | 0 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | $985.20 | $1,642.00 | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $16,948.63 | $28,247.72 | $35.09 – $51.32 | 2 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo-asst vag hysterectomy CPT 58550 | $2,890.80 | $4,818.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $2,120.40 | $3,534.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $1,349.40 | $2,249.00 | not published | 0 |
| Laparo drng lymphocele 49323 CPT 49323 | $1,219.20 | $2,032.00 | not published | 0 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Laparo-myomectomy complex CPT 58546 | $2,199.00 | $3,665.00 | not published | 0 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo partial colectomy 44204 CPT 44204 | $2,917.80 | $4,863.00 | not published | 0 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $1,492.20 | $2,487.00 | not published | 0 |
| Laparo radical nephrectomy CPT 50545 | $2,509.20 | $4,182.00 | not published | 0 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Laparoscopic myomectomy CPT 58545 | $1,741.80 | $2,903.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $2,215.20 | $3,692.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $1,560.60 | $2,601.00 | not published | 0 |
| Laparoscopy adrenalectomy CPT 60650 | $2,259.00 | $3,765.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $706.20 | $1,177.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $654.60 | $1,091.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $2,683.80 | $4,473.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $1,372.80 | $2,288.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $2,041.80 | $3,403.00 | not published | 0 |
| Laparoscopy gastrostomy CPT 43653 | $1,073.40 | $1,789.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $1,561.20 | $2,602.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $1,836.00 | $3,060.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $1,032.00 | $1,720.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $1,306.80 | $2,178.00 | not published | 0 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laparoscopy remove adnexa CPT 58661 | $1,254.60 | $2,091.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $2,075.40 | $3,459.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $1,546.80 | $2,578.00 | not published | 0 |
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.