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 |
|---|---|---|---|---|
| Fna bx w/ct gdn ea addl CPT 10010 | $1,263.00 | $2,105.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $673.49 – $942.89 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $18.91 | 1 |
| Folic acid CPT 82746 | $109.20 | $182.00 | $14.70 – $14.70 | 1 |
| Follow-up angiography CPT 75898 | $1,703.40 | $2,839.00 | $1,845.35 – $3,012.85 | 2 |
| Followup eval of foot pt lop HCPCS G0246 | $134.40 | $224.00 | $123.36 – $145.60 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,742.73 | $4,571.21 | $6.03 – $8.44 | 2 |
| Fondaparinux sodium HCPCS J1652 | $244.22 | $407.04 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $18.60 | $31.00 | not published | 0 |
| Foot X-ray CPT 73630 | $256.80 | $428.00 | $84.28 – $118.00 | 2 |
| Foot X-ray (2 views, both feet) CPT 73620 | $167.40 | $279.00 | $84.28 – $118.00 | 2 |
| Forearm X-ray (both sides) CPT 73090 | $264.60 | $441.00 | $84.28 – $118.00 | 2 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $1,644.60 | $2,741.00 | not published | 0 |
| Forensic cytopathology CPT 88125 | $55.80 | $93.00 | $51.14 – $60.45 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $131.40 | $219.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $605.12 | $1,008.54 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $879.58 | $1,465.97 | $15.58 – $21.81 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $217.03 | $361.71 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $393.60 | $656.00 | $28.50 – $28.50 | 1 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $84.28 – $118.00 | 2 |
| _fragile x methylation-sendout CPT 81244 | $272.40 | $454.00 | $44.89 – $44.89 | 1 |
| Fragmenting of kidney stone CPT 50590 | $8,122.80 | $13,538.00 | $3,301.42 – $4,621.99 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,963.80 | $3,273.00 | not published | 0 |
| Free/remove chest lining 32320 CPT 32320 | $2,939.40 | $4,899.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $463.80 | $773.00 | not published | 0 |
| Frenotomy 40806 CPT 40806 | $270.00 | $450.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $68.05 – $95.27 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $157.20 | $262.00 | $80.68 – $112.96 | 2 |
| Fresh frozen plasma thawing ea un CPT 86927 | $45.00 | $75.00 | $46.15 – $164.03 | 2 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $46.84 – $65.57 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $37.57 – $52.60 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $164.03 – $229.64 | 2 |
| Frozen blood thaw CPT 86931 | not published | not published | $164.03 – $229.64 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $12.09 | 1 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $59.64 – $83.50 | 2 |
| Fructosamine glycated protein CPT 82985 | $70.80 | $118.00 | $16.76 – $16.76 | 1 |
| Ft arch suprt premold longit HCPCS L3040 | $16.20 | $27.00 | not published | 0 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $1,487.37 | 1 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $69.52 | 1 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $153.50 – $153.50 | 1 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $55.54 | 1 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $54.30 | 1 |
| Full field erg w/i&r CPT 92273 | not published | not published | $298.08 – $417.31 | 2 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $231.38 – $323.93 | 2 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $246.00 | $410.00 | $101.79 – $142.51 | 2 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,845.60 | $3,076.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,403.40 | $2,339.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $249.60 | $416.00 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,699.80 | $2,833.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $128.40 | $214.00 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $56.12 | $93.54 | not published | 0 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $4,741.20 | $7,902.00 | not published | 0 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $1,961.40 | $3,269.00 | not published | 0 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of big toe joint CPT 28750 | $1,501.20 | $2,502.00 | not published | 0 |
| Fusion of big toe joint CPT 28755 | $918.60 | $1,531.00 | not published | 0 |
| Fusion of finger joint CPT 26860 | $1,006.80 | $1,678.00 | not published | 0 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Fusion of foot bones CPT 28730 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of foot bones CPT 28735 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of foot bones CPT 28740 | $1,551.00 | $2,585.00 | not published | 0 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle joint CPT 26516 | $1,260.00 | $2,100.00 | not published | 0 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $274.83 | 1 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $137.00 | 1 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $274.83 | 1 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $185.20 | 1 |
| G0180 home health certification HCPCS G0180 | $82.80 | $138.00 | not published | 0 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $58.49 | 1 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $600.00 | 1 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $174.81 | 1 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $375.25 | 1 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $291.60 | $486.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $71.53 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $176.62 | $294.37 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $764.66 | $1,274.43 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $128.80 | $214.66 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $281.05 | $468.42 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $268.20 | $447.00 | $21.07 – $21.07 | 1 |
| Galactokinase - sendout CPT 82759 | $309.00 | $515.00 | $21.48 – $21.48 | 1 |
| Galactose transferase test CPT 82776 | $21.00 | $35.00 | $11.74 – $11.74 | 1 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $44.25 | 1 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $703.20 | $1,172.00 | $384.64 – $538.50 | 2 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,108.80 | $1,848.00 | $515.24 – $721.34 | 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.