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 |
|---|---|---|---|---|
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perc rf ablate renal tumor CPT 50592 | $6,211.20 | $10,352.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $522.12 | $870.20 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $570.00 | $950.00 | not published | 0 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $4,681.20 | $7,802.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,003.40 | $3,339.00 | $1,486.98 – $2,081.78 | 2 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,898.40 | $3,164.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $1,515.00 | $2,525.00 | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | $506.40 | $844.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $56.86 – $79.60 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | $844.20 | $1,407.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $524.84 – $734.78 | 2 |
| Perit-vens shunt pat tst CPT 78291 | $695.40 | $1,159.00 | $384.64 – $538.50 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $12,354.60 | $20,591.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $3,855.60 | $6,426.00 | $673.49 – $942.89 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | $3,742.20 | $6,237.00 | $673.49 – $942.89 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $162.00 | $270.00 | not published | 0 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | $213.00 | $355.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $855.00 | $1,425.00 | not published | 0 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $12,121.85 | $20,203.09 | $16.17 – $23.65 | 2 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $24,690.36 | $41,150.60 | $60.68 – $88.75 | 2 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $88.80 | $148.00 | not published | 0 |
| Pessary reusable rub anytype HCPCS A4561 | $1.80 | $3.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,760.20 | $6,267.00 | $1,396.19 – $1,954.67 | 2 |
| Pet CT whole body initial CPT 78816 | $4,193.40 | $6,989.00 | $1,396.19 – $1,954.67 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,274.20 | $5,457.00 | $1,396.19 – $1,954.67 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet image ltd area CPT 78811 | $2,204.40 | $3,674.00 | $1,249.63 – $1,749.48 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $384.64 – $538.50 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $23,287.80 | $38,813.00 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | $822.00 | $1,370.00 | not published | 0 |
| Pharmacologic management w/psytx CPT 90863 | $44.40 | $74.00 | not published | 0 |
| Ph body fluid CPT 83986 | $73.20 | $122.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $610.20 | $1,017.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $112.72 | $187.87 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $128.40 | $214.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $755.97 | $1,259.95 | $417.84 – $611.11 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $93.25 – $130.55 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $16.01 | $26.69 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $148.80 | $248.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $159.60 | $266.00 | $77.35 – $123.39 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,294.80 | $2,158.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $1,531.80 | $2,553.00 | not published | 0 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $82.20 | $137.00 | not published | 0 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $116.40 | $194.00 | not published | 0 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $50.40 | $84.00 | not published | 0 |
| Phosphorus CPT 84100 | $48.60 | $81.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $32.40 | $54.00 | not published | 0 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $56.86 – $79.60 | 2 |
| Photochemotherapy puva CPT 96912 | not published | not published | $56.86 – $79.60 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $382.44 – $535.41 | 2 |
| Photo patch test CPT 95052 | not published | not published | $56.86 – $79.60 | 2 |
| Photopheresis CPT 36522 | not published | not published | $4,484.74 – $6,278.63 | 2 |
| Photosensitivity tests CPT 95056 | not published | not published | $123.39 – $172.74 | 2 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $51.14 – $71.60 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $164.03 – $229.64 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.44 – $32.82 | 2 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $272.40 | $454.00 | not published | 0 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $233.40 | $389.00 | not published | 0 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $245.40 | $409.00 | not published | 0 |
| Physical Therapy Re-Evaluation CPT 97164 | $233.40 | $389.00 | not published | 0 |
| Physician standby services CPT 99360 | $146.40 | $244.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $99.15 | $165.25 | not published | 0 |
| Pierce earlobes 69090 CPT 69090 | $49.20 | $82.00 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $6,328.20 | $10,547.00 | $318.22 – $465.42 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,925.00 | $19,875.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,083.60 | $1,806.00 | not published | 0 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin finger fracture each CPT 26756 | $600.60 | $1,001.00 | not published | 0 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $88.54 – $123.96 | 2 |
| Pinworm exam CPT 87172 | $33.60 | $56.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $78.80 | $131.34 | not published | 0 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,242.47 – $8,739.46 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,309.73 – $1,833.62 | 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.