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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $899.40 | $1,499.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $1,141.80 | $1,903.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,092.00 | $1,820.00 | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $606.00 | $1,010.00 | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $411.60 | $686.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $598.20 | $997.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $498.00 | $830.00 | not published | 0 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $1,074.60 | $1,791.00 | not published | 0 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $1,045.20 | $1,742.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $523.20 | $872.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $411.60 | $686.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $494.40 | $824.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $399.00 | $665.00 | not published | 0 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.69 – $49.97 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $12.66 | 1 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.77 – $62.68 | 2 |
| Eculizumab injection HCPCS J1300 | $11,583.15 | $19,305.25 | not published | 0 |
| Edetate calcium disodium inj HCPCS J0600 | $149.45 | $249.09 | $6,454.57 – $9,036.40 | 2 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $33.58 – $33.58 | 1 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $139.97 – $139.97 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $39.00 | $65.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $534.00 | $890.00 | $298.08 – $417.31 | 2 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $530.40 | $884.00 | $507.90 – $560.95 | 2 |
| Eeg during surgery CPT 95955 | $838.80 | $1,398.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $973.87 – $1,363.41 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $752.40 | $1,254.00 | $298.08 – $417.31 | 2 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $774.00 | $1,290.00 | $298.08 – $417.31 | 2 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $678.00 | $1,130.00 | not published | 0 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $3,274.20 | $5,457.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $829.80 | $1,383.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $498.00 | $830.00 | not published | 0 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $427.80 | $713.00 | not published | 0 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $591.60 | $986.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $268.80 | $448.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $139.20 | $232.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $174.00 | $290.00 | not published | 0 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $208.80 | $348.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $773.40 | $1,289.00 | $298.08 – $417.31 | 2 |
| Eeg recording awake and asleep CPT 95819 | $696.60 | $1,161.00 | $298.08 – $417.31 | 2 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $507.90 – $711.06 | 2 |
| E equine encephalitis igg CPT 86652 | $101.40 | $169.00 | $13.19 – $13.19 | 1 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.40 – $45.36 | 2 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $470.40 | $784.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $1,321.20 | $2,202.00 | not published | 0 |
| Egd dilate stricture CPT 43245 | $1,114.20 | $1,857.00 | not published | 0 |
| Egd endo mucosal resection CPT 43254 | $532.20 | $887.00 | not published | 0 |
| Egd endoscopic stent place CPT 43266 | $307.80 | $513.00 | not published | 0 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $897.45 – $1,256.43 | 2 |
| Egd guide wire insertion CPT 43248 | $234.00 | $390.00 | not published | 0 |
| Egd injection varices CPT 43243 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $297.60 | $496.00 | not published | 0 |
| Egd lesion ablation CPT 43270 | $1,018.20 | $1,697.00 | not published | 0 |
| Egd optical endomicroscopy CPT 43252 | $678.00 | $1,130.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $912.60 | $1,521.00 | $897.45 – $988.65 | 2 |
| Egd remove lesion snare CPT 43251 | $276.60 | $461.00 | not published | 0 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $834.60 | $1,391.00 | not published | 0 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $387.00 | $645.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $369.00 | $615.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $524.40 | $874.00 | not published | 0 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Egd varices ligation CPT 43244 | $525.60 | $876.00 | not published | 0 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Egd w/transmural drain cyst CPT 43240 | $740.40 | $1,234.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $324.58 | 1 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.09 – $35.09 | 1 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $19.57 | 1 |
| EKG (Electrocardiogram) CPT 93000 | $90.00 | $150.00 | not published | 0 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $28.80 | $48.00 | not published | 0 |
| EKG interpret & report preve g0405 HCPCS G0405 | $15.00 | $25.00 | not published | 0 |
| EKG tracing for initial prev HCPCS G0404 | $16.80 | $28.00 | not published | 0 |
| EKG (Tracing Only) CPT 93005 | $108.00 | $180.00 | $56.86 – $79.60 | 2 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $176.40 | $294.00 | $84.28 – $118.00 | 2 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $268.20 | $447.00 | $84.28 – $118.00 | 2 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $293.40 | $489.00 | $287.08 – $317.85 | 2 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $14.52 – $14.52 | 1 |
| Elect analysis of infusion pump 62367 CPT 62367 | $293.40 | $489.00 | $287.08 – $317.85 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $306.00 | $510.00 | $287.08 – $331.50 | 2 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,125.00 | $16,875.00 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | $301.80 | $503.00 | not published | 0 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $82.20 | $137.00 | $18.62 – $18.62 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $70.80 | $118.00 | not published | 0 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $122.40 | $204.00 | not published | 0 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $60.60 | $101.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $149.77 – $209.67 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | $534.60 | $891.00 | $507.90 – $579.15 | 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.