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 |
|---|---|---|---|---|
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $507.90 – $711.06 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $194.69 – $272.56 | 2 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $61.33 – $61.33 | 1 |
| Initial foot exam pt lops HCPCS G0245 | $114.00 | $190.00 | $123.36 – $123.50 | 2 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $671.40 | $1,119.00 | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $241.20 | $402.00 | not published | 0 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $306.60 | $511.00 | not published | 0 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $170.40 | $284.00 | not published | 0 |
| Initial observation care CPT 99218 | $186.60 | $311.00 | not published | 0 |
| Initial observation care CPT 99219 | $255.60 | $426.00 | not published | 0 |
| Initial observation care CPT 99220 | $351.60 | $586.00 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $236.40 | $394.00 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $88.54 – $123.96 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.03 – $8.44 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.24 – $10.14 | 2 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.31 | 2 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $128.42 | 2 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.64 – $14.90 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,431.05 – $88,803.47 | 2 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $8.37 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.59 – $49.83 | 2 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $869.08 – $1,216.71 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $319.74 – $447.64 | 2 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.58 – $2.21 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.54 – $6.36 | 2 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $131.12 – $183.57 | 2 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $42.60 – $59.64 | 2 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.66 – $13.52 | 2 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.56 – $184.18 | 2 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $8,872.01 | $14,786.69 | $18.10 – $25.34 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.92 – $2.69 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $4,078.06 | $6,796.77 | $3.26 – $4.56 | 2 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $72.56 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $496.51 – $695.11 | 2 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $55.30 – $77.42 | 2 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.64 – $44.30 | 2 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $105.90 – $148.26 | 2 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $3,218.92 | $5,364.87 | $80.75 – $113.05 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $9,774.23 | $16,290.38 | $168.13 – $235.38 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,950,686.67 – $4,130,961.34 | 2 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $6,760.17 | $11,266.95 | $39.83 – $55.76 | 2 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $212.36 – $297.30 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $26.21 – $36.69 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.91 – $6.87 | 2 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $16.50 – $23.10 | 2 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $422.83 – $591.96 | 2 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,691.31 – $2,367.83 | 2 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $346.19 – $484.67 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.43 – $2.00 | 2 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.51 – $0.71 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $62.15 – $87.01 | 2 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $22.69 | $37.81 | not published | 0 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $259.70 – $363.58 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.91 – $1.27 | 2 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.00 – $1.40 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $400.15 | $666.91 | $2.40 – $3.36 | 2 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.13 – $12.78 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.40 – $22.96 | 2 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $86.51 – $121.11 | 2 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.80 – $125.72 | 2 |
| Inj, clevidipine butyrate HCPCS C9248 | $174.89 | $291.48 | $2.88 – $4.03 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $144.00 | $240.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,044.14 – $1,461.80 | 2 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $772.11 | 2 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.59 – $24.63 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.00 – $12.60 | 2 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.78 – $1.09 | 2 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,338.80 | $2,231.34 | $1.16 – $1.62 | 2 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $649.55 | $1,082.59 | $4.21 – $5.89 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | $152.35 | $253.91 | not published | 0 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.06 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.11 – $4.35 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,324,571.90 – $4,654,400.66 | 2 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.54 – $38.56 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $343.20 | $572.00 | not published | 0 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $52.47 – $73.46 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $5.80 | 2 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $282.56 – $395.59 | 2 |
| Inj, durolane 1 mg HCPCS J7318 | $1,872.18 | $3,120.30 | $6.68 – $9.35 | 2 |
| Inj dx for sinogram CPT 20501 | $354.00 | $590.00 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | $223.80 | $373.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $394.20 | $657.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $216.00 | $360.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.04 – $72.86 | 2 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $481.57 – $674.20 | 2 |
| Injection, cangrelor HCPCS C9460 | $1,356.24 | $2,260.40 | $19.81 – $27.73 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $600.00 | $1,000.00 | $282.56 – $395.59 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | $4,769.32 | $7,948.87 | $69.84 – $97.78 | 2 |
| Injection, doxercalciferol HCPCS J1270 | $58.44 | $97.40 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $135.60 | $226.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $18.84 – $26.38 | 2 |
| Injection epidural blood patch or clot CPT 62273 | $768.60 | $1,281.00 | $662.89 – $832.65 | 2 |
| Injection eye drug CPT 67028 | not published | not published | $317.50 – $444.50 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $234.00 | $390.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $504.00 | $840.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $3,446.87 | $5,744.78 | $6.98 – $9.77 | 2 |
| Injection glatiramer acetate HCPCS J1595 | $3,493.72 | $5,822.86 | $160.39 – $224.55 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,768.82 | $9,614.70 | $12.35 – $17.29 | 2 |
| Injection into brain canal CPT 61026 | not published | not published | $662.89 – $928.05 | 2 |
| Injection into brain canal CPT 61055 | not published | not published | $282.56 – $395.59 | 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.