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 |
|---|---|---|---|---|
| Heart first pass multiple CPT 78483 | not published | not published | $515.24 – $721.34 | 2 |
| Heart image spect CPT 78494 | not published | not published | $384.64 – $538.50 | 2 |
| Heart infarct image CPT 78466 | $486.60 | $811.00 | $384.64 – $527.15 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $515.24 – $721.34 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | $345.00 | $575.00 | not published | 0 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $20.94 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $237.00 | $395.00 | $84.28 – $118.00 | 2 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $4.20 | 1 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $6.82 | 1 |
| Helicobacter pylori antibody igm CPT 86677 | $174.60 | $291.00 | $16.85 – $16.85 | 1 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $8.19 | 1 |
| Hematocrit CPT 85014 | $25.20 | $42.00 | $2.37 – $2.37 | 1 |
| Hematopoietic nuclear tx CPT 79403 | $736.80 | $1,228.00 | $214.54 – $300.36 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $8,881.19 | $14,801.99 | $34.17 – $47.84 | 2 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $669.79 – $937.70 | 2 |
| Hemoglobin CPT 85018 | $25.20 | $42.00 | $2.37 – $2.37 | 1 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $4.01 | 1 |
| Hemoglobin fetal qualitative CPT 83033 | $27.60 | $46.00 | $8.00 – $8.00 | 1 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $10.74 | 1 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $68.40 | $114.00 | $8.20 – $8.20 | 1 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $13.34 | 1 |
| Hemoglobin plasma CPT 83051 | $61.20 | $102.00 | $7.31 – $7.31 | 1 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $9.00 | 1 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $3.95 | 1 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $8.87 | 1 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $8.77 | 1 |
| Hemolysins and agglutinins incubated CPT 86941 | $103.80 | $173.00 | $12.11 – $12.11 | 1 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $15.84 | 1 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $685.20 | $1,142.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $477.60 | $796.00 | not published | 0 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $684.60 | $1,141.00 | not published | 0 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $71.66 – $100.32 | 2 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $71.66 – $100.32 | 2 |
| Heparin assay CPT 85520 | $129.60 | $216.00 | $13.09 – $13.09 | 1 |
| Heparin bolus from bag HCPCS J1644 | $84.16 | $140.26 | not published | 0 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $11.84 | 1 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $33.24 | $55.40 | not published | 0 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $13.09 | 1 |
| Hepatectomy removal of liver 47120 CPT 47120 | $4,155.60 | $6,926.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $98.40 | $164.00 | $11.26 – $11.26 | 1 |
| Hepatitis b core antibody igm CPT 86705 | $105.00 | $175.00 | $11.77 – $11.77 | 1 |
| Hepatitis b core antibody total CPT 86704 | $97.20 | $162.00 | $12.05 – $12.05 | 1 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,209.28 | $2,015.46 | $130.66 – $182.92 | 2 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $25.32 | 1 |
| Hepatitis b surface antibody CPT 86706 | $116.40 | $194.00 | $10.74 – $10.74 | 1 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $333.66 | $556.10 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $186.00 | $310.00 | $14.27 – $14.27 | 1 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $31.22 | 1 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $42.84 | 1 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $39.26 | 1 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $29.80 | 1 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $41.76 | 1 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,303.95 – $1,303.95 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $1,303.95 – $1,303.95 | 1 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $597.91 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | $930.60 | $1,551.00 | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $11.98 | 1 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $11.98 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $184.80 | $308.00 | $13.19 – $13.19 | 1 |
| Herpes simplex type 2 antibody igg CPT 86696 | $67.20 | $112.00 | $19.35 – $19.35 | 1 |
| Herpes simplex virus isolation CPT 87255 | $107.40 | $179.00 | $33.86 – $33.86 | 1 |
| Heterophile antibodies screening CPT 86308 | $46.80 | $78.00 | $5.18 – $5.18 | 1 |
| Heterophile antibodies titer CPT 86309 | $29.40 | $49.00 | $6.47 – $6.47 | 1 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $7.37 | 1 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $51.45 | 1 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $23.40 | $39.00 | not published | 0 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $6.49 | 1 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $58.00 – $58.00 | 1 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $41.76 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $88.54 – $123.96 | 2 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $280.80 | $468.00 | $101.79 – $142.51 | 2 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $360.00 | $600.00 | $101.79 – $142.51 | 2 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $428.40 | $714.00 | $84.28 – $118.00 | 2 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip X-ray CPT 73502 | $283.20 | $472.00 | $84.28 – $118.00 | 2 |
| Histamine CPT 83088 | $205.20 | $342.00 | $29.53 – $29.53 | 1 |
| Histochemical stains add-on CPT 88314 | $48.00 | $80.00 | not published | 0 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $37.57 – $52.60 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $24.06 | 1 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $21.92 | 1 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $21.90 | 1 |
| HIV 2 pcr qual - sendout CPT 87537 | $408.00 | $680.00 | $21.92 – $21.92 | 1 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $58.62 | 1 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $28.52 – $39.92 | 2 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.27 – $99.78 | 2 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.74 – $2.44 | 2 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.03 – $9.84 | 2 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.12 – $19.77 | 2 |
| Hla class i high defin qual CPT 86832 | not published | not published | $323.75 – $323.75 | 1 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $325.80 – $325.80 | 1 |
| Hla class i&ii antibody qual CPT 86828 | $82.80 | $138.00 | $64.19 – $64.19 | 1 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $64.19 | 1 |
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.