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 |
|---|---|---|---|---|
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $81.88 | 1 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $322.96 | 1 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $95.52 | 1 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $357.56 | 1 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $404.52 | 1 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $345.57 | 1 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $402.12 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $123.68 – $123.68 | 1 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $220.74 | 1 |
| Hla i low res one antigen equiv ea CPT 81374 | $288.60 | $481.00 | $74.33 – $74.33 | 1 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $177.25 | 1 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $335.38 | 1 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $403.59 | 1 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $331.80 | $553.00 | $169.90 – $169.90 | 1 |
| Hla i typing low res one locus ea CPT 81373 | $352.80 | $588.00 | $127.43 – $127.43 | 1 |
| Hla typing a b or c CPT 86813 | $530.40 | $884.00 | $58.00 – $58.00 | 1 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $30.17 | 1 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $36.53 | 1 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $109.49 | 1 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $88.54 – $123.96 | 2 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $28.52 – $39.92 | 2 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $28.52 – $39.92 | 2 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $153.80 – $215.32 | 2 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $495.88 | $826.46 | not published | 0 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $56.73 | $94.55 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $153.04 | $255.06 | not published | 0 |
| Home health re-certification physician g0179 HCPCS G0179 | $63.60 | $106.00 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $327.00 | $545.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $235.20 | $392.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $104.40 | $174.00 | not published | 0 |
| Home/res vst new high mdm 75 CPT 99345 | $403.20 | $672.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $150.00 | $250.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $336.60 | $561.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $103.80 | $173.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $149.77 – $209.67 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $149.77 – $209.67 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $298.08 – $417.31 | 2 |
| Home visit est patient 99348 CPT 99348 | $156.60 | $261.00 | not published | 0 |
| Home visit new patient CPT 99343 | $246.00 | $410.00 | not published | 0 |
| Homocysteine CPT 83090 | $214.80 | $358.00 | $17.92 – $17.92 | 1 |
| Homogenization tissue CPT 87176 | $48.00 | $80.00 | $5.88 – $5.88 | 1 |
| Homovanillic acid (hva) CPT 83150 | $158.40 | $264.00 | $22.41 – $22.41 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $28.52 – $39.92 | 2 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $88.54 – $123.96 | 2 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $28.52 – $39.92 | 2 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $122.22 | 1 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $122.22 | 1 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $35.09 | 1 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $35.09 | 1 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $40.55 | 1 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.00 | 1 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $67.36 | 1 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $67.36 | 1 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $7.86 | 1 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,303.95 – $1,303.95 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $584.90 | 1 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $584.90 | 1 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $20.05 | 1 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $274.83 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $137.00 | 1 |
| Human epididymis protein 4 (he4) CPT 86305 | $231.00 | $385.00 | $20.81 – $20.81 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.26 – $1.76 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $171.83 | $286.38 | not published | 0 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $124.75 | $207.91 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $38.99 | $64.98 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $76.09 | $126.82 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $79.73 | $132.89 | not published | 0 |
| Hydromorphone injection HCPCS J1170 | $355.31 | $592.18 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $81.05 | $135.09 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $154.20 | $257.00 | $17.90 – $17.90 | 1 |
| Hymenotomy CPT 56442 | $89.40 | $149.00 | not published | 0 |
| Hymovis injection 1 mg HCPCS J7322 | $1,282.37 | $2,137.28 | $17.44 – $24.42 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Hyoscyamine sulfate inj HCPCS J1980 | $43.48 | $72.46 | not published | 0 |
| Hyperbaric oxygen therapy CPT 99183 | $917.40 | $1,529.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $25.80 | $43.00 | $10.18 – $10.18 | 1 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $664.13 – $929.78 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $251.73 – $352.42 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $553.72 – $775.21 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $553.72 – $775.21 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $553.72 – $775.21 | 2 |
| Hypnotherapy CPT 90880 | $27.00 | $45.00 | not published | 0 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.39 – $25.75 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | $1,827.00 | $3,045.00 | not published | 0 |
| Hysterectomy/revise vagina 58280 CPT 58280 | $1,955.40 | $3,259.00 | not published | 0 |
| Hysteroplasty 58540 CPT 58540 | $1,686.00 | $2,810.00 | not published | 0 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $438.00 | $730.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $475.20 | $792.00 | $231.38 – $323.93 | 2 |
| Hysteroscopy ablation CPT 58563 | $3,116.40 | $5,194.00 | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $696.00 | $1,160.00 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | $528.60 | $881.00 | not published | 0 |
| Hysteroscopy lysis CPT 58559 | $638.40 | $1,064.00 | 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.