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 |
|---|---|---|---|---|
| Unlisted px med radj physics CPT 77399 | not published | not published | $127.09 – $177.93 | 2 |
| Unlisted px middle ear CPT 69799 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px small intestine CPT 44799 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $127.09 – $177.93 | 2 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $190.20 – $266.28 | 2 |
| Unlisted special svc px/rprt CPT 99199 | $9.00 | $15.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted ultrasound procedure CPT 76999 | $157.80 | $263.00 | $84.28 – $118.00 | 2 |
| Unlisted urinalysis px CPT 81099 | $42.60 | $71.00 | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $591.81 – $828.54 | 2 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $384.64 – $538.50 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $669.79 – $937.70 | 2 |
| Upgrade pm system CPT 33214 | $15,587.40 | $25,979.00 | $10,017.62 – $14,024.67 | 2 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $281.40 | $469.00 | $84.28 – $118.00 | 2 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,443.00 | $2,405.00 | $170.40 – $238.57 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,381.20 | $2,302.00 | $101.79 – $142.51 | 2 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,361.60 | $3,936.00 | $341.85 – $478.59 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,275.60 | $2,126.00 | $341.85 – $478.59 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,741.80 | $2,903.00 | $231.38 – $323.93 | 2 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $223.20 | $372.00 | $101.79 – $142.51 | 2 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $246.00 | $410.00 | $101.79 – $142.51 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $181.20 | $302.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $204.60 | $341.00 | not published | 0 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $504.00 | $840.00 | not published | 0 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $363.60 | $606.00 | $170.40 – $238.57 | 2 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $346.80 | $578.00 | $170.40 – $238.57 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | $661.80 | $1,103.00 | not published | 0 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,317.60 | $2,196.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $37.80 | $63.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.40 | $94.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $802.80 | $1,338.00 | $384.64 – $538.50 | 2 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Ureteroneocystostomy 50780 CPT 50780 | $2,313.60 | $3,856.00 | not published | 0 |
| Ureteroureterostomy 50760 CPT 50760 | $2,200.20 | $3,667.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $343.20 | $572.00 | $231.38 – $323.93 | 2 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Urethrocystography void s&i CPT 74455 | $480.60 | $801.00 | $231.38 – $323.93 | 2 |
| Uric acid blood CPT 84550 | $40.20 | $67.00 | not published | 0 |
| Uric acid urine CPT 84560 | $43.20 | $72.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $17.40 | $29.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $113.40 | $189.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $28.20 | $47.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $21.00 | $35.00 | not published | 0 |
| Urinary bldr retent nuc study CPT 78730 | $292.20 | $487.00 | not published | 0 |
| Urinary reflex study CPT 51792 | not published | not published | $56.86 – $79.60 | 2 |
| Urine Culture Test CPT 87086 | $47.40 | $79.00 | not published | 0 |
| Urine flow measurement 51736 CPT 51736 | $90.00 | $150.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $67.80 | $113.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $601.80 | $1,003.00 | $341.85 – $478.59 | 2 |
| Urography inf drip &/or bolus CPT 74410 | $429.60 | $716.00 | $170.40 – $238.57 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $101.79 – $142.51 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $25,816.55 | $43,027.58 | $12.72 – $18.61 | 2 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $51,633.07 | $86,055.11 | $150.93 – $220.75 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Vaccine Administration (one shot) CPT 90471 | $52.80 | $88.00 | $57.20 – $68.13 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $263.57 | $439.29 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $240.91 | $401.51 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $274.01 | $456.68 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $159.71 | $266.19 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $114.26 | $190.44 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $66.25 | $110.41 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $195.95 | $326.59 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $126.79 | $211.31 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $288.65 | $481.08 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $199.37 | $332.29 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $65.04 | $108.40 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $63.25 | $105.41 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $165.01 | $275.02 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $116.72 | $194.53 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $144.41 | $240.68 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $140.37 | $233.95 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $273.90 | $456.50 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $64.23 | $107.05 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $557.26 | $928.76 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $152.43 | $254.05 | not published | 0 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $142.36 | $237.26 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.38 | $78.97 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $432.42 | $720.70 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $354.77 | $591.28 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $317.02 | $528.36 | 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.