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 |
|---|---|---|---|---|
| Cystourethro w/addl implant 52442 CPT 52442 | $123.60 | $206.00 | not published | 0 |
| Cystourethro w/implant CPT 52441 | $459.60 | $766.00 | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $92.04 | $153.40 | not published | 0 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,197.94 – $1,197.94 | 1 |
| Cytogenetics 25-99 CPT 88274 | $169.20 | $282.00 | $42.38 – $42.38 | 1 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $40.70 | 1 |
| Cytogenomic neo microra alys CPT 81277 | $2,784.00 | $4,640.00 | $1,160.00 – $1,160.00 | 1 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $900.00 | 1 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $1,263.53 | 1 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $11.98 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $135.60 | $226.00 | $14.39 – $14.39 | 1 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $93.00 | $155.00 | $16.85 – $16.85 | 1 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $13.42 | 1 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,809.44 – $2,533.22 | 2 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $30.03 | 1 |
| Cyto/molecular report CPT 88291 | $216.60 | $361.00 | not published | 0 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $25.37 | 1 |
| Cytopath c/v automated CPT 88147 | not published | not published | $50.56 – $50.56 | 1 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $27.64 – $27.64 | 1 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.19 – $18.19 | 1 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $14.65 | 1 |
| Cytopath c/v manual CPT 88150 | not published | not published | $18.19 – $18.19 | 1 |
| Cytopath c/v redo CPT 88153 | not published | not published | $24.03 – $24.03 | 1 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $23.04 | 1 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $23.44 – $32.82 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $189.60 | $316.00 | $51.14 – $71.60 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $26.61 | 1 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $20.26 | 1 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $56.40 | $94.00 | $37.57 – $48.75 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $58.80 | $98.00 | $37.57 – $52.60 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $90.60 | $151.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $152.40 | $254.00 | $131.95 – $164.03 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $120.60 | $201.00 | $51.14 – $71.60 | 2 |
| Cytopath smear other source CPT 88160 | not published | not published | $23.44 – $32.82 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $51.14 – $71.60 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $72.00 | $120.00 | $23.44 – $32.82 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.19 – $18.19 | 1 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.19 – $18.19 | 1 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $42.22 – $42.22 | 1 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.19 – $18.19 | 1 |
| Cytotoxic antibody screening CPT 86807 | $78.00 | $130.00 | $78.65 – $78.65 | 1 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $29.68 | 1 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $164.03 – $229.64 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $82.33 | $137.21 | not published | 0 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $302.92 – $424.09 | 2 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,089.02 | $5,148.37 | $15.55 – $21.77 | 2 |
| Dalteparin sodium HCPCS J1645 | $41.88 | $69.80 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $801.47 | $1,335.79 | not published | 0 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.07 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $15,496.78 | $25,827.96 | $54.67 – $76.54 | 2 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,866.96 | $11,444.94 | $3.00 – $4.20 | 2 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $6,866.96 | $11,444.94 | $3.00 – $4.20 | 2 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $10.74 | 1 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $11.30 | 1 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $255.09 – $357.13 | 2 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $292.03 | $486.71 | $19.76 – $27.66 | 2 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $190.20 – $266.28 | 2 |
| D&c after delivery 59160 CPT 59160 | $403.80 | $673.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $609.00 | $1,015.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $30.60 | $51.00 | $5.04 – $5.04 | 1 |
| Dch pulmonary stress test CPT 94621 | $477.60 | $796.00 | $298.08 – $320.45 | 2 |
| Dch validity tests CPT 81002 | $18.60 | $31.00 | $3.48 – $3.48 | 1 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,158.40 | $5,264.00 | $1,617.20 – $1,869.23 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | $27.60 | $46.00 | $12.05 – $12.05 | 1 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,293.00 | $2,155.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $225.00 | $375.00 | $243.75 – $585.94 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | $158.40 | $264.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,481.40 | $2,469.00 | $1,550.93 – $1,604.85 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $319.20 | $532.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $672.60 | $1,121.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $636.60 | $1,061.00 | $382.44 – $535.41 | 2 |
| Debride nail1-5 11720 CPT 11720 | $58.20 | $97.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $81.60 | $136.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $964.80 | $1,608.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,279.20 | $2,132.00 | not published | 0 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,063.80 | $1,773.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,417.20 | $2,362.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $271.20 | $452.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $255.60 | $426.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $885.60 | $1,476.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $99.60 | $166.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $861.00 | $1,435.00 | $585.94 – $820.32 | 2 |
| Decalcification CPT 88311 | $48.00 | $80.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,930.68 | $3,217.80 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $357.60 | $596.00 | $292.50 – $317.50 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $921.00 | $1,535.00 | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,045.80 | $1,743.00 | not published | 0 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $2,393.40 | $3,989.00 | not published | 0 |
| Decompress fasciotomyhand 26037 CPT 26037 | $1,082.40 | $1,804.00 | not published | 0 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Decompression fasct forearm CPT 24495 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Decompression of leg CPT 27892 | not published | not published | $3,105.81 – $4,348.13 | 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.