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 |
|---|---|---|---|---|
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $53.40 | $89.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $51.00 | $85.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $7.20 | $12.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $121.20 | $202.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $172.20 | $287.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $183.00 | $305.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $94.80 | $158.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $75.60 | $126.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $75.00 | $125.00 | not published | 0 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $1,273.20 | $2,122.00 | not published | 0 |
| Pt-focused hlth risk assmt CPT 96160 | $9.00 | $15.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $48.60 | $81.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $108.60 | $181.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $79.20 | $132.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $58.80 | $98.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $54.60 | $91.00 | not published | 0 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | $7,086.00 | $11,810.00 | not published | 0 |
| Pulmonary decortication partial 32225 CPT 32225 | $1,741.80 | $2,903.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $702.00 | $1,170.00 | $384.64 – $538.50 | 2 |
| Pulse ox continuous overnight monitoring CPT 94762 | $238.80 | $398.00 | $149.77 – $209.67 | 2 |
| Pulse ox multiple CPT 94761 | $153.00 | $255.00 | not published | 0 |
| Pulse ox single CPT 94760 | $77.40 | $129.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $415.80 | $693.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $60.60 | $101.00 | $16.90 – $123.39 | 2 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $243.60 | $406.00 | $250.90 – $382.44 | 2 |
| Puncture/clear windpipe 31612 CPT 31612 | $159.60 | $266.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,052.40 | $1,754.00 | $662.89 – $928.05 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $662.89 – $928.05 | 2 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $662.89 – $928.05 | 2 |
| Pyloroplasty 43800 CPT 43800 | $1,748.40 | $2,914.00 | not published | 0 |
| Pyruvate CPT 84210 | $195.00 | $325.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $151.20 | $252.00 | not published | 0 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $123.39 – $172.74 | 2 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $877.80 | $1,463.00 | $515.24 – $721.34 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,317.60 | $2,196.00 | $384.64 – $538.50 | 2 |
| Quest t3 uptake CPT 84479 | $45.60 | $76.00 | not published | 0 |
| Quinupristin/dalfopristin HCPCS J2770 | $190.43 | $317.39 | $4.08 – $5.96 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $188.40 | $314.00 | not published | 0 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $226.96 – $331.94 | 2 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,949.85 | $9,916.42 | $255.04 – $373.02 | 2 |
| Rabies vaccine id CPT 90676 | not published | not published | $253.16 – $370.26 | 2 |
| Radiation handling CPT 77790 | $218.40 | $364.00 | not published | 0 |
| Radiation physics consult CPT 77336 | $411.60 | $686.00 | $127.09 – $177.93 | 2 |
| Radiation therapy dose plan CPT 77300 | $348.00 | $580.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77332 | $441.00 | $735.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77333 | $409.20 | $682.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77334 | $701.40 | $1,169.00 | $350.41 – $490.57 | 2 |
| Radiation treatment delivery CPT 77401 | not published | not published | $104.82 – $146.74 | 2 |
| Radiation treatment delivery CPT 77402 | $307.80 | $513.00 | $104.82 – $146.74 | 2 |
| Radiation treatment delivery CPT 77412 | $555.60 | $926.00 | $251.73 – $352.42 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $3,429.60 | $5,716.00 | not published | 0 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Radical resection sternum 21630 CPT 21630 | $2,394.00 | $3,990.00 | not published | 0 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,235.60 | $3,726.00 | not published | 0 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $2,884.20 | $4,807.00 | not published | 0 |
| Radiesse injection HCPCS Q2026 | not published | not published | $319.16 – $466.79 | 2 |
| Radiology port images(s) CPT 77417 | $92.40 | $154.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $4,859.40 | $8,099.00 | $1,309.73 – $1,833.62 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $164.43 – $240.49 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,383.00 | $2,305.00 | $1,249.63 – $1,498.25 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,378.20 | $2,297.00 | $1,249.63 – $1,493.05 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $787.80 | $1,313.00 | $853.45 – $1,249.63 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,131.00 | $1,885.00 | $1,225.25 – $1,249.63 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $695.40 | $1,159.00 | $384.64 – $538.50 | 2 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $1,437.60 | $2,396.00 | not published | 0 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $2,826.00 | $4,710.00 | not published | 0 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $1,776.00 | $2,960.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $13,320.57 | $22,200.95 | $71.27 – $104.23 | 2 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $87.21 – $127.55 | 2 |
| Rapid desensitization CPT 95180 | not published | not published | $381.97 – $534.76 | 2 |
| Rapid Strep Test CPT 87880 | $45.60 | $76.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $9,833.13 | $16,388.55 | $360.37 – $527.07 | 2 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $42,463.34 | $70,772.23 | $215.56 – $315.27 | 2 |
| Rbc count only automated CPT 85041 | $27.00 | $45.00 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $625.77 – $876.08 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $418.48 – $585.87 | 2 |
| Rbc irradiated each unit HCPCS P9038 | $331.20 | $552.00 | $142.84 – $199.97 | 2 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $466.26 – $652.77 | 2 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $381.97 – $534.76 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Realignment of tendons CPT 26437 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rebuild eardrum structures CPT 69633 | $2,050.80 | $3,418.00 | not published | 0 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rebuild outer ear canal CPT 69310 | $2,132.40 | $3,554.00 | not published | 0 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rechanneling of artery CPT 35361 | $2,314.80 | $3,858.00 | not published | 0 |
| Rechanneling of artery 35305 CPT 35305 | $1,867.20 | $3,112.00 | not published | 0 |
| Rechanneling of artery 35341 CPT 35341 | $2,109.00 | $3,515.00 | 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.