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 |
|---|---|---|---|---|
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | $4,709.40 | $7,849.00 | not published | 0 |
| Revision of ulna CPT 25360 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Revision of urethra CPT 53460 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Revision of urethra CPT 57220 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Revision open av fistula without thromb CPT 36832 | $1,145.40 | $1,909.00 | not published | 0 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revision tips CPT 37183 | not published | not published | $5,457.61 – $7,640.65 | 2 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $2,061.60 | $3,436.00 | not published | 0 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $2,196.60 | $3,661.00 | not published | 0 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $2,144.40 | $3,574.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $772.20 | $1,287.00 | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Revsc opn/prq tib/pero stent CPT 37234 | $8,208.00 | $13,680.00 | not published | 0 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $3,713.59 | $6,189.32 | $10.17 – $14.87 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Rheumatoid factor qualitative CPT 86430 | $229.80 | $383.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $182.40 | $304.00 | not published | 0 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $1,979.40 | $3,299.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $313.79 | $522.98 | not published | 0 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $92.66 | $154.43 | not published | 0 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $2,223.29 | $3,705.48 | $29.45 – $43.08 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $142.20 | $237.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| Rhythm ecg with report CPT 93040 | $25.20 | $42.00 | not published | 0 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $323.40 | $539.00 | $101.79 – $142.51 | 2 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $345.60 | $576.00 | $101.79 – $142.51 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rib X-ray (3 views, both sides) CPT 71110 | $280.80 | $468.00 | $101.79 – $142.51 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $144.74 | $241.23 | not published | 0 |
| Right ventric recording CPT 93603 | $1,417.20 | $2,362.00 | $1,162.06 – $1,535.30 | 2 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,912.80 | $3,188.00 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $39,645.64 | $66,076.06 | $14.21 – $20.78 | 2 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $28.52 – $39.92 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,298.46 | $3,830.76 | $10.47 – $15.32 | 2 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $8,361.79 | $13,936.32 | $72.68 – $106.30 | 2 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $13,353.90 | $22,256.50 | $35.38 – $51.74 | 2 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $7,529.59 | $12,549.32 | $29.85 – $43.65 | 2 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $6,389.38 | $10,648.97 | $28.64 – $41.89 | 2 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,389.38 | $10,648.97 | $25.37 – $37.10 | 2 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $2,086.20 | $3,477.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $277.20 | $462.00 | not published | 0 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Rmvl ext fixj sys under anes CPT 20694 | $601.80 | $1,003.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $615.60 | $1,026.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $385.20 | $642.00 | not published | 0 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $6,130.10 – $8,582.15 | 2 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $190.20 | $317.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $4,375.80 | $7,293.00 | $3,483.61 – $4,740.45 | 2 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $42,451.80 | $70,753.00 | $21,485.94 – $30,080.32 | 2 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $44,266.80 | $73,778.00 | $30,689.99 – $42,965.98 | 2 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $33,199.80 | $55,333.00 | $21,485.94 – $30,080.32 | 2 |
| Rmvl icd pulse gen only CPT 33241 | $4,276.80 | $7,128.00 | $3,483.61 – $4,633.20 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $1,086.60 | $1,811.00 | not published | 0 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | $4,549.20 | $7,582.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $739.20 | $1,232.00 | $591.81 – $800.80 | 2 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $284.40 | $474.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $10,417.20 | $17,362.00 | $7,921.93 – $11,090.71 | 2 |
| Rmvl perq right heart vad CPT 33997 | $5,871.00 | $9,785.00 | not published | 0 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $22,961.40 | $38,269.00 | $18,255.30 – $24,874.85 | 2 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $10,190.40 | $16,984.00 | $7,921.93 – $11,039.60 | 2 |
| Rmvl pq iabp CPT 33968 | $648.00 | $1,080.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $5,871.00 | $9,785.00 | not published | 0 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmvl sq defib electrode CPT 33272 | $777.60 | $1,296.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,186.20 | $1,977.00 | $673.49 – $942.89 | 2 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $894.60 | $1,491.00 | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $381.97 – $534.76 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $4,491.00 | $7,485.00 | $3,483.61 – $4,865.25 | 2 |
| Rmvl tv pm lead sgl CPT 33234 | $4,276.80 | $7,128.00 | $3,483.61 – $4,464.85 | 2 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $521.40 | $869.00 | not published | 0 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | $126.00 | $210.00 | not published | 0 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.49 – $2.18 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $5,226.07 | $8,710.12 | $29.75 – $43.51 | 2 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $9,764.68 | $16,274.47 | $10.53 – $15.40 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,668.76 | $7,781.27 | $11.49 – $16.80 | 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.