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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | $21.02 | $35.03 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $28.27 | $47.12 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,956.60 | $3,261.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $411.60 | $686.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $38.57 | 1 |
| Drug assay posaconazole CPT 80187 | $352.20 | $587.00 | $27.11 – $27.11 | 1 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $27.11 | 1 |
| Drug assay vedolizumab CPT 80280 | $180.00 | $300.00 | $38.57 – $38.57 | 1 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $27.11 | 1 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $18.64 | 1 |
| Drug of abuse screen urine CPT 80305 | $138.60 | $231.00 | $12.60 – $12.60 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $27.11 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $198.74 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $114.43 | 1 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $246.92 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $156.59 | 1 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $62.14 | 1 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $17.14 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $516.60 | $861.00 | $62.14 – $62.14 | 1 |
| Drvvt confirm - quest CPT 85597 | $159.00 | $265.00 | $17.98 – $17.98 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $382.44 – $535.41 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $382.44 – $535.41 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $585.94 – $820.32 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $585.94 – $820.32 | 2 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $525.13 – $735.18 | 2 |
| Ductogram sgl duct CPT 77053 | $267.60 | $446.00 | $231.38 – $289.90 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $507.90 – $711.06 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | $467.40 | $779.00 | $231.38 – $316.55 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $292.20 | $487.00 | $101.79 – $142.51 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $292.20 | $487.00 | $101.79 – $142.51 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $325.20 | $542.00 | $149.77 – $209.67 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $632.40 | $1,054.00 | $231.38 – $323.93 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,005.56 | $11,675.93 | $85.25 – $119.35 | 2 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $101.79 – $142.51 | 2 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $149.77 – $209.67 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $616.80 | $1,028.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $580.80 | $968.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $578.40 | $964.00 | not published | 0 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $381.97 – $534.76 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $429.00 | $715.00 | not published | 0 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $897.45 – $1,256.43 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $298.08 – $417.31 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $149.77 – $209.67 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $371.70 – $520.38 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | $411.60 | $686.00 | not published | 0 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $232.81 – $325.93 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $298.08 – $417.31 | 2 |
| Ear and throat examination CPT 92502 | $172.80 | $288.00 | not published | 0 |
| Ear canal biopsy 69105 CPT 69105 | $262.80 | $438.00 | not published | 0 |
| Ear cartilage graft CPT 21235 | $1,344.60 | $2,241.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $96.00 | $160.00 | $56.86 – $79.60 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.57 – $52.60 | 2 |
| Ecallantide injection HCPCS J1290 | $9,539.70 | $15,899.50 | $579.99 – $811.99 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $16.80 | $28.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $69.00 | $115.00 | $56.86 – $69.55 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | $466.20 | $777.00 | $87.86 – $123.01 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $318.00 | $530.00 | $123.39 – $172.74 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $454.80 | $758.00 | $56.86 – $79.60 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $63.60 | $106.00 | $37.57 – $52.60 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $37.57 – $52.60 | 2 |
| Ecg/review interpret only CPT 93272 | $48.00 | $80.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,263.60 | $2,106.00 | $524.84 – $734.78 | 2 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $441.60 | $736.00 | $231.38 – $306.15 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $316.20 | $527.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,512.60 | $2,521.00 | $756.26 – $1,058.77 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $341.85 – $478.59 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $192.60 | $321.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $84.28 – $118.00 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $23.44 – $32.82 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $524.84 – $734.78 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $231.38 – $323.93 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam uterus 76831- CPT 76831 | $283.20 | $472.00 | $231.38 – $306.80 | 2 |
| Echograp trans r pros study CPT 76873 | $231.00 | $385.00 | $101.79 – $142.51 | 2 |
| Echo guidance radiotherapy CPT 76965 | $426.60 | $711.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $555.60 | $926.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $550.80 | $918.00 | $298.08 – $417.31 | 2 |
| Echo stress CPT 93350 | $830.40 | $1,384.00 | $273.65 – $524.84 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $328.20 | $547.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,173.60 | $1,956.00 | $524.84 – $734.78 | 2 |
| Echo transesophageal CPT 93313 | $1,287.00 | $2,145.00 | $524.84 – $734.78 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $524.84 – $734.78 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $329.40 | $549.00 | not published | 0 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $490.80 | $818.00 | not published | 0 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $2,025.00 | $3,375.00 | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $707.40 | $1,179.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $640.20 | $1,067.00 | not published | 0 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $1,855.20 | $3,092.00 | not published | 0 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $1,766.40 | $2,944.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $1,031.40 | $1,719.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $924.60 | $1,541.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,005.60 | $1,676.00 | 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.