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 |
|---|---|---|---|---|
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,617.20 | $4,362.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $66.00 | $110.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $24.00 | $40.00 | not published | 0 |
| Segmentectomy 32484 CPT 32484 | $2,782.80 | $4,638.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $88.20 | $147.00 | not published | 0 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $69.60 | $116.00 | not published | 0 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $23.44 – $32.82 | 2 |
| Semen analysis presence/motility CPT 89321 | $36.00 | $60.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | not published | not published | $56.86 – $79.60 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.57 – $52.60 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Serial casting application 97139app CPT 97139 | $159.00 | $265.00 | not published | 0 |
| Sertraline (zoloft) - sendout CPT 80332 | $208.20 | $347.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $596.40 | $994.00 | $127.09 – $177.93 | 2 |
| Set radiation therapy field CPT 77285 | $657.60 | $1,096.00 | $350.41 – $490.57 | 2 |
| Set radiation therapy field CPT 77290 | $1,458.00 | $2,430.00 | $350.41 – $490.57 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $287.08 – $401.91 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Sgmdsc w/band ligation CPT 45350 | $1,275.60 | $2,126.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $163.20 | $272.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $204.00 | $340.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $236.40 | $394.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $294.00 | $490.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $134.40 | $224.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $183.00 | $305.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $214.20 | $357.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $238.80 | $398.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $133.20 | $222.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $178.20 | $297.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $213.00 | $355.00 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,481.40 | $12,469.00 | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Shoe heel pad & depress for HCPCS L3480 | $4.80 | $8.00 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $21.00 | $35.00 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $16.20 | $27.00 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shorten radius & ulna CPT 25392 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $73.20 | $122.00 | $68.13 – $74.75 | 2 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $175.20 | $292.00 | $84.28 – $118.00 | 2 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $238.20 | $397.00 | $101.79 – $142.51 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,769.80 | $6,283.00 | $341.85 – $478.59 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $2,408.40 | $4,014.00 | $756.26 – $1,058.77 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $2,193.60 | $3,656.00 | $231.38 – $323.93 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Shoulder X-ray CPT 73030 | $300.60 | $501.00 | $84.28 – $118.00 | 2 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $165.60 | $276.00 | $84.28 – $118.00 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,781.40 | $7,969.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $219.60 | $366.00 | $101.79 – $142.51 | 2 |
| Sialography s&i CPT 70390 | $288.60 | $481.00 | $231.38 – $312.65 | 2 |
| Sialolithotomy 42330 CPT 42330 | $454.80 | $758.00 | not published | 0 |
| Sickling rbc CPT 85660 | $115.20 | $192.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $105.60 | $176.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $291.00 | $485.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $741.00 | $1,235.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $541.80 | $903.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,464.00 | $2,440.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $565.80 | $943.00 | not published | 0 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $318.00 | $530.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | $301.80 | $503.00 | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $622.20 | $1,037.00 | not published | 0 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $283.80 | $473.00 | not published | 0 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $257.40 | $429.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $574.80 | $958.00 | not published | 0 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $219.60 | $366.00 | $56.86 – $79.60 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | $928.20 | $1,547.00 | not published | 0 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Simple cystometrogram 51725 CPT 51725 | $381.60 | $636.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $243.50 | $405.83 | not published | 0 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $101.79 – $142.51 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,351.80 | $2,253.00 | $170.40 – $238.57 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $1,342.80 | $2,238.00 | $170.40 – $238.57 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $1,021.80 | $1,703.00 | $101.79 – $142.51 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $919.80 | $1,533.00 | $764.40 – $3,012.85 | 2 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $937.20 | $1,562.00 | not published | 0 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $1,110.60 | $1,851.00 | not published | 0 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $947.40 | $1,579.00 | not published | 0 |
| Sinus X-ray (complete) CPT 70220 | $250.20 | $417.00 | $84.28 – $118.00 | 2 |
| Sinus X-ray (limited) CPT 70210 | $207.60 | $346.00 | $84.28 – $118.00 | 2 |
| Sipuleucel-t - su HCPCS Q2043 | $98,900.28 | $164,833.80 | $53,552.60 – $78,324.36 | 2 |
| Sirolimus, oral HCPCS J7520 | $60.62 | $101.04 | not published | 0 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $80.91 – $118.34 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Skin Biopsy CPT 11102 | $160.80 | $268.00 | $141.70 – $190.20 | 2 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $1,573.20 | $2,622.00 | 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.