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 |
|---|---|---|---|---|
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | $1,362.60 | $2,271.00 | not published | 0 |
| Wedge resect of lung add-on 32506 CPT 32506 | $301.20 | $502.00 | not published | 0 |
| Wedge resect of lung diag 32507 CPT 32507 | $338.40 | $564.00 | not published | 0 |
| Wedge resect of lung initial 32505 CPT 32505 | $1,333.80 | $2,223.00 | not published | 0 |
| Wedging of cast CPT 29740 | not published | not published | $254.22 – $355.91 | 2 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $254.22 – $355.91 | 2 |
| Wet mounts/ w preparations HCPCS Q0111 | $21.60 | $36.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $215.49 – $301.69 | 2 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $232.07 – $324.90 | 2 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $164.83 – $230.77 | 2 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $864.00 | $1,440.00 | $384.64 – $538.50 | 2 |
| Whole Skeleton X-ray Survey CPT 77075 | $464.40 | $774.00 | $101.79 – $142.51 | 2 |
| Wilate injection HCPCS J7183 | not published | not published | $1.22 – $1.78 | 2 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $669.00 | $1,115.00 | $190.20 – $266.28 | 2 |
| Wound closure by adhesive HCPCS G0168 | $154.20 | $257.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $398.40 | $664.00 | $382.44 – $431.60 | 2 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $459.60 | $766.00 | $382.44 – $497.90 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $97.80 | $163.00 | $105.95 – $190.20 | 2 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $169.20 | $282.00 | $183.30 – $382.44 | 2 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Wrist X-ray CPT 73110 | $264.60 | $441.00 | not published | 0 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $184.20 | $307.00 | $84.28 – $118.00 | 2 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | $259.80 | $433.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,469.40 | $2,449.00 | not published | 0 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,335.60 | $2,226.00 | not published | 0 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $23.44 – $32.82 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $669.00 | $1,115.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $186.00 | $310.00 | $101.79 – $142.51 | 2 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $412.20 | $687.00 | $341.85 – $478.59 | 2 |
| X-ray bone length studies CPT 77073 | $186.00 | $310.00 | $101.79 – $142.51 | 2 |
| X-ray bone survey infant CPT 77076 | $469.20 | $782.00 | $101.79 – $142.51 | 2 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $91.80 | $153.00 | $101.79 – $142.51 | 2 |
| X-ray exam entire spi 6/> vw CPT 72084 | $115.20 | $192.00 | $101.79 – $142.51 | 2 |
| X-ray exam of arm infant CPT 73092 | $195.00 | $325.00 | $101.79 – $142.51 | 2 |
| X-ray exam of femur 1 CPT 73551 | $191.40 | $319.00 | $84.28 – $118.00 | 2 |
| X-ray exam of jaw joint CPT 70328 | $169.80 | $283.00 | $84.28 – $118.00 | 2 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $524.84 – $734.78 | 2 |
| X-ray exam of penis CPT 74445 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray exam of perineum CPT 74775 | $347.40 | $579.00 | $231.38 – $323.93 | 2 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam of teeth CPT 70300 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray exam of teeth CPT 70310 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam si joints CPT 72200 | $170.40 | $284.00 | $101.79 – $142.51 | 2 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $161.40 | $269.00 | $84.28 – $118.00 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $83.40 | $139.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $376.20 | $627.00 | $101.79 – $142.51 | 2 |
| X-ray joint survey 1 view CPT 77077 | $121.20 | $202.00 | $101.79 – $131.30 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $232.20 | $387.00 | $84.28 – $118.00 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $144.60 | $241.00 | $101.79 – $142.51 | 2 |
| X-ray male genital tract CPT 74440 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $181.20 | $302.00 | $84.28 – $118.00 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $166.80 | $278.00 | $84.28 – $118.00 | 2 |
| X-ray of mammary ducts CPT 77054 | $469.80 | $783.00 | $231.38 – $323.93 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $640.20 | $1,067.00 | $341.85 – $478.59 | 2 |
| X-ray ribs 2 views left CPT 71100 | $243.60 | $406.00 | $84.28 – $118.00 | 2 |
| X-ray sella turcica CPT 70240 | $157.80 | $263.00 | $84.28 – $118.00 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $383.40 | $639.00 | $415.35 – $524.84 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $250.80 | $418.00 | $101.79 – $142.51 | 2 |
| X-ray small intestine follow-through study CPT 74248 | $224.40 | $374.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $192.00 | $320.00 | $84.28 – $118.00 | 2 |
| X-ray surgical specimen CPT 76098 | not published | not published | $524.84 – $734.78 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $158.40 | $264.00 | $84.28 – $118.00 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $170.40 – $238.57 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $282.60 | $471.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $107.40 | $179.00 | not published | 0 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.47 – $2.16 | 2 |
| Yersinia antibody CPT 86793 | $151.20 | $252.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $30,077.40 | $50,129.00 | $32,583.85 – $54,393.60 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.70 – $14.18 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $4,764.60 | $7,941.00 | $7.64 – $11.17 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $8,543.16 | $14,238.60 | $32.12 – $46.98 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,949.30 | $3,248.83 | not published | 0 |
| Zoster vaccine-live inj CPT 90736 | $407.60 | $679.34 | 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.