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 |
|---|---|---|---|---|
| Insj perq vad r hrt venous CPT 33995 | $6,750.60 | $11,251.00 | not published | 0 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $43,075.38 – $60,305.53 | 2 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Ins left heart vent thor inscn ecmo CPT 33988 | $1,629.00 | $2,715.00 | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $11,412.00 | $19,020.00 | $10,017.62 – $12,363.00 | 2 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $1,309.73 – $1,833.62 | 2 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $1,309.73 – $1,833.62 | 2 |
| Ins picad w subq port 5yr> CPT 36571 | $2,359.80 | $3,933.00 | not published | 0 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $844.20 | $1,407.00 | not published | 0 |
| Ins pm gen exist dual lead CPT 33230 | $32,305.80 | $53,843.00 | $21,485.94 – $30,080.32 | 2 |
| Ins pm gen w/exist mlt leads CPT 33221 | $15,494.40 | $25,824.00 | $16,785.60 – $18,255.30 | 2 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $739.80 | $1,233.00 | not published | 0 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $18,978.60 | $31,631.00 | $18,255.30 – $20,560.15 | 2 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $11,412.00 | $19,020.00 | $10,017.62 – $12,363.00 | 2 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $3,937.80 | $6,563.00 | $4,265.95 – $7,921.93 | 2 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $11,412.00 | $19,020.00 | $10,017.62 – $12,363.00 | 2 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $30,168.00 | $50,280.00 | $27,212.17 – $32,682.00 | 2 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Ins subq extnsn pertneal cath CPT 49435 | $218.40 | $364.00 | not published | 0 |
| Install spinal shunt 63741 CPT 63741 | $1,135.80 | $1,893.00 | not published | 0 |
| Inst fibrinolysis agent ini day CPT 32561 | $166.80 | $278.00 | not published | 0 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $150.00 | $250.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $638.92 – $894.48 | 2 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.78 – $1.09 | 2 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $2,154.22 – $3,015.91 | 2 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $232.81 – $325.93 | 2 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $7.68 – $10.75 | 2 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $566.40 | $944.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,801.20 | $3,002.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,709.60 | $4,516.00 | $2,348.45 – $3,012.85 | 2 |
| Ins tun intraperit dia cath CPT 49421 | $3,913.80 | $6,523.00 | $3,378.09 – $4,239.95 | 2 |
| Inst via cath agent pleurds CPT 32560 | $461.40 | $769.00 | not published | 0 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.61 – $165.61 | 1 |
| Insulin tolerance panel CPT 80434 | not published | not published | $285.03 – $285.03 | 1 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $103.00 | 1 |
| Insulin total CPT 83525 | $81.00 | $135.00 | $11.43 – $11.43 | 1 |
| Ins vag brachytx device CPT 57156 | not published | not published | $291.18 – $407.65 | 2 |
| Integra meshed bil wound mat HCPCS C9363 | $13,495.80 | $22,493.00 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $10,981.80 | $18,303.00 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | $33.00 | $55.00 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | $166.80 | $278.00 | $120.52 – $168.73 | 2 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $166.80 | $278.00 | $120.52 – $168.73 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $673.49 – $942.89 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | $559.83 | $933.05 | not published | 0 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $57.47 – $80.46 | 2 |
| Interferon beta-1a inj HCPCS J1826 | $14,089.80 | $23,483.00 | $1,599.80 – $2,203.14 | 2 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $141.38 | $235.63 | not published | 0 |
| Intermediate visual field xm CPT 92082 | not published | not published | $56.86 – $79.60 | 2 |
| Internal nerve revision 64727 CPT 64727 | $454.20 | $757.00 | not published | 0 |
| Interrogate subq defib CPT 93261 | not published | not published | $35.69 – $49.97 | 2 |
| Interrogation vad in person CPT 93750 | not published | not published | $87.86 – $123.01 | 2 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $23.44 – $32.82 | 2 |
| Interrog device eval heart CPT 93289 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $35.69 – $49.97 | 2 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $87.86 – $123.01 | 2 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $287.08 – $401.91 | 2 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $87.86 – $123.01 | 2 |
| Interstitial brachy inter CPT 77799 | $1,645.20 | $2,742.00 | $104.82 – $146.74 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | $544.20 | $907.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $553.80 | $923.00 | not published | 0 |
| Intra-atrial pacing CPT 93610 | $3,729.60 | $6,216.00 | $4,040.40 – $7,263.48 | 2 |
| Intra-atrial recording CPT 93602 | $3,729.60 | $6,216.00 | $4,040.40 – $7,263.48 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $4,412.40 | $7,354.00 | not published | 0 |
| Intracranial complete study CPT 93886 | not published | not published | $231.38 – $323.93 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $101.79 – $142.51 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $192.00 | $320.00 | not published | 0 |
| Intranasal reconstruction CPT 30620 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $3,514.20 | $5,857.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $297.60 | $496.00 | not published | 0 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $84.28 – $118.00 | 2 |
| Intrapul surf admin endo tube CPT 94610 | $84.60 | $141.00 | $73.45 – $194.69 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $418.48 – $585.87 | 2 |
| Intraventricular pacing CPT 93612 | $3,292.80 | $5,488.00 | $3,567.20 – $7,263.48 | 2 |
| Intrinsic factor antibody CPT 86340 | $116.40 | $194.00 | $15.08 – $15.08 | 1 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $123.36 – $172.70 | 2 |
| Intro cath dialysis circuit CPT 36901 | $2,001.60 | $3,336.00 | $1,486.98 – $1,781.65 | 2 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,486.80 | $12,478.00 | $2,948.40 – $5,457.61 | 2 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,918.00 | $21,530.00 | $10,855.42 – $13,994.50 | 2 |
| Intro catheter aorta CPT 36200 | $1,963.80 | $3,273.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,965.00 | $3,275.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $596.40 | $994.00 | $646.10 – $897.45 | 2 |
| Intro long gi tube w/mult fluo CPT 74340 | $450.60 | $751.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,481.60 | $4,136.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,002.60 | $1,671.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $378.00 | $630.00 | $222.29 – $311.20 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $56.86 – $79.60 | 2 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $285.00 | $475.00 | not published | 0 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $199.66 – $279.52 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $35.69 – $49.97 | 2 |
| Ionm in operatng room 15 min CPT 95940 | $68.40 | $114.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $284.99 | $474.98 | 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.