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 |
|---|---|---|---|---|
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx lunate dislocation CPT 25695 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx medial ankle fx CPT 27766 | $848.40 | $1,414.00 | not published | 0 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Optx post ankle fx CPT 27769 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx sho dislc fx CPT 23670 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Oral aprepitant HCPCS J8501 | $302.47 | $504.11 | not published | 0 |
| Oral busulfan HCPCS J8510 | $8.03 | $13.38 | $2.80 – $80.61 | 2 |
| Oral everolimus HCPCS J7527 | $1,182.59 | $1,970.99 | not published | 0 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $17.74 – $25.94 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.69 – $31.72 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $392.00 – $573.33 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Orchiopexy ingun/scrot appr CPT 54640 | $658.20 | $1,097.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $210.60 | $351.00 | not published | 0 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $39.63 – $57.96 | 2 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,741.77 | $2,902.95 | $27.30 – $39.93 | 2 |
| Oropharyngeal biopsy 42800 CPT 42800 | $312.60 | $521.00 | not published | 0 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $56.42 | $94.03 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $82.20 | $137.00 | not published | 0 |
| Orthopantogram CPT 70355 | $151.20 | $252.00 | $84.28 – $118.00 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $56.86 – $79.60 | 2 |
| Orthovisc inj per dose HCPCS J7324 | $859.06 | $1,431.76 | $93.52 – $136.78 | 2 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $194.69 – $272.56 | 2 |
| Osmolality blood CPT 83930 | $64.20 | $107.00 | not published | 0 |
| Osmolality urine CPT 83935 | $69.00 | $115.00 | not published | 0 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $964.80 | $1,608.00 | not published | 0 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $135.00 | $225.00 | $24.22 – $33.90 | 2 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $139.80 | $233.00 | $24.22 – $33.90 | 2 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $167.40 | $279.00 | $24.22 – $33.90 | 2 |
| Osteoplasty humerus CPT 24420 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $1,446.60 | $2,411.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $124.20 | $207.00 | $37.57 – $52.60 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $58.80 | $98.00 | $23.44 – $32.82 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $88.20 | $147.00 | not published | 0 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $59.40 | $99.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | $1,738.20 | $2,897.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $213.00 | $355.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $36.60 | $61.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $48.60 | $81.00 | not published | 0 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | $4,301.40 | $7,169.00 | not published | 0 |
| Ovarian cystectomy 58925 CPT 58925 | $1,433.40 | $2,389.00 | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $69.17 | $115.28 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $2,276.71 | $3,794.51 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $15.06 | $25.10 | not published | 0 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $171.46 – $250.77 | 2 |
| Packing strips, non-impreg HCPCS A6407 | $48.60 | $81.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $938.32 | $1,563.86 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,944.34 | $4,907.23 | $11.60 – $16.97 | 2 |
| Palifermin injection HCPCS J2425 | not published | not published | $34.37 – $50.27 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $6,334.10 | $10,556.83 | $14.43 – $21.11 | 2 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,798.91 | $4,664.85 | $689.07 – $1,007.82 | 2 |
| Palonosetron hcl HCPCS J2469 | $366.66 | $611.10 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $77.43 | $129.05 | not published | 0 |
| Pancreatectomy 48153 CPT 48153 | $4,801.80 | $8,003.00 | not published | 0 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $2,927.40 | $4,879.00 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,876.58 | $21,460.96 | $165.17 – $241.57 | 2 |
| Papaverin hcl injection HCPCS J2440 | $85.76 | $142.94 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $266.40 | $444.00 | not published | 0 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $2,681.40 | $4,469.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $515.24 – $721.34 | 2 |
| Parathyroid autotransplantation 60512 CPT 60512 | $465.60 | $776.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $528.00 | $880.00 | $384.64 – $538.50 | 2 |
| Parathyroid planar img w/tomo spect CPT 78071 | $707.40 | $1,179.00 | $384.64 – $538.50 | 2 |
| Paravaginal defect repair 57284 CPT 57284 | $1,598.40 | $2,664.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,675.20 | $2,792.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $50.18 | $83.63 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $159.60 | $266.00 | $172.90 – $190.20 | 2 |
| Parotid duct diversion CPT 42507 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Parotid duct diversion CPT 42509 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $1,689.60 | $2,816.00 | 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.