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 |
|---|---|---|---|---|
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $23,614.20 | $39,357.00 | $17,188.53 – $24,063.94 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $14,157.00 | $23,595.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $691.20 | $1,152.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $11,238.60 | $18,731.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $15,588.60 | $25,981.00 | $10,855.42 – $15,197.59 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $8,948.40 | $14,914.00 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | $1,645.20 | $2,742.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $21,091.80 | $35,153.00 | $17,188.53 – $22,849.45 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | $2,587.80 | $4,313.00 | not published | 0 |
| Sternal debridement CPT 21627 | $1,048.20 | $1,747.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $225.60 | $376.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $244.80 | $408.00 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $895.80 | $1,493.00 | $384.64 – $538.50 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $164.03 – $229.64 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $1,000.20 | $1,667.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $70.80 | $118.00 | not published | 0 |
| Strapping of chest CPT 29200 | not published | not published | $151.04 – $211.46 | 2 |
| Strapping of elbow or wrist 29260 CPT 29260 | $99.00 | $165.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | not published | not published | $56.86 – $79.60 | 2 |
| Strapping of hip CPT 29520 | not published | not published | $123.39 – $172.74 | 2 |
| Strapping of knee CPT 29530 | not published | not published | $123.39 – $172.74 | 2 |
| Strapping of toes 29550 CPT 29550 | $60.00 | $100.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $46.80 | $78.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $87.60 | $146.00 | not published | 0 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | $917.47 | $1,529.12 | not published | 0 |
| Streptomycin injection HCPCS J3000 | $150.80 | $251.33 | not published | 0 |
| Streptozocin injection HCPCS J9320 | $270.37 | $450.62 | not published | 0 |
| Stress test pulmonary CPT 94618 | $73.20 | $122.00 | $79.30 – $123.39 | 2 |
| Stress tte complete CPT 93351 | not published | not published | $524.84 – $734.78 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $214.20 | $357.00 | not published | 0 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $842.40 | $1,404.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $190.20 – $266.28 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $585.94 – $820.32 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $257.40 | $429.00 | not published | 0 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $242.40 | $404.00 | not published | 0 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $46.73 | $77.89 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | $1,147.20 | $1,912.00 | not published | 0 |
| Suction lipectomy lwr extrem CPT 15879 | $1,081.20 | $1,802.00 | not published | 0 |
| Suction lipectomy trunk CPT 15877 | $1,081.20 | $1,802.00 | not published | 0 |
| Suction lipectomy upr extrem CPT 15878 | $477.60 | $796.00 | not published | 0 |
| Sugars single quant CPT 84378 | $393.60 | $656.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,374.50 | $7,290.84 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $96.23 | $160.39 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $213.60 | $356.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $359.84 | $599.74 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $24.00 | $40.00 | not published | 0 |
| Supply of digital device HCPCS G0552 | not published | not published | $123.36 – $172.70 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $86.40 | $144.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $43,611.32 – $63,784.55 | 2 |
| Surg dx exam anorectal CPT 45990 | $204.60 | $341.00 | not published | 0 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,632.60 | $2,721.00 | not published | 0 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,634.40 | $2,724.00 | not published | 0 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | $1,639.80 | $2,733.00 | not published | 0 |
| Surgical opening of stomach CPT 43510 | not published | not published | $897.45 – $1,256.43 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | $1,477.80 | $2,463.00 | not published | 0 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $37.20 | $62.00 | $23.44 – $32.82 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $74.40 | $124.00 | $37.57 – $52.60 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $79.20 | $132.00 | $51.14 – $71.60 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $88.20 | $147.00 | $51.14 – $69.55 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $109.80 | $183.00 | $107.25 – $344.33 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $154.20 | $257.00 | $116.35 – $781.95 | 2 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,536.20 | $4,227.00 | not published | 0 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $2,864.40 | $4,774.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,017.60 | $1,696.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $40.20 | $67.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $64.80 | $108.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $194.40 | $324.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $389.40 | $649.00 | not published | 0 |
| Suspension of testis CPT 54620 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Suspension of uterus 58400 CPT 58400 | $856.80 | $1,428.00 | not published | 0 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,995.00 | $3,325.00 | not published | 0 |
| Suture bile duct injury 47900 CPT 47900 | $2,559.60 | $4,266.00 | not published | 0 |
| Svc venogram s&i CPT 75827 | $1,707.60 | $2,846.00 | $1,486.98 – $1,849.90 | 2 |
| Swallowing Evaluation (Bedside) CPT 92610 | $249.60 | $416.00 | not published | 0 |
| Swallowing Therapy Session CPT 92526 | $207.60 | $346.00 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | $100.20 | $167.00 | $51.14 – $71.60 | 2 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Synch audio-only est high 40 CPT 98015 | $196.80 | $328.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $90.60 | $151.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $132.60 | $221.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $49.20 | $82.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $241.80 | $403.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $117.00 | $195.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $183.60 | $306.00 | 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.