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 |
|---|---|---|---|---|
| Brief alcohol misuse counsel HCPCS G0443 | not published | not published | $88.54 – $123.96 | 2 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $16.36 – $16.36 | 1 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $32.53 – $32.53 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $527.40 | $879.00 | not published | 0 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $267.00 | $445.00 | not published | 0 |
| Bronch ebus samplng 1/2 node CPT 31652 | $459.00 | $765.00 | not published | 0 |
| Bronch ebus samplng 3/> node CPT 31653 | $508.20 | $847.00 | not published | 0 |
| Bronchial allergy tests CPT 95070 | not published | not published | $507.90 – $711.06 | 2 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $371.70 – $520.38 | 2 |
| Bronchial challenge CPT 94070 | $327.60 | $546.00 | $284.05 – $298.08 | 2 |
| Bronchial valve init insert CPT 31647 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Bronchial valve remov init CPT 31648 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronchoscopy clear airways 31645 CPT 31645 | $582.00 | $970.00 | not published | 0 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $134.40 | $224.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $718.80 | $1,198.00 | not published | 0 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $117.60 | $196.00 | not published | 0 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,128.00 | $1,880.00 | not published | 0 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $624.60 | $1,041.00 | not published | 0 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $648.00 | $1,080.00 | not published | 0 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $836.40 | $1,394.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $439.20 | $732.00 | not published | 0 |
| Bso omentectomy w/tah 58956 CPT 58956 | $2,455.20 | $4,092.00 | not published | 0 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $175.40 | 1 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $18.34 | $30.56 | $0.61 – $0.85 | 2 |
| Bundled special stain group 1 microorganisms CPT 88312 | $91.20 | $152.00 | $36.40 – $51.14 | 2 |
| Bundled special stain group 2 CPT 88313 | $334.80 | $558.00 | $51.35 – $123.39 | 2 |
| Bundle his recording CPT 93600 | $832.80 | $1,388.00 | $902.20 – $7,263.48 | 2 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $2.53 – $3.54 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $14.65 | $24.42 | not published | 0 |
| Buprenorphine and metabolite - sendout CPT 80348 | $274.80 | $458.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | $36.55 | $60.91 | not published | 0 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,976.55 – $2,767.17 | 2 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,976.55 – $2,767.17 | 2 |
| Burr hole for vent puncture 61120 CPT 61120 | $1,503.60 | $2,506.00 | not published | 0 |
| Burr hole implant ventricular cath/other device CPT 61210 | $810.60 | $1,351.00 | not published | 0 |
| Burr hole skull for biopsy 61140 CPT 61140 | $2,211.60 | $3,686.00 | not published | 0 |
| Burr hole skull & remove clot 61154 CPT 61154 | $2,227.20 | $3,712.00 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $8,539.20 | $14,232.00 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.84 – $2.58 | 2 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $25.38 | $42.30 | not published | 0 |
| Buttock fasciotomy CPT 27027 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $465.60 | $776.00 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $1,790.40 | $2,984.00 | $1,504.75 – $1,550.93 | 2 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,753.60 | $6,256.00 | $1,550.93 – $2,171.30 | 2 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,988.80 | $6,648.00 | $1,550.93 – $2,171.30 | 2 |
| Bx breast add lesion mr imag CPT 19086 | $3,406.20 | $5,677.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $3,128.40 | $5,214.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,839.00 | $3,065.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $637.20 | $1,062.00 | not published | 0 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $3,665.46 – $5,131.65 | 2 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $565.80 | $943.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $946.20 | $1,577.00 | not published | 0 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $593.40 | $989.00 | not published | 0 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $1,044.00 | $1,740.00 | not published | 0 |
| Bx liver with other CPT 47001 | $226.80 | $378.00 | not published | 0 |
| Bx muscle CPT 20200 | $367.80 | $613.00 | not published | 0 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $419.40 | $699.00 | not published | 0 |
| Bx of breast open 19101 CPT 19101 | $1,900.80 | $3,168.00 | $2,059.20 – $3,665.46 | 2 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $528.00 | $880.00 | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $1,141.80 | $1,903.00 | $1,236.95 – $1,550.93 | 2 |
| Bx perianal mass CPT 46999 | not published | not published | $872.71 – $1,221.79 | 2 |
| Bx pleura pq ndl CPT 32400 | $1,157.40 | $1,929.00 | $668.85 – $1,550.93 | 2 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Bx shoulder tissues deep 23066 CPT 23066 | $964.80 | $1,608.00 | not published | 0 |
| Bx shoulder tissues supf 23065 CPT 23065 | $1,596.60 | $2,661.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $79.80 | $133.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $128.40 | $214.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $79.80 | $133.00 | not published | 0 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $461.40 | $769.00 | not published | 0 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $616.20 | $1,027.00 | not published | 0 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,231.20 | $2,052.00 | not published | 0 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $793.80 | $1,323.00 | not published | 0 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $471.60 | $786.00 | not published | 0 |
| Bx spinal cord pq ndl CPT 62269 | $993.60 | $1,656.00 | $861.25 – $1,550.93 | 2 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $489.00 | $815.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $608.40 | $1,014.00 | $527.15 – $673.49 | 2 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $162.60 | $271.00 | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $152.40 | $254.00 | not published | 0 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $109.80 | $183.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $470.40 | $784.00 | not published | 0 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $75.86 – $106.20 | 2 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.73 – $92.02 | 2 |
| C1 esterase inhibitor func - sendout CPT 86161 | $149.40 | $249.00 | $12.00 – $12.00 | 1 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $24,606.44 | $41,010.73 | $227.10 – $317.94 | 2 |
| Cabg 2 arterial grafts 33534 CPT 33534 | $4,098.60 | $6,831.00 | not published | 0 |
| Cabg 3 arterial grafts 33535 CPT 33535 | $4,566.60 | $7,611.00 | not published | 0 |
| Cabg arterial four or more 33536 CPT 33536 | $5,422.20 | $9,037.00 | not published | 0 |
| Cabgsingle artery graft 33533 CPT 33533 | $3,948.60 | $6,581.00 | 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.