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 |
|---|---|---|---|---|
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $4,303.20 | $7,172.00 | not published | 0 |
| Alloskin HCPCS Q4115 | $1,033.80 | $1,723.00 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.57 – $52.60 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $23.44 – $32.82 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $38.29 | $63.81 | $5.19 – $7.27 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $64.41 | 1 |
| Alpha-fetoprotein amniotic CPT 82106 | $189.00 | $315.00 | $17.00 – $17.00 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $132.60 | $221.00 | $16.77 – $16.77 | 1 |
| Alprostadil for injection HCPCS J0270 | $263.30 | $438.83 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $15,616.81 | $26,028.01 | $94.15 – $131.81 | 2 |
| Alt/sgpt CPT 84460 | $47.40 | $79.00 | $5.30 – $5.30 | 1 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.67 – $6.54 | 2 |
| Aluminum - quest CPT 82108 | $136.20 | $227.00 | $25.48 – $25.48 | 1 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $87.86 – $123.01 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $294.60 | $491.00 | not published | 0 |
| Ambl bp mntr w/software CPT 93784 | $178.20 | $297.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $123.39 – $172.74 | 2 |
| Amifostine HCPCS J0207 | $1,989.17 | $3,315.28 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $129.55 | $215.92 | not published | 0 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $5.99 | 1 |
| Amino acid screen, urine CPT 82128 | $91.80 | $153.00 | $13.87 – $13.87 | 1 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $14.18 | 1 |
| Amino acids quant 2-5 CPT 82136 | $249.60 | $416.00 | $19.61 – $19.61 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.81 – $2.53 | 2 |
| Aminolevulinic acid delta CPT 82135 | $252.00 | $420.00 | $16.45 – $16.45 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $393.87 – $551.42 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $53.09 | $88.48 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $174.85 | $291.42 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $186.60 | $311.00 | not published | 0 |
| Amitriptyline injection HCPCS J1320 | $31.10 | $51.84 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $5,856.34 | $9,760.56 | $22.21 – $31.09 | 2 |
| Ammonia CPT 82140 | $85.20 | $142.00 | $14.57 – $14.57 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $571.20 | $952.00 | $299.65 – $833.49 | 2 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $291.18 – $407.65 | 2 |
| Amniotic fluid scan CPT 82143 | $37.20 | $62.00 | $9.35 – $9.35 | 1 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amphetamine confirm urine -sendout CPT 80324 | $192.00 | $320.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $93.05 | $155.09 | not published | 0 |
| Amphotericin b lipid complex HCPCS J0287 | $366.66 | $611.10 | $10.30 – $14.42 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $543.85 | $906.42 | $22.62 – $31.67 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $83.81 | $139.68 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $87.97 | $146.62 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $262.99 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $808.80 | $1,348.00 | not published | 0 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $1,331.40 | $2,219.00 | not published | 0 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,287.00 | $2,145.00 | not published | 0 |
| Amputate thigh through femur 27590 CPT 27590 | $1,494.60 | $2,491.00 | not published | 0 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,691.40 | $2,819.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $957.00 | $1,595.00 | not published | 0 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Amputation of midtarsal 28800 CPT 28800 | $1,020.60 | $1,701.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $1,382.40 | $2,304.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $3,195.60 | $5,326.00 | $3,105.81 – $3,461.90 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,039.80 | $1,733.00 | not published | 0 |
| Amylase CPT 82150 | $115.20 | $192.00 | $6.48 – $6.48 | 1 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $58.32 – $81.65 | 2 |
| Ana ds-dna CPT 86226 | $225.60 | $376.00 | $12.11 – $12.11 | 1 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $186.60 | $311.00 | not published | 0 |
| Anal pressure record CPT 91122 | not published | not published | $298.08 – $417.31 | 2 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $149.77 – $209.67 | 2 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $232.81 – $325.93 | 2 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $322.20 | $537.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $195.00 | $325.00 | $65.69 – $65.69 | 1 |
| Analysis gene f5 leiden variant CPT 81241 | $216.00 | $360.00 | $73.37 – $73.37 | 1 |
| Analysis nerve CPT 88356 | not published | not published | $51.14 – $71.60 | 2 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $243.00 | $405.00 | not published | 0 |
| Analysis tumor CPT 88358 | not published | not published | $164.03 – $229.64 | 2 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $225.00 | $375.00 | $87.86 – $123.01 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.09 – $35.09 | 1 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | $4,015.80 | $6,693.00 | not published | 0 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | $4,403.40 | $7,339.00 | not published | 0 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | $1,909.20 | $3,182.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $319.80 | $533.00 | $15.05 – $15.05 | 1 |
| An cholangiogram percutaneous compl CPT 47531 | $1,095.60 | $1,826.00 | $949.65 – $3,378.09 | 2 |
| Androstanediol CPT 82154 | $108.00 | $180.00 | $28.83 – $28.83 | 1 |
| An fluoro guide for cvp CPT 77001 | $232.20 | $387.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,031.20 | $10,052.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,726.80 | $12,878.00 | $5,457.61 – $7,640.65 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $10,441.20 | $17,402.00 | $5,457.61 – $7,540.65 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $6,682.80 | $11,138.00 | not published | 0 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $20.52 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $522.83 | $871.39 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,728.80 | $19,548.00 | $10,855.42 – $12,706.20 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $5,100.00 | $8,500.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $13,692.60 | $22,821.00 | $5,457.61 – $7,640.65 | 2 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $5,556.60 | $9,261.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,871.80 | $11,453.00 | $5,457.61 – $7,444.45 | 2 |
| Anidulafungin injection HCPCS J0348 | $367.72 | $612.86 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,105.81 – $4,348.13 | 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.