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 |
|---|---|---|---|---|
| Domicil/r-home visit new pat CPT 99324 | $105.00 | $175.00 | not published | 0 |
| Domicil/r-home visit new pat CPT 99325 | $151.20 | $252.00 | not published | 0 |
| Domicil/r-home visit new pat CPT 99326 | $258.60 | $431.00 | not published | 0 |
| Domicil/r-home visit new pat CPT 99327 | $343.20 | $572.00 | not published | 0 |
| Domicil/r-home visit new pat CPT 99328 | $399.00 | $665.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $52.91 | $88.18 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,148.40 | $1,914.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $888.00 | $1,480.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $372.60 | $621.00 | $149.77 – $209.67 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $189.00 | $315.00 | $123.39 – $140.40 | 2 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $97.51 | $162.51 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $19,726.71 | $32,877.85 | $243.82 – $341.35 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $457.16 | $761.93 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,785.36 | $7,975.60 | $109.28 – $152.99 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $174.81 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $382.20 | $637.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $435.60 | $726.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $398.40 | $664.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $343.20 | $572.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | $635.40 | $1,059.00 | not published | 0 |
| Drainage lymph node lesion 38305 CPT 38305 | $730.80 | $1,218.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $222.29 – $311.20 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | $511.80 | $853.00 | not published | 0 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Drainage of eye CPT 65800 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Drainage of eye CPT 65810 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Drainage of eye CPT 65815 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Drainage of kidney lesion CPT 50390 | $977.40 | $1,629.00 | $673.49 – $705.90 | 2 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $222.29 – $311.20 | 2 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $487.46 – $682.45 | 2 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $487.46 – $682.45 | 2 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Drainage of nose lesion int 30000 CPT 30000 | $427.20 | $712.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $427.20 | $712.00 | not published | 0 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,120.80 | $1,868.00 | not published | 0 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,140.00 | $1,900.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Drainage of salivary gland CPT 42320 | not published | not published | $487.46 – $682.45 | 2 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Drainage of urethra abscess 53060 CPT 53060 | $498.60 | $831.00 | not published | 0 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $638.92 – $894.48 | 2 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $973.87 – $1,363.41 | 2 |
| Drain blood from under nail 11740 CPT 11740 | $120.00 | $200.00 | $123.39 – $130.00 | 2 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,293.00 | $2,155.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $1,765.80 | $2,943.00 | $1,550.93 – $1,807.65 | 2 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $357.00 | $595.00 | not published | 0 |
| Drain chest lesion CPT 21502 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $144.60 | $241.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $467.40 | $779.00 | $190.20 – $217.10 | 2 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Drain lower leg lesion 27603 CPT 27603 | $942.00 | $1,570.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $818.40 | $1,364.00 | not published | 0 |
| Drain open lung lesion 32200 CPT 32200 | $1,659.00 | $2,765.00 | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | $870.00 | $1,450.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $1,626.00 | $2,710.00 | not published | 0 |
| Drain penis lesion CPT 54015 | not published | not published | $1,550.93 – $2,171.30 | 2 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Drain shoulder bursa 23031 CPT 23031 | $742.80 | $1,238.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $782.40 | $1,304.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,202.40 | $2,004.00 | not published | 0 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Drain to peritoneal cavity CPT 49062 | $1,325.40 | $2,209.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $265.80 | $443.00 | $190.20 – $191.75 | 2 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $252.00 | $420.00 | $190.20 – $266.28 | 2 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $327.00 | $545.00 | $228.80 – $382.44 | 2 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $137.40 | $229.00 | not published | 0 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,588.20 | $2,647.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $738.60 | $1,231.00 | not published | 0 |
| Drng appendix abscess open 44900 CPT 44900 | $1,384.80 | $2,308.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $880.20 | $1,467.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $472.80 | $788.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,119.60 | $1,866.00 | $1,212.90 – $1,550.93 | 2 |
| Drng of hydrocele 55000 CPT 55000 | $220.20 | $367.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $574.20 | $957.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $590.40 | $984.00 | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | $904.20 | $1,507.00 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $895.20 | $1,492.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $763.80 | $1,273.00 | not published | 0 |
| Drng of salivary cyst 42409 CPT 42409 | $625.20 | $1,042.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $463.80 | $773.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,986.00 | $3,310.00 | not published | 0 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,800.00 | $3,000.00 | not published | 0 |
| Drng ovary abscess perqt 58822 CPT 58822 | $1,350.00 | $2,250.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,856.00 | $4,760.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $393.00 | $655.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $304.20 | $507.00 | 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.