MercyOne Genesis Davenport West Medical Center
1404 West Central Park Avenue, Davenport, IA · MercyOne · · NPI 1427097716
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 typing patient serum CPT 86904 | $54.00 | $90.00 | $56.86 – $79.60 | 2 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $19.20 | $32.00 | $14.95 – $344.33 | 2 |
| Blood typing rh (d) CPT 86901 | $23.40 | $39.00 | $20.15 – $37.57 | 2 |
| Blood typing rh phenotype complete reference CPT 86906 | $43.80 | $73.00 | $37.57 – $47.45 | 2 |
| Blood volume CPT 78122 | not published | not published | $515.24 – $721.34 | 2 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $118.80 | $198.00 | $101.79 – $142.51 | 2 |
| Bone biopsy open superficial CPT 20240 | $2,854.80 | $4,758.00 | $2,739.61 – $3,092.70 | 2 |
| Bone Density Scan (DEXA) CPT 77080 | $255.60 | $426.00 | $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 | $535.20 | $892.00 | $384.64 – $538.50 | 2 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,657.20 | $2,762.00 | $1,550.93 – $1,795.30 | 2 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,715.40 | $2,859.00 | $1,550.93 – $1,858.35 | 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 | $121.80 | $203.00 | $131.95 – $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 | $223.20 | $372.00 | $101.79 – $142.51 | 2 |
| 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 | $31.80 | $53.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $44.40 | $74.00 | not published | 0 |
| Borrelia antibody CPT 86619 | $54.60 | $91.00 | $13.38 – $13.38 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $132.60 | $221.00 | $17.03 – $17.03 | 1 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $35.09 | 1 |
| 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 | $33.60 | $56.00 | $3.43 – $3.43 | 1 |
| Bowel imaging CPT 78290 | $686.40 | $1,144.00 | $384.64 – $538.50 | 2 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $16.20 | $27.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $44.40 | $74.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $16.20 | $27.00 | 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 | $18.60 | $31.00 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $31.20 | $52.00 | not published | 0 |
| Brace m arm board HCPCS L3809 | $23.40 | $39.00 | not published | 0 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $57.60 | $96.00 | $60.21 – $60.21 | 1 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $15.60 | $26.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $19.80 | $33.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | $1,367.40 | $2,279.00 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,102.40 | $3,504.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,336.40 | $3,894.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $1,963.80 | $3,273.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $2,100.60 | $3,501.00 | 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 | $7,144.20 | $11,907.00 | $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 | $799.80 | $1,333.00 | $350.41 – $490.57 | 2 |
| Brachytx isodose intermed CPT 77317 | $702.60 | $1,171.00 | $350.41 – $490.57 | 2 |
| Brachytx isodose plan simple CPT 77316 | $297.60 | $496.00 | $322.40 – $350.41 | 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 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $175.40 | 1 |
| Brain flow imaging only CPT 78610 | $216.00 | $360.00 | $234.00 – $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 | $803.40 | $1,339.00 | $515.24 – $721.34 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,133.00 | $3,555.00 | $341.85 – $478.59 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,732.20 | $2,887.00 | $341.85 – $478.59 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,607.40 | $2,679.00 | $231.38 – $323.93 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $2,745.00 | $4,575.00 | $341.85 – $478.59 | 2 |
| Brain MRI (with contrast) CPT 70552 | $1,465.20 | $2,442.00 | $341.85 – $478.59 | 2 |
| Brain MRI (without contrast) CPT 70551 | $1,382.40 | $2,304.00 | $231.38 – $323.93 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $110.40 | $184.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $468.00 | 1 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $584.23 | 1 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $375.25 | 1 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $301.35 | 1 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $282.88 | 1 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $185.12 | 1 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $375.25 | 1 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $282.88 | 1 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $1,056.00 | $1,760.00 | $440.00 – $440.00 | 1 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,377.60 | $7,296.00 | $1,824.88 – $1,824.88 | 1 |
| Breast augmentation 19325 CPT 19325 | $1,186.80 | $1,978.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,764.80 | $4,608.00 | $1,550.93 – $1,996.80 | 2 |
| Breastbone (Sternum) X-ray CPT 71120 | $161.40 | $269.00 | $84.28 – $118.00 | 2 |
| Breast punct aspir cyst, bil CPT 19000 | $714.60 | $1,191.00 | $516.10 – $673.49 | 2 |
| Breast reconstruction 19357 CPT 19357 | $2,748.60 | $4,581.00 | not published | 0 |
| Breast reconstruction tram flap 19367 CPT 19367 | $3,313.20 | $5,522.00 | not published | 0 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $2,948.40 | $4,914.00 | not published | 0 |
| Breast reduction CPT 19318 | $2,043.60 | $3,406.00 | not published | 0 |
| Breath hydrogen test 91065 CPT 91065 | $166.80 | $278.00 | 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 | $235.80 | $393.00 | $94.41 – $94.41 | 1 |
| Breath tst attain/anal c-14 CPT 78267 | $72.60 | $121.00 | $11.06 – $11.06 | 1 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $19,308.52 | $32,180.86 | $258.52 – $361.93 | 2 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $489,720.00 – $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.