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 |
|---|---|---|---|---|
| Culture anaerobic except blood CPT 87075 | $76.20 | $127.00 | $9.47 – $9.47 | 1 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $9.66 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $75.60 | $126.00 | $9.44 – $9.44 | 1 |
| Culture body fluid CPT 87070 | $85.20 | $142.00 | $8.62 – $8.62 | 1 |
| Culture fungi definitive id mold CPT 87107 | $48.60 | $81.00 | $10.32 – $10.32 | 1 |
| Culture fungi definitive id yeast CPT 87106 | $81.00 | $135.00 | $10.32 – $10.32 | 1 |
| Culture fungi other (except blood) CPT 87102 | $94.80 | $158.00 | $8.41 – $8.41 | 1 |
| Culture fungi skin/hair/nail CPT 87101 | $94.80 | $158.00 | $7.71 – $7.71 | 1 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $116.40 | $194.00 | $14.61 – $14.61 | 1 |
| Culture mycoplasma any source CPT 87109 | $134.40 | $224.00 | $15.39 – $15.39 | 1 |
| Culture of specimen by kit CPT 87084 | not published | not published | $27.07 – $27.07 | 1 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $9.89 | 1 |
| Culture screening strep group a CPT 87081 | $201.00 | $335.00 | $6.63 – $6.63 | 1 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.74 – $7.74 | 1 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $7.74 | 1 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $12.52 | 1 |
| Culture typing immunologic CPT 87147 | $66.00 | $110.00 | $5.18 – $5.18 | 1 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $523.80 | $873.00 | $218.06 – $218.06 | 1 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $95.40 | $159.00 | $35.09 – $35.09 | 1 |
| Culture urine each isolate CPT 87088 | $41.40 | $69.00 | $8.09 – $8.09 | 1 |
| Culture virus isolation CPT 87250 | $221.40 | $369.00 | $19.56 – $19.56 | 1 |
| Curette/treat cornea CPT 65435 | not published | not published | $927.11 – $1,297.95 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Cutter lead HCPCS C1773 | $709.80 | $1,183.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $933.60 | $1,556.00 | $809.25 – $1,486.98 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | $40.20 | $67.00 | not published | 0 |
| Cv stress test/supervision only 93016 CPT 93016 | $48.60 | $81.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $60.00 | $100.00 | $14.32 – $14.32 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.32 | $42.20 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $99.60 | $166.00 | $12.95 – $12.95 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,636.21 | $4,393.68 | $0.62 – $0.87 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $66.76 | $111.27 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $128.89 | $214.81 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $193.80 | $323.00 | $18.05 – $18.05 | 1 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.17 | $15.28 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,460.71 | $2,434.51 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $291.36 | 1 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $174.81 | 1 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $450.91 | 1 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $174.81 | 1 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $174.81 | 1 |
| Cystatin c CPT 82610 | $106.20 | $177.00 | $18.52 – $18.52 | 1 |
| Cystic fibrosis cftr CPT 81223 | $1,606.80 | $2,678.00 | $499.00 – $499.00 | 1 |
| Cystine urine quantitative CPT 82131 | $325.20 | $542.00 | $22.98 – $22.98 | 1 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $291.60 | $486.00 | $315.90 – $341.85 | 2 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | $571.80 | $953.00 | not published | 0 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,673.40 | $2,789.00 | not published | 0 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,384.80 | $2,308.00 | not published | 0 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $638.92 – $894.48 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52315 | $1,056.00 | $1,760.00 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | $379.20 | $632.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $638.92 – $894.48 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $663.60 | $1,106.00 | not published | 0 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $879.00 | $1,465.00 | not published | 0 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $1,459.20 | $2,432.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $517.80 | $863.00 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $715.80 | $1,193.00 | 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.