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 |
|---|---|---|---|---|
| Chromosome analys amniotic CPT 88269 | $520.80 | $868.00 | $173.66 – $173.66 | 1 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $173.17 | 1 |
| Chromosome analysis 15-20 cell count CPT 88262 | $717.60 | $1,196.00 | $125.49 – $125.49 | 1 |
| Chromosome analysis 20-25 CPT 88245 | $367.20 | $612.00 | $173.17 – $173.17 | 1 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $150.29 | 1 |
| Chromosome analysis 5 CPT 88261 | $153.60 | $256.00 | $264.34 – $264.34 | 1 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $173.17 | 1 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $188.57 | 1 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $68.60 | 1 |
| Chromosome count additional CPT 88285 | $119.40 | $199.00 | $26.91 – $26.91 | 1 |
| Chromosome karyotype study CPT 88280 | $84.00 | $140.00 | $33.47 – $33.47 | 1 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $34.43 | 1 |
| Chronic urticaria - sendout CPT 86343 | $157.20 | $262.00 | $12.46 – $12.46 | 1 |
| Chylomicron screen, bf - sendout CPT 82664 | $177.00 | $295.00 | $61.50 – $61.50 | 1 |
| Cidofovir injection HCPCS J0740 | $1,352.09 | $2,253.48 | $529.38 – $741.13 | 2 |
| Cilastatin sodium injection HCPCS J0743 | $87.44 | $145.74 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $553,378.83 – $774,730.36 | 2 |
| Cine/video x-rays CPT 76120 | $164.40 | $274.00 | $101.79 – $142.51 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $73.90 | $123.17 | not published | 0 |
| Circum 28 days or older CPT 54161 | $370.20 | $617.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $414.60 | $691.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $387.60 | $646.00 | $234.00 – $1,960.87 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $395.67 | $659.45 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $495.00 | $825.00 | $329.51 – $329.51 | 1 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $661.32 | $1,102.20 | $9.73 – $13.62 | 2 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $9,450.00 | $15,750.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $960.60 | $1,601.00 | not published | 0 |
| Claviculectomy total CPT 23125 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $487.46 – $682.45 | 2 |
| Clearance of airways CPT 31720 | not published | not published | $194.69 – $272.56 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $286.14 – $400.60 | 2 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $123.39 – $172.74 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $123.39 – $172.74 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $123.39 – $172.74 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.57 – $52.60 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $40.80 | $68.00 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $517.80 | $863.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $4,163.69 | $6,939.48 | $14.72 – $20.61 | 2 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $553.20 | $922.00 | not published | 0 |
| Close bronchial fistula 32815 CPT 32815 | $5,121.60 | $8,536.00 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $650.40 | $1,084.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $755.40 | $1,259.00 | not published | 0 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,427.40 | $2,379.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $952.20 | $1,587.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $830.40 | $1,384.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $577.20 | $962.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $889.80 | $1,483.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $280.80 | $468.00 | not published | 0 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $487.46 – $682.45 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $973.80 | $1,623.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $744.00 | $1,240.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $207.00 | $345.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $421.80 | $703.00 | not published | 0 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $480.60 | $801.00 | not published | 0 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | $1,267.80 | $2,113.00 | not published | 0 |
| Close tear duct opening CPT 68760 | not published | not published | $286.14 – $400.60 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $286.14 – $400.60 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $16.00 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $511.20 | $852.00 | not published | 0 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,563.60 | $2,606.00 | not published | 0 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,340.00 | $3,900.00 | not published | 0 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,842.00 | $3,070.00 | not published | 0 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $2,527.80 | $4,213.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $610.80 | $1,018.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $927.11 – $1,297.95 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | $808.80 | $1,348.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,125.00 | $1,875.00 | $591.81 – $611.65 | 2 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $18.93 | 1 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $20.42 | 1 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $18.93 | 1 |
| Clot factor xii hageman CPT 85280 | $237.00 | $395.00 | $19.35 – $19.35 | 1 |
| Clot factor xiii fibrin scrn CPT 85291 | $195.00 | $325.00 | $9.11 – $9.11 | 1 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $16.34 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $552.00 | $920.00 | $229.62 – $321.47 | 2 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $596.40 | $994.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $609.60 | $1,016.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $407.40 | $679.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $399.60 | $666.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $621.60 | $1,036.00 | $274.95 – $1,531.94 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $389.40 | $649.00 | $229.62 – $274.95 | 2 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $320.40 | $534.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $327.60 | $546.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $780.60 | $1,301.00 | $229.62 – $321.47 | 2 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $559.80 | $933.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $358.80 | $598.00 | $229.62 – $248.30 | 2 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,444.20 | $2,407.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $891.00 | $1,485.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $483.00 | $805.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $259.80 | $433.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $289.20 | $482.00 | $229.62 – $262.60 | 2 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $569.40 | $949.00 | $229.62 – $321.47 | 2 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,585.20 | $2,642.00 | $1,531.94 – $1,717.30 | 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.