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 |
|---|---|---|---|---|
| Skin full graft add-on 15241 CPT 15241 | $268.20 | $447.00 | not published | 0 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $354.00 | $590.00 | not published | 0 |
| Skin test unlisted antigen ea CPT 86486 | $71.40 | $119.00 | $23.44 – $32.82 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $165.00 | $275.00 | $101.79 – $142.51 | 2 |
| Skull X-ray (complete) CPT 70260 | $273.00 | $455.00 | $101.79 – $142.51 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | $1,801.20 | $3,002.00 | not published | 0 |
| Sleep study attended CPT 95807 | $1,168.20 | $1,947.00 | $507.90 – $711.06 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $3,030.60 | $5,051.00 | $973.87 – $1,363.41 | 2 |
| Sleep study unattended CPT 95806 | $1,183.20 | $1,972.00 | $149.77 – $209.67 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $16.80 | $28.00 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $23.40 | $39.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,130.80 | $5,218.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Slp pure tone screening CPT 92551 | $24.00 | $40.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $56.86 – $79.60 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | $4,471.80 | $7,453.00 | $4,130.32 – $4,844.45 | 2 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $352.80 | $588.00 | $170.40 – $238.57 | 2 |
| Small bowel endoscopy CPT 44360 | $325.80 | $543.00 | not published | 0 |
| Small bowel endoscopy CPT 44364 | $310.20 | $517.00 | not published | 0 |
| Small bowel endoscopy CPT 44366 | $369.00 | $615.00 | not published | 0 |
| Small bowel endoscopy CPT 44369 | $372.00 | $620.00 | not published | 0 |
| Small bowel endoscopy CPT 44376 | $589.20 | $982.00 | not published | 0 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Small bowel endoscopy CPT 44382 | $307.20 | $512.00 | not published | 0 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $411.60 | $686.00 | not published | 0 |
| Small bowel endoscopy 44365 CPT 44365 | $378.00 | $630.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $312.00 | $520.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Small bowel endoscopy br/wa CPT 44380 | $253.80 | $423.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $405.00 | $675.00 | not published | 0 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $150.00 | $250.00 | not published | 0 |
| Smear gram stain CPT 87205 | $75.60 | $126.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $41.40 | $69.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $99.00 | $165.00 | not published | 0 |
| Smear wet mount CPT 87210 | $77.40 | $129.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $45.60 | $76.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $68.74 | $114.57 | not published | 0 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $432.56 | $720.94 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $46.80 | $78.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $170.35 | $283.92 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $84.28 – $118.00 | 2 |
| Somatosensory testing CPT 95927 | not published | not published | $298.08 – $417.31 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $46.83 – $68.49 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $23.98 – $35.07 | 2 |
| Spacer bag/reservoir HCPCS A4627 | $6.60 | $11.00 | not published | 0 |
| Special casting material HCPCS A4590 | $36.60 | $61.00 | not published | 0 |
| Special physics consult CPT 77370 | $477.00 | $795.00 | $127.09 – $177.93 | 2 |
| Special radiation dosimetry CPT 77331 | $272.40 | $454.00 | $127.09 – $177.93 | 2 |
| Special radiation treatment CPT 77470 | $1,545.60 | $2,576.00 | $553.72 – $775.21 | 2 |
| Special supplies phys/qhp CPT 99070 | $103.80 | $173.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $536.40 | $894.00 | $350.41 – $490.57 | 2 |
| Specific gravity body fluid CPT 84315 | $34.20 | $57.00 | not published | 0 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $381.60 | $636.00 | not published | 0 |
| Speech audiometry complete CPT 92556 | $22.80 | $38.00 | $24.70 – $56.86 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $231.38 – $323.93 | 2 |
| Speech recep thresh CPT 92555 | $41.40 | $69.00 | $22.75 – $56.86 | 2 |
| Speech Therapy Session (one-on-one) CPT 92507 | $295.80 | $493.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $158.40 | $264.00 | not published | 0 |
| Sperm identification CPT 89257 | not published | not published | $51.14 – $71.60 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $51.14 – $71.60 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $51.14 – $71.60 | 2 |
| Sperm washing 58323 CPT 58323 | $39.60 | $66.00 | not published | 0 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $1,456.20 | $2,427.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $243.00 | $405.00 | not published | 0 |
| Spinal bone autograftlocal 20936 CPT 20936 | $424.20 | $707.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,032.60 | $1,721.00 | $662.89 – $928.05 | 2 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Spine X-ray (single view, one level) CPT 72020 | $148.20 | $247.00 | $84.28 – $118.00 | 2 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $298.08 – $417.31 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $149.77 – $209.67 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $384.64 – $538.50 | 2 |
| Splenectomy total open 38100 CPT 38100 | $2,166.00 | $3,610.00 | not published | 0 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $48.00 | $80.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $36.00 | $60.00 | not published | 0 |
| Splint finger 4 prong foam sm HCPCS A4570 | $16.80 | $28.00 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $3.00 | $5.00 | not published | 0 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $3.60 | $6.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $4.80 | $8.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $16.20 | $27.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,651.80 | $2,753.00 | not published | 0 |
| Split blood or products CPT 86985 | $32.40 | $54.00 | $35.10 – $164.03 | 2 |
| Spontaneous nystagmus study CPT 92531 | $52.20 | $87.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $317.50 – $444.50 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $164.03 – $229.64 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $805.80 | $1,343.00 | $872.95 – $3,968.96 | 2 |
| Srs linear based CPT 77372 | $7,717.80 | $12,863.00 | $7,317.46 – $8,360.95 | 2 |
| Srs multisource CPT 77371 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $149.77 – $209.67 | 2 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | $1,826.40 | $3,044.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $225.60 | $376.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $78.60 | $131.00 | not published | 0 |
| Stenger test pure tone CPT 92565 | $43.20 | $72.00 | $46.80 – $56.86 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $507.90 – $711.06 | 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.