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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $487.20 | $812.00 | $229.62 – $274.95 | 2 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $928.20 | $1,547.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $480.60 | $801.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $720.60 | $1,201.00 | $229.62 – $321.47 | 2 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $677.40 | $1,129.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $634.20 | $1,057.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $685.20 | $1,142.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,087.20 | $1,812.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $407.40 | $679.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $519.00 | $865.00 | $229.62 – $232.05 | 2 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $574.20 | $957.00 | $229.62 – $240.50 | 2 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $816.60 | $1,361.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $471.00 | $785.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $382.20 | $637.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $473.40 | $789.00 | not published | 0 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $225.00 | $375.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $663.60 | $1,106.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $675.60 | $1,126.00 | $229.62 – $321.47 | 2 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $576.00 | $960.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $229.62 – $321.47 | 2 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $229.62 – $321.47 | 2 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $645.00 | $1,075.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $352.20 | $587.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $465.00 | $775.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $786.00 | $1,310.00 | $274.95 – $1,531.94 | 2 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $412.80 | $688.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $802.20 | $1,337.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $933.00 | $1,555.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,585.20 | $2,642.00 | $1,531.94 – $1,717.30 | 2 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $333.00 | $555.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $174.60 | $291.00 | $118.95 – $229.62 | 2 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $229.20 | $382.00 | $229.62 – $248.30 | 2 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $569.40 | $949.00 | $184.60 – $229.62 | 2 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $873.60 | $1,456.00 | $274.95 – $1,531.94 | 2 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $464.40 | $774.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $545.40 | $909.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $545.40 | $909.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $541.80 | $903.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $852.00 | $1,420.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $571.80 | $953.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $517.20 | $862.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $725.40 | $1,209.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Cltx post ankle fx CPT 27767 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Cmbn ant pst colprhy CPT 57260 | $1,539.60 | $2,566.00 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $507.90 – $711.06 | 2 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $973.87 – $1,363.41 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $973.87 – $1,363.41 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $56.86 – $79.60 | 2 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $56.86 – $79.60 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $48.00 | $80.00 | $14.07 – $14.07 | 1 |
| #cms hgb-sulfhemoglobin CPT 83060 | $144.60 | $241.00 | $8.80 – $8.80 | 1 |
| #cmvcul-virus inoculation shell CPT 87254 | $68.40 | $114.00 | $19.56 – $19.56 | 1 |
| Cmv pcr-sendout CPT 87496 | $435.00 | $725.00 | $35.09 – $35.09 | 1 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $137.00 | 1 |
| Co2 monitor per day CPT 94681 | $279.00 | $465.00 | $241.80 – $298.08 | 2 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $36,428.29 | $60,713.82 | $2.65 – $3.71 | 2 |
| Coagulation time activated teg CPT 85347 | $33.00 | $55.00 | $4.28 – $4.28 | 1 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $4.69 | 1 |
| Coagulation time otr method CPT 85348 | $76.80 | $128.00 | $4.49 – $4.49 | 1 |
| Cocaine 4 % nasal solution HCPCS C9046 | $331.01 | $551.68 | not published | 0 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $149.77 – $209.67 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $149.77 – $209.67 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $15.49 | $25.82 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $8.07 | 1 |
| Cold agglutinin titer CPT 86157 | $118.80 | $198.00 | $8.06 – $8.06 | 1 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $2,436.00 | $4,060.00 | not published | 0 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $3,362.40 | $5,604.00 | not published | 0 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $3,763.20 | $6,272.00 | not published | 0 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $1,974.60 | $3,291.00 | not published | 0 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $3,478.20 | $5,797.00 | not published | 0 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $2,993.40 | $4,989.00 | not published | 0 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $3,079.20 | $5,132.00 | not published | 0 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $2,232.00 | $3,720.00 | not published | 0 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $3,270.00 | $5,450.00 | not published | 0 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $3,176.40 | $5,294.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $107.55 | $179.25 | not published | 0 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $73.16 – $102.42 | 2 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $270.00 | $450.00 | $84.28 – $118.00 | 2 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $78.00 | $130.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $63.60 | $106.00 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $49.80 | $83.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $83.40 | $139.00 | $90.35 – $123.39 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $83.40 | $139.00 | $90.35 – $123.39 | 2 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $298.08 – $417.31 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | $491.40 | $819.00 | 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.