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 |
|---|---|---|---|---|
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,515.99 | $4,193.32 | $1.14 – $1.60 | 2 |
| Ferritin CPT 82728 | $99.60 | $166.00 | $13.63 – $13.63 | 1 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,064.98 | $3,441.63 | $0.31 – $0.43 | 2 |
| Ferumoxytol, esrd use HCPCS Q0139 | $2,064.98 | $3,441.63 | $0.31 – $0.43 | 2 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $795.00 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $363.00 | $605.00 | $101.79 – $142.51 | 2 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $759.05 | 1 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,821.60 | $3,036.00 | $759.05 – $759.05 | 1 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $532.80 | $888.00 | $192.56 – $269.59 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $291.18 – $407.65 | 2 |
| Fetal fibronectin CPT 82731 | $290.40 | $484.00 | $64.41 – $64.41 | 1 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $291.18 – $407.65 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $51.60 | $86.00 | $7.73 – $7.73 | 1 |
| Fetal hemoglobin rosette CPT 85461 | $41.40 | $69.00 | $9.36 – $9.36 | 1 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $62.40 | $104.00 | $19.32 – $19.32 | 1 |
| Fetal non stress test CPT 59025 | $358.20 | $597.00 | $192.56 – $269.59 | 2 |
| Fetal scalp blood sampling 59030 CPT 59030 | $269.40 | $449.00 | not published | 0 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $291.18 – $407.65 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | $274.80 | $458.00 | not published | 0 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.76 – $10.86 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $95.40 | $159.00 | $10.18 – $10.18 | 1 |
| Fibrin degradation products CPT 85362 | $48.60 | $81.00 | $6.89 – $6.89 | 1 |
| Fibrin degrade semiquant CPT 85378 | $77.40 | $129.00 | $9.72 – $9.72 | 1 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $10.18 | 1 |
| Fibrinogen activity CPT 85384 | $237.00 | $395.00 | $9.72 – $9.72 | 1 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $12.43 | 1 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $188.40 | $314.00 | $15.48 – $15.48 | 1 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $7.71 | 1 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $7.71 | 1 |
| Fibrinolytic plasminogen CPT 85415 | $184.20 | $307.00 | $17.19 – $17.19 | 1 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $10.18 | 1 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $184.20 | $307.00 | $6.53 – $6.53 | 1 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.29 – $0.41 | 2 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $953.68 | $1,589.47 | $0.99 – $1.39 | 2 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $789.94 | $1,316.57 | $0.37 – $0.52 | 2 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Filtered speech hearing test CPT 92571 | not published | not published | $37.57 – $52.60 | 2 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,533.00 | $12,555.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $3,487.80 | $5,813.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | $1,506.00 | $2,510.00 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | $6.34 | $10.56 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $717.60 | $1,196.00 | $673.49 – $777.40 | 2 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $327.00 | $545.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $166.20 | $277.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $377.40 | $629.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $264.00 | $440.00 | $226.85 – $382.44 | 2 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Finger X-ray (both hands) CPT 73140 | $193.80 | $323.00 | $84.28 – $118.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | $1,185.60 | $1,976.00 | not published | 0 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $56.86 – $79.60 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $56.86 – $79.60 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $37.57 – $52.60 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $37.57 – $52.60 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $115.20 | $192.00 | not published | 0 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $897.45 – $1,256.43 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Flebogamma injection HCPCS J1572 | $2,551.62 | $4,252.70 | $55.76 – $78.06 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | $48.60 | $81.00 | $18.64 – $18.64 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $258.60 | $431.00 | $231.38 – $280.15 | 2 |
| Flexible Sigmoidoscopy CPT 45330 | $98.40 | $164.00 | not published | 0 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Floor of mouth biopsy 41108 CPT 41108 | $274.20 | $457.00 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,273.76 – $1,783.26 | 2 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $3,710.00 – $5,194.00 | 2 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $939.71 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | $146.40 | $244.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $124.20 | $207.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $124.20 | $207.00 | $79.95 – $344.33 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | $116.40 | $194.00 | not published | 0 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,125.55 – $5,775.77 | 2 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $165.51 | 1 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $83.00 | 1 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $73.89 | $123.15 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $522.96 | $871.60 | $71.65 – $100.31 | 2 |
| Fluidotherapy charges pt CPT 97022 | $83.40 | $139.00 | $20.16 – $20.16 | 1 |
| Fluid pressure muscle 20950 CPT 20950 | $397.80 | $663.00 | not published | 0 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $497.80 – $696.92 | 2 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $339.76 – $475.66 | 2 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $507.90 – $711.06 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $298.08 – $417.31 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $298.08 – $417.31 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $519.60 | $866.00 | $12.05 – $12.05 | 1 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $498.62 – $698.07 | 2 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $498.67 – $698.14 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $306.60 | $511.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $193.80 | $323.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $193.80 | $323.00 | $18.91 – $18.91 | 1 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $265.80 | $443.00 | $231.38 – $232.70 | 2 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $43.75 | $72.92 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $67.31 | $112.19 | not published | 0 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $530.00 – $742.00 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,866.58 – $2,613.21 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $231.38 – $323.93 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $231.38 – $323.93 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,420.80 | $2,368.00 | $673.49 – $942.89 | 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.