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 |
|---|---|---|---|---|
| Implant spine infusion pump CPT 62362 | $777.60 | $1,296.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $7,296.00 | $12,160.00 | $3,551.60 – $6,282.14 | 2 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $204.00 | $340.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $726.60 | $1,211.00 | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | $153.00 | $255.00 | not published | 0 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $528.86 – $740.40 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $9.00 | $15.00 | not published | 0 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $222.29 – $311.20 | 2 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.29 – $60.61 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,642.80 | $2,738.00 | $1,031.39 – $1,443.95 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $3,093.00 | $5,155.00 | $798.02 – $1,117.23 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,642.80 | $2,738.00 | $772.64 – $1,081.70 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $715.29 – $1,001.41 | 2 |
| In-111 pentetreotide HCPCS A9572 | $2,763.60 | $4,606.00 | $1,914.61 – $2,680.45 | 2 |
| In-111 satumomab pend HCPCS A4642 | $2,197.20 | $3,662.00 | not published | 0 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $927.11 – $1,297.95 | 2 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise inner ear CPT 69801 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $525.13 – $735.18 | 2 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Incise inner eye strands CPT 67030 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incise perq finger tendon 26060 CPT 26060 | $478.80 | $798.00 | not published | 0 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $6,130.10 – $8,582.15 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $6,130.10 – $8,582.15 | 2 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Incise tear duct opening 68440 CPT 68440 | $181.80 | $303.00 | not published | 0 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision anal septum infant CPT 46070 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,657.20 | $2,762.00 | $1,550.93 – $1,795.30 | 2 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $1,346.40 | $2,244.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incision of achilles tendon CPT 27606 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of anal sphincter CPT 46080 | $441.60 | $736.00 | not published | 0 |
| Incision of ankle bone CPT 28302 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of bile duct 47420 CPT 47420 | $2,401.80 | $4,003.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $1,539.60 | $2,566.00 | $1,550.93 – $1,667.90 | 2 |
| Incision of brow nerve CPT 64732 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of burn scab initi CPT 16035 | $226.80 | $378.00 | $245.70 – $382.44 | 2 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of chin nerve CPT 64736 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of eardrum CPT 69420 | $357.60 | $596.00 | not published | 0 |
| Incision of eardrum CPT 69421 | $281.40 | $469.00 | not published | 0 |
| Incision of esophagus CPT 43020 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Incision of eye CPT 65850 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incision of eye CPT 66172 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incision of eyelid CPT 67710 | not published | not published | $927.11 – $1,297.95 | 2 |
| Incision of facial nerve CPT 64742 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of fibula CPT 27707 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incision of foot fascia CPT 28008 | $786.60 | $1,311.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | $744.60 | $1,241.00 | not published | 0 |
| Incision of gallbladder 47480 CPT 47480 | $1,571.40 | $2,619.00 | not published | 0 |
| Incision of heel bone CPT 28300 | $1,203.60 | $2,006.00 | not published | 0 |
| Incision of hip tendon CPT 27000 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incision of hip tendon CPT 27001 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of hip tendon CPT 27003 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of hip tendons CPT 27006 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of iris CPT 66500 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incision of iris CPT 66505 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incision of jaw joint CPT 21010 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Incision of jaw nerve CPT 64738 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of knee joint CPT 27435 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of lymph channels CPT 38308 | not published | not published | $3,665.46 – $5,131.65 | 2 |
| Incision of metatarsal CPT 28306 | $1,113.00 | $1,855.00 | not published | 0 |
| Incision of metatarsal CPT 28307 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of metatarsal CPT 28308 | $1,014.60 | $1,691.00 | not published | 0 |
| Incision of metatarsals CPT 28309 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of midfoot bones CPT 28304 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of prostate CPT 52450 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Incision of pyloric muscle 43520 CPT 43520 | $1,243.80 | $2,073.00 | not published | 0 |
| Incision of rectal abscess CPT 46060 | $849.00 | $1,415.00 | 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.