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 |
|---|---|---|---|---|
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | $88.20 | $147.00 | not published | 0 |
| Mobilization of colon 44139 CPT 44139 | $253.80 | $423.00 | not published | 0 |
| Modification of contact lens CPT 92325 | not published | not published | $123.39 – $172.74 | 2 |
| Modified maze/limited 33254 CPT 33254 | $2,655.00 | $4,425.00 | not published | 0 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,137.00 | $1,895.00 | not published | 0 |
| Molecular pathology interpr HCPCS G0452 | $76.80 | $128.00 | not published | 0 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $10.86 – $15.89 | 2 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,451.40 | $17,419.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $2,669.22 | $4,448.70 | $505.97 – $740.01 | 2 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $123.36 – $172.70 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $274.48 | $457.47 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $49.58 | $82.63 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $164.03 – $229.64 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $344.33 – $482.06 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $164.03 – $229.64 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $624.83 – $913.85 | 2 |
| Motion analysis video/3d CPT 96000 | not published | not published | $507.90 – $711.06 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $973.87 – $1,363.41 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $381.97 – $534.76 | 2 |
| Mouth piece HCPCS A4617 | $3.60 | $6.00 | not published | 0 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $738.60 | $1,231.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $164.03 – $229.64 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $164.03 – $229.64 | 2 |
| Mpl gene analysis common variants CPT 81338 | $374.40 | $624.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $3,282.60 | $5,471.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,536.20 | $4,227.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $341.85 – $478.59 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $231.38 – $323.93 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $341.85 – $478.59 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,552.00 | $5,920.00 | not published | 0 |
| MRA pelvis CPT 72198 | $1,995.00 | $3,325.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $341.85 – $478.59 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $231.38 – $323.93 | 2 |
| MRA spinal canal CPT 72159 | $2,598.00 | $4,330.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,207.60 | $5,346.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $341.85 – $478.59 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $231.38 – $323.93 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $231.38 – $323.93 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $231.38 – $323.93 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $231.38 – $323.93 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $341.85 – $478.59 | 2 |
| Mr elastography CPT 76391 | not published | not published | $231.38 – $323.93 | 2 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $170.40 – $238.57 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $524.84 – $734.78 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $170.40 – $238.57 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $231.38 – $323.93 | 2 |
| MRI breast without cont bi CPT 77047 | $1,151.40 | $1,919.00 | $231.38 – $323.93 | 2 |
| MRI breast w IV cont bi CPT 77049 | $1,685.40 | $2,809.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,232.40 | $2,054.00 | $231.38 – $323.93 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,499.40 | $2,499.00 | $341.85 – $478.59 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,499.60 | $4,166.00 | $756.26 – $1,058.77 | 2 |
| MRI chest without contrast CPT 71550 | $1,432.20 | $2,387.00 | $231.38 – $323.93 | 2 |
| MRI chest without & w/contrast CPT 71552 | $2,305.20 | $3,842.00 | $341.85 – $478.59 | 2 |
| MRI chest w IV cont CPT 71551 | $1,556.40 | $2,594.00 | $756.26 – $1,058.77 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $231.38 – $323.93 | 2 |
| MRI guid ndl plc s&i CPT 77021 | $813.60 | $1,356.00 | not published | 0 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,197.00 – $1,675.81 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $2,340.60 | $3,901.00 | $341.85 – $478.59 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,412.00 | $4,020.00 | $231.38 – $323.93 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,791.40 | $6,319.00 | $341.85 – $478.59 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,662.00 | $2,770.00 | $341.85 – $478.59 | 2 |
| MRI tmj CPT 70336 | $1,246.80 | $2,078.00 | $231.38 – $323.93 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,020.80 | $3,368.00 | $231.38 – $323.93 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,748.80 | $6,248.00 | $341.85 – $478.59 | 2 |
| MRI upper extremity w/dye CPT 73219 | $1,591.80 | $2,653.00 | $341.85 – $478.59 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $341.85 – $478.59 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $170.40 – $238.57 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $341.85 – $478.59 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $341.85 – $478.59 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.28 – $118.00 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $87.86 – $123.01 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.86 – $79.60 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.44 – $32.82 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $231.38 – $323.93 | 2 |
| Mr spectroscopy CPT 76390 | $1,117.20 | $1,862.00 | $84.28 – $118.00 | 2 |
| Mthfr gene analy common variants CPT 81291 | $193.20 | $322.00 | not published | 0 |
| Mucin synovial fluid CPT 83872 | $33.60 | $56.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $176.40 | $294.00 | not published | 0 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $28.52 – $39.92 | 2 |
| Multi family grp psychotherapy CPT 90849 | $121.20 | $202.00 | not published | 0 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $149.77 – $209.67 | 2 |
| Multiple sleep latency test CPT 95805 | $1,297.80 | $2,163.00 | $507.90 – $711.06 | 2 |
| Mumps antibody igg CPT 86735 | $100.80 | $168.00 | not published | 0 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Muscle-skin graft leg CPT 15738 | $2,716.80 | $4,528.00 | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | $2,268.00 | $3,780.00 | not published | 0 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $298.08 – $417.31 | 2 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $149.77 – $209.67 | 2 |
| Muscle test larynx CPT 95865 | not published | not published | $123.39 – $172.74 | 2 |
| Muscle test one fiber CPT 95872 | not published | not published | $149.77 – $209.67 | 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.