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 |
|---|---|---|---|---|
| Synch audio-only new sf 15 CPT 98008 | $67.80 | $113.00 | not published | 0 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.57 – $52.60 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | $2,438.29 | $4,063.81 | $8.70 – $12.73 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $58.20 | $97.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $52,875.00 | $88,125.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $25,312.80 | $42,188.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $27,495.00 | $45,825.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $243.60 | $406.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $167.40 | $279.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $159.00 | $265.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $130.80 | $218.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $14.21 | $23.68 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $50.21 | $83.68 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $464.12 | $773.54 | $251.01 – $367.12 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | $276.00 | $460.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,513.77 | $4,189.61 | $13.48 – $19.71 | 2 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $4,096.20 | $6,827.00 | not published | 0 |
| Tah rad dissect for debulk 58953 CPT 58953 | $3,778.80 | $6,298.00 | not published | 0 |
| Tah w/mmk 58152 CPT 58152 | $2,428.80 | $4,048.00 | not published | 0 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $186.60 | $311.00 | $84.28 – $118.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.40 – $102.97 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $69.30 – $101.36 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | $187.20 | $312.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $153.00 | $255.00 | not published | 0 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $16.80 | $28.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $26,609.40 | $44,349.00 | $1,500.43 – $2,194.49 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $383.40 | $639.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $1,890.00 | $3,150.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $780.64 | $1,301.06 | $0.29 – $0.42 | 2 |
| Tbs techl calculation only CPT 77091 | not published | not published | $84.28 – $118.00 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $84.28 – $118.00 | 2 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $251.40 | $419.00 | not published | 0 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $774.88 – $1,133.31 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $654.55 – $957.32 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $995.82 – $1,456.45 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | $1,686.00 | $2,810.00 | $768.02 – $1,123.28 | 2 |
| Tc-99m gluceptate HCPCS A9550 | $765.60 | $1,276.00 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $314.54 – $460.04 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | $309.00 | $515.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $196.80 | $328.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $178.80 | $298.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $67.20 | $112.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $557.40 | $929.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $9.57 – $14.00 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $127.20 | $212.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $127.80 | $213.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $120.00 | $200.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $141.00 | $235.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $318.00 | $530.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $355.80 | $593.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $211.80 | $353.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $255.60 | $426.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | $1,062.00 | $1,770.00 | not published | 0 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $101.79 – $142.51 | 2 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $101.79 – $142.51 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $418.48 – $585.87 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $166.80 | $278.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $98.40 | $164.00 | not published | 0 |
| T cells total count CPT 86359 | $142.80 | $238.00 | not published | 0 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $298.08 – $417.31 | 2 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $298.08 – $417.31 | 2 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $298.08 – $417.31 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $2,322.60 | $3,871.00 | not published | 0 |
| Team conf w/pat by hc prof CPT 99366 | $74.40 | $124.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $207.80 – $303.93 | 2 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $756.26 – $1,058.77 | 2 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.15 – $10.46 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | $25.20 | $42.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $690.00 | $1,150.00 | $350.41 – $490.57 | 2 |
| Telethx isodose plan simple CPT 77306 | $395.40 | $659.00 | $350.41 – $428.35 | 2 |
| Temozolomide HCPCS J8700 | $4,671.14 | $7,785.23 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $1,818.11 | $3,030.18 | $9.95 – $14.55 | 2 |
| Temperature gradient studies CPT 93740 | not published | not published | $149.77 – $209.67 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,861.96 | $4,769.94 | $30.91 – $45.21 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,708.53 | $24,514.21 | $164.58 – $240.72 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,086.60 | $1,811.00 | not published | 0 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,110.00 | $1,850.00 | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $840.00 | $1,400.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,298.60 | $3,831.00 | $1,531.94 – $2,144.72 | 2 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.51 | $32.51 | not published | 0 |
| Teriparatide injection HCPCS J3110 | $3,175.78 | $5,292.96 | not published | 0 |
| Test for urine cystines CPT 82615 | $186.00 | $310.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $629.40 | $1,049.00 | $384.64 – $538.50 | 2 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.90 – $2.79 | 2 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $56.86 – $79.60 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $582.60 | $971.00 | $298.08 – $417.31 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $997.91 | $1,663.19 | $552.36 – $807.87 | 2 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $7,750.72 | $12,917.87 | $17.52 – $25.62 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $51.14 – $71.60 | 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.