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 |
|---|---|---|---|---|
| Electrode stimulation brain CPT 95961 | not published | not published | $973.87 – $1,363.41 | 2 |
| Electroejaculation CPT 55870 | not published | not published | $833.49 – $1,166.89 | 2 |
| Electrogastrography CPT 91132 | not published | not published | $298.08 – $417.31 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $123.39 – $172.74 | 2 |
| Electrolyte panel CPT 80051 | $56.40 | $94.00 | $7.01 – $7.01 | 1 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $13.92 – $13.92 | 1 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $235.80 | $393.00 | not published | 0 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $268.20 | $447.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $630.00 | $1,050.00 | $682.50 – $781.95 | 2 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $123.39 – $172.74 | 2 |
| Electrophysiologic study CPT 93624 | $3,219.60 | $5,366.00 | $3,487.90 – $7,263.48 | 2 |
| Electrophysiology evaluation CPT 93619 | $4,637.40 | $7,729.00 | $5,023.85 – $7,263.48 | 2 |
| Electrophysiology evaluation CPT 93620 | $7,438.80 | $12,398.00 | $7,263.48 – $8,058.70 | 2 |
| Electrophysiology evaluation CPT 93621 | $2,052.60 | $3,421.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $2,420.40 | $4,034.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $1,317.60 | $2,196.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $1,551.60 | $2,586.00 | $1,162.06 – $1,626.88 | 2 |
| Electrophysiology evaluation CPT 93644 | $1,021.20 | $1,702.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $2,035.80 | $3,393.00 | not published | 0 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $18.29 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $306.80 – $429.52 | 2 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,105.58 | $8,509.30 | $7.88 – $11.03 | 2 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $185.31 – $259.43 | 2 |
| Embedded ip cath exit-site 49436 CPT 49436 | $328.20 | $547.00 | not published | 0 |
| Embolization s&i CPT 75894 | $726.60 | $1,211.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,338.60 | $12,231.00 | $7,950.15 – $17,188.53 | 2 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $17,211.00 | $28,685.00 | $10,855.42 – $15,197.59 | 2 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,728.80 | $19,548.00 | $10,855.42 – $12,706.20 | 2 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,490.80 | $25,818.00 | $10,855.42 – $15,197.59 | 2 |
| Embryo hatching CPT 89253 | not published | not published | $164.03 – $229.64 | 2 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $833.49 – $1,166.89 | 2 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $1,955.40 | $3,259.00 | not published | 0 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $1,827.60 | $3,046.00 | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | $89.40 | $149.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $202.80 | $338.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $301.20 | $502.00 | $123.39 – $172.74 | 2 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $316.20 | $527.00 | $149.77 – $209.67 | 2 |
| Emg cranial nerve bilateral CPT 95868 | $310.20 | $517.00 | $298.08 – $336.05 | 2 |
| Emg needle test 1-extremity CPT 95860 | $286.80 | $478.00 | $123.39 – $172.74 | 2 |
| Emg needle test 4-extremities CPT 95864 | $342.00 | $570.00 | $149.77 – $209.67 | 2 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $298.08 – $417.31 | 2 |
| Encephalitis, california igg/igm CPT 86651 | $45.00 | $75.00 | $13.19 – $13.19 | 1 |
| Encephalitis, st louis igg/igm CPT 86653 | $76.20 | $127.00 | $13.19 – $13.19 | 1 |
| Encephalitis, western equine igg/igm CPT 86654 | $76.20 | $127.00 | $13.19 – $13.19 | 1 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,937.40 | $8,229.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $5,714.40 | $9,524.00 | $3,012.85 – $4,126.85 | 2 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $68.92 | 1 |
| Endo cath bile duct s&i CPT 74328 | $398.40 | $664.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $275.40 | $459.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $249.00 | $415.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $187.80 | $313.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43261 | $1,108.80 | $1,848.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43262 | $507.60 | $846.00 | not published | 0 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,109.00 | $3,515.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $662.40 | $1,104.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,895.40 | $3,159.00 | not published | 0 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $3,535.20 | $5,892.00 | not published | 0 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $390.00 | $650.00 | not published | 0 |
| Endoscopic vein harvest 33508 CPT 33508 | $29.40 | $49.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | $600.60 | $1,001.00 | not published | 0 |
| Endoscopy ligate perf veins 37500 CPT 37500 | $1,296.60 | $2,161.00 | not published | 0 |
| Endoscopy maxillary sinus CPT 31267 | $759.00 | $1,265.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $324.60 | $541.00 | not published | 0 |
| Endoscopy of ureter CPT 50951 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Endoscopy swallow (fees) vid CPT 92612 | $276.00 | $460.00 | $85.66 – $85.66 | 1 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $620.40 | $1,034.00 | not published | 0 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Endovasc prosth delayed 33886 CPT 33886 | $1,832.40 | $3,054.00 | not published | 0 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $2,084.40 | $3,474.00 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,317.80 | $3,863.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Endovenous rf abl vein addl CPT 36476 | $1,836.60 | $3,061.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,679.00 | $9,465.00 | $5,174.44 – $6,152.25 | 2 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $2,217.00 | $3,695.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $7,346.44 | $12,244.06 | $36.66 – $51.32 | 2 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $232.45 | $387.41 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $127.20 | $212.00 | $11.98 – $11.98 | 1 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $16.00 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | $483.00 | $805.00 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,192.40 | $3,654.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,347.20 | $3,912.00 | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,524.80 | $4,208.00 | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $2,901.00 | $4,835.00 | not published | 0 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,511.40 | $2,519.00 | not published | 0 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $13.42 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $44.03 | 1 |
| Enzyme histochemistry CPT 88319 | $418.80 | $698.00 | $453.70 – $781.95 | 2 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $18.60 | $31.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $23,534.40 | $39,224.00 | $23,482.81 – $25,495.60 | 2 |
| Ep & ablate ventric tachy CPT 93654 | $23,534.40 | $39,224.00 | $23,482.81 – $25,495.60 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $55.66 – $77.92 | 2 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,581.60 | $2,636.00 | not published | 0 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $490.80 | $818.00 | not published | 0 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $852.20 – $1,193.08 | 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.