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 |
|---|---|---|---|---|
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $30.60 | $51.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $37.20 | $62.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $30.60 | $51.00 | not published | 0 |
| Blood smear interpretation CPT 85060 | $186.60 | $311.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $37.80 | $63.00 | not published | 0 |
| Blood split unit HCPCS P9011 | not published | not published | $135.73 – $190.03 | 2 |
| Blood Transfusion CPT 36430 | $545.40 | $909.00 | $418.48 – $462.80 | 2 |
| Blood typing abo CPT 86900 | $39.00 | $65.00 | $31.85 – $123.39 | 2 |
| Blood typing ag donor ea ag CPT 86902 | $75.00 | $125.00 | $38.35 – $344.33 | 2 |
| Blood typing patient serum CPT 86904 | $60.00 | $100.00 | $56.86 – $79.60 | 2 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $21.60 | $36.00 | $21.45 – $344.33 | 2 |
| Blood typing rh (d) CPT 86901 | $26.40 | $44.00 | $21.45 – $37.57 | 2 |
| Blood typing rh phenotype complete reference CPT 86906 | $48.60 | $81.00 | $37.57 – $52.60 | 2 |
| Blood volume CPT 78122 | not published | not published | $515.24 – $721.34 | 2 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $130.20 | $217.00 | $101.79 – $142.51 | 2 |
| Bone biopsy open superficial CPT 20240 | $3,102.00 | $5,170.00 | $2,739.61 – $3,360.50 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $246.00 | $410.00 | $101.79 – $142.51 | 2 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $384.64 – $538.50 | 2 |
| Bone/joint imaging ltd area CPT 78300 | $585.00 | $975.00 | $384.64 – $538.50 | 2 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,914.00 | $3,190.00 | $1,550.93 – $2,073.50 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,981.80 | $3,303.00 | $1,550.93 – $2,146.95 | 2 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,484.74 – $6,278.63 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $384.64 – $538.50 | 2 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $384.64 – $538.50 | 2 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $384.64 – $538.50 | 2 |
| Bone marrow interpretation CPT 85097 | $135.60 | $226.00 | $146.90 – $781.95 | 2 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Bone survey-lead poisoning CPT 77074 | $244.20 | $407.00 | $101.79 – $142.51 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | $79.20 | $132.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $84.00 | $140.00 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $80.40 | $134.00 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $33.60 | $56.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $46.80 | $78.00 | not published | 0 |
| Borrelia antibody CPT 86619 | $60.60 | $101.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $139.80 | $233.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,880.64 | $4,801.06 | not published | 0 |
| (both sides) smear without diff wbc count CPT 85008 | $37.20 | $62.00 | not published | 0 |
| Bowel imaging CPT 78290 | $750.00 | $1,250.00 | $384.64 – $538.50 | 2 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $16.80 | $28.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $46.80 | $78.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $16.80 | $28.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $288.00 | $480.00 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $19.80 | $33.00 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $33.00 | $55.00 | not published | 0 |
| Brace m arm board HCPCS L3809 | $24.60 | $41.00 | not published | 0 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $52.80 | $88.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $16.20 | $27.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $19.80 | $33.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | $1,435.80 | $2,393.00 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,207.40 | $3,679.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,453.40 | $4,089.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $2,265.00 | $3,775.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $2,426.40 | $4,044.00 | not published | 0 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $50.65 – $70.91 | 2 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.46 – $49.64 | 2 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $33.61 – $47.05 | 2 |
| Brachy source palladium HCPCS C2640 | not published | not published | $66.71 – $93.39 | 2 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $76.36 – $106.90 | 2 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $16,737.09 – $23,431.92 | 2 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $92.43 – $129.40 | 2 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $7,501.80 | $12,503.00 | $327.74 – $458.84 | 2 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $103.25 – $144.54 | 2 |
| Brachytx isodose complex CPT 77318 | $873.60 | $1,456.00 | $350.41 – $490.57 | 2 |
| Brachytx isodose intermed CPT 77317 | $767.40 | $1,279.00 | $350.41 – $490.57 | 2 |
| Brachytx isodose plan simple CPT 77316 | $325.20 | $542.00 | $350.41 – $352.30 | 2 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $831.18 – $1,163.66 | 2 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $155.87 – $218.22 | 2 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $66.41 – $92.98 | 2 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $540.35 – $756.49 | 2 |
| Brain flow imaging only CPT 78610 | $235.80 | $393.00 | $255.45 – $515.24 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $384.64 – $538.50 | 2 |
| Brain image 4+ views CPT 78605 | not published | not published | $515.24 – $721.34 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $384.64 – $538.50 | 2 |
| Brain image w/flow 4 + views CPT 78606 | $843.60 | $1,406.00 | $515.24 – $721.34 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,329.20 | $3,882.00 | $341.85 – $478.59 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,891.80 | $3,153.00 | $341.85 – $478.59 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,755.60 | $2,926.00 | $231.38 – $323.93 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $2,997.60 | $4,996.00 | $341.85 – $478.59 | 2 |
| Brain MRI (with contrast) CPT 70552 | $1,600.20 | $2,667.00 | $341.85 – $478.59 | 2 |
| Brain MRI (without contrast) CPT 70551 | $1,509.60 | $2,516.00 | $231.38 – $323.93 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $110.40 | $184.00 | not published | 0 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $1,176.00 | $1,960.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,872.60 | $8,121.00 | not published | 0 |
| Breast augmentation 19325 CPT 19325 | $1,246.20 | $2,077.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,193.80 | $5,323.00 | $1,550.93 – $2,171.30 | 2 |
| Breastbone (Sternum) X-ray CPT 71120 | $176.40 | $294.00 | $84.28 – $118.00 | 2 |
| Breast punct aspir cyst, bil CPT 19000 | $825.60 | $1,376.00 | $596.05 – $673.49 | 2 |
| Breast reconstruction 19357 CPT 19357 | $2,886.00 | $4,810.00 | not published | 0 |
| Breast reconstruction tram flap 19367 CPT 19367 | $3,478.80 | $5,798.00 | not published | 0 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $3,096.00 | $5,160.00 | not published | 0 |
| Breast reduction CPT 19318 | $2,145.60 | $3,576.00 | not published | 0 |
| Breath hydrogen test 91065 CPT 91065 | $175.20 | $292.00 | not published | 0 |
| Breathing response hypoxia CPT 94450 | not published | not published | $149.77 – $209.67 | 2 |
| Breath recording infant CPT 94772 | not published | not published | $507.90 – $711.06 | 2 |
| Breath test analysis c-14 CPT 78268 | $258.00 | $430.00 | not published | 0 |
| Breath tst attain/anal c-14 CPT 78267 | $79.80 | $133.00 | not published | 0 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $21,650.04 | $36,083.40 | $247.46 – $361.93 | 2 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $468,769.78 – $685,608.00 | 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.