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 |
|---|---|---|---|---|
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $22.20 | $37.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $43.80 | $73.00 | $19.31 – $19.31 | 1 |
| Acoustic immitance testing CPT 92570 | $48.60 | $81.00 | $52.65 – $149.77 | 2 |
| Acoustic refl threshold tst CPT 92568 | $23.40 | $39.00 | $25.35 – $37.57 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $86.96 | 1 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $78.26 | 1 |
| Actigraphy testing CPT 95803 | not published | not published | $56.86 – $79.60 | 2 |
| Actinotherapy uv light CPT 96900 | not published | not published | $37.57 – $52.60 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.44 – $32.82 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.44 – $32.82 | 2 |
| Acute hepatitis panel CPT 80074 | $450.60 | $751.00 | $47.63 – $47.63 | 1 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $98.15 | $163.59 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $224.40 | $374.00 | $16.87 – $16.87 | 1 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $16.49 | 1 |
| Adalimumab injection HCPCS J0135 | $6,465.76 | $10,776.27 | not published | 0 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $153.80 – $215.32 | 2 |
| Adapter b 8 channel 10cm HCPCS C1883 | $760.80 | $1,268.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $88.54 – $123.96 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $151.04 – $211.46 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $590.89 | $984.82 | not published | 0 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $11.98 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $96.00 | $160.00 | $12.87 – $12.87 | 1 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $21.76 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $1,620.60 | $2,701.00 | not published | 0 |
| Adh-sendout CPT 84588 | $184.80 | $308.00 | $33.94 – $33.94 | 1 |
| Adj gastric band via subq port CPT 43999 | $1,533.00 | $2,555.00 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,730.40 | $2,884.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $518.35 | $863.92 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $120.00 | $200.00 | $38.35 – $68.13 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $100.20 | $167.00 | $68.13 – $95.38 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $367.80 | $613.00 | $317.50 – $398.45 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $141.00 | $235.00 | $152.75 – $317.50 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $117.00 | $195.00 | $68.13 – $95.38 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $159.60 | $266.00 | $68.13 – $95.38 | 2 |
| Administration immunization each additional component CPT 90461 | $20.40 | $34.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $25.20 | $42.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $38.40 | $64.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $37.20 | $62.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $19.20 | $32.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $31.20 | $52.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $31.20 | $52.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $31.20 | $52.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $10,646.11 | $17,743.51 | $41.85 – $58.59 | 2 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | $2,211.00 | $3,685.00 | not published | 0 |
| Adrenalin epinephrine inject HCPCS J0171 | $551.41 | $919.01 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $141.60 | $236.00 | not published | 0 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $28.52 – $39.92 | 2 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.52 – $39.92 | 2 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $88.54 – $123.96 | 2 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $298.08 – $417.31 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $298.08 – $417.31 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $298.08 – $417.31 | 2 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $4,120.79 | 2 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $1,078,868.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $99.00 | $165.00 | $20.05 – $20.05 | 1 |
| #afb mycobacteria suscep. #1 CPT 87190 | $28.20 | $47.00 | $7.31 – $7.31 | 1 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $366.00 | $610.00 | $115.36 – $115.36 | 1 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $137.00 | 1 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $274.83 | 1 |
| Aflibercept injection HCPCS J0178 | not published | not published | $790.04 – $1,106.06 | 2 |
| Afo sing upright with adjust s HCPCS L1920 | $16.20 | $27.00 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $15.60 | $26.00 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $6.00 | $10.00 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $7.20 | $12.00 | not published | 0 |
| After cataract laser surgery CPT 66821 | $586.80 | $978.00 | $525.13 – $735.18 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $12,831.66 | $21,386.10 | $230.26 – $322.36 | 2 |
| Air conduction bilat CPT 92552 | $52.80 | $88.00 | $25.35 – $123.39 | 2 |
| Air injection into abdomen 49400 CPT 49400 | $224.40 | $374.00 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $103.80 | $173.00 | $70.20 – $149.77 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $77.40 | $129.00 | $7.78 – $7.78 | 1 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $347.15 | $578.59 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $29.72 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $322.92 | $538.20 | $53.08 – $74.31 | 2 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $87.35 | $145.59 | not published | 0 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $33.94 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $175.20 | $292.00 | $5.78 – $5.78 | 1 |
| Albumin serum plasma or whole blood CPT 82040 | $92.40 | $154.00 | $4.95 – $4.95 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.62 | $11.03 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $5.83 | $9.71 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $96.00 | $160.00 | $17.27 – $17.27 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $23.44 – $32.82 | 2 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $28.52 – $39.92 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $153.80 – $215.32 | 2 |
| Aldesleukin injection HCPCS J9015 | $1,496.81 | $2,494.68 | $5,301.26 – $7,421.76 | 2 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $125.50 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,440.70 – $3,416.98 | 2 |
| Alkaline phosphatase CPT 84075 | $42.60 | $71.00 | $5.18 – $5.18 | 1 |
| Allergen alpha lactalbumin ige CPT 86008 | $65.40 | $109.00 | $17.93 – $17.93 | 1 |
| Allergen egg white ige CPT 86003 | $75.00 | $125.00 | $5.22 – $5.22 | 1 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $7.97 | 1 |
| Allergy injections; 2 or more 95117 CPT 95117 | $21.60 | $36.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $18.00 | $30.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | not published | not published | $973.87 – $1,363.41 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | $8.40 | $14.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $12,402.00 | $20,670.00 | 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.