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 |
|---|---|---|---|---|
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,340.40 | $2,234.00 | not published | 0 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $5.67 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $521.04 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $748.87 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | $5,811.00 | $9,685.00 | $973.64 – $1,363.10 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $873.44 – $1,222.82 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $167.06 – $233.88 | 2 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.42 – $67.79 | 2 |
| Gammaglobulin iga CPT 82784 | $214.80 | $358.00 | $9.30 – $9.30 | 1 |
| Gammaglobulin ige CPT 82785 | $118.20 | $197.00 | $16.46 – $16.46 | 1 |
| Gamma glutamyltransferase CPT 82977 | $48.00 | $80.00 | $7.20 – $7.20 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $62.47 – $87.46 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | $6,873.35 | $11,455.58 | $48.03 – $67.24 | 2 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $205.72 | $342.86 | not published | 0 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $35.09 | 1 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $41.76 | 1 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $6.71 | 1 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.64 – $538.50 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $515.24 – $721.34 | 2 |
| Gastric motility studies CPT 91020 | not published | not published | $507.90 – $711.06 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $384.64 – $538.50 | 2 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $17.69 | 1 |
| Gastroesophageal reflux study CPT 78262 | $754.20 | $1,257.00 | $384.64 – $538.50 | 2 |
| Gastroesophageal reflux test CPT 91034 | $509.40 | $849.00 | $507.90 – $551.85 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $2,262.60 | $3,771.00 | not published | 0 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $897.45 – $1,256.43 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $384.64 – $538.50 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $0.60 | $1.00 | not published | 0 |
| Gauze <= 16 sq in w/border HCPCS A6219 | $7.80 | $13.00 | not published | 0 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $47.25 | 1 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $46.20 | $77.00 | not published | 0 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | $24.60 | $41.00 | not published | 0 |
| Gel-one HCPCS J7326 | $2,049.30 | $3,415.50 | $524.02 – $733.63 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $341.64 | $569.40 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,324.79 | $2,207.98 | not published | 0 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $236.62 – $331.27 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $25,256.40 | $42,094.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $45,000.00 | $75,000.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $78,750.00 | $131,250.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $2,448.56 | 1 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $2,337.65 | 1 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $5,031.20 | 1 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $2,709.95 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $113.05 | $188.41 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $102.00 | $170.00 | $16.38 – $16.38 | 1 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.02 – $8.43 | 2 |
| G-esoph reflx tst w/electrod CPT 91035 | $909.60 | $1,516.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $796.80 | $1,328.00 | $863.20 – $872.71 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,119.60 | $1,866.00 | $1,212.90 – $2,739.61 | 2 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $102.00 | $170.00 | $9.81 – $9.81 | 1 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $155.40 | $259.00 | $17.11 – $17.11 | 1 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $244.80 | $408.00 | $102.26 – $102.26 | 1 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $116.40 | $194.00 | $78.65 – $123.39 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $233.40 | $389.00 | $14.39 – $14.39 | 1 |
| Ghs aspiration bladder - needle CPT 51100 | $265.80 | $443.00 | $232.81 – $287.95 | 2 |
| Ghs bladder cath - complex-foley CPT 51703 | $245.40 | $409.00 | $149.77 – $183.30 | 2 |
| Ghs bleeding time (ivy) CPT 85002 | $41.40 | $69.00 | $4.82 – $4.82 | 1 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $528.60 | $881.00 | $572.65 – $662.89 | 2 |
| Ghs central line insert < age 5, failed CPT 36555 | $504.00 | $840.00 | $508.95 – $3,012.85 | 2 |
| Ghs change cysto/gastrost CPT 43762 | $393.00 | $655.00 | $232.81 – $256.10 | 2 |
| Ghs chemo >8 hrs CPT 96416 | $372.60 | $621.00 | $317.50 – $403.65 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | $458.40 | $764.00 | $317.50 – $444.50 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $116.40 | $194.00 | $68.13 – $95.38 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $357.60 | $596.00 | $35.09 – $35.09 | 1 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $487.80 | $813.00 | $229.62 – $291.85 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $660.00 | $1,100.00 | $229.62 – $321.47 | 2 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $848.40 | $1,414.00 | $274.95 – $1,531.94 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $253.80 | $423.00 | $229.62 – $274.95 | 2 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $966.60 | $1,611.00 | $291.85 – $1,531.94 | 2 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,469.40 | $2,449.00 | $1,140.10 – $1,750.98 | 2 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $598.20 | $997.00 | $229.62 – $260.65 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $865.80 | $1,443.00 | $274.95 – $1,531.94 | 2 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $983.40 | $1,639.00 | $274.95 – $1,531.94 | 2 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $891.00 | $1,485.00 | $229.62 – $321.47 | 2 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $573.00 | $955.00 | $229.62 – $274.95 | 2 |
| Ghs community re-entry 15 minutes CPT 97537 | $72.00 | $120.00 | $40.61 – $40.61 | 1 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $369.00 | $615.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $157.80 | $263.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $427.80 | $713.00 | $283.40 – $381.97 | 2 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $414.00 | $690.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $1,033.80 | $1,723.00 | $222.29 – $311.20 | 2 |
| Ghs cutdown placement age 1 and over CPT 36425 | $417.60 | $696.00 | $381.97 – $452.40 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | $347.40 | $579.00 | $123.39 – $172.74 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $87.00 | $145.00 | $15.21 – $15.21 | 1 |
| Ghs dislocation elbow closed treatment CPT 24600 | $652.80 | $1,088.00 | $229.62 – $274.95 | 2 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $820.80 | $1,368.00 | $889.20 – $897.45 | 2 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $328.80 | $548.00 | $254.22 – $355.91 | 2 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,062.60 | $1,771.00 | $662.89 – $928.05 | 2 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $447.00 | $745.00 | $149.77 – $209.67 | 2 |
| Ghs electrostagmgraphy CPT 92537 | $247.20 | $412.00 | $149.77 – $209.67 | 2 |
| Ghs elect torsion swing CPT 92546 | $247.20 | $412.00 | $149.77 – $209.67 | 2 |
| Ghs elect vertical elct CPT 92547 | $126.60 | $211.00 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $238.80 | $398.00 | $115.05 – $382.44 | 2 |
| Ghs excision ingrown nail CPT 11765 | $354.00 | $590.00 | $382.44 – $383.50 | 2 |
| Ghs eye exam CPT 92002 | $82.80 | $138.00 | $89.70 – $123.36 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $527.40 | $879.00 | 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.