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 |
|---|---|---|---|---|
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $381.97 – $534.76 | 2 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $123.39 – $172.74 | 2 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $81.60 | $136.00 | not published | 0 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Contour of face bone lesion CPT 21029 | $1,176.60 | $1,961.00 | not published | 0 |
| Contrast baths charges CPT 97034 | $56.40 | $94.00 | $17.37 – $17.37 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,202.80 | $5,338.00 | $2,775.50 – $3,012.85 | 2 |
| Contrast exam thoracic aorta CPT 75600 | $45.00 | $75.00 | $3,012.85 – $4,217.99 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,461.40 | $5,769.00 | $2,999.75 – $5,174.44 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $170.40 – $238.57 | 2 |
| Contrast x-ray of ankle CPT 73615 | $342.00 | $570.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of brain CPT 70010 | $407.40 | $679.00 | $341.85 – $441.35 | 2 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $756.26 – $1,058.77 | 2 |
| Contrast x-ray of elbow CPT 73085 | $390.00 | $650.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of hip CPT 73525 | $377.40 | $629.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of knee joint CPT 73580 | $404.40 | $674.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of wrist CPT 73115 | $369.60 | $616.00 | $341.85 – $478.59 | 2 |
| Controller infinity pt dbs HCPCS C1787 | $2,677.80 | $4,463.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $462.60 | $771.00 | $123.39 – $172.74 | 2 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $864.00 | $1,440.00 | not published | 0 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $966.00 | $1,610.00 | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $753.00 | $1,255.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $372.60 | $621.00 | $123.39 – $172.74 | 2 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $203.40 | $339.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $318.00 | $530.00 | not published | 0 |
| Control throat bleeding CPT 42961 | $792.60 | $1,321.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $978.00 | $1,630.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Convert nephrostomy catheter CPT 50434 | $2,561.40 | $4,269.00 | $1,960.87 – $2,745.22 | 2 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Coombs direct CPT 86880 | $68.40 | $114.00 | $33.15 – $56.86 | 2 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $39.00 | $65.00 | $42.25 – $164.03 | 2 |
| Coombs indirect titer reference CPT 86886 | $143.40 | $239.00 | $107.25 – $164.03 | 2 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $595.10 – $833.14 | 2 |
| Copper intrauterine device HCPCS J7300 | $1,441.85 | $2,403.09 | not published | 0 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,050.00 | 1 |
| Core ndl bx lng/med perq CPT 32408 | $2,532.00 | $4,220.00 | $947.70 – $1,550.93 | 2 |
| Cor hlx vlgs double osteot CPT 28299 | $1,640.40 | $2,734.00 | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,309.80 | $2,183.00 | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,306.20 | $2,177.00 | not published | 0 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $56.86 – $79.60 | 2 |
| Corneal smear CPT 65430 | not published | not published | $381.97 – $534.76 | 2 |
| Corneal transplant CPT 65710 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Corneal transplant CPT 65730 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Corneal transplant CPT 65750 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Corneal transplant CPT 65755 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,972.80 | $13,288.00 | $3,078.81 – $4,310.34 | 2 |
| Coronary angio/lv gram/lt heart CPT 93458 | $7,567.80 | $12,613.00 | $3,078.81 – $4,310.34 | 2 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $8,826.60 | $14,711.00 | $3,078.81 – $4,310.34 | 2 |
| Coronary art/grft angio s&i CPT 93455 | $7,407.00 | $12,345.00 | $3,078.81 – $4,310.34 | 2 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,757.20 | $11,262.00 | $3,078.81 – $4,310.34 | 2 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $465.60 | $776.00 | $317.50 – $432.90 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,439.40 | $2,399.00 | not published | 0 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $826.20 | $1,377.00 | not published | 0 |
| Correct finger deformity CPT 26567 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $3,665.46 – $5,131.65 | 2 |
| Correction claw finger other CPT 26499 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $1,444.20 | $2,407.00 | not published | 0 |
| Correction of astigmatism CPT 65772 | not published | not published | $927.11 – $1,297.95 | 2 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Correction of everted punctum 68705 CPT 68705 | $503.40 | $839.00 | not published | 0 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $143.40 | $239.00 | not published | 0 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $636.60 | $1,061.00 | not published | 0 |
| Correct malrotation of bowel 44055 CPT 44055 | $2,632.80 | $4,388.00 | not published | 0 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | $2,022.00 | $3,370.00 | not published | 0 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $585.94 – $820.32 | 2 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Corrj halux rigdus without implt CPT 28289 | $1,338.00 | $2,230.00 | not published | 0 |
| Cortisol acth stimulation test - sendout CPT 80400 | $143.40 | $239.00 | $32.62 – $32.62 | 1 |
| Cortisol total am CPT 82533 | $144.60 | $241.00 | $16.30 – $16.30 | 1 |
| Costotransversectomy CPT 21610 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $295.78 | $492.97 | not published | 0 |
| Co-treatment - group 15 mins, st CPT 92508 | $532.80 | $888.00 | $30.03 – $30.03 | 1 |
| Counseling smoke cess interm >10mins CPT 99407 | $24.00 | $40.00 | $26.00 – $28.52 | 2 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $25.20 | $42.00 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $686.40 | $1,144.00 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | $927.11 – $1,297.95 | 2 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $27.60 | $46.00 | not published | 0 |
| Covid-19 convalescent plasma HCPCS C9507 | not published | not published | $407.41 – $570.38 | 2 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $431.23 – $603.72 | 2 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $431.23 – $603.72 | 2 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $51.31 – $51.31 | 1 |
| #covid19rsv-rsv CPT 87634 | $168.60 | $281.00 | $70.20 – $70.20 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $132.60 | $221.00 | $13.03 – $13.03 | 1 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $331.20 | $552.00 | $194.69 – $272.56 | 2 |
| C-peptide CPT 84681 | $125.40 | $209.00 | $20.81 – $20.81 | 1 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $555.60 | $926.00 | $298.08 – $417.31 | 2 |
| Cptrized corneal topography CPT 92025 | not published | not published | $56.86 – $79.60 | 2 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $56.86 – $79.60 | 2 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $298.08 – $417.31 | 2 |
| Cranial cervical orthosis HCPCS L0112 | $25.80 | $43.00 | not published | 0 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | $4,936.20 | $8,227.00 | not published | 0 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | $3,395.40 | $5,659.00 | not published | 0 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | $4,226.40 | $7,044.00 | not published | 0 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | $4,836.60 | $8,061.00 | 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.