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 |
|---|---|---|---|---|
| Cast sup long leg fiberglass HCPCS Q4030 | $150.00 | $250.00 | not published | 0 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | $41.40 | $69.00 | not published | 0 |
| Cast sup shrt leg ped plster HCPCS Q4039 | $17.40 | $29.00 | not published | 0 |
| Cast sup shrt leg plaster HCPCS Q4037 | $32.40 | $54.00 | not published | 0 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $39.60 | $66.00 | not published | 0 |
| Cast sup sht arm adult plstr HCPCS Q4009 | $18.00 | $30.00 | not published | 0 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $19.80 | $33.00 | not published | 0 |
| Cast sup sht arm ped plaster HCPCS Q4011 | $7.80 | $13.00 | not published | 0 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $24.00 | $40.00 | not published | 0 |
| Cast sup sht arm splint plst HCPCS Q4021 | $15.00 | $25.00 | not published | 0 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | $13.80 | $23.00 | not published | 0 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | $6.00 | $10.00 | not published | 0 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $37.80 | $63.00 | not published | 0 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $19.20 | $32.00 | not published | 0 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | $13.20 | $22.00 | not published | 0 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | $22.80 | $38.00 | not published | 0 |
| Cataract Surgery CPT 66984 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Catecholamines,fractionated, urine CPT 82382 | $157.80 | $263.00 | $27.30 – $27.30 | 1 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $215.40 | $359.00 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,464.20 | $4,107.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,364.00 | $3,940.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,639.20 | $12,732.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,301.40 | $12,169.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,310.40 | $12,184.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $10,789.20 | $17,982.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $2,457.00 | $4,095.00 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,280.00 | $13,800.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,552.20 | $2,587.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,425.20 | $14,042.00 | $3,078.81 – $4,310.34 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $20,250.00 | $33,750.00 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,194.20 | $3,657.00 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,407.80 | $4,013.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $558.00 | $930.00 | $604.50 – $1,486.98 | 2 |
| Catheter insert artery CPT 36625 | $198.00 | $330.00 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $9.09 – $9.09 | 1 |
| Catheter stripping venous CPT 36595 | $2,310.00 | $3,850.00 | $2,502.50 – $3,012.85 | 2 |
| Catheter without bag 2-way latex HCPCS A4311 | $0.60 | $1.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $619.20 | $1,032.00 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $6,739.20 | $11,232.00 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,737.80 | $9,563.00 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $15.60 | $26.00 | not published | 0 |
| Cath insertion tray w/bag HCPCS A4354 | $84.60 | $141.00 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $232.81 – $325.93 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $200.40 | $334.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | $6,744.00 | $11,240.00 | $3,078.81 – $4,310.34 | 2 |
| Cath left heart transseptal punc CPT 93462 | $3,781.80 | $6,303.00 | not published | 0 |
| Cath lt/rt pulm art CPT 36014 | $1,963.80 | $3,273.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,671.00 | $2,785.00 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $22,489.20 | $37,482.00 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $1,650.60 | $2,751.00 | not published | 0 |
| Cath place cardio brachytx CPT 92974 | $5,420.40 | $9,034.00 | not published | 0 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $9,727.80 | $16,213.00 | $3,078.81 – $4,310.34 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $8,271.00 | $13,785.00 | $3,078.81 – $4,310.34 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | $8,910.60 | $14,851.00 | $3,078.81 – $4,310.34 | 2 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,430.40 | $12,384.00 | $3,078.81 – $4,310.34 | 2 |
| Cath right hrt mnpul art CPT 36013 | $1,963.80 | $3,273.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $635.40 | $1,059.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $1,963.80 | $3,273.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,700.00 | $4,500.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $499.20 | $832.00 | not published | 0 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $4.80 | $8.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $105.00 | $175.00 | not published | 0 |
| Cath w/drainage 2-way latex HCPCS A4314 | $2.40 | $4.00 | not published | 0 |
| Cath w/drainage 2-way silcne HCPCS A4315 | $4.80 | $8.00 | not published | 0 |
| Cath without bag 2-way silicone HCPCS A4312 | $7.80 | $13.00 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $218.40 | $364.00 | $190.20 – $236.60 | 2 |
| Cauterization of cervix 57510 CPT 57510 | $242.40 | $404.00 | not published | 0 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.77 – $7.77 | 1 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.47 – $6.47 | 1 |
| #cbg+cort-cbg CPT 84449 | $76.80 | $128.00 | $18.00 – $18.00 | 1 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $207.31 | 1 |
| Cdna analysis for variants CPT 81403 | $333.60 | $556.00 | $185.20 – $185.20 | 1 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $123.39 – $172.74 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $123.39 – $172.74 | 2 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $241.90 | 1 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $71.88 | $119.80 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $93.14 | $155.23 | not published | 0 |
| Cefotaxime sodium injection HCPCS J0698 | $49.51 | $82.51 | not published | 0 |
| Cefotetan 1 gm vial HCPCS S0074 | $51.20 | $85.34 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $64.30 | $107.16 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $443.23 | $738.71 | $4.24 – $5.94 | 2 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $81.27 | $135.45 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $696.91 | $1,161.51 | $104.95 – $146.93 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $168.52 | $280.87 | not published | 0 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $81.45 | $135.75 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $227.40 | $379.00 | $94.74 – $94.74 | 1 |
| #celiac hla-dq8 CPT 81383 | $262.20 | $437.00 | $109.13 – $109.13 | 1 |
| Cell count body fluid CPT 89050 | $36.60 | $61.00 | $4.72 – $4.72 | 1 |
| Cell count w differential body fluid CPT 89051 | $77.40 | $129.00 | $5.60 – $5.60 | 1 |
| Cell cryopreserve/storage CPT 88240 | $130.80 | $218.00 | $13.07 – $13.07 | 1 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $250.78 | 1 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $135.86 | 1 |
| Cell marker study CPT 88182 | $459.00 | $765.00 | $51.14 – $71.60 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $17,749.64 | $29,582.74 | $28.70 – $40.18 | 2 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,859.01 – $6,802.61 | 2 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $4.95 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | $447.00 | $745.00 | not published | 0 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $574.80 | $958.00 | 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.