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 |
|---|---|---|---|---|
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $364.80 | $608.00 | not published | 0 |
| Partial complicated cystectomy 51555 CPT 51555 | $2,497.20 | $4,162.00 | not published | 0 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,161.60 | $1,936.00 | not published | 0 |
| Partial excision of lip CPT 40500 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Partial hysterectomy CPT 58180 | $1,864.20 | $3,107.00 | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | $3,846.00 | $6,410.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Partial removal foot fascia CPT 28060 | $4,659.60 | $7,766.00 | $3,105.81 – $4,348.13 | 2 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of bladder CPT 51550 | $1,465.20 | $2,442.00 | not published | 0 |
| Partial removal of esophagus 43117 CPT 43117 | $4,973.40 | $8,289.00 | not published | 0 |
| Partial removal of esophagus 43122 CPT 43122 | $3,921.00 | $6,535.00 | not published | 0 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | $3,809.40 | $6,349.00 | not published | 0 |
| Partial removal of lip CPT 40530 | $1,029.00 | $1,715.00 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $2,868.60 | $4,781.00 | not published | 0 |
| Partial removal of nose CPT 30150 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Partial removal of pharynx 42890 CPT 42890 | $2,781.60 | $4,636.00 | not published | 0 |
| Partial removal of radius CPT 25151 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of radius CPT 25230 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of rib CPT 21600 | $1,083.60 | $1,806.00 | not published | 0 |
| Partial removal of sternum CPT 21620 | $972.00 | $1,620.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $1,367.40 | $2,279.00 | not published | 0 |
| Partial removal of thyroid CPT 60225 | $1,783.80 | $2,973.00 | not published | 0 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of toe CPT 28160 | $802.20 | $1,337.00 | not published | 0 |
| Partial removal of tongue CPT 41120 | $2,065.20 | $3,442.00 | not published | 0 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of vaginal wall 57106 CPT 57106 | $936.60 | $1,561.00 | not published | 0 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Partial thyroid excision CPT 60210 | $1,357.20 | $2,262.00 | not published | 0 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $1,939.80 | $3,233.00 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $877.80 | $1,463.00 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $1,131.00 | $1,885.00 | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | $934.20 | $1,557.00 | not published | 0 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $0.60 | $1.00 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $164.03 – $229.64 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $164.03 – $229.64 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $51.14 – $71.60 | 2 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $53.71 – $75.19 | 2 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $280.02 – $392.02 | 2 |
| Patient recorded spirometry CPT 94014 | not published | not published | $381.97 – $534.76 | 2 |
| Patient recorded spirometry CPT 94015 | not published | not published | $298.08 – $417.31 | 2 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $28.80 | $48.00 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $190.20 – $266.28 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Ped crit care age 2-5 init CPT 99475 | $1,130.40 | $1,884.00 | not published | 0 |
| Ped crit care age 2-5 subsq CPT 99476 | $685.80 | $1,143.00 | not published | 0 |
| Ped crit care transport CPT 99466 | $525.60 | $876.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $246.60 | $411.00 | not published | 0 |
| Ped critical care initial CPT 99471 | $1,653.00 | $2,755.00 | not published | 0 |
| Ped critical care subsq CPT 99472 | $811.20 | $1,352.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $149.77 – $209.67 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $149.77 – $209.67 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,545.60 | $2,576.00 | not published | 0 |
| Pegaspargase injection HCPCS J9266 | $47,536.40 | $79,227.33 | $27,208.08 – $39,793.68 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $11,379.97 | $18,966.61 | $55.90 – $81.76 | 2 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $126.39 – $184.86 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,407.18 | $12,345.30 | $130.22 – $190.46 | 2 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $219.31 – $320.75 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $7,407.18 | $12,345.30 | $99.27 – $145.19 | 2 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $142.83 – $208.89 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,483.19 – $5,094.40 | 2 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $220.43 – $322.39 | 2 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,521.60 | $2,536.00 | $170.40 – $238.57 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,434.00 | $2,390.00 | $170.40 – $238.57 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,170.60 | $1,951.00 | $101.79 – $142.51 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,616.00 | $4,360.00 | $341.85 – $478.59 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $1,741.20 | $2,902.00 | $341.85 – $478.59 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $1,576.80 | $2,628.00 | $231.38 – $323.93 | 2 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $373.80 | $623.00 | $101.79 – $142.51 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $213.60 | $356.00 | $101.79 – $142.51 | 2 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $172.80 | $288.00 | $101.79 – $142.51 | 2 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $243.00 | $405.00 | $101.79 – $142.51 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $10,270.83 | $17,118.05 | $56.05 – $81.98 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $7,202.36 | $12,003.94 | $3.57 – $5.22 | 2 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $431.23 – $603.72 | 2 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $16.63 – $24.32 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,351.83 | $2,253.05 | $28.05 – $41.02 | 2 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $119.73 | $199.55 | not published | 0 |
| Penicillin g procaine inj HCPCS J2510 | $149.24 | $248.74 | $45.17 – $66.07 | 2 |
| Penile injection CPT 54235 | not published | not published | $232.81 – $325.93 | 2 |
| Penile vascular study CPT 93980 | not published | not published | $101.79 – $142.51 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $101.79 – $142.51 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Penis study CPT 54240 | $110.40 | $184.00 | $119.60 – $298.08 | 2 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,435.06 – $3,561.45 | 2 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $17,188.53 – $24,063.94 | 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.