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 |
|---|---|---|---|---|
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $183.17 | $305.29 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,215.00 | $2,025.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $232.20 | $387.00 | $151.04 – $211.46 | 2 |
| Pr application splint static short arm CPT 29125 | $316.80 | $528.00 | $123.39 – $172.74 | 2 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $56.40 | $94.00 | $37.57 – $52.60 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $371.40 | $619.00 | $347.75 – $382.44 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,569.00 | $2,615.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $1,003.20 | $1,672.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $27.60 | $46.00 | $26.65 – $28.52 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $614.40 | $1,024.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $144.00 | $240.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $213.60 | $356.00 | not published | 0 |
| Prealbumin CPT 84134 | $130.20 | $217.00 | not published | 0 |
| Pr ecg 12 lead report only CPT 93010 | $18.00 | $30.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $73.80 | $123.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.87 | $23.12 | not published | 0 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Pregabalin - sendout CPT 80366 | $208.20 | $347.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,223.60 | $3,706.00 | $1,815.84 – $2,408.90 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $54.00 | $90.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $451.80 | $753.00 | $101.79 – $142.51 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $379.20 | $632.00 | $101.79 – $142.51 | 2 |
| Pregnancy Ultrasound (limited) CPT 76815 | $322.20 | $537.00 | $101.79 – $142.51 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $183.00 | $305.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $934.20 | $1,557.00 | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,672.80 | $2,788.00 | not published | 0 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $298.08 – $417.31 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $507.90 – $711.06 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $507.90 – $711.06 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $487.46 – $682.45 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.14 – $71.60 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,940.32 – $9,716.45 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $973.87 – $1,363.41 | 2 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,940.32 – $9,716.45 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $757.80 | $1,263.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $651.00 | $1,085.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $142.20 | $237.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $109.20 | $182.00 | $44.20 – $149.77 | 2 |
| Pressure velocity wire add ves CPT 93572 | $682.20 | $1,137.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $40.80 | $68.00 | $44.20 – $164.03 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $97.80 | $163.00 | $56.86 – $59.80 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $66.00 | $110.00 | $71.50 – $164.03 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $90.60 | $151.00 | $56.86 – $59.15 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $36.00 | $60.00 | $39.00 – $164.03 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $178.80 | $298.00 | not published | 0 |
| Preventive counseling group CPT 99411 | $19.80 | $33.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $59.40 | $99.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $117.00 | $195.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $175.80 | $293.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $236.40 | $394.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $259.20 | $432.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,329.80 | $3,883.00 | $1,550.93 – $2,171.30 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,329.80 | $3,883.00 | $1,550.93 – $2,171.30 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $465.60 | $776.00 | $382.44 – $482.95 | 2 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,548.80 | $4,248.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $35.69 – $49.97 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,565.40 | $7,609.00 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $403.80 | $673.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $274.20 | $457.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $201.60 | $336.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $208.80 | $348.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.80 | $243.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $78.60 | $131.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,184.60 | $13,641.00 | $8,544.25 – $17,188.53 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,468.40 | $4,114.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $88.54 – $123.96 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $489.00 | $815.00 | $382.44 – $460.85 | 2 |
| Pr incision & drainage abscess simple/single CPT 10060 | $242.40 | $404.00 | $190.20 – $228.15 | 2 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $431.40 | $719.00 | $291.18 – $407.65 | 2 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $348.60 | $581.00 | $361.40 – $382.44 | 2 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $337.80 | $563.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $238.80 | $398.00 | $123.36 – $172.70 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $111.60 | $186.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,117.80 | $1,863.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,118.60 | $8,531.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $286.14 – $400.60 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,075.14 | $1,791.90 | $186.01 – $272.05 | 2 |
| Procalcitonin CPT 84145 | $240.60 | $401.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $22.34 | $37.23 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.59 | $4.31 | not published | 0 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $3,588.60 | $5,981.00 | not published | 0 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $3,515.40 | $5,859.00 | not published | 0 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $453.60 | $756.00 | not published | 0 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,764.60 | $2,941.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $229.80 | $383.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $436.80 | $728.00 | not published | 0 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,625.07 – $3,675.10 | 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.