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 |
|---|---|---|---|---|
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $513.94 | $856.56 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $181.04 | $301.73 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $505.10 | $841.83 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $219.79 | $366.32 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $424.69 | $707.81 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $512.71 | $854.52 | not published | 0 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $91.64 | $152.74 | not published | 0 |
| Vaccine rabies im CPT 90675 | $782.20 | $1,303.66 | $298.68 – $343.25 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $555.82 | $926.37 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $997.44 | $1,662.40 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $997.44 | $1,662.40 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $555.02 | $925.04 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $263.04 | $438.40 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $90.16 | $150.26 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $99.56 | $165.94 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.36 | $138.94 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $336.55 | $560.92 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 2 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $1,993.20 | $3,322.00 | not published | 0 |
| Vag hyst incl t/o complex CPT 58291 | $2,430.60 | $4,051.00 | not published | 0 |
| Vag hyst including t/o CPT 58262 | $1,797.60 | $2,996.00 | not published | 0 |
| Vag hyst t/o & repair compl CPT 58292 | $2,566.80 | $4,278.00 | not published | 0 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $2,378.40 | $3,964.00 | not published | 0 |
| Vag hyst w/enterocele repair CPT 58270 | $1,717.80 | $2,863.00 | not published | 0 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | $2,667.60 | $4,446.00 | not published | 0 |
| Vaginal bx CPT 58999 | $504.00 | $840.00 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $1,881.00 | $3,135.00 | not published | 0 |
| Vaginal Delivery (full care) CPT 59400 | $4,263.60 | $7,106.00 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $1,610.40 | $2,684.00 | not published | 0 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | $212.40 | $354.00 | not published | 0 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $2,215.20 | $3,692.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $86.40 | $144.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,317.89 – $1,927.51 | 2 |
| Valvuloplasty aortic CPT 92986 | $6,413.40 | $10,689.00 | $5,457.61 – $6,947.85 | 2 |
| Valvuloplasty mitral CPT 92987 | $3,598.20 | $5,997.00 | $3,898.05 – $10,855.42 | 2 |
| Valvuloplasty pulmonary CPT 92990 | $16,770.60 | $27,951.00 | $10,855.42 – $15,197.59 | 2 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $6,010.20 | $10,017.00 | not published | 0 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | $4,753.20 | $7,922.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $70.52 | $117.54 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $105.42 | $175.70 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $91.73 | $152.88 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $142.80 | $238.00 | not published | 0 |
| Variable concentration mask HCPCS A4620 | $3.00 | $5.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $117.60 | $196.00 | not published | 0 |
| Varicella-zoster immue globin im CPT 90396 | $1,029.38 | $1,715.64 | $1,115.17 – $2,258.94 | 2 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Vasectomy CPT 55250 | $771.60 | $1,286.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $116.31 | $193.85 | not published | 0 |
| Vbac delivery 59610 CPT 59610 | $4,470.60 | $7,451.00 | not published | 0 |
| Vbac/include postpartum care 59614 CPT 59614 | $2,328.00 | $3,880.00 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $16,607.88 | $27,679.80 | $21.12 – $30.88 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | $1,759.80 | $2,933.00 | $507.90 – $711.06 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $973.87 – $1,363.41 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,444.80 | $2,408.00 | $298.08 – $417.31 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,182.00 | $1,970.00 | $507.90 – $711.06 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | $867.00 | $1,445.00 | $298.08 – $417.31 | 2 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $2,888.40 | $4,814.00 | not published | 0 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $2,388.00 | $3,980.00 | not published | 0 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $3,350.40 | $5,584.00 | not published | 0 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $591.81 – $828.54 | 2 |
| Vein x-ray kidney CPT 75831 | $2,716.20 | $4,527.00 | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Vein x-ray skull epidural CPT 75872 | $1,108.20 | $1,847.00 | $591.81 – $828.54 | 2 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $363.92 – $532.25 | 2 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $149.77 – $209.67 | 2 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $149.77 – $209.67 | 2 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $298.08 – $417.31 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,080.60 | $1,801.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $57.00 | $95.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,332.60 | $2,221.00 | $1,443.65 – $1,486.98 | 2 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,326.00 | $2,210.00 | $1,436.50 – $1,486.98 | 2 |
| Venous mech thrombectomy CPT 37187 | $8,184.00 | $13,640.00 | $8,866.00 – $10,855.42 | 2 |
| Venous m-thrombectomy add-on CPT 37188 | $5,534.40 | $9,224.00 | $3,012.85 – $4,217.99 | 2 |
| Venous sampling s&i CPT 75893 | $2,970.00 | $4,950.00 | $3,217.50 – $5,174.44 | 2 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $515.24 – $721.34 | 2 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $384.64 – $538.50 | 2 |
| Ventilator each subsequent day CPT 94003 | $723.60 | $1,206.00 | $632.82 – $783.90 | 2 |
| Ventilator Management (first day) CPT 94002 | $1,238.40 | $2,064.00 | $632.82 – $885.95 | 2 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $254.40 | $424.00 | not published | 0 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | $3,955.80 | $6,593.00 | not published | 0 |
| Version cephalic external CPT 59412 | $778.80 | $1,298.00 | $843.70 – $3,043.51 | 2 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | $379.20 | $632.00 | not published | 0 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.06 – $16.17 | 2 |
| Very long chain fatty acids CPT 82726 | $276.60 | $461.00 | not published | 0 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | $954.00 | $1,590.00 | not published | 0 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $295.20 | $492.00 | $170.40 – $238.57 | 2 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $136.62 | $227.70 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $72.84 | $121.40 | not published | 0 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $923.51 | $1,539.19 | not published | 0 |
| Viper venom prothrombin time CPT 85612 | $165.00 | $275.00 | not published | 0 |
| Virus isolation addl studies ea CPT 87253 | $342.00 | $570.00 | 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.