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 |
|---|---|---|---|---|
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $1,390.80 | $2,318.00 | not published | 0 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $3,838.20 | $6,397.00 | not published | 0 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $2,995.20 | $4,992.00 | not published | 0 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Excise anal ext tag/papilla CPT 46220 | $365.40 | $609.00 | not published | 0 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise inferior turbinate CPT 30130 | $702.60 | $1,171.00 | not published | 0 |
| Excise intestine lesion(s) 44110 CPT 44110 | $1,524.60 | $2,541.00 | not published | 0 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | $2,791.80 | $4,653.00 | not published | 0 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Excise lesion testis CPT 54512 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Excise lip or cheek fold CPT 40819 | $563.40 | $939.00 | $66.95 – $1,417.91 | 2 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise mandible lesion CPT 21040 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise oral mucosa for graft 40818 CPT 40818 | $655.80 | $1,093.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42410 | $1,162.80 | $1,938.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42415 | $1,995.60 | $3,326.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42420 | $2,245.80 | $3,743.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise pharynx lesion CPT 42808 | $427.20 | $712.00 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | $525.60 | $876.00 | not published | 0 |
| Excise sublingual gland CPT 42450 | $846.00 | $1,410.00 | not published | 0 |
| Excise submaxillary gland CPT 42440 | $1,027.80 | $1,713.00 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $789.00 | $1,315.00 | not published | 0 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Excision addl breast lesion 19126 CPT 19126 | $289.20 | $482.00 | not published | 0 |
| Excision aural polyp CPT 69540 | $391.80 | $653.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $301.80 | $503.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $313.80 | $523.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $397.80 | $663.00 | $430.95 – $673.49 | 2 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $553.20 | $922.00 | not published | 0 |
| Excision breast lesion CPT 19125 | $964.20 | $1,607.00 | not published | 0 |
| Excision floor mouth lesion 41116 CPT 41116 | $610.80 | $1,018.00 | not published | 0 |
| Excision graft extremity CPT 35903 | $1,077.60 | $1,796.00 | not published | 0 |
| Excision graft thorax 35905 CPT 35905 | $3,229.20 | $5,382.00 | not published | 0 |
| Excision gum each quadrant CPT 41820 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $424.80 | $708.00 | not published | 0 |
| Excision of anal lesion(s) CPT 46922 | $472.80 | $788.00 | not published | 0 |
| Excision of gum flap CPT 41821 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion CPT 41822 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion CPT 41823 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of gum lesion CPT 41826 | $451.20 | $752.00 | not published | 0 |
| Excision of gum lesion CPT 41827 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of gum lesion CPT 41828 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion 41825 CPT 41825 | $384.60 | $641.00 | not published | 0 |
| Excision of lesion of mesentery 44820 CPT 44820 | $1,621.80 | $2,703.00 | not published | 0 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,373.40 | $2,289.00 | not published | 0 |
| Excision of mouth lesion complex 40816 CPT 40816 | $742.20 | $1,237.00 | not published | 0 |
| Excision of neck cyst CPT 42815 | $1,048.80 | $1,748.00 | not published | 0 |
| Excision of neck cyst confined 42810 CPT 42810 | $729.60 | $1,216.00 | not published | 0 |
| Excision of penis lesion(s) 54060 CPT 54060 | $287.40 | $479.00 | not published | 0 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Excision of salivary cyst CPT 42408 | $850.20 | $1,417.00 | not published | 0 |
| Excision of tongue lesion CPT 41112 | $615.60 | $1,026.00 | not published | 0 |
| Excision of tongue lesion CPT 41114 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $672.00 | $1,120.00 | not published | 0 |
| Excision of tonsil tags CPT 42860 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision of umbilicus 49250 CPT 49250 | $1,047.00 | $1,745.00 | not published | 0 |
| Excision of uvula CPT 42140 | $475.20 | $792.00 | not published | 0 |
| Excision of vaginal septum 57130 CPT 57130 | $367.80 | $613.00 | not published | 0 |
| Excision olecranon bursa CPT 24105 | $624.00 | $1,040.00 | not published | 0 |
| Excision radial head CPT 24130 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excision tongue lesion without closure 41110 CPT 41110 | $396.00 | $660.00 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $852.00 | $1,420.00 | not published | 0 |
| Excis partial tal calc CPT 28120 | $1,254.00 | $2,090.00 | not published | 0 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $993.00 | $1,655.00 | not published | 0 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $1,065.00 | $1,775.00 | not published | 0 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $378.60 | $631.00 | not published | 0 |
| Excl laa open any method 33267 CPT 33267 | $1,522.20 | $2,537.00 | not published | 0 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $190.20 | $317.00 | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $358.20 | $597.00 | not published | 0 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $492.00 | $820.00 | not published | 0 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $716.40 | $1,194.00 | not published | 0 |
| Exc malig feenl >4cm 11646 CPT 11646 | $935.40 | $1,559.00 | not published | 0 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $347.40 | $579.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $415.20 | $692.00 | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $543.00 | $905.00 | not published | 0 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $862.80 | $1,438.00 | $673.49 – $934.70 | 2 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $411.00 | $685.00 | not published | 0 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $447.60 | $746.00 | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $510.00 | $850.00 | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $565.20 | $942.00 | 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.