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 |
|---|---|---|---|---|
| Colonoscopy flex with decompression 45393 CPT 45393 | $517.20 | $862.00 | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $864.00 | $1,440.00 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | $978.60 | $1,631.00 | not published | 0 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $872.71 – $1,221.79 | 2 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $832.80 | $1,388.00 | not published | 0 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $439.20 | $732.00 | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $949.20 | $1,582.00 | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $664.20 | $1,107.00 | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | $651.00 | $1,085.00 | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | $1,047.00 | $1,745.00 | not published | 0 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,158.00 | $1,930.00 | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | $1,335.00 | $2,225.00 | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $1,401.60 | $2,336.00 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $872.71 – $1,221.79 | 2 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $528.00 | $880.00 | not published | 0 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $591.00 | $985.00 | not published | 0 |
| Colonoscopy w/fb removal CPT 45379 | $687.00 | $1,145.00 | not published | 0 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy (with biopsy) CPT 45380 | $321.60 | $536.00 | not published | 0 |
| Colonoscopy with biopsy CPT 44389 | $739.80 | $1,233.00 | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | $359.40 | $599.00 | not published | 0 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy w/resection CPT 45390 | $2,839.20 | $4,732.00 | $2,625.07 – $3,075.80 | 2 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $2,161.80 | $3,603.00 | not published | 0 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $1,746.00 | $2,910.00 | not published | 0 |
| Colpocentesis 57020 CPT 57020 | $173.40 | $289.00 | not published | 0 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $947.40 | $1,579.00 | not published | 0 |
| Colpopexy abdominal approach 57280 CPT 57280 | $1,774.80 | $2,958.00 | not published | 0 |
| Colpopexy extraperitoneal CPT 57282 | $1,232.40 | $2,054.00 | not published | 0 |
| Colpopexy intraperitoneal CPT 57283 | $1,279.80 | $2,133.00 | not published | 0 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $552.00 | $920.00 | not published | 0 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $288.00 | $480.00 | not published | 0 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $595.20 | $992.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $200.40 | $334.00 | not published | 0 |
| Colposcopy vulva 56820 CPT 56820 | $204.00 | $340.00 | not published | 0 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $270.60 | $451.00 | not published | 0 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $264.00 | $440.00 | not published | 0 |
| Colpotomy drng of abscess 57010 CPT 57010 | $804.60 | $1,341.00 | not published | 0 |
| Colpotomy w/exploration 57000 CPT 57000 | $342.60 | $571.00 | not published | 0 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $88.54 – $123.96 | 2 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $93.60 | $156.00 | $81.25 – $164.03 | 2 |
| Compatibility test each unit electronic CPT 86923 | $76.80 | $128.00 | $66.30 – $164.03 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $69.00 | $115.00 | $59.80 – $164.03 | 2 |
| Compatibility test incubate CPT 86921 | not published | not published | $164.03 – $229.64 | 2 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $570.60 | $951.00 | not published | 0 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $621.60 | $1,036.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $163.80 | $273.00 | $12.00 – $12.00 | 1 |
| Complement fixation each CPT 86171 | $112.20 | $187.00 | $10.01 – $10.01 | 1 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Completion pneumonectomy 32488 CPT 32488 | $4,387.20 | $7,312.00 | not published | 0 |
| Complex cystometrogram 51726 CPT 51726 | $530.40 | $884.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $589.80 | $983.00 | $330.85 – $585.94 | 2 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $809.40 | $1,349.00 | $585.94 – $820.32 | 2 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $1,867.06 – $2,613.88 | 2 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $153.00 | $255.00 | not published | 0 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $737.40 | $1,229.00 | $330.85 – $585.94 | 2 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,020.00 | $1,700.00 | $585.94 – $742.95 | 2 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $337.80 | $563.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $651.00 | $1,085.00 | $330.85 – $382.44 | 2 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,054.80 | $1,758.00 | $477.10 – $585.94 | 2 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $305.40 | $509.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $336.60 | $561.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $647.40 | $1,079.00 | $585.94 – $701.35 | 2 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $244.20 | $407.00 | not published | 0 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $3.00 | $5.00 | not published | 0 |
| Composite drsg <= 16 sq in HCPCS A6203 | $22.20 | $37.00 | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,561.20 | $2,602.00 | not published | 0 |
| Comprehensive hearing test CPT 92557 | $79.80 | $133.00 | $86.45 – $149.77 | 2 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $123.36 – $172.70 | 2 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $123.36 – $172.70 | 2 |
| Compression stocking bk18-30 HCPCS A6530 | $61.20 | $102.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $145.20 | $242.00 | $6.68 – $6.68 | 1 |
| Conditioning play audiometry 92582 CPT 92582 | $114.00 | $190.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $225.60 | $376.00 | $192.56 – $239.20 | 2 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $84.60 | $141.00 | not published | 0 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $4.95 | 1 |
| Conivaptan hcl HCPCS C9488 | $1,674.10 | $2,790.16 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $486.60 | $811.00 | not published | 0 |
| Conization of cervix CPT 57520 | $564.00 | $940.00 | not published | 0 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $645.32 | $1,075.54 | $390.74 – $547.04 | 2 |
| Connect omega .5mm HCPCS L8613 | $1,024.20 | $1,707.00 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Construct vagina with graft CPT 57292 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Consultation pathology during surgery CPT 88329 | $36.00 | $60.00 | $31.20 – $56.86 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $666.60 | $1,111.00 | $577.85 – $781.95 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $44.40 | $74.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $66.00 | $110.00 | $57.20 – $164.03 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $334.80 | $558.00 | $51.14 – $71.60 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $37.57 – $52.60 | 2 |
| Consultation with family CPT 90887 | $115.20 | $192.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $357.60 | $596.00 | $164.03 – $229.64 | 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.