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 |
|---|---|---|---|---|
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Ankle X-ray CPT 73610 | $256.80 | $428.00 | $84.28 – $118.00 | 2 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $183.60 | $306.00 | $84.28 – $118.00 | 2 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $357.60 | $596.00 | $287.08 – $387.40 | 2 |
| Annual alcohol screen 15 min HCPCS G0442 | $22.20 | $37.00 | $28.52 – $39.92 | 2 |
| Annual nursing fac assessmnt CPT 99318 | $175.80 | $293.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $204.00 | $340.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $220.80 | $368.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $246.00 | $410.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $200.40 | $334.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $43.80 | $73.00 | $8.81 – $8.81 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $192.56 – $269.59 | 2 |
| Anora (draw only) CPT 99001 | $90.00 | $150.00 | not published | 0 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Anoscopy CPT 46611 | not published | not published | $872.71 – $1,221.79 | 2 |
| Anoscopy ablation lesion 46615 CPT 46615 | $295.20 | $492.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $402.60 | $671.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $1,075.80 | $1,793.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $231.00 | $385.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $962.40 | $1,604.00 | $872.71 – $1,042.60 | 2 |
| Anoscopy remove lesion 46610 CPT 46610 | $424.20 | $707.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $474.60 | $791.00 | not published | 0 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $298.08 – $417.31 | 2 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $1,240.20 | $2,067.00 | not published | 0 |
| Antibody CPT 86744 | $33.00 | $55.00 | $15.99 – $15.99 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $143.40 | $239.00 | $12.88 – $12.88 | 1 |
| Antibody elution rbc reference CPT 86860 | $98.40 | $164.00 | $106.60 – $164.03 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $220.80 | $368.00 | $19.35 – $19.35 | 1 |
| Antibody htlv-i CPT 86687 | $51.60 | $86.00 | $9.09 – $9.09 | 1 |
| Antibody htlv-ii CPT 86688 | $37.20 | $62.00 | $14.00 – $14.00 | 1 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $343.20 | $572.00 | $18.37 – $18.37 | 1 |
| Antibody id rbc panel CPT 86870 | $418.80 | $698.00 | $83.85 – $344.33 | 2 |
| Antibody influenza virus CPT 86710 | $90.00 | $150.00 | $13.55 – $13.55 | 1 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $40.80 | $68.00 | $12.87 – $12.87 | 1 |
| Antibody screen rbc CPT 86850 | $174.00 | $290.00 | $48.10 – $51.14 | 2 |
| Antibody tetanus CPT 86774 | $174.00 | $290.00 | $14.80 – $14.80 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95146 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95147 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95148 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95149 | not published | not published | $68.13 – $95.38 | 2 |
| Antigen therapy services CPT 95165 | not published | not published | $44.17 – $61.83 | 2 |
| Antigen therapy services CPT 95170 | not published | not published | $44.17 – $61.83 | 2 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15.17 | $25.28 | $1.49 – $2.09 | 2 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.23 – $1.72 | 2 |
| Anti-inhibitor HCPCS J7198 | $10,270.62 | $17,117.70 | $2.45 – $3.43 | 2 |
| Anti mog serum - sendout CPT 86362 | $495.00 | $825.00 | $12.05 – $12.05 | 1 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $12.05 – $12.05 | 1 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $34.80 | $58.00 | $12.05 – $12.05 | 1 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $1,312.80 | $2,188.00 | not published | 0 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $1,362.00 | $2,270.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $155.40 | $259.00 | $12.09 – $12.09 | 1 |
| Antinuclear antibodies titer CPT 86039 | $102.00 | $170.00 | $11.16 – $11.16 | 1 |
| Antiphosphatidylserine antibody CPT 86148 | $70.80 | $118.00 | $16.07 – $16.07 | 1 |
| Antistreptolysin o screen CPT 86063 | $53.40 | $89.00 | $5.77 – $5.77 | 1 |
| Antistreptolysin o titer CPT 86060 | $58.20 | $97.00 | $7.30 – $7.30 | 1 |
| Antithrombin iii activity CPT 85300 | $249.60 | $416.00 | $11.85 – $11.85 | 1 |
| Antithrombin iii injection HCPCS J7197 | $1,414.62 | $2,357.70 | $4.09 – $5.73 | 2 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $6,148.03 | $10,246.72 | $5,013.11 – $7,018.35 | 2 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $996.39 – $1,394.95 | 2 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $1,691.40 | $2,819.00 | not published | 0 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $123.39 – $172.74 | 2 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $123.39 – $172.74 | 2 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $176.40 | $294.00 | $101.79 – $142.51 | 2 |
| Aortic circulation assist 33971 CPT 33971 | $1,381.80 | $2,303.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $504.00 | 1 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,350.19 | 1 |
| Aortic hemiarch graft 33866 CPT 33866 | $1,966.20 | $3,277.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $200.00 | 1 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $780.00 | 1 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $280.00 | 1 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $56.86 – $79.60 | 2 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,484.74 – $6,278.63 | 2 |
| Apheresis plasma CPT 36514 | $1,873.80 | $3,123.00 | $1,569.15 – $2,029.95 | 2 |
| Apheresis platelets CPT 36513 | $1,526.40 | $2,544.00 | $418.48 – $585.87 | 2 |
| Apheresis rbc CPT 36512 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Apheresis wbc CPT 36511 | $1,638.00 | $2,730.00 | $1,569.15 – $1,774.50 | 2 |
| Apl(pml-rara) quant - sendout CPT 81315 | $512.40 | $854.00 | $207.31 – $207.31 | 1 |
| Appendectomy CPT 44950 | $1,152.00 | $1,920.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $151.80 | $253.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,566.00 | $2,610.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,073.40 | $1,789.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $734.40 | $1,224.00 | $795.60 – $1,750.98 | 2 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $386.40 | $644.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $143.40 | $239.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $734.40 | $1,224.00 | $795.60 – $3,504.35 | 2 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $483.00 | $805.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $179.40 | $299.00 | not published | 0 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $151.04 – $211.46 | 2 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $254.22 – $355.91 | 2 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $254.22 – $355.91 | 2 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $254.22 – $355.91 | 2 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $254.22 – $355.91 | 2 |
| Appl halo type body cast CPT 29000 | not published | not published | $254.22 – $355.91 | 2 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $254.22 – $355.91 | 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.