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 |
|---|---|---|---|---|
| Epidural lysis on single day 62264 CPT 62264 | $796.20 | $1,327.00 | not published | 0 |
| Epiglottidectomy CPT 31420 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,448.56 | 1 |
| Ep induct arrhy by elect pacing CPT 93618 | $3,040.20 | $5,067.00 | $1,162.06 – $1,626.88 | 2 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $210.18 | $350.30 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $377.40 | $629.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $41.78 | $69.64 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $793.87 | $1,323.12 | $7.57 – $10.60 | 2 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,905.83 | $3,176.39 | $7.68 – $10.75 | 2 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.41 – $1.97 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $152.71 | $254.52 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $116.40 | $194.00 | $13.12 – $13.12 | 1 |
| Epstein barr nuclear antigen antibody CPT 86664 | $79.80 | $133.00 | $15.29 – $15.29 | 1 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $92.40 | $154.00 | $18.14 – $18.14 | 1 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,691.38 | $4,485.64 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.85 – $27.79 | 2 |
| Ercp biliary & pancreas CPT 74330 | $550.80 | $918.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $657.60 | $1,096.00 | not published | 0 |
| Ercp ea duct/ampulla dilate CPT 43277 | $780.60 | $1,301.00 | not published | 0 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $900.00 | $1,500.00 | not published | 0 |
| Ercp lithotripsy calculi CPT 43265 | $627.60 | $1,046.00 | not published | 0 |
| Ercp remove duct calculi 43264 CPT 43264 | $517.20 | $862.00 | not published | 0 |
| Ercp remove forgn body duct 43275 CPT 43275 | $588.60 | $981.00 | not published | 0 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | $960.00 | $1,600.00 | not published | 0 |
| Ercp w/specimen collection CPT 43260 | $1,057.80 | $1,763.00 | not published | 0 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | $19.71 | $32.85 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,464.40 | $4,107.34 | $104.58 – $146.41 | 2 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $257.49 | $429.15 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $202.80 | $338.00 | $43.55 – $84.28 | 2 |
| ER Visit (level 2) CPT 99282 | $310.80 | $518.00 | $151.59 – $212.22 | 2 |
| ER Visit (level 3) CPT 99283 | $370.80 | $618.00 | $239.20 – $265.04 | 2 |
| ER Visit (level 4) CPT 99284 | $595.20 | $992.00 | $407.60 – $570.64 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $744.60 | $1,241.00 | $586.87 – $660.40 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $190.58 | $317.64 | not published | 0 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $856.10 | $1,426.83 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $358.80 | $598.00 | not published | 0 |
| Esophageal lengthening add on code 43338 CPT 43338 | $238.20 | $397.00 | not published | 0 |
| Esophageal motility CPT 78258 | not published | not published | $384.64 – $538.50 | 2 |
| Esophageal recording CPT 93615 | not published | not published | $1,162.06 – $1,626.88 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $1,162.06 – $1,626.88 | 2 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $2,357.40 | $3,929.00 | not published | 0 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $2,773.20 | $4,622.00 | not published | 0 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $897.45 – $1,256.43 | 2 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,959.60 | $3,266.00 | not published | 0 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscopy flex biopsy CPT 43202 | $527.40 | $879.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $460.80 | $768.00 | not published | 0 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $897.45 – $1,256.43 | 2 |
| Esophagoscopy flex remove fb CPT 43215 | $421.80 | $703.00 | not published | 0 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $303.00 | $505.00 | not published | 0 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $1,130.40 | $1,884.00 | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $411.60 | $686.00 | not published | 0 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esophagus motility study CPT 91010 | $810.60 | $1,351.00 | $507.90 – $711.06 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $507.90 – $711.06 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | $216.00 | $360.00 | not published | 0 |
| Esoph endoscopy dilation CPT 43226 | $369.60 | $616.00 | not published | 0 |
| Esoph fundoplasty lap 43327 CPT 43327 | $1,483.80 | $2,473.00 | not published | 0 |
| Esoph fundoplasty thor 43328 CPT 43328 | $2,149.20 | $3,582.00 | not published | 0 |
| Esoph imped function test CPT 91037 | $477.00 | $795.00 | $298.08 – $417.31 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | $534.60 | $891.00 | $507.90 – $579.15 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $4,953.00 | $8,255.00 | not published | 0 |
| Essure 58565 CPT 58565 | $3,460.20 | $5,767.00 | not published | 0 |
| Establish access to aorta CPT 36160 | $1,963.80 | $3,273.00 | not published | 0 |
| Establish brain cavity shunt CPT 62223 | $2,126.40 | $3,544.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $34.80 | $58.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $69.60 | $116.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $105.00 | $175.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $134.40 | $224.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $181.20 | $302.00 | not published | 0 |
| Estradiol total CPT 82670 | $193.80 | $323.00 | $27.94 – $27.94 | 1 |
| Estrogens total-sendout CPT 82672 | $270.60 | $451.00 | $21.70 – $21.70 | 1 |
| Etanercept injection HCPCS J1438 | $2,473.03 | $4,121.72 | $1,080.88 – $1,513.23 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $863.30 | $1,438.84 | $519.52 – $727.33 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $1,633.20 | $2,722.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $116.40 | $194.00 | $14.90 – $14.90 | 1 |
| Etonogestrel implant system HCPCS J7307 | $1,947.42 | $3,245.70 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $234.83 | $391.38 | not published | 0 |
| Etoposide 50 mg cap HCPCS J8560 | $95.81 | $159.68 | 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.