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 |
|---|---|---|---|---|
| Hysteroscopy remove fb CPT 58562 | $724.80 | $1,208.00 | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $1,018.80 | $1,698.00 | not published | 0 |
| Hysteroscopy resect septum CPT 58560 | $720.00 | $1,200.00 | not published | 0 |
| Hysterotomy abdominal 59100 CPT 59100 | $1,561.20 | $2,602.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $337.28 | $562.13 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $2,904.73 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $1,943.23 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $212.40 | $354.00 | not published | 0 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $2,322.00 | $3,870.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $324.60 | $541.00 | $23.13 – $32.38 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.88 – $29.23 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $30.00 | $50.00 | $13.42 – $13.42 | 1 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $382.20 | $637.00 | $35.09 – $35.09 | 1 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $328.80 | $548.00 | $18.09 – $18.09 | 1 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $45.28 | 1 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $790.26 | $1,317.10 | not published | 0 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,448.56 | 1 |
| Ibuprofen injection HCPCS J1741 | $63.55 | $105.91 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $984.55 | $1,640.91 | $219.06 – $306.68 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $116.41 – $162.97 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $37,575.00 | $62,625.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $42,525.00 | $70,875.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $15,727.80 | $26,213.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,922.80 | $16,538.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $298.08 – $417.31 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.57 – $52.60 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $56.86 – $79.60 | 2 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $23.44 – $32.82 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $1,336.80 | $2,228.00 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $852.00 | $1,420.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $713.88 | $1,189.80 | not published | 0 |
| I&d/bursa/foot 28001 CPT 28001 | $496.80 | $828.00 | not published | 0 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $541,260.45 – $757,764.63 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.14 – $71.60 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $939.60 | $1,566.00 | not published | 0 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $193.25 | 1 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $295.79 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $768.60 | $1,281.00 | not published | 0 |
| I&d lacrimal gland CPT 68400 | not published | not published | $927.11 – $1,297.95 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $635.40 | $1,059.00 | not published | 0 |
| Idursulfase injection HCPCS J1743 | $5,583.80 | $9,306.33 | $558.56 – $781.98 | 2 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $576.60 | $961.00 | not published | 0 |
| I&d vag hemtma obst/postpart CPT 57022 | $311.40 | $519.00 | not published | 0 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $73.37 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $292.09 | $486.81 | not published | 0 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $207.31 | 1 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $68.55 | 1 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $197.99 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $589.20 | $982.00 | $294.52 – $294.52 | 1 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $172.73 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $81.60 | $136.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $344.33 – $482.06 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $124.20 | $207.00 | $73.45 – $164.03 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $39.31 | 1 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,882.20 | $3,137.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $4,083.00 | $6,805.00 | not published | 0 |
| Imatinib 100 mg tab HCPCS S0088 | $514.08 | $856.80 | not published | 0 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $1,645.80 | $2,743.00 | not published | 0 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $57.02 – $79.83 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $56.86 – $79.60 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.57 – $52.60 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $56.86 – $79.60 | 2 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $6.60 | $11.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $97.20 | $162.00 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $42.00 | $70.00 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $1,728.60 | $2,881.00 | not published | 0 |
| Immune complex assay CPT 86332 | $69.60 | $116.00 | $24.37 – $24.37 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $8,608.42 | $14,347.36 | $47.80 – $66.92 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,848.85 | $6,414.75 | $13.46 – $81.70 | 2 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $2,839.91 | $4,733.19 | $48.38 – $67.73 | 2 |
| Immune globulin ig human im use 90281 CPT 90281 | $34.80 | $58.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $180.00 | $300.00 | $20.81 – $20.81 | 1 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $126.60 | $211.00 | $20.81 – $20.81 | 1 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $25.57 | 1 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $178.20 | $297.00 | $11.98 – $11.98 | 1 |
| Immunodiffusion nes CPT 86329 | $84.00 | $140.00 | $14.05 – $14.05 | 1 |
| Immunoelectrophoresis assay CPT 86327 | $285.00 | $475.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $155.40 | $259.00 | $22.34 – $22.34 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $267.60 | $446.00 | $164.03 – $229.64 | 2 |
| Immunoglobulin assay CPT 86023 | $78.00 | $130.00 | $12.46 – $12.46 | 1 |
| Immunology procedure CPT 86849 | $653.40 | $1,089.00 | not published | 0 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Impedence cardiogram CPT 93701 | $138.00 | $230.00 | $123.39 – $149.50 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $15,714.14 – $21,999.80 | 2 |
| Implant biventricular device 33976 CPT 33976 | $3,280.80 | $5,468.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $12,203.40 | $20,339.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $30,447.08 – $42,625.91 | 2 |
| Implant eye drug system CPT 67027 | not published | not published | $14,707.52 – $20,590.53 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | $190.20 | $317.00 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,282.14 – $8,794.99 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,282.14 – $8,794.99 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $531.00 | $885.00 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | $6,750.60 | $11,251.00 | not published | 0 |
| Implant spinal canal cath CPT 62351 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Implant spine infusion pump CPT 62361 | not published | not published | $16,918.02 – $23,685.23 | 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.