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 |
|---|---|---|---|---|
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $39.34 | $65.57 | not published | 0 |
| Routine footcare pt w lops HCPCS G0247 | $127.20 | $212.00 | $137.80 – $190.20 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.17 – $32.42 | 2 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,038.20 | $3,397.00 | $1,486.98 – $2,081.78 | 2 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $384.64 – $538.50 | 2 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,060.20 | $1,767.00 | $1,148.55 – $1,486.98 | 2 |
| Rpl tun-cvad w subq port CPT 36582 | $2,045.40 | $3,409.00 | not published | 0 |
| Rpl tun-cvad w subq pump CPT 36583 | $2,280.00 | $3,800.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $3,802.20 | $6,337.00 | $3,012.85 – $4,119.05 | 2 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $72.60 | $121.00 | not published | 0 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $59.40 | $99.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,425.00 | $2,375.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,072.80 | $1,788.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,037.40 | $1,729.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $797.40 | $1,329.00 | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $476.40 | $794.00 | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $661.80 | $1,103.00 | not published | 0 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,726.20 | $2,877.00 | not published | 0 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,233.00 | $2,055.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,194.60 | $1,991.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $890.40 | $1,484.00 | not published | 0 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $795.60 | $1,326.00 | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $587.40 | $979.00 | not published | 0 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $1,951.80 | $3,253.00 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $1,866.00 | $3,110.00 | not published | 0 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $1,933.20 | $3,222.00 | not published | 0 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $1,791.00 | $2,985.00 | not published | 0 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,616.40 | $2,694.00 | not published | 0 |
| Rpr fem hernia init blocked CPT 49553 | $1,186.20 | $1,977.00 | not published | 0 |
| Rpr hern preemie reduc CPT 49491 | $1,447.80 | $2,413.00 | not published | 0 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Rpr ing hernia baby blocked CPT 49496 | $1,120.80 | $1,868.00 | not published | 0 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Rpr ing hernia init reduce CPT 49500 | $767.40 | $1,279.00 | not published | 0 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,066.80 | $1,778.00 | not published | 0 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,317.00 | $2,195.00 | not published | 0 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $56.86 – $79.60 | 2 |
| Rpr rem hernia init reduce CPT 49550 | $1,081.80 | $1,803.00 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $510.60 | $851.00 | not published | 0 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $214.54 – $300.36 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $149.40 | $249.00 | $123.36 – $172.70 | 2 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.69 – $49.97 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $58.80 | $98.00 | $35.69 – $49.97 | 2 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $58.80 | $98.00 | $35.69 – $49.97 | 2 |
| Rubella antibody igg CPT 86762 | $198.60 | $331.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $117.60 | $196.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $123.60 | $206.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $4,492.85 | $7,488.08 | $34.71 – $50.76 | 2 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $184.80 | $308.00 | $101.79 – $142.51 | 2 |
| Salivary gland function exam CPT 78232 | not published | not published | $384.64 – $538.50 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $384.64 – $538.50 | 2 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $384.64 – $538.50 | 2 |
| Salpingostomy 58770 CPT 58770 | $1,655.40 | $2,759.00 | not published | 0 |
| Same day nb discharge 99463 CPT 99463 | $229.20 | $382.00 | not published | 0 |
| Sargramostim injection HCPCS J2820 | $463.93 | $773.21 | $53.69 – $78.53 | 2 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $51.43 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $35.33 | 1 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $63.59 – $63.59 | 1 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,590.05 – $5,026.08 | 2 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $279.60 | $466.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $259.20 | $432.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $133.20 | $222.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $174.60 | $291.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $86.40 | $144.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $88.54 – $123.96 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $483.00 | $805.00 | $231.38 – $323.93 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $120.60 | $201.00 | $101.79 – $130.65 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $327.00 | $545.00 | $101.79 – $142.51 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $472.80 | $788.00 | $101.79 – $142.51 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $389.40 | $649.00 | $101.79 – $142.51 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $367.20 | $612.00 | $101.79 – $142.51 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | $436.80 | $728.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,817.40 | $3,029.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $1,165.80 | $1,943.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,825.00 | $6,375.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $643.20 | $1,072.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $643.20 | $1,072.00 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $48.00 | $80.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $276.60 | $461.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $82.80 | $138.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $8.40 | $14.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $37,537.80 | $62,563.00 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $472.80 | $788.00 | $101.79 – $142.51 | 2 |
| Sc ther infusion reset pump CPT 96371 | $102.00 | $170.00 | $68.13 – $95.38 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,534.80 | $2,558.00 | 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.