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 |
|---|---|---|---|---|
| Incision of small bowel 44010 CPT 44010 | $1,362.00 | $2,270.00 | not published | 0 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Incision of spinal nerve 64772 CPT 64772 | $1,043.40 | $1,739.00 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision of tibia CPT 27705 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Incision of toe tendons 28011 CPT 28011 | $500.40 | $834.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $382.20 | $637.00 | not published | 0 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Incision of urethra CPT 53000 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Incision of urethra CPT 53010 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Incision of urethra CPT 53020 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Incision of urethra CPT 53025 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Incision of windpipe CPT 31610 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Incision tendon sheath CPT 26055 | $1,009.80 | $1,683.00 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $388.80 | $648.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $734.40 | $1,224.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | $890.93 | $1,484.89 | $5.31 – $7.43 | 2 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $9.96 – $13.94 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | $955.20 | $1,592.00 | not published | 0 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $812.40 | $1,354.00 | not published | 0 |
| Induced abortion d&c CPT 59840 | $486.60 | $811.00 | not published | 0 |
| Induced abortion dilat&evac CPT 59841 | $747.00 | $1,245.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $70.20 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $426.00 | $710.00 | $130.35 – $130.35 | 1 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $104.40 | $174.00 | $15.00 – $15.00 | 1 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $14.13 | 1 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $257.45 | 1 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $257.45 | 1 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $420.60 | $701.00 | $128.73 – $128.73 | 1 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $841.80 | $1,403.00 | $257.45 – $257.45 | 1 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $32.77 | 1 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $35.29 | 1 |
| Infect ag ia optc obs influenza CPT 87804 | $34.80 | $58.00 | $16.55 – $16.55 | 1 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $136.20 | $227.00 | $11.98 – $11.98 | 1 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $18.36 | 1 |
| Infect ag if influenza a CPT 87276 | $38.40 | $64.00 | $16.07 – $16.07 | 1 |
| Infect ag if influenza b CPT 87275 | $30.00 | $50.00 | $12.25 – $12.25 | 1 |
| Infect ag if legionella pneumophila CPT 87278 | $94.20 | $157.00 | $15.60 – $15.60 | 1 |
| Infect ag if nos ea CPT 87299 | $67.80 | $113.00 | $16.10 – $16.10 | 1 |
| Infect ag if pneumocystis carinii CPT 87281 | $124.20 | $207.00 | $11.98 – $11.98 | 1 |
| Infect ag if varicella zoster CPT 87290 | $64.80 | $108.00 | $13.42 – $13.42 | 1 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $53.47 | 1 |
| Infect ag na hep b amp CPT 87516 | $280.80 | $468.00 | $35.09 – $35.09 | 1 |
| Infect ag na herpes simplex quant CPT 87530 | $145.20 | $242.00 | $42.84 – $42.84 | 1 |
| Infect ag na hpv high-risk types CPT 87624 | $88.80 | $148.00 | $35.09 – $35.09 | 1 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $280.80 | $468.00 | $95.80 – $95.80 | 1 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $54.00 | $90.00 | $51.31 – $51.31 | 1 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $69.60 | $116.00 | $51.31 – $51.31 | 1 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $750.60 | $1,251.00 | $416.78 – $416.78 | 1 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,596.00 | $2,660.00 | $488.66 – $488.66 | 1 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $94.20 | $157.00 | $26.07 – $26.07 | 1 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $33.00 | $55.00 | $41.38 – $41.38 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $166.80 | $278.00 | $11.98 – $11.98 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $111.60 | $186.00 | $13.42 – $13.42 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $75.60 | $126.00 | $13.82 – $13.82 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $58.20 | $97.00 | $11.98 – $11.98 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $174.60 | $291.00 | $14.38 – $14.38 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $79.80 | $133.00 | $10.33 – $10.33 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $45.00 | $75.00 | $10.33 – $10.33 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $79.20 | $132.00 | $24.08 – $24.08 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $134.40 | $224.00 | $11.98 – $11.98 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $88.80 | $148.00 | $11.98 – $11.98 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $63.60 | $106.00 | $11.98 – $11.98 | 1 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $439.20 | $732.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $144.00 | $240.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $193.20 | $322.00 | $37.27 – $37.27 | 1 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $750.60 | $1,251.00 | $416.78 – $416.78 | 1 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $394.20 | $657.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $164.40 | $274.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $369.60 | $616.00 | $41.68 – $41.68 | 1 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $119.40 | $199.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $123.00 | $205.00 | $51.31 – $51.31 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $176.40 | $294.00 | $142.63 – $142.63 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $239.40 | $399.00 | $142.63 – $142.63 | 1 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $91.20 | $152.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $115.20 | $192.00 | $35.09 – $35.09 | 1 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $76.77 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,000.20 | $1,667.00 | $416.78 – $416.78 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $128.29 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $262.99 | 1 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $285.60 | $476.00 | $42.84 – $42.84 | 1 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $374.40 | $624.00 | $42.84 – $42.84 | 1 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $449.40 | $749.00 | $42.84 – $42.84 | 1 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $405.00 | $675.00 | $85.10 – $85.10 | 1 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $142.63 – $142.63 | 1 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,080.85 | $3,468.09 | $31.18 – $43.65 | 2 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $898.02 | $1,496.70 | $20.89 – $29.25 | 2 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,688.47 | $2,814.12 | $19.68 – $27.55 | 2 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $29.22 | 1 |
| Infuse radioactive materials CPT 77750 | $334.80 | $558.00 | $251.73 – $352.42 | 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.