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 |
|---|---|---|---|---|
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $2,551.80 | $4,253.00 | not published | 0 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $2,912.40 | $4,854.00 | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $2,197.80 | $3,663.00 | not published | 0 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $2,474.40 | $4,124.00 | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst major injured chest 32820 CPT 32820 | $2,913.60 | $4,856.00 | not published | 0 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $2,286.00 | $3,810.00 | not published | 0 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct ankle joint CPT 27702 | $1,337.40 | $2,229.00 | not published | 0 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Reconstruct cleft palate CPT 42200 | $1,695.00 | $2,825.00 | not published | 0 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Reconstruct cleft palate CPT 42210 | $1,813.20 | $3,022.00 | not published | 0 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruct extra finger CPT 26587 | $1,749.60 | $2,916.00 | not published | 0 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Reconstruct head of radius CPT 24365 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruct head of radius CPT 24366 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Reconstruction knee CPT 27428 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruction knee CPT 27429 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Reconstruction of bile ducts 47800 CPT 47800 | $3,009.00 | $5,015.00 | not published | 0 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw CPT 21246 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of mouth CPT 40840 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of mouth CPT 40842 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of mouth CPT 40843 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of mouth CPT 40844 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of mouth CPT 40845 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Reconstruction of nose CPT 30410 | $2,495.40 | $4,159.00 | not published | 0 |
| Reconstruction of nose CPT 30420 | $2,665.80 | $4,443.00 | not published | 0 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruction of throat CPT 42950 | $1,564.20 | $2,607.00 | not published | 0 |
| Reconstruction of urethra CPT 53410 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruction of urethra CPT 54308 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reconstruction of urethra CPT 54316 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reconstruction tongue fold CPT 41520 | $670.20 | $1,117.00 | not published | 0 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $1,247.40 | $2,079.00 | not published | 0 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Reconstruct vena cava 34502 CPT 34502 | $3,022.20 | $5,037.00 | not published | 0 |
| Rectal sensation test CPT 91120 | not published | not published | $298.08 – $417.31 | 2 |
| Red blood cells each unit HCPCS P9021 | $430.20 | $717.00 | $138.15 – $193.40 | 2 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $401.40 | $669.00 | $407.55 – $464.61 | 2 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $241.20 | $402.00 | $213.33 – $261.30 | 2 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $381.60 | $636.00 | $174.21 – $243.90 | 2 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $433.80 | $723.00 | $244.86 – $342.80 | 2 |
| Red blood cells washed each unit HCPCS P9022 | $715.20 | $1,192.00 | $379.89 – $531.85 | 2 |
| Red cell mass multiple CPT 78121 | not published | not published | $515.24 – $721.34 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $384.64 – $538.50 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $384.64 – $538.50 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $384.64 – $538.50 | 2 |
| Redo endovas vena cava filtr CPT 37192 | $4,053.60 | $6,756.00 | $3,012.85 – $4,217.99 | 2 |
| Reduce bowel obstruction 44050 CPT 44050 | $1,761.00 | $2,935.00 | not published | 0 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Reduction of facial bones CPT 21209 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reduction of procidentia 45900 CPT 45900 | $394.20 | $657.00 | not published | 0 |
| Re-exploration of chest 32120 CPT 32120 | $1,687.20 | $2,812.00 | not published | 0 |
| Reexploration pelvic wound 49014 CPT 49014 | $586.20 | $977.00 | not published | 0 |
| Re-explore parathyroids CPT 60502 | $2,494.80 | $4,158.00 | not published | 0 |
| Refill maint impl spine pump CPT 95991 | $225.00 | $375.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $201.68 – $282.35 | 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.