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 |
|---|---|---|---|---|
| Cerebrospinal fld flw imag CPT 78645 | $504.00 | $840.00 | $515.24 – $546.00 | 2 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $9,577.89 | $15,963.15 | $4.49 – $6.29 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | $2,492.40 | $4,154.00 | not published | 0 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $59.40 | $99.00 | $58.50 – $88.54 | 2 |
| Cesarean section delivery only 59514 CPT 59514 | $2,064.00 | $3,440.00 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,752.61 | $4,587.68 | $78.47 – $109.86 | 2 |
| #cf-97variants CPT 81220 | $1,675.80 | $2,793.00 | $556.60 – $556.60 | 1 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $435.07 | 1 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $168.75 | 1 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $97.22 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | $321.60 | $536.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $238.20 | $397.00 | $232.81 – $258.05 | 2 |
| Change gastric port open CPT 43888 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change of windpipe airway 31502 CPT 31502 | $271.20 | $452.00 | $222.29 – $293.80 | 2 |
| Change stent via transureth CPT 50385 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $164.03 – $229.64 | 2 |
| Chemical exfoliation acne 17360 CPT 17360 | $235.80 | $393.00 | not published | 0 |
| Chemical peel face epiderm 15788 CPT 15788 | $823.80 | $1,373.00 | not published | 0 |
| Chemical peel nonfacial 15793 CPT 15793 | $886.80 | $1,478.00 | not published | 0 |
| Chemical peel nonfacial; epidermal CPT 15792 | $784.80 | $1,308.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $447.60 | $746.00 | $317.50 – $444.50 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $662.89 – $928.05 | 2 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $441.60 | $736.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $456.00 | $760.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $720.60 | $1,201.00 | $662.89 – $780.65 | 2 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $712.20 | $1,187.00 | $662.89 – $771.55 | 2 |
| Chemodenervation anal musc CPT 46505 | $447.60 | $746.00 | not published | 0 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $600.00 | $1,000.00 | $282.56 – $395.59 | 2 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $395.40 | $659.00 | not published | 0 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $282.56 – $395.59 | 2 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $196.80 | $328.00 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $874.80 | $1,458.00 | $282.56 – $395.59 | 2 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $600.00 | $1,000.00 | $282.56 – $395.59 | 2 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $224.40 | $374.00 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $712.20 | $1,187.00 | $662.89 – $771.55 | 2 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $267.60 | $446.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.17 – $61.83 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $201.68 – $282.35 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | $117.60 | $196.00 | not published | 0 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $15.99 | 1 |
| Chemotherapy injection 96542 CPT 96542 | $272.40 | $454.00 | $295.10 – $317.50 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $317.50 – $444.50 | 2 |
| Chest 2 vws w oblique CPT 71048 | $226.80 | $378.00 | $101.79 – $142.51 | 2 |
| Chest apical lordotic proj CPT 71047 | $201.00 | $335.00 | $84.28 – $118.00 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,426.80 | $2,378.00 | $170.40 – $238.57 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $1,383.60 | $2,306.00 | $170.40 – $238.57 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $1,019.40 | $1,699.00 | $101.79 – $142.51 | 2 |
| Chest Physiotherapy (first session) CPT 94667 | $129.00 | $215.00 | $74.75 – $123.39 | 2 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $86.40 | $144.00 | $74.75 – $123.39 | 2 |
| Chest Ultrasound CPT 76604 | $283.80 | $473.00 | $101.79 – $142.51 | 2 |
| Chest X-ray CPT 71046 | $184.80 | $308.00 | $84.28 – $118.00 | 2 |
| Chest X-ray (single view) CPT 71045 | $117.60 | $196.00 | $84.28 – $118.00 | 2 |
| Chg pr pul rehab for copd patients CPT 94626 | $106.80 | $178.00 | $56.86 – $79.60 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $170.40 – $238.57 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $207.46 | 1 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $260.79 | 1 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $24.22 – $33.90 | 2 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $24.22 – $33.90 | 2 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $24.22 – $33.90 | 2 |
| Chlamydia culture CPT 87110 | $87.00 | $145.00 | $19.60 – $19.60 | 1 |
| Chlamydia trachomatis ag if CPT 87270 | $108.60 | $181.00 | $11.98 – $11.98 | 1 |
| Chlamydia type CPT 87140 | $87.00 | $145.00 | $5.57 – $5.57 | 1 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $20.05 | 1 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $42.84 | 1 |
| Chlnggrphy intraop addl s&i CPT 74301 | $177.00 | $295.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $115.78 | $192.96 | not published | 0 |
| Chloride CPT 82435 | $26.40 | $44.00 | $4.60 – $4.60 | 1 |
| Chloride 24 hour urine CPT 82436 | $38.40 | $64.00 | $5.75 – $5.75 | 1 |
| Chloroprocaine hcl injection HCPCS J2401 | $53.72 | $89.53 | not published | 0 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $0.84 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $779.38 | $1,298.97 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $71.05 | $118.42 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $317.50 – $444.50 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $1,029.00 | $1,715.00 | $1,114.75 – $3,378.09 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $415.80 | $693.00 | not published | 0 |
| Cholecystectomy expl duct 47612 CPT 47612 | $2,269.80 | $3,783.00 | not published | 0 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $1,757.40 | $2,929.00 | not published | 0 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $2,058.60 | $3,431.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,913.80 | $6,523.00 | $3,378.09 – $4,239.95 | 2 |
| Cholesterol CPT 82465 | $28.80 | $48.00 | $4.35 – $4.35 | 1 |
| Cholesterol body fluid CPT 84999 | $621.60 | $1,036.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $91.80 | $153.00 | $13.39 – $13.39 | 1 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $2,888.12 | 2 |
| Cholinesterase CPT 82480 | $58.80 | $98.00 | $7.87 – $7.87 | 1 |
| Cholinesterase challenge CPT 95857 | not published | not published | $298.08 – $417.31 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $833.49 – $1,166.89 | 2 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $351.46 | $585.76 | not published | 0 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $182.40 | $304.00 | not published | 0 |
| Chrom analysis CPT 88273 | $155.40 | $259.00 | $34.81 – $34.81 | 1 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $39.00 | 1 |
| Chromatography CPT 83021 | $110.40 | $184.00 | $18.06 – $18.06 | 1 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $11.89 | 1 |
| Chromo high res and frag x - sendout CPT 81243 | $272.40 | $454.00 | $57.04 – $57.04 | 1 |
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.