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 |
|---|---|---|---|---|
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $315.00 | $525.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | not published | not published | $254.22 – $355.91 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | $1,563.00 | $2,605.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $55.80 | $93.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $77.40 | $129.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.57 – $52.60 | 2 |
| Appl multlay comprs arm/hand CPT 29584 | $237.60 | $396.00 | $151.04 – $211.46 | 2 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $254.22 – $355.91 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Apply finger cast 29086 CPT 29086 | $195.00 | $325.00 | $151.04 – $211.25 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | $145.80 | $243.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $178.80 | $298.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $3,383.40 | $5,639.00 | $664.13 – $929.78 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $664.13 – $929.78 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $553.72 – $775.21 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $553.72 – $775.21 | 2 |
| Apply of finger splint 29131 CPT 29131 | $99.00 | $165.00 | not published | 0 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Apply rigid leg cast 29445 CPT 29445 | $428.40 | $714.00 | $254.22 – $355.91 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | $153.00 | $255.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $104.82 – $146.74 | 2 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| App topical fluoride varnish CPT 99188 | $10.20 | $17.00 | not published | 0 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.69 – $2.48 | 2 |
| #aptt mix-1:1 incubated CPT 87532 | $264.60 | $441.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $553.20 | $922.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $400.80 | $668.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $77.40 | $129.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $526.80 | $878.00 | not published | 0 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.74 – $2.55 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.39 – $2.03 | 2 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,254.28 | $3,757.14 | $0.71 – $1.04 | 2 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $5,648.36 | $9,413.94 | $3.19 – $4.66 | 2 |
| Aripiprazole injection HCPCS J0400 | $61.73 | $102.88 | not published | 0 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,753.80 | $2,923.00 | $341.85 – $478.59 | 2 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,744.80 | $2,908.00 | $101.79 – $142.51 | 2 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $1,887.60 | $3,146.00 | $101.79 – $142.51 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,301.95 | $3,836.58 | $5.61 – $8.20 | 2 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $5,701.80 | $9,503.00 | not published | 0 |
| Art byp aortofemoral 35647 CPT 35647 | $2,358.00 | $3,930.00 | not published | 0 |
| Art byp aortoiliac 35637 CPT 35637 | $3,339.00 | $5,565.00 | not published | 0 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $3,095.40 | $5,159.00 | not published | 0 |
| Art bypass aortobifemoral 35646 CPT 35646 | $3,443.40 | $5,739.00 | not published | 0 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $3,525.00 | $5,875.00 | not published | 0 |
| Art bypass axillary-femoral 35621 CPT 35621 | $2,208.60 | $3,681.00 | not published | 0 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $3,058.80 | $5,098.00 | not published | 0 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $2,665.80 | $4,443.00 | not published | 0 |
| Art bypass common ipsi carotid 35601 CPT 35601 | $2,831.40 | $4,719.00 | not published | 0 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $2,553.00 | $4,255.00 | not published | 0 |
| Art bypass femoral-femoral 35661 CPT 35661 | $2,180.40 | $3,634.00 | not published | 0 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $2,439.00 | $4,065.00 | not published | 0 |
| Art bypass iliofemoral 35665 CPT 35665 | $2,358.00 | $3,930.00 | not published | 0 |
| Art bypass subclav-subclavian 35612 CPT 35612 | $2,386.20 | $3,977.00 | not published | 0 |
| Art byp axillary-axillary 35650 CPT 35650 | $954.60 | $1,591.00 | not published | 0 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $5,098.80 | $8,498.00 | not published | 0 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | $4,594.80 | $7,658.00 | not published | 0 |
| Art byp grft fem-femoral 35558 CPT 35558 | $2,477.40 | $4,129.00 | not published | 0 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $2,806.20 | $4,677.00 | not published | 0 |
| Art byp ilioiliac 35663 CPT 35663 | $1,854.00 | $3,090.00 | not published | 0 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $2,674.20 | $4,457.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $513.60 | $856.00 | not published | 0 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $1,875.00 | $3,125.00 | not published | 0 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Artery transpose/endovas taa CPT 33889 | $1,052.40 | $1,754.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $1,297.80 | $2,163.00 | not published | 0 |
| Artery xray each vessel 7577426 CPT 75774 | $1,194.60 | $1,991.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,389.20 | $8,982.00 | $5,174.44 – $5,838.30 | 2 |
| Artery x-rays adrenal gland CPT 75731 | $2,055.00 | $3,425.00 | $2,226.25 – $3,012.85 | 2 |
| Artery x-rays adrenals CPT 75733 | $3,083.40 | $5,139.00 | $3,012.85 – $3,340.35 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,594.60 | $5,991.00 | $3,012.85 – $3,894.15 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,594.60 | $5,991.00 | $3,012.85 – $3,894.15 | 2 |
| Artery x-rays chest CPT 75756 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Artery x-rays lung CPT 75741 | $2,073.00 | $3,455.00 | $2,245.75 – $3,012.85 | 2 |
| Artery x-rays lung CPT 75746 | $1,181.40 | $1,969.00 | $1,279.85 – $3,012.85 | 2 |
| Artery x-rays lungs CPT 75743 | $2,618.40 | $4,364.00 | $2,836.60 – $3,012.85 | 2 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,055.00 | $3,425.00 | $2,226.25 – $5,174.44 | 2 |
| Artery x-rays spine CPT 75705 | $1,223.40 | $2,039.00 | $1,325.35 – $5,174.44 | 2 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $460.80 | $768.00 | not published | 0 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $2,812.20 | $4,687.00 | not published | 0 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $2,208.00 | $3,680.00 | not published | 0 |
| Arthrd ant ntrbdy cervical CPT 22551 | $5,518.80 | $9,198.00 | $5,978.70 – $12,316.38 | 2 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $3,481.20 | $5,802.00 | not published | 0 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $2,886.00 | $4,810.00 | not published | 0 |
| Arthrd si jt perq/min nvas CPT 27279 | $1,167.60 | $1,946.00 | not published | 0 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $348.00 | $580.00 | $282.56 – $377.00 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $579.60 | $966.00 | $627.90 – $662.89 | 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.