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 |
|---|---|---|---|---|
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $258,808.36 – $378,525.00 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $15,284.46 | $25,474.10 | $75.10 – $109.84 | 2 |
| Observation care discharge CPT 99217 | $144.00 | $240.00 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $148.20 | $247.00 | $160.55 – $586.87 | 2 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $438.60 | $731.00 | not published | 0 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $269.40 | $449.00 | not published | 0 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $340.80 | $568.00 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | $2,131.80 | $3,553.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $84.00 | $140.00 | not published | 0 |
| Obtaining screen pap smear HCPCS Q0091 | $87.00 | $145.00 | $23.44 – $32.82 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $220.80 | $368.00 | $101.79 – $142.51 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $477.00 | $795.00 | not published | 0 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $258.60 | $431.00 | not published | 0 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $213.00 | $355.00 | not published | 0 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $223.80 | $373.00 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $36,571.69 | $60,952.81 | $57.15 – $83.58 | 2 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $246.34 | $410.57 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $12,255.94 | $20,426.57 | $203.12 – $297.08 | 2 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $525.13 – $735.18 | 2 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Ocular reconst transplant CPT 65781 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $59.57 – $87.12 | 2 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $153.80 – $215.32 | 2 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $153.80 – $215.32 | 2 |
| Office consultation CPT 99241 | $74.40 | $124.00 | not published | 0 |
| Office emergency care CPT 99058 | $104.40 | $174.00 | not published | 0 |
| Off/op cnsltj new/est low 30 CPT 99243 | $183.00 | $305.00 | not published | 0 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $273.60 | $456.00 | not published | 0 |
| Off/op consltj new/est hi 55 CPT 99245 | $331.80 | $553.00 | not published | 0 |
| Off/op consltj new/est sf 20 CPT 99242 | $133.80 | $223.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $101.44 | $169.07 | not published | 0 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.80 – $4.09 | 2 |
| Ol dig e/m svc 11-20 min CPT 99422 | $30.60 | $51.00 | not published | 0 |
| Ol dig e/m svc 21+ min CPT 99423 | $52.20 | $87.00 | not published | 0 |
| Ol dig e/m svc 5-10 min CPT 99421 | $21.60 | $36.00 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,520.65 | $4,201.09 | $38.82 – $56.78 | 2 |
| Omental flap extra-abdom 49904 CPT 49904 | $2,767.20 | $4,612.00 | not published | 0 |
| Omental flap intra-abdom 49905 CPT 49905 | $741.00 | $1,235.00 | not published | 0 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $0.60 | $1.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $50.26 | $83.77 | not published | 0 |
| One-way allow prorated trip HCPCS P9604 | $18.00 | $30.00 | not published | 0 |
| Oocyte identification CPT 89254 | not published | not published | $164.03 – $229.64 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | $2,196.60 | $3,661.00 | not published | 0 |
| Open aortic tube prosth repair 34830 CPT 34830 | $3,556.20 | $5,927.00 | not published | 0 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $3,369.60 | $5,616.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $857.40 | $1,429.00 | not published | 0 |
| Open bx of lung pleura 32098 CPT 32098 | $1,180.80 | $1,968.00 | not published | 0 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $451.20 | $752.00 | not published | 0 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $1,323.60 | $2,206.00 | not published | 0 |
| Open skull for drainage 61312 CPT 61312 | $3,827.40 | $6,379.00 | not published | 0 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $822.60 | $1,371.00 | not published | 0 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $903.60 | $1,506.00 | not published | 0 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $1,306.20 | $2,177.00 | not published | 0 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $1,566.00 | $2,610.00 | not published | 0 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $2,131.20 | $3,552.00 | not published | 0 |
| Open tx/sternum fracture 21825 CPT 21825 | $1,054.20 | $1,757.00 | not published | 0 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,553.40 | $2,589.00 | not published | 0 |
| Ophthalmic biometry CPT 92136 | not published | not published | $123.39 – $172.74 | 2 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $37.57 – $52.60 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | $208.20 | $347.00 | $123.39 – $172.74 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $101.79 – $142.51 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $101.79 – $142.51 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | $2,880.00 | $4,800.00 | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $567.00 | $945.00 | not published | 0 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,282.14 – $8,794.99 | 2 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Opn tx complx malar fx CPT 21365 | $2,155.80 | $3,593.00 | not published | 0 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx depress front sinus fx 21343 CPT 21343 | $2,340.60 | $3,901.00 | not published | 0 |
| Opn tx dprsd zygomatic arch CPT 21356 | $961.20 | $1,602.00 | not published | 0 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $1,084.80 | $1,808.00 | not published | 0 |
| Opn tx orbit periorbtl implt CPT 21390 | $1,538.40 | $2,564.00 | not published | 0 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $407.60 – $570.64 | 2 |
| Oprelvekin injection HCPCS J2355 | $464.08 | $773.46 | not published | 0 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $56.86 – $79.60 | 2 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $56.86 – $79.60 | 2 |
| Optokinetic nystagmus test CPT 92534 | $40.80 | $68.00 | not published | 0 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx complicated mndblr fx CPT 21470 | $1,780.80 | $2,968.00 | not published | 0 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,105.81 – $4,348.13 | 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.