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 |
|---|---|---|---|---|
| Cabgsingle coronary venous graft 33510 CPT 33510 | $3,606.60 | $6,011.00 | not published | 0 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | $974.40 | $1,624.00 | not published | 0 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $3,959.40 | $6,599.00 | not published | 0 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $4,494.00 | $7,490.00 | not published | 0 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $4,612.80 | $7,688.00 | not published | 0 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $348.00 | $580.00 | not published | 0 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $763.20 | $1,272.00 | not published | 0 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $1,011.00 | $1,685.00 | not published | 0 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $1,215.60 | $2,026.00 | not published | 0 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $1,870.80 | $3,118.00 | not published | 0 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | $2,245.80 | $3,743.00 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $1,912.80 | $3,188.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $23.63 – $33.08 | 2 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $137.00 | 1 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $846.27 | 1 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $185.20 | 1 |
| Cadd pump refill CPT 96521 | $332.40 | $554.00 | $201.68 – $282.35 | 2 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $88.08 | $146.80 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $5,560.00 | $9,266.66 | $835.80 – $1,170.12 | 2 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $80.37 – $80.37 | 1 |
| Calcium 24 hour urine CPT 82340 | $60.60 | $101.00 | $6.03 – $6.03 | 1 |
| Calcium infusion test CPT 82331 | not published | not published | $13.34 – $13.34 | 1 |
| Calcium ionized CPT 82330 | $130.80 | $218.00 | $13.68 – $13.68 | 1 |
| Calcium total CPT 82310 | $46.20 | $77.00 | $5.16 – $5.16 | 1 |
| Calculi urinary-sendout CPT 82360 | $34.80 | $58.00 | $12.87 – $12.87 | 1 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $11.58 | 1 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $149.77 – $209.67 | 2 |
| Calprotectin fecal CPT 83993 | $168.60 | $281.00 | $19.63 – $19.63 | 1 |
| Campylobacter antibody CPT 86625 | $154.20 | $257.00 | $13.12 – $13.12 | 1 |
| Canakinumab injection HCPCS J0638 | not published | not published | $141.00 – $197.40 | 2 |
| Candida dna CPT 87480 | $49.80 | $83.00 | $20.05 – $20.05 | 1 |
| Candida dna quant CPT 87482 | not published | not published | $55.74 – $55.74 | 1 |
| Candida skin test CPT 86485 | $54.00 | $90.00 | $23.44 – $32.82 | 2 |
| Cannula declotting 36861 CPT 36861 | $445.80 | $743.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $9,000.00 | $15,000.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $669.59 – $937.43 | 2 |
| Canthotomy 67715 CPT 67715 | $415.80 | $693.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.05 – $0.07 | 2 |
| Cap nerve 2x15mm HCPCS C1763 | $4,955.40 | $8,259.00 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.38 – $4.73 | 2 |
| Capsular contracture release CPT 23020 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $714.60 | $1,191.00 | not published | 0 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $890.40 | $1,484.00 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $1,547.40 | $2,579.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $107.40 | $179.00 | $13.25 – $13.25 | 1 |
| Carbamazepine free -sendout CPT 80161 | $95.40 | $159.00 | $18.64 – $18.64 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $126.00 | $210.00 | $14.57 – $14.57 | 1 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $243.15 – $340.41 | 2 |
| Carbohydrate deficient transf - sendout CPT 82373 | $223.20 | $372.00 | $18.06 – $18.06 | 1 |
| Carbohydrate urine - sendout CPT 84377 | $138.00 | $230.00 | $5.50 – $5.50 | 1 |
| Carbon dioxide CPT 82374 | $150.60 | $251.00 | $4.88 – $4.88 | 1 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $156.53 | $260.88 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $102.00 | $170.00 | $12.32 – $12.32 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $96.60 | $161.00 | $18.96 – $18.96 | 1 |
| Cardiac drug stress test CPT 93024 | not published | not published | $381.97 – $534.76 | 2 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,470.00 | $2,450.00 | $1,249.63 – $1,592.50 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,467.00 | $2,445.00 | $1,249.63 – $1,589.25 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,837.80 | $3,063.00 | $1,249.63 – $1,749.48 | 2 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $138.60 | $231.00 | $114.40 – $120.52 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $126.00 | $210.00 | $3.90 – $120.52 | 2 |
| Cardiac shunt imaging CPT 78428 | $568.20 | $947.00 | $384.64 – $538.50 | 2 |
| Cardiac Stress Test CPT 93015 | $186.60 | $311.00 | not published | 0 |
| Cardiokymography HCPCS Q0035 | not published | not published | $37.57 – $52.60 | 2 |
| Cardiolipin antibody iga CPT 86147 | $228.00 | $380.00 | $25.45 – $25.45 | 1 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $3,240.00 – $3,240.00 | 1 |
| Cardioversion/elective/internal 92961 CPT 92961 | $742.80 | $1,238.00 | not published | 0 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $650.40 | $1,084.00 | $626.39 – $704.60 | 2 |
| Card MRI veloc flow mapping CPT 75565 | $744.60 | $1,241.00 | not published | 0 |
| Caregiver health risk assmt CPT 96161 | $8.40 | $14.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $75.00 | $125.00 | $61.33 – $61.33 | 1 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $37.80 | $63.00 | $33.04 – $33.04 | 1 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $28.52 – $39.92 | 2 |
| Care mgmt svc bhvl hlth cond CPT 99484 | not published | not published | $28.52 – $39.92 | 2 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $5,318.16 | $8,863.60 | $55.09 – $77.13 | 2 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $584.90 | 1 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $584.90 | 1 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $336.97 | $561.62 | $173.64 – $243.10 | 2 |
| Carotene CPT 82380 | $96.00 | $160.00 | $9.22 – $9.22 | 1 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $544.80 | $908.00 | $231.38 – $295.43 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | $770.40 | $1,284.00 | not published | 0 |
| Car seat/bed test 60 minutes CPT 94780 | $67.80 | $113.00 | $37.57 – $52.60 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $317.50 – $444.50 | 2 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $217.80 | $363.00 | not published | 0 |
| Caspofungin acetate HCPCS J0637 | $633.91 | $1,056.51 | not published | 0 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $28.20 | $47.00 | not published | 0 |
| Cast sup lng arm splint plst HCPCS Q4017 | $18.60 | $31.00 | not published | 0 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $15.60 | $26.00 | not published | 0 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | $7.80 | $13.00 | not published | 0 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | $75.00 | $125.00 | not published | 0 |
| Cast sup lng leg ped plaster HCPCS Q4031 | $27.60 | $46.00 | not published | 0 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $67.20 | $112.00 | not published | 0 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $34.80 | $58.00 | not published | 0 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | $20.40 | $34.00 | not published | 0 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $58.20 | $97.00 | not published | 0 |
| Cast sup long arm adult plst HCPCS Q4005 | $25.20 | $42.00 | not published | 0 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | $28.20 | $47.00 | not published | 0 |
| Cast sup long arm ped plster HCPCS Q4007 | $14.40 | $24.00 | 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.