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 |
|---|---|---|---|---|
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $484.73 | $807.88 | not published | 0 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $380.22 | $633.70 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $59,306.92 | $98,844.87 | $183.41 – $256.77 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $148.20 | $247.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $226.20 | $377.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $284.40 | $474.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $112.20 | $187.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $1,060.36 | $1,767.26 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $4,940.54 | $8,234.23 | $65.26 – $91.36 | 2 |
| Iron CPT 83540 | $231.00 | $385.00 | $6.47 – $6.47 | 1 |
| Iron binding capacity CPT 83550 | $49.20 | $82.00 | $8.74 – $8.74 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $72.32 | $120.53 | $18.03 – $25.24 | 2 |
| Iron stain peripheral blood CPT 85536 | $334.80 | $558.00 | $6.88 – $6.88 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $120.85 | $201.42 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $304.20 | $507.00 | $31.85 – $37.57 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $126.00 | $210.00 | $56.86 – $79.60 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Irrigation syringe HCPCS A4322 | $20.40 | $34.00 | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $85.80 | $143.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $6,713.14 | $11,188.56 | $82.86 – $116.00 | 2 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $622.67 – $871.74 | 2 |
| Ivc venogram s&i CPT 75825 | $3,871.20 | $6,452.00 | $2,290.60 – $3,012.85 | 2 |
| IV Fluids (each additional hour) CPT 96361 | $54.00 | $90.00 | $44.17 – $58.50 | 2 |
| IV Fluids (first hour) CPT 96360 | $266.40 | $444.00 | $201.68 – $282.35 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $132.60 | $221.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $384.64 – $538.50 | 2 |
| IV Medicine Infusion (additional drug) CPT 96367 | $99.60 | $166.00 | $68.13 – $95.38 | 2 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $57.00 | $95.00 | $32.50 – $44.17 | 2 |
| IV Medicine Infusion (first hour) CPT 96365 | $277.80 | $463.00 | $201.68 – $278.20 | 2 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $381.97 – $534.76 | 2 |
| IV Push Injection (each additional drug) CPT 96375 | $61.20 | $102.00 | $44.17 – $61.83 | 2 |
| IV Push Injection (first drug) CPT 96374 | $162.60 | $271.00 | $152.75 – $201.68 | 2 |
| Ivp w/nephrotomography CPT 74415 | $440.40 | $734.00 | $170.40 – $238.57 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $390.00 | $650.00 | $170.40 – $238.57 | 2 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $5,633.09 | $9,388.48 | $138.67 – $194.14 | 2 |
| Jak2 targeted sequence analysis CPT 81279 | $444.60 | $741.00 | $185.20 – $185.20 | 1 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $212.40 | $354.00 | $84.28 – $118.00 | 2 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $213.00 | $355.00 | $101.79 – $142.51 | 2 |
| Jejunstmy tube plcmt CPT 44372 | $346.80 | $578.00 | not published | 0 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $16.89 | 1 |
| J-tube placement CPT 44015 | $416.40 | $694.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | not published | not published | $13,678.01 – $19,149.22 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $70.80 | $118.00 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | $242.40 | $404.00 | $15.47 – $15.47 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $39.00 | $65.00 | $8.17 – $8.17 | 1 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $25.15 | $41.92 | $0.34 – $0.47 | 2 |
| Kidney endoscopy CPT 50551 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy CPT 50553 | $4,414.20 | $7,357.00 | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Kidney endoscopy CPT 50575 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Kidney function study CPT 78725 | not published | not published | $384.64 – $538.50 | 2 |
| Kidney imaging morphology CPT 78700 | $693.60 | $1,156.00 | $384.64 – $538.50 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | $639.60 | $1,066.00 | $515.24 – $692.90 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $738.60 | $1,231.00 | $515.24 – $721.34 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $444.60 | $741.00 | $101.79 – $142.51 | 2 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $340.20 | $567.00 | $101.79 – $142.51 | 2 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $82.20 | $137.00 | not published | 0 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $6.00 | $10.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,575.00 | $17,625.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $124.87 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $12,555.00 | $20,925.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,777.20 | $2,962.00 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,969.20 | $3,282.00 | not published | 0 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $2,514.00 | $4,190.00 | $341.85 – $478.59 | 2 |
| Knee MRI (with contrast) CPT 73722 | $1,818.00 | $3,030.00 | $756.26 – $1,058.77 | 2 |
| Knee MRI (without contrast) CPT 73721 | $2,406.00 | $4,010.00 | $231.38 – $323.93 | 2 |
| Knee X-ray CPT 73564 | $268.20 | $447.00 | $101.79 – $142.51 | 2 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $217.80 | $363.00 | $84.28 – $118.00 | 2 |
| Knee X-ray (3 views, both knees) CPT 73562 | $264.00 | $440.00 | $84.28 – $118.00 | 2 |
| Knee X-ray (standing, both knees) CPT 73565 | $117.00 | $195.00 | $84.28 – $118.00 | 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.