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 |
|---|---|---|---|---|
| Augmentation cheek bone CPT 21270 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,705.00 | $11,175.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $7,885.80 | $13,143.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,857.40 | $16,429.00 | $6,838.12 – $9,573.37 | 2 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Autologous blood op salvage CPT 86891 | not published | not published | $781.95 – $1,094.73 | 2 |
| Autologous blood process CPT 86890 | $108.00 | $180.00 | $117.00 – $164.03 | 2 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $123.39 – $172.74 | 2 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $149.77 – $209.67 | 2 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $123.39 – $172.74 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $2,357.01 | $3,928.35 | $96.01 – $140.42 | 2 |
| Av fistula revision CPT 36833 | $1,294.20 | $2,157.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $1,462.20 | $2,437.00 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $1,323.00 | $2,205.00 | not published | 0 |
| Av fusion direct any site CPT 36821 | $1,361.40 | $2,269.00 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | $1,587.00 | $2,645.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $91.20 | $152.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $242.40 | $404.00 | $190.20 – $250.90 | 2 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $51.77 – $75.71 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $510,271.47 – $746,307.07 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $1,295.40 | $2,159.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $953.01 | $1,588.35 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $78.05 | $130.09 | not published | 0 |
| Azathioprine parenteral HCPCS J7501 | $484.20 | $807.00 | $215.35 – $314.96 | 2 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $62.08 | $103.47 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $159.46 | $265.76 | not published | 0 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,360.49 | $5,600.81 | $168.30 – $246.15 | 2 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $141.72 | $236.20 | not published | 0 |
| Baclofen eval charges CPT 97750 | $71.40 | $119.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $183.60 | $306.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $211.80 | $353.00 | not published | 0 |
| Bactericidal level serum CPT 87197 | $151.20 | $252.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $129.00 | $215.00 | not published | 0 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $88.80 | $148.00 | not published | 0 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $81.00 | $135.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $1,506.60 | $2,511.00 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $445.20 | $742.00 | $170.40 – $238.57 | 2 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $327.60 | $546.00 | $170.40 – $238.57 | 2 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $321.60 | $536.00 | $170.40 – $238.57 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $1.20 | $2.00 | not published | 0 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $3.00 | $5.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $411.60 | $686.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $219.60 | $366.00 | not published | 0 |
| Basic vestibular evaluation CPT 92540 | $372.00 | $620.00 | $149.77 – $209.67 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $4,472.58 – $6,541.46 | 2 |
| B cells total count CPT 86355 | $152.40 | $254.00 | not published | 0 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | $1,208.04 | $2,013.40 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $34.80 | $58.00 | not published | 0 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,730.27 | $2,883.79 | $3.72 – $5.45 | 2 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $3,851.88 | $6,419.80 | $53.61 – $78.41 | 2 |
| Belt ostomy lg 34-65in HCPCS A4367 | $1.80 | $3.00 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $5,305.05 | $8,841.75 | $1.77 – $2.59 | 2 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.48 – $16.79 | 2 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $4,423.00 | $7,371.66 | $12.56 – $18.37 | 2 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $26.86 – $39.28 | 2 |
| Benign lesion paring 2-4 CPT 11056 | $108.00 | $180.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $135.60 | $226.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $213.60 | $356.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $219.32 | $365.54 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $135.00 | $225.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $129.60 | $216.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $82.80 | $138.00 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $5,687.56 | $9,479.27 | $69.92 – $102.27 | 2 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $4,984.63 | $8,307.71 | $27.62 – $40.39 | 2 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $4,387.22 | $7,312.03 | $22.91 – $33.50 | 2 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.75 – $2.56 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $195.60 | $326.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $84.00 | $140.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $211.20 | $352.00 | not published | 0 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $88.54 – $123.96 | 2 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $88.54 – $123.96 | 2 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $1,206.00 | $2,010.00 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $271.20 | $452.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $582.60 | $971.00 | $282.56 – $382.20 | 2 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $363.60 | $606.00 | $282.56 – $377.00 | 2 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $312.60 | $521.00 | not published | 0 |
| Biliary endo perq dx w/speci CPT 47552 | $1,738.80 | $2,898.00 | $1,883.70 – $5,972.81 | 2 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $5,972.81 – $8,361.94 | 2 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Bilicheck CPT 88720 | $32.40 | $54.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $36.60 | $61.00 | not published | 0 |
| Bilirubin total CPT 82247 | $45.00 | $75.00 | not published | 0 |
| Bilobectomy 32482 CPT 32482 | $3,069.00 | $5,115.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $19.20 | $32.00 | not published | 0 |
| Biofeedback, pt CPT 90901 | $70.20 | $117.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $2,256.60 | $3,761.00 | $1,532.70 – $1,550.93 | 2 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Biopsy, bone open deep CPT 20245 | $476.40 | $794.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,405.80 | $2,343.00 | $1,522.95 – $1,550.93 | 2 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $248.40 | $414.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $486.00 | $810.00 | 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.