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 |
|---|---|---|---|---|
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $4,785.00 | $7,975.00 | not published | 0 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $33.23 | $55.38 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $112.80 | $188.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,733.60 | $7,889.33 | $5.54 – $8.11 | 2 |
| Toe X-ray (both feet) CPT 73660 | $226.20 | $377.00 | $84.28 – $118.00 | 2 |
| Tomosynthesis breast screen bilateral CPT 77063 | $26.40 | $44.00 | not published | 0 |
| Tone decay hearing test CPT 92563 | $26.40 | $44.00 | $28.60 – $37.57 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $330.60 | $551.00 | not published | 0 |
| Tongue suspension CPT 41512 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Tonsillectomy (age 12+) CPT 42826 | $499.20 | $832.00 | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | $481.80 | $803.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $570.18 | $950.30 | not published | 0 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $37.81 – $55.30 | 2 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $2,560.80 | $4,268.00 | not published | 0 |
| Total Hip Replacement CPT 27130 | $1,771.80 | $2,953.00 | not published | 0 |
| Total hysterectomy CPT 58150 | $1,941.00 | $3,235.00 | not published | 0 |
| Total Knee Replacement CPT 27447 | $1,770.00 | $2,950.00 | not published | 0 |
| Total ob care failed vbac 59618 CPT 59618 | $4,792.80 | $7,988.00 | not published | 0 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,095.00 | $1,825.00 | not published | 0 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $4,865.40 | $8,109.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $94.20 | $157.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $69.60 | $116.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $467.40 | $779.00 | not published | 0 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $232.81 – $325.93 | 2 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $12,436.60 – $17,411.25 | 2 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $6,148.46 | $10,247.44 | $366.68 – $536.30 | 2 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $525.13 – $735.18 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $669.60 | $1,116.00 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $357.00 | $595.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $878.40 | $1,464.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $82.80 | $138.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $291.18 – $407.65 | 2 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $1,930.20 | $3,217.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $6,202.20 | $10,337.00 | $5,174.44 – $6,719.05 | 2 |
| Transcath closure of asd CPT 93580 | $12,410.40 | $20,684.00 | $13,444.60 – $17,188.53 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Transcatheter bx s&i CPT 75970 | $1,578.00 | $2,630.00 | not published | 0 |
| Transcath mv repair addl prosthesis CPT 33419 | $949.20 | $1,582.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $4,020.60 | $6,701.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $4,734.00 | $7,890.00 | $5,128.50 – $10,855.42 | 2 |
| Trans cath replace aortic valve 33366 CPT 33366 | $4,079.40 | $6,799.00 | not published | 0 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $4,277.40 | $7,129.00 | $3,012.85 – $4,217.99 | 2 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,078.46 – $9,909.84 | 2 |
| Transcutaneous hgb 88738 CPT 88738 | $13.80 | $23.00 | not published | 0 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Transfer of embryo CPT 58976 | not published | not published | $291.18 – $407.65 | 2 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transferrin CPT 84466 | $81.60 | $136.00 | not published | 0 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Transparent film <= 16 sq in HCPCS A6257 | $3.00 | $5.00 | not published | 0 |
| Transperi needle place pros CPT 55875 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $56,612.22 – $79,257.11 | 2 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Transthor diaphrag hern repair 43334 CPT 43334 | $2,356.80 | $3,928.00 | not published | 0 |
| Transurethral rf treatment CPT 53860 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $368.40 | $614.00 | $101.79 – $142.51 | 2 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $384.00 | $640.00 | $101.79 – $142.51 | 2 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,801.66 | $4,669.44 | $72.92 – $106.65 | 2 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $6,786.46 | $11,310.76 | $41.43 – $60.59 | 2 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $6,047.69 | $10,079.48 | $27.40 – $40.07 | 2 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $4,063.80 | $6,773.00 | $1,266.56 – $1,773.19 | 2 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $832.80 | $1,388.00 | not published | 0 |
| Treat ankle dislocation CPT 27842 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat ankle dislocation CPT 27846 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat ankle dislocation CPT 27848 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat ankle fracture CPT 28445 | $1,521.00 | $2,535.00 | not published | 0 |
| Treat big toe fracture CPT 28505 | $1,276.80 | $2,128.00 | not published | 0 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | $1,033.80 | $1,723.00 | not published | 0 |
| Treat clavicle dislocation 23545 CPT 23545 | $531.60 | $886.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59150 | $1,579.80 | $2,633.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $1,538.40 | $2,564.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $881.40 | $1,469.00 | not published | 0 |
| Treat elbow dislocation CPT 24615 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat elbow fracture CPT 24586 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Treat elbow fracture CPT 24620 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat elbow fracture CPT 24635 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat eyelid by injection CPT 68200 | not published | not published | $381.97 – $534.76 | 2 |
| Treat eyelid lesion 67850 CPT 67850 | $531.00 | $885.00 | 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.