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 |
|---|---|---|---|---|
| Treat penis lesion graft CPT 54111 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Treat penis lesion graft CPT 54112 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Treat radius fracture CPT 24665 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat radius fracture CPT 24666 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat skull fracture CPT 62000 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Treat skull fracture CPT 62005 | $2,333.40 | $3,889.00 | not published | 0 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $852.20 – $1,193.08 | 2 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $852.20 – $1,193.08 | 2 |
| Treat sternum fracture CPT 21820 | not published | not published | $229.62 – $321.47 | 2 |
| Treat tail bone fracture CPT 27202 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Treat thigh fracture CPT 27230 | not published | not published | $229.62 – $321.47 | 2 |
| Treat thigh fracture CPT 27235 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Treat thigh fracture CPT 27238 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat thigh fracture CPT 27246 | not published | not published | $229.62 – $321.47 | 2 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $229.62 – $321.47 | 2 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat thumb fracture CPT 26650 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Treat thumb fracture CPT 26665 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Treat toe dislocation CPT 28636 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Treat toe dislocation CPT 28665 | not published | not published | $254.22 – $355.91 | 2 |
| Treat toe dislocation CPT 28666 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Treat toe fracture CPT 28525 | $1,092.00 | $1,820.00 | not published | 0 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Treat ulnar fracture CPT 24675 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat ulnar fracture CPT 24685 | $913.80 | $1,523.00 | not published | 0 |
| Treat vaginal bleeding CPT 57180 | $273.60 | $456.00 | not published | 0 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Treat wrist dislocation CPT 25675 | not published | not published | $229.62 – $321.47 | 2 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $73,346.25 | $122,243.75 | $135.13 – $197.64 | 2 |
| Treponema pallidum antibody CPT 86780 | $84.60 | $141.00 | not published | 0 |
| Treprostinil injection HCPCS J3285 | not published | not published | $53.11 – $77.67 | 2 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $96.56 | $160.94 | not published | 0 |
| Triamcinolone a inj prs-free HCPCS J3300 | $1,684.43 | $2,807.39 | $23.46 – $34.31 | 2 |
| #tricyclicantidprssnt CPT 80337 | $208.20 | $347.00 | not published | 0 |
| Triglycerides CPT 84478 | $47.40 | $79.00 | not published | 0 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.16 – $7.55 | 2 |
| Trimethobenzamide hcl inj HCPCS J3250 | $119.80 | $199.67 | not published | 0 |
| Trim nail(s) HCPCS G0127 | $37.20 | $62.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $42.60 | $71.00 | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | $8,654.89 | $14,424.81 | $470.86 – $688.66 | 2 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $974.40 | $1,624.00 | not published | 0 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,099.80 | $11,833.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $13,275.60 | $22,126.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $1,795.80 | $2,993.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $7,587.00 | $12,645.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $8,250.00 | $13,750.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,471.60 | $25,786.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,675.00 | $6,125.00 | $3,012.85 – $3,844.75 | 2 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,147.40 | $3,579.00 | $2,326.35 – $5,174.44 | 2 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,802.20 | $6,337.00 | $3,012.85 – $4,119.05 | 2 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $5,520.60 | $9,201.00 | $3,012.85 – $4,217.99 | 2 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,809.00 | $3,015.00 | $1,959.75 – $3,012.85 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,085.60 | $3,476.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $435.00 | $725.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,620.20 | $4,367.00 | $1,750.98 – $2,451.37 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,948.80 | $3,248.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,620.20 | $4,367.00 | $1,750.98 – $2,451.37 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,529.40 | $2,549.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,620.20 | $4,367.00 | $1,750.98 – $2,451.37 | 2 |
| Troponin quantitative CPT 84484 | $145.80 | $243.00 | not published | 0 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $525.13 – $735.18 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $711.00 | $1,185.00 | not published | 0 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $198.00 | $330.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $146.40 | $244.00 | not published | 0 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $9.60 | $16.00 | not published | 0 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $132.00 | $220.00 | not published | 0 |
| Tubing (oxygen) per foot HCPCS A4616 | $20.40 | $34.00 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $418.48 – $585.87 | 2 |
| Tvh >250 gms 58290 CPT 58290 | $2,244.00 | $3,740.00 | not published | 0 |
| Tvh w/mmk 58267 CPT 58267 | $2,058.60 | $3,431.00 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $26,193.60 | $43,656.00 | $23,482.81 – $28,376.40 | 2 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $229.62 – $321.47 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | $726.60 | $1,211.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,236.60 | $2,061.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $648.00 | $1,080.00 | not published | 0 |
| Tx contour defects >10.0 cc CPT 11954 | $867.00 | $1,445.00 | $585.94 – $820.32 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $110.40 | $184.00 | not published | 0 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $1,776.60 | $2,961.00 | not published | 0 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $1,792.20 | $2,987.00 | not published | 0 |
| Tx l/r atrial fib addl CPT 93657 | $4,458.60 | $7,431.00 | not published | 0 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,038.60 | $1,731.00 | not published | 0 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $937.20 | $1,562.00 | not published | 0 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $1,020.60 | $1,701.00 | not published | 0 |
| Tx open nsl fx uncomp CPT 21325 | $910.80 | $1,518.00 | not published | 0 |
| Tx open nsl sptl fx CPT 21336 | $1,261.20 | $2,102.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,123.80 | $1,873.00 | not published | 0 |
| Tx septic abortion surgical 59830 CPT 59830 | $896.40 | $1,494.00 | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $410.40 | $684.00 | not published | 0 |
| Tympanic membrane repair CPT 69610 | $759.00 | $1,265.00 | not published | 0 |
| Tympanolysis transcanal 69450 CPT 69450 | $1,069.80 | $1,783.00 | 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.