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 |
|---|---|---|---|---|
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $149.77 – $209.67 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $779.40 | $1,299.00 | not published | 0 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $2,705.40 | $4,509.00 | not published | 0 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $2,403.60 | $4,006.00 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $148.20 | $247.00 | not published | 0 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.82 – $100.66 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound breast complete CPT 76641 | $553.80 | $923.00 | $101.79 – $142.51 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $516.60 | $861.00 | $84.28 – $118.00 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $272.40 | $454.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $130.20 | $217.00 | $101.79 – $141.05 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound encephalogram CPT 76506 | $374.40 | $624.00 | $101.79 – $142.51 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $324.00 | $540.00 | $101.79 – $142.51 | 2 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $844.20 | $1,407.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $273.00 | $455.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $516.60 | $861.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $245.40 | $409.00 | $84.28 – $118.00 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | $179.40 | $299.00 | $84.28 – $118.00 | 2 |
| Ultrasound joint complete left CPT 76881 | $238.80 | $398.00 | $101.79 – $142.51 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $305.40 | $509.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $210.00 | $350.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $361.80 | $603.00 | $231.38 – $323.93 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $275.40 | $459.00 | $101.79 – $142.51 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | $318.60 | $531.00 | $101.79 – $142.51 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $398.40 | $664.00 | $101.79 – $142.51 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | $233.40 | $389.00 | not published | 0 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $170.40 – $238.57 | 2 |
| Umbilical artery cath newborn 36660 CPT 36660 | $144.00 | $240.00 | not published | 0 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $291.18 – $407.65 | 2 |
| Umbilicoplasty 15847 CPT 15847 | $655.80 | $1,093.00 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $44.17 – $61.83 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $149.77 – $209.67 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $192.56 – $269.59 | 2 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $192.56 – $269.59 | 2 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $654.60 | $1,091.00 | not published | 0 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $3,293.40 | $5,489.00 | not published | 0 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $2,545.20 | $4,242.00 | not published | 0 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $1,219.20 | $2,032.00 | not published | 0 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted misc path test CPT 89240 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $149.77 – $209.67 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted procedure colon CPT 45399 | not published | not published | $872.71 – $1,221.79 | 2 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted procedure liver CPT 47399 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $872.71 – $1,221.79 | 2 |
| Unlisted procedure spine CPT 22899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted procedure urinary 58750 CPT 58750 | $1,758.60 | $2,931.00 | not published | 0 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $121.20 | $202.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $151.04 – $211.46 | 2 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted px external ear CPT 69399 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px inner ear CPT 69949 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $232.81 – $325.93 | 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.