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 |
|---|---|---|---|---|
| Ghs fat & muscle CPT 89160 | $76.20 | $127.00 | $4.85 – $4.85 | 1 |
| Ghs fb removal foot - deep - left CPT 28192 | $859.80 | $1,433.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,854.80 | $4,758.00 | $2,739.61 – $3,092.70 | 2 |
| Ghs fb removal - incisional CPT 10121 | $2,032.20 | $3,387.00 | $1,550.93 – $2,171.30 | 2 |
| Ghs fb removal - non-incisional CPT 20520 | $376.80 | $628.00 | $408.20 – $1,550.93 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $100.80 | $168.00 | $6.98 – $6.98 | 1 |
| Ghs fish cytogen CPT 88271 | $186.00 | $310.00 | $21.42 – $21.42 | 1 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $250.80 | $418.00 | $51.19 – $51.19 | 1 |
| Ghs flow volume loop CPT 94375 | $123.00 | $205.00 | $90.35 – $298.08 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $287.40 | $479.00 | $298.08 – $311.35 | 2 |
| Ghs hcv amplificaiton CPT 87521 | $318.60 | $531.00 | $35.09 – $35.09 | 1 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $77.40 | $129.00 | $22.97 – $22.97 | 1 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $251.40 | $419.00 | $15.49 – $15.49 | 1 |
| Ghs hgb stability-thal CPT 83068 | $31.80 | $53.00 | $9.47 – $9.47 | 1 |
| Ghs histoplasma antigen CPT 87385 | $186.00 | $310.00 | $13.25 – $13.25 | 1 |
| Ghs HIV antibody CPT 86703 | $69.00 | $115.00 | $13.71 – $13.71 | 1 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $87.60 | $146.00 | $106.14 – $106.14 | 1 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,471.80 | $2,453.00 | $1,594.45 – $1,960.87 | 2 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,595.40 | $2,659.00 | $1,128.64 – $1,580.09 | 2 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $483.00 | $805.00 | $447.85 – $673.49 | 2 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $358.80 | $598.00 | $388.70 – $673.49 | 2 |
| Ghs immun0electrophoresis CPT 86320 | $59.40 | $99.00 | $29.92 – $29.92 | 1 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $442.20 | $737.00 | $232.81 – $325.93 | 2 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $393.60 | $656.00 | $185.83 – $214.50 | 2 |
| Ghs inf midline insertion CPT 36140 | $2,229.60 | $3,716.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $201.00 | $335.00 | $12.87 – $12.87 | 1 |
| Ghs init tx 1st degree burn CPT 16000 | $200.40 | $334.00 | $190.20 – $217.10 | 2 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $525.60 | $876.00 | $569.40 – $852.20 | 2 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $916.80 | $1,528.00 | $852.20 – $993.20 | 2 |
| Ghs inj tendon origin/insertion CPT 20551 | $294.60 | $491.00 | $282.56 – $319.15 | 2 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $334.20 | $557.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $793.20 | $1,322.00 | $572.65 – $852.20 | 2 |
| Ghs insertion of needle - bone CPT 36680 | $168.00 | $280.00 | $181.35 – $381.97 | 2 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $681.60 | $1,136.00 | $305.50 – $382.44 | 2 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $756.60 | $1,261.00 | $305.50 – $585.94 | 2 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $849.00 | $1,415.00 | $305.50 – $1,750.98 | 2 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $123.60 | $206.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $467.40 | $779.00 | $232.81 – $325.93 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $58.80 | $98.00 | $44.17 – $61.83 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $270.00 | $450.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $270.00 | $450.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $270.00 | $450.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,381.80 | $2,303.00 | $317.50 – $417.95 | 2 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $468.60 | $781.00 | $360.75 – $381.97 | 2 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $424.20 | $707.00 | $264.55 – $382.44 | 2 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $433.20 | $722.00 | $338.65 – $382.44 | 2 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $469.20 | $782.00 | $351.00 – $382.44 | 2 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $538.20 | $897.00 | $368.55 – $382.44 | 2 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $524.40 | $874.00 | $355.55 – $382.44 | 2 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $619.80 | $1,033.00 | $382.44 – $386.75 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $558.00 | $930.00 | $291.20 – $382.44 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $637.20 | $1,062.00 | $373.10 – $585.94 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $659.40 | $1,099.00 | $382.44 – $406.25 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $706.80 | $1,178.00 | $391.95 – $585.94 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $837.60 | $1,396.00 | $382.44 – $426.40 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $379.80 | $633.00 | $411.45 – $585.94 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $981.60 | $1,636.00 | $382.44 – $447.85 | 2 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $399.00 | $665.00 | $432.25 – $1,750.98 | 2 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $433.80 | $723.00 | $382.44 – $469.95 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $124.20 | $207.00 | $8.60 – $8.60 | 1 |
| Ghs low level laser therapy CPT 97039 | $51.00 | $85.00 | not published | 0 |
| Ghs mbp CPT 83873 | $166.80 | $278.00 | $17.20 – $17.20 | 1 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $93.60 | $156.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $138.00 | $230.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $120.00 | $200.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $39.00 | $65.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $86.40 | $144.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $315.00 | $525.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $263.40 | $439.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $72.60 | $121.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $220.80 | $368.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $409.20 | $682.00 | $273.00 – $585.94 | 2 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $906.00 | $1,510.00 | $852.20 – $981.50 | 2 |
| Ghs nerve blk intercostal, single level CPT 64420 | $528.60 | $881.00 | $572.65 – $662.89 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | $528.60 | $881.00 | $572.65 – $852.20 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | $528.60 | $881.00 | $572.65 – $852.20 | 2 |
| Ghs nerve block celiac plexus CPT 64530 | $690.60 | $1,151.00 | $748.15 – $852.20 | 2 |
| Ghs nerve block interscaline CPT 64510 | $983.40 | $1,639.00 | $852.20 – $1,065.35 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $690.60 | $1,151.00 | $748.15 – $852.20 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | $468.00 | $780.00 | $507.00 – $662.89 | 2 |
| Ghs nerve block suprascapular CPT 64418 | $553.80 | $923.00 | $599.95 – $662.89 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | $349.20 | $582.00 | $260.65 – $381.97 | 2 |
| Ghs o2 saturation CPT 82810 | $101.40 | $169.00 | $9.77 – $9.77 | 1 |
| Ghs o2 uptake rest & exercise CPT 94680 | $298.80 | $498.00 | $149.77 – $209.67 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | $105.60 | $176.00 | $56.86 – $71.50 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $118.80 | $198.00 | $44.17 – $61.83 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | $327.60 | $546.00 | $284.05 – $591.81 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,027.80 | $1,713.00 | $890.50 – $1,486.98 | 2 |
| Ghs optokenetic CPT 92544 | $141.00 | $235.00 | $149.77 – $152.75 | 2 |
| Ghs oscillating trac CPT 92545 | $141.00 | $235.00 | $152.75 – $298.08 | 2 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $58.80 | $98.00 | $24.22 – $33.90 | 2 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $83.40 | $139.00 | $24.22 – $33.90 | 2 |
| Ghs ot dds rom CPT 95851 | $66.00 | $110.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $31.20 | $52.00 | $14.15 – $14.15 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $59.40 | $99.00 | $52.32 – $52.32 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $57.60 | $96.00 | $81.32 – $81.32 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | $54.00 | $90.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $400.80 | $668.00 | $434.20 – $626.39 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,076.40 | $1,794.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,076.40 | $1,794.00 | 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.