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 |
|---|---|---|---|---|
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $872.71 – $1,221.79 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $852.20 – $1,193.08 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $371.70 – $520.38 | 2 |
| Injection, isavuconazonium HCPCS J1833 | $674.71 | $1,124.52 | $1.01 – $1.41 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $8.02 | 2 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $68.13 – $95.38 | 2 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,872.18 | $3,120.30 | $6.50 – $9.10 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $2.35 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $232.81 – $325.93 | 2 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $75.00 | $125.00 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $1,346.83 | $2,244.71 | $25.05 – $35.07 | 2 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.74 – $51.44 | 2 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $673.80 | $1,123.00 | $662.89 – $729.95 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $712.20 | $1,187.00 | $662.89 – $771.55 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $398.40 | $664.00 | $431.60 – $662.89 | 2 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,599.60 | $2,666.00 | $852.20 – $1,155.05 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,076.40 | $1,794.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,413.00 | $2,355.00 | $803.40 – $852.20 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,076.40 | $1,794.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,413.00 | $2,355.00 | $803.40 – $852.20 | 2 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $528.60 | $881.00 | $572.65 – $662.89 | 2 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $553.80 | $923.00 | $599.95 – $662.89 | 2 |
| Injection, siltuximab HCPCS J2860 | $9,427.67 | $15,712.78 | $161.96 – $226.74 | 2 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $301.20 | $502.00 | $282.56 – $326.30 | 2 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $301.20 | $502.00 | $282.56 – $326.30 | 2 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $377.40 | $629.00 | $282.56 – $395.59 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $95.40 | $159.00 | not published | 0 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $26.06 | $43.43 | not published | 0 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $852.20 – $1,193.08 | 2 |
| Injection treatment of nose CPT 30200 | not published | not published | $487.46 – $682.45 | 2 |
| Inject sacroiliac joint CPT 27096 | $1,011.00 | $1,685.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | not published | not published | $286.14 – $400.60 | 2 |
| Inject/treat eye socket CPT 67505 | not published | not published | $286.14 – $400.60 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $286.14 – $400.60 | 2 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.35 – $43.89 | 2 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.49 – $58.09 | 2 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.74 – $47.24 | 2 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.12 – $29.57 | 2 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $381.64 – $534.30 | 2 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $57.43 – $80.40 | 2 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $181.80 | $303.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $156.60 | $261.00 | not published | 0 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $17.15 – $24.01 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.75 – $265.65 | 2 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.37 – $24.32 | 2 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $3,264,800.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.91 – $13.87 | 2 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.48 – $48.27 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $18.95 – $26.53 | 2 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.43 – $196.60 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.21 – $1.69 | 2 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.43 – $10.40 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.87 – $4.02 | 2 |
| Inj for ext venography CPT 36005 | $628.80 | $1,048.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $399.60 | $666.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.13 – $1.58 | 2 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $606.35 – $848.89 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $4.65 | 2 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $46.21 – $64.69 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.19 – $164.07 | 2 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,770.57 – $3,878.80 | 2 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.85 – $2.59 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.96 – $6.94 | 2 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $74.86 – $104.80 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,685,266.67 – $5,159,373.34 | 2 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $18.40 | $30.66 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $8,322.19 | $13,870.31 | $62.97 – $88.16 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $77.49 – $108.49 | 2 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,526.60 | $4,211.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $522.60 | $871.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $526.80 | $878.00 | not published | 0 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $653.40 | $1,089.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $146.40 | $244.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $2.13 | 2 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,528.67 | $2,547.79 | $5.18 – $7.25 | 2 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $1,271.73 | $2,119.55 | not published | 0 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.39 – $111.15 | 2 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $8.92 – $12.49 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.61 – $3.65 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.13 – $0.18 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $494.43 – $692.20 | 2 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $534.60 | $891.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $133.80 | $223.00 | $144.95 – $190.20 | 2 |
| Inj intralesional > 7 lsns CPT 11901 | $127.80 | $213.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.96 – $18.14 | 2 |
| Inj ivig privigen 500 mg HCPCS J1459 | $11,894.53 | $19,824.21 | $50.43 – $70.60 | 2 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $2.67 | 2 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $3.71 | 2 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.58 – $2.21 | 2 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $15,763.10 | $26,271.83 | $24.45 – $34.23 | 2 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.33 – $1.86 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.02 – $30.83 | 2 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $77.55 | $129.25 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $386.42 | $644.04 | $7.10 – $9.94 | 2 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $7.20 | 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.