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 |
|---|---|---|---|---|
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | $5,168.40 | $8,614.00 | not published | 0 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | $3,340.20 | $5,567.00 | not published | 0 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | $4,272.60 | $7,121.00 | not published | 0 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | $3,951.00 | $6,585.00 | not published | 0 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | $4,639.20 | $7,732.00 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $739.80 | $1,233.00 | $515.24 – $721.34 | 2 |
| C-reactive protein CPT 86140 | $64.20 | $107.00 | $5.18 – $5.18 | 1 |
| C-reactive protein high sensitivity CPT 86141 | $78.00 | $130.00 | $12.95 – $12.95 | 1 |
| C-reactive protein, quantitative CPT 86406 | $43.20 | $72.00 | $10.64 – $10.64 | 1 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $1,470.00 | $2,450.00 | not published | 0 |
| Create eardrum opening CPT 69436 | $303.00 | $505.00 | not published | 0 |
| Create passage to kidney CPT 52334 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Create tear duct drain CPT 68745 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Create tear duct drain CPT 68750 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Create tear sac drain CPT 68720 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $11.87 | 1 |
| Creatine kinase CPT 82550 | $54.60 | $91.00 | $6.51 – $6.51 | 1 |
| Creatine kinase isoenzymes CPT 82552 | $142.80 | $238.00 | $13.39 – $13.39 | 1 |
| Creatine kinase mb CPT 82553 | $114.60 | $191.00 | $11.55 – $11.55 | 1 |
| Creatine - sendout CPT 82540 | $150.00 | $250.00 | $4.64 – $4.64 | 1 |
| Creatinine CPT 82565 | $46.20 | $77.00 | $5.12 – $5.12 | 1 |
| Creatinine 24 hour urine CPT 82570 | $59.40 | $99.00 | $5.18 – $5.18 | 1 |
| Creatinine clearance urine CPT 82575 | $72.00 | $120.00 | $9.46 – $9.46 | 1 |
| #creutz-prot.,western blot CPT 84182 | $532.80 | $888.00 | $29.21 – $29.21 | 1 |
| Crh stimulation panel CPT 80412 | not published | not published | $801.62 – $801.62 | 1 |
| Cricopharyngeal myotomy 43030 CPT 43030 | $1,155.60 | $1,926.00 | not published | 0 |
| Cricotracheal resection CPT 31592 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Crisis psychotherapy 90839 CPT 90839 | $139.20 | $232.00 | not published | 0 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $82.80 | $138.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $483.00 | $805.00 | not published | 0 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,368.60 | $2,281.00 | $806.56 – $1,129.19 | 2 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $4,331.23 | $7,218.72 | $129.58 – $181.41 | 2 |
| Crnec exc tum/bone les skull CPT 61500 | $2,733.60 | $4,556.00 | not published | 0 |
| Crnop skull defect>5 cm diam CPT 62141 | $2,304.60 | $3,841.00 | not published | 0 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $4.71 | $7.85 | not published | 0 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,861.13 – $2,605.58 | 2 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,814.40 | $3,024.00 | not published | 0 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $46.20 | $77.00 | not published | 0 |
| Cryoablate prostate CPT 55873 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cryocautery of cervix 57511 CPT 57511 | $268.80 | $448.00 | not published | 0 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $300.35 – $420.49 | 2 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $121.20 | $202.00 | $14.14 – $14.14 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $297.00 | $495.00 | $60.85 – $85.15 | 2 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $781.95 – $1,094.73 | 2 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $164.03 – $229.64 | 2 |
| Cryopreservation sperm CPT 89259 | not published | not published | $164.03 – $229.64 | 2 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $418.48 – $585.87 | 2 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $51.14 – $71.60 | 2 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,665.46 – $5,131.65 | 2 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $258.00 | $430.00 | not published | 0 |
| Cryotherapy of acne 17340 CPT 17340 | $93.00 | $155.00 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $45.60 | $76.00 | $14.41 – $14.41 | 1 |
| Cryptosporidium antigen CPT 87272 | $45.00 | $75.00 | $11.98 – $11.98 | 1 |
| Crystal identification light microscopy CPT 89060 | $49.80 | $83.00 | $7.33 – $7.33 | 1 |
| C-Section Delivery (full care) CPT 59510 | $4,496.40 | $7,494.00 | not published | 0 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,454.60 | $4,091.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Csf shunt reprogram 62252 CPT 62252 | $159.60 | $266.00 | not published | 0 |
| Csf ventriculography CPT 78635 | not published | not published | $515.24 – $721.34 | 2 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $137.00 | 1 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $274.83 | 1 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $185.20 | 1 |
| CT 3d report other modality w/workstation CPT 76377 | $291.00 | $485.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,552.40 | $4,254.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,761.00 | $2,935.00 | $341.85 – $478.59 | 2 |
| CT Angiogram of the Abdomen CPT 74175 | $1,553.40 | $2,589.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,703.40 | $2,839.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,447.80 | $2,413.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Head CPT 70496 | $1,474.20 | $2,457.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Neck CPT 70498 | $1,474.20 | $2,457.00 | $170.40 – $238.57 | 2 |
| CT angio hrt w/3d image CPT 75574 | $409.80 | $683.00 | $341.85 – $443.95 | 2 |
| CT angio pelvis CPT 72191 | $1,635.60 | $2,726.00 | $170.40 – $238.57 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,911.00 | $3,185.00 | $170.40 – $238.57 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $84.28 – $118.00 | 2 |
| CT colonography dx CPT 74261 | $659.40 | $1,099.00 | $101.79 – $142.51 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $170.40 – $238.57 | 2 |
| CT colonography screening CPT 74263 | $864.60 | $1,441.00 | $231.38 – $323.93 | 2 |
| CT guidance for needle placement CPT 77012 | $1,031.40 | $1,719.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $969.00 | $1,615.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $150.00 | $250.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $86.40 | $144.00 | $84.28 – $93.60 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $341.85 – $478.59 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $341.85 – $478.59 | 2 |
| CT limited or localized follow-up study CPT 76380 | $528.60 | $881.00 | $84.28 – $118.00 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,747.20 | $2,912.00 | $170.40 – $238.57 | 2 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $517.20 | $862.00 | $222.29 – $234.00 | 2 |
| CT scan for therapy guide CPT 77014 | $381.60 | $636.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,690.40 | $4,484.00 | $341.85 – $478.59 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,381.40 | $3,969.00 | $341.85 – $478.59 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,993.80 | $3,323.00 | $231.38 – $323.93 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $1,435.20 | $2,392.00 | $170.40 – $238.57 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,592.40 | $2,654.00 | $170.40 – $238.57 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $164.03 – $229.64 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $164.03 – $229.64 | 2 |
| Cult skin graft fnhfg 15155 CPT 15155 | $1,281.60 | $2,136.00 | not published | 0 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $306.60 | $511.00 | $8.08 – $8.08 | 1 |
| Culture afb any source CPT 87116 | $172.80 | $288.00 | $10.80 – $10.80 | 1 |
| Culture anaerobic additional method definitive id each CPT 87076 | $99.00 | $165.00 | $8.08 – $8.08 | 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.