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 |
|---|---|---|---|---|
| Device tiss remov myosure reach HCPCS C1782 | $2,122.80 | $3,538.00 | not published | 0 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $88.54 – $123.96 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $209.40 | $349.00 | $84.28 – $118.00 | 2 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $97.15 – $136.01 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.23 | $3.71 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $47.02 | $78.37 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.28 – $287.39 | 2 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $161.88 | 1 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $0.90 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $853.51 | $1,422.52 | $32.09 – $44.93 | 2 |
| Dextran 40 infusion HCPCS J7100 | $28.53 | $47.55 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $33.76 | $56.26 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $36.74 | $61.23 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $119.40 | $199.00 | $22.23 – $22.23 | 1 |
| Diabetes (HbA1c) Test CPT 83036 | $48.00 | $80.00 | $9.71 – $9.71 | 1 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $28.52 – $39.92 | 2 |
| Diab manage trn ind/group HCPCS G0109 | $36.00 | $60.00 | not published | 0 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | $590.40 | $984.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $381.97 – $534.76 | 2 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $157.20 | $262.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $23.40 | $39.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $23.40 | $39.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $154.80 | $258.00 | $125.45 – $185.83 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $286.80 | $478.00 | $185.83 – $214.50 | 2 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $270.60 | $451.00 | $207.95 – $207.95 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $211.80 | $353.00 | $164.52 – $164.52 | 1 |
| Diagnostic radio unlisted proc CPT 76499 | $804.60 | $1,341.00 | $84.28 – $118.00 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $7,548.00 | $12,580.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $734.40 | $1,224.00 | $407.60 – $570.64 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $9.28 – $9.28 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $86.95 | $144.91 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $939.09 | $1,565.15 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $161.30 | $268.84 | not published | 0 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.11 | 2 |
| Diffusing capacity CPT 94729 | $184.80 | $308.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $134.40 | $224.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $23.45 | $39.09 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,175.36 | $13,625.60 | $4,968.58 – $6,956.01 | 2 |
| Digoxin total therapeutic drug level CPT 80162 | $73.20 | $122.00 | $13.28 – $13.28 | 1 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $245.07 | $408.45 | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | $289.20 | $482.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | not published | not published | $381.97 – $534.76 | 2 |
| Dilate urethra stricture CPT 53600 | not published | not published | $232.81 – $325.93 | 2 |
| Dilate urethra stricture CPT 53601 | not published | not published | $123.39 – $172.74 | 2 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Dilate urethra stricture CPT 53621 | not published | not published | $232.81 – $325.93 | 2 |
| Dilation/female urethra/initial 53660 CPT 53660 | $132.00 | $220.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $336.00 | $560.00 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $110.40 | $184.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $982.80 | $1,638.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | not published | not published | $487.46 – $682.45 | 2 |
| Dilation of urethra CPT 53661 | not published | not published | $123.39 – $172.74 | 2 |
| Dilation of urethra CPT 53665 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Dilation of vagina CPT 57400 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Dilation salivary duct 42650 CPT 42650 | $156.60 | $261.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $220.20 | $367.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $160.20 | $267.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $5,968.80 | $9,948.00 | $3,301.42 – $3,385.85 | 2 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Dimecaprol injection HCPCS J0470 | $158.35 | $263.92 | not published | 0 |
| Dimenhydrinate injection HCPCS J1240 | $22.36 | $37.26 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $98.40 | $164.00 | $742.90 – $1,040.06 | 2 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.35 | $0.58 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $17.75 | $29.59 | not published | 0 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $20.32 | $33.86 | not published | 0 |
| Direct advanced life support CPT 99288 | $229.80 | $383.00 | not published | 0 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.57 – $52.60 | 2 |
| Disability dlco CPT 94727 | $171.60 | $286.00 | $148.85 – $149.77 | 2 |
| Disaccharidases CPT 82657 | $616.80 | $1,028.00 | $22.17 – $22.17 | 1 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $2,679.60 | $4,466.00 | not published | 0 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | $352.80 | $588.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $1,986.60 | $3,311.00 | $1,224.60 – $1,869.23 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $90.00 | $150.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,024.20 | $1,707.00 | not published | 0 |
| Dist revas ligation hemo CPT 36838 | $2,173.80 | $3,623.00 | not published | 0 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,469.40 | $2,449.00 | not published | 0 |
| Division of fallopian tube 58605 CPT 58605 | $610.80 | $1,018.00 | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | $192.00 | $320.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $279.00 | 1 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $274.83 | 1 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $137.00 | 1 |
| Dna antibody native/double stranded CPT 86225 | $139.20 | $232.00 | $13.74 – $13.74 | 1 |
| Dna gardnerella CPT 87510 | $49.80 | $83.00 | $20.05 – $20.05 | 1 |
| Dna probe chlamydia CPT 87490 | $76.80 | $128.00 | $22.75 – $22.75 | 1 |
| Dna probe gc CPT 87590 | $106.20 | $177.00 | $26.88 – $26.88 | 1 |
| Dna trichomonas CPT 87660 | $49.80 | $83.00 | $20.05 – $20.05 | 1 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $52.51 | $87.52 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $528.48 | $880.80 | not published | 0 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $49.08 – $68.71 | 2 |
| Dolasetron mesylate HCPCS J1260 | $116.27 | $193.78 | not published | 0 |
| Dolasetron mesylate oral HCPCS Q0180 | $114.21 | $190.35 | not published | 0 |
| Domicil/r-home visit est pat CPT 99334 | $111.60 | $186.00 | not published | 0 |
| Domicil/r-home visit est pat CPT 99335 | $174.60 | $291.00 | not published | 0 |
| Domicil/r-home visit est pat CPT 99336 | $247.20 | $412.00 | not published | 0 |
| Domicil/r-home visit est pat CPT 99337 | $354.60 | $591.00 | 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.