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 |
|---|---|---|---|---|
| Place duod/jej tube perc CPT 49441 | $2,277.00 | $3,795.00 | not published | 0 |
| Place endorectal app HCPCS C9725 | not published | not published | $872.71 – $1,221.79 | 2 |
| Place gastrostomy tube open 43832 CPT 43832 | $1,987.20 | $3,312.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $2,054.40 | $3,424.00 | $1,806.35 – $1,815.84 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,085.80 | $5,143.00 | $1,550.93 – $2,073.50 | 2 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,187.00 | $3,645.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $3,013.20 | $5,022.00 | $673.49 – $942.89 | 2 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,817.00 | $9,695.00 | $1,960.87 – $2,745.22 | 2 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $319.20 | $532.00 | not published | 0 |
| Placement of seton CPT 46020 | $514.20 | $857.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,054.80 | $21,758.00 | not published | 0 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Place needles h&n for right CPT 41019 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,802.20 | $6,337.00 | $3,012.85 – $4,119.05 | 2 |
| Place po breast cath for rad CPT 19296 | not published | not published | $9,159.69 – $12,823.56 | 2 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,309.73 – $1,833.62 | 2 |
| Place slctv cath carotd art uni CPT 36224 | $13,305.60 | $22,176.00 | $5,174.44 – $7,244.22 | 2 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,515.40 | $10,859.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,515.40 | $10,859.00 | $5,174.44 – $6,657.95 | 2 |
| Place slctv cath subclavian art CPT 36225 | $6,345.60 | $10,576.00 | $3,012.85 – $4,217.99 | 2 |
| Place slctv cath vertebral art uni CPT 36226 | $12,080.40 | $20,134.00 | $5,174.44 – $7,244.22 | 2 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $533.48 – $746.87 | 2 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $43.80 | $73.00 | $47.45 – $141.00 | 2 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $129.37 – $181.12 | 2 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $70.57 – $98.79 | 2 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $7.72 – $10.81 | 2 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $241.80 | $403.00 | not published | 0 |
| Platelet automated CPT 85049 | $28.80 | $48.00 | not published | 0 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $418.48 – $585.87 | 2 |
| Platelet pheresis each unit HCPCS P9034 | $2,112.60 | $3,521.00 | $380.14 – $532.20 | 2 |
| Platelet pheresis irr ea HCPCS P9036 | $1,737.60 | $2,896.00 | $562.51 – $787.51 | 2 |
| Platelets each unit HCPCS P9019 | $112.20 | $187.00 | $72.71 – $101.79 | 2 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,573.80 | $2,623.00 | $744.23 – $1,041.92 | 2 |
| Platelets irradiated ea unit HCPCS P9032 | $130.80 | $218.00 | $129.97 – $141.70 | 2 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $333.60 | $556.00 | $120.39 – $168.55 | 2 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $196.60 – $275.24 | 2 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $217.53 – $304.54 | 2 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $439.58 – $615.42 | 2 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,049.40 | $1,749.00 | $466.26 – $652.77 | 2 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,162.20 | $1,937.00 | $646.76 – $680.55 | 2 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | not published | not published | $562.16 – $787.02 | 2 |
| Platelet survival CPT 78191 | not published | not published | $384.64 – $538.50 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,359.60 | $7,266.00 | $3,378.09 – $4,722.90 | 2 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $6,132.00 | $10,220.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $423.60 | $706.00 | $458.90 – $3,301.42 | 2 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,636.20 | $7,727.00 | $3,301.42 – $4,621.99 | 2 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $1,210.20 | $2,017.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $806.40 | $1,344.00 | $673.49 – $873.60 | 2 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $608.40 | $1,014.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $693.00 | $1,155.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $3,072.00 | $5,120.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $3,625.20 | $6,042.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,410.20 | $4,017.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $114.36 – $167.26 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $324.60 | $541.00 | $178.75 – $298.08 | 2 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $1,386.00 | $2,310.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $5,972.81 – $8,361.94 | 2 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Plmt nephroureteral catheter CPT 50433 | $5,112.60 | $8,521.00 | $3,301.42 – $4,621.99 | 2 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Pm device progr eval dual CPT 93280 | not published | not published | $35.69 – $49.97 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $35.69 – $49.97 | 2 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $35.69 – $49.97 | 2 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $35.27 – $49.38 | 2 |
| Pneum full leg splnt pre ots HCPCS L4370 | $34.20 | $57.00 | not published | 0 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $263.40 | $439.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $99.00 | $165.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $141.60 | $236.00 | not published | 0 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $33,005.93 | $55,009.88 | $130.40 – $190.72 | 2 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $973.87 – $1,363.41 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $973.87 – $1,363.41 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,262.80 | $5,438.00 | $973.87 – $1,363.41 | 2 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $23,191.93 – $33,919.79 | 2 |
| Portable 02 contents, gas HCPCS E0443 | $27.00 | $45.00 | not published | 0 |
| Positional change of finger CPT 26555 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Positional nystagmus test CPT 92532 | $48.00 | $80.00 | not published | 0 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $88.54 – $123.96 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,383.00 | $2,305.00 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $507.90 – $711.06 | 2 |
| Postpartum Care Only CPT 59430 | $364.80 | $608.00 | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,441.80 | $2,403.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $50.40 | $84.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $38.73 | $64.55 | not published | 0 |
| Potassium hydroxide preps HCPCS Q0112 | $12.60 | $21.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $54.00 | $90.00 | not published | 0 |
| Powder prem protct 1oz HCPCS A4371 | $1.80 | $3.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $1,008.00 | $1,680.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $440.40 | $734.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,857.40 | $16,429.00 | $6,838.12 – $9,573.37 | 2 |
| Pq thr inj ext pse CPT 36002 | $264.00 | $440.00 | $286.00 – $591.81 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,049.20 | $5,082.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,415.40 | $7,359.00 | $3,105.81 – $3,437.85 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,415.40 | $7,359.00 | $3,105.81 – $3,437.85 | 2 |
| Pralatrexate injection HCPCS J9307 | $22,150.81 | $36,918.02 | $372.20 – $544.36 | 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.