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 |
|---|---|---|---|---|
| Explore/treat finger joint CPT 26080 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Explore/treat knee joint CPT 27331 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Explore wound abdomen 20102 CPT 20102 | $853.20 | $1,422.00 | not published | 0 |
| Explore woundchest 20101 CPT 20101 | $791.40 | $1,319.00 | not published | 0 |
| Explore wound neck 20100 CPT 20100 | $1,122.00 | $1,870.00 | not published | 0 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $1,066.80 | $1,778.00 | not published | 0 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $1,012.80 | $1,688.00 | not published | 0 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Expose art endoprosth iliac 34820 CPT 34820 | $919.20 | $1,532.00 | not published | 0 |
| Expose endoprosth brachial 34834 CPT 34834 | $519.00 | $865.00 | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $763.80 | $1,273.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $640.20 | $1,067.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $619.20 | $1,032.00 | not published | 0 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $123.39 – $172.74 | 2 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $123.39 – $172.74 | 2 |
| Extended culture of oocytes CPT 89272 | not published | not published | $781.95 – $1,094.73 | 2 |
| Extended visual field xm CPT 92083 | not published | not published | $123.39 – $172.74 | 2 |
| Extension drainage tubing HCPCS A4331 | $36.00 | $60.00 | not published | 0 |
| Extensive ear canal surgery 69150 CPT 69150 | $1,953.60 | $3,256.00 | not published | 0 |
| Extensive ear/neck surgery 69155 CPT 69155 | $3,040.80 | $5,068.00 | not published | 0 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Extensive thyroid surgery CPT 60254 | $3,079.20 | $5,132.00 | not published | 0 |
| External cannula declotting CPT 36860 | not published | not published | $1,486.98 – $2,081.78 | 2 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $144.61 – $144.61 | 1 |
| External ocular photography CPT 92285 | not published | not published | $37.57 – $52.60 | 2 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $23.44 – $32.82 | 2 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $596.40 | $994.00 | $143.75 – $143.75 | 1 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.86 – $79.60 | 2 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $244.80 | $408.00 | $17.93 – $17.93 | 1 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Extraction of lens CPT 66930 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Extraction of lens CPT 66940 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Extraction of lens 66920 CPT 66920 | $1,341.60 | $2,236.00 | not published | 0 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $123.39 – $172.74 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $123.39 – $172.74 | 2 |
| Eye implant band 40 HCPCS C1784 | $163.20 | $272.00 | not published | 0 |
| Eye Socket (Orbit) X-ray CPT 70200 | $147.60 | $246.00 | $101.79 – $142.51 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,111.80 | $1,853.00 | $170.40 – $238.57 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,087.80 | $1,813.00 | $170.40 – $238.57 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $879.60 | $1,466.00 | $101.79 – $142.51 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $175.40 | 1 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $282.88 | 1 |
| F-18 fdg pet diag HCPCS A9552 | $259.80 | $433.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,194.62 – $3,072.47 | 2 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $268.42 – $375.79 | 2 |
| F-18 sodium fluoride HCPCS A9580 | $191.40 | $319.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $600.00 | 1 |
| Face bone graft CPT 21210 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,448.60 | $4,081.00 | $341.85 – $478.59 | 2 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,393.80 | $2,323.00 | $231.38 – $323.93 | 2 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $160.80 | $268.00 | $84.28 – $118.00 | 2 |
| Facial Bones X-ray (complete) CPT 70150 | $269.40 | $449.00 | $101.79 – $142.51 | 2 |
| Facial nerve function test CPT 92516 | not published | not published | $298.08 – $417.31 | 2 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Factor ix CPT 85250 | $231.00 | $385.00 | $19.04 – $19.04 | 1 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.63 – $5.08 | 2 |
| Factor ix complex HCPCS J7194 | $13.16 | $21.93 | $1.70 – $2.38 | 2 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.34 – $7.48 | 2 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.34 – $1.88 | 2 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.58 – $6.41 | 2 |
| Factor ix recombinant nos HCPCS J7195 | $13.90 | $23.16 | $1.88 – $2.63 | 2 |
| Factor viii CPT 85240 | $477.00 | $795.00 | $17.90 – $17.90 | 1 |
| Factor viii HCPCS J7190 | $15.17 | $25.28 | $1.13 – $1.58 | 2 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.42 – $3.39 | 2 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $1.65 | 2 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.15 – $3.01 | 2 |
| Factor viii recombinant nos HCPCS J7192 | $15.68 | $26.13 | $1.54 – $2.16 | 2 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.52 – $2.13 | 2 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $4.52 | 2 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $15.09 | 2 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.29 – $25.61 | 2 |
| Fallopian tube recnl CPT 58345 | $519.00 | $865.00 | not published | 0 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.52 – $39.92 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | $135.60 | $226.00 | $146.90 – $153.80 | 2 |
| Family therapy with patient 50 min 90847 CPT 90847 | $231.60 | $386.00 | $153.80 – $215.32 | 2 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $4,733.11 | $7,888.52 | $30.00 – $42.00 | 2 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $36.62 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $99.60 | $166.00 | $5.10 – $5.10 | 1 |
| Fatty acids nonesterified CPT 82725 | $56.40 | $94.00 | $18.77 – $18.77 | 1 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $4.56 | 1 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $15,950.64 | $26,584.40 | $64.03 – $89.64 | 2 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $872.71 – $1,221.79 | 2 |
| #fecal-sodium CPT 84302 | $90.00 | $150.00 | $4.86 – $4.86 | 1 |
| Feeding tube reposition CPT 74355 | $268.80 | $448.00 | not published | 0 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $127.75 – $127.75 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $36.00 | $60.00 | $18.64 – $18.64 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | $448.80 | $748.00 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $12,478.20 | $20,797.00 | $10,855.42 – $13,518.05 | 2 |
| Fem urinary collect pouch HCPCS A4328 | $3.60 | $6.00 | not published | 0 |
| Feno poc CPT 95012 | $34.20 | $57.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $71.03 | $118.38 | not published | 0 |
| Fern test HCPCS Q0114 | $25.20 | $42.00 | 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.