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 |
|---|---|---|---|---|
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $254.22 – $355.91 | 2 |
| Application clubfoot cast CPT 29450 | not published | not published | $151.04 – $211.46 | 2 |
| Application finger splntstatic 29130 CPT 29130 | $129.00 | $215.00 | $123.39 – $139.75 | 2 |
| Application halo femoral CPT 20663 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Application halo pelvic CPT 20662 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Application long leg splint 29505 CPT 29505 | $192.00 | $320.00 | $151.04 – $208.00 | 2 |
| Application lower leg splint 29515 CPT 29515 | $305.40 | $509.00 | $151.04 – $211.46 | 2 |
| Application multi layer compression below knee (both sides) CPT 29581 | $242.40 | $404.00 | $151.04 – $174.85 | 2 |
| Application of body cast CPT 29010 | not published | not published | $254.22 – $355.91 | 2 |
| Application of body cast CPT 29015 | not published | not published | $254.22 – $355.91 | 2 |
| Application of cylinder cast 29365 CPT 29365 | $286.20 | $477.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $265.80 | $443.00 | $165.10 – $254.22 | 2 |
| Application of long arm cast 29065 CPT 29065 | $231.00 | $385.00 | $250.25 – $254.22 | 2 |
| Application of long leg cast CPT 29355 | not published | not published | $254.22 – $355.91 | 2 |
| Application of long leg cast 29345 CPT 29345 | $399.00 | $665.00 | $254.22 – $287.95 | 2 |
| Application of paste boot 29580 CPT 29580 | $177.60 | $296.00 | $151.04 – $192.40 | 2 |
| Application short leg cast 29405 CPT 29405 | $286.20 | $477.00 | $206.70 – $254.22 | 2 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $512.40 | $854.00 | $555.10 – $1,750.98 | 2 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,907.40 | $3,179.00 | $1,750.98 – $2,066.35 | 2 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $43.80 | $73.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | not published | not published | $254.22 – $355.91 | 2 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $49.80 | $83.00 | $7.89 – $7.89 | 1 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $66.60 | $111.00 | $14.87 – $14.87 | 1 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.57 – $52.60 | 2 |
| Appl multlay comprs arm/hand CPT 29584 | $205.80 | $343.00 | $151.04 – $211.46 | 2 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $254.22 – $355.91 | 2 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Apply finger cast 29086 CPT 29086 | $161.40 | $269.00 | $151.04 – $174.85 | 2 |
| Apply forearm splintdynamic 29126 CPT 29126 | $138.60 | $231.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $170.40 | $284.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $3,097.80 | $5,163.00 | $664.13 – $929.78 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $664.13 – $929.78 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $553.72 – $775.21 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $553.72 – $775.21 | 2 |
| Apply of finger splint 29131 CPT 29131 | $94.20 | $157.00 | not published | 0 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Apply rigid leg cast 29445 CPT 29445 | $370.80 | $618.00 | $254.22 – $355.91 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | $145.80 | $243.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $104.82 – $146.74 | 2 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $45.89 – $45.89 | 1 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| App topical fluoride varnish CPT 99188 | $9.60 | $16.00 | not published | 0 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.77 – $2.48 | 2 |
| #aptt mix-1:1 incubated CPT 87532 | $237.60 | $396.00 | $35.09 – $35.09 | 1 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $37.73 – $37.73 | 1 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $12.05 | 1 |
| Aquaporin-4 antibody elisa CPT 86051 | $360.00 | $600.00 | $11.53 – $11.53 | 1 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $66.60 | $111.00 | $46.97 – $46.97 | 1 |
| Aquatic exercise - group charge CPT 97150 | $501.60 | $836.00 | $22.65 – $22.65 | 1 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $2.55 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.45 – $2.03 | 2 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,254.28 | $3,757.14 | $0.74 – $1.04 | 2 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $137.00 | 1 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $301.35 | 1 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $185.20 | 1 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $5,324.84 | $8,874.73 | $3.33 – $4.66 | 2 |
| Aripiprazole injection HCPCS J0400 | $61.73 | $102.88 | not published | 0 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,560.60 | $2,601.00 | $341.85 – $478.59 | 2 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,552.80 | $2,588.00 | $101.79 – $142.51 | 2 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $141.00 | $235.00 | $101.79 – $142.51 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $1,930.17 | $3,216.95 | $5.86 – $8.20 | 2 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $5,430.00 | $9,050.00 | not published | 0 |
| Art byp aortofemoral 35647 CPT 35647 | $2,245.80 | $3,743.00 | not published | 0 |
| Art byp aortoiliac 35637 CPT 35637 | $3,180.00 | $5,300.00 | not published | 0 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $2,947.80 | $4,913.00 | not published | 0 |
| Art bypass aortobifemoral 35646 CPT 35646 | $3,279.60 | $5,466.00 | not published | 0 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $3,357.00 | $5,595.00 | not published | 0 |
| Art bypass axillary-femoral 35621 CPT 35621 | $2,103.60 | $3,506.00 | not published | 0 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $2,913.00 | $4,855.00 | not published | 0 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $2,538.60 | $4,231.00 | not published | 0 |
| Art bypass common ipsi carotid 35601 CPT 35601 | $2,696.40 | $4,494.00 | not published | 0 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $2,431.20 | $4,052.00 | not published | 0 |
| Art bypass femoral-femoral 35661 CPT 35661 | $2,076.60 | $3,461.00 | not published | 0 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $2,322.60 | $3,871.00 | not published | 0 |
| Art bypass iliofemoral 35665 CPT 35665 | $2,245.80 | $3,743.00 | not published | 0 |
| Art bypass subclav-subclavian 35612 CPT 35612 | $2,272.80 | $3,788.00 | not published | 0 |
| Art byp axillary-axillary 35650 CPT 35650 | $909.00 | $1,515.00 | not published | 0 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $4,855.80 | $8,093.00 | not published | 0 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | $4,375.80 | $7,293.00 | not published | 0 |
| Art byp grft fem-femoral 35558 CPT 35558 | $2,359.20 | $3,932.00 | not published | 0 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $2,672.40 | $4,454.00 | not published | 0 |
| Art byp ilioiliac 35663 CPT 35663 | $1,765.80 | $2,943.00 | not published | 0 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $2,547.00 | $4,245.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $461.40 | $769.00 | not published | 0 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $1,785.60 | $2,976.00 | not published | 0 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Artery-vein nonautograft CPT 36830 | $1,236.00 | $2,060.00 | not published | 0 |
| Artery xray each vessel 7577426 CPT 75774 | $1,093.80 | $1,823.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,935.00 | $8,225.00 | $2,999.75 – $5,174.44 | 2 |
| Artery x-rays adrenal gland CPT 75731 | $1,881.60 | $3,136.00 | $1,630.85 – $3,012.85 | 2 |
| Artery x-rays adrenals CPT 75733 | $2,823.60 | $4,706.00 | $2,447.25 – $3,012.85 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,291.60 | $5,486.00 | $326.30 – $3,012.85 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,291.60 | $5,486.00 | $3,012.85 – $3,160.95 | 2 |
| Artery x-rays chest CPT 75756 | not published | not published | $3,012.85 – $4,217.99 | 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.