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 |
|---|---|---|---|---|
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $20,203.54 | $33,672.56 | $41.96 – $58.74 | 2 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $312.69 – $437.77 | 2 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $253.18 – $354.45 | 2 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.44 – $32.82 | 2 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $20.05 | 1 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,272.00 | $2,120.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $994.80 | $1,658.00 | $515.24 – $721.34 | 2 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $36.56 | 1 |
| Lymphocyte transformation mitogen CPT 86353 | $463.80 | $773.00 | $49.03 – $49.03 | 1 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $189.51 | 1 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $47.59 | 1 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $591.81 – $828.54 | 2 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,486.98 – $2,081.78 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | $1,184.40 | $1,974.00 | $1,283.10 – $3,012.85 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | $1,437.60 | $2,396.00 | $1,557.40 – $3,012.85 | 2 |
| Lysis intranasal synechia 30560 CPT 30560 | $501.60 | $836.00 | not published | 0 |
| Lysis of labial adhesions CPT 56441 | $268.20 | $447.00 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $486.60 | $811.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $52.20 | $87.00 | $4.27 – $4.27 | 1 |
| Macroscopic exam parasite CPT 87169 | $28.20 | $47.00 | $4.31 – $4.31 | 1 |
| Magnesium CPT 83735 | $90.00 | $150.00 | $6.70 – $6.70 | 1 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $221.80 | $369.67 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $231.38 – $323.93 | 2 |
| Makena, 10 mg HCPCS J1726 | $6,123.06 | $10,205.10 | not published | 0 |
| Malaria antibody CPT 86750 | $53.40 | $89.00 | $13.19 – $13.19 | 1 |
| Male sling procedure CPT 53440 | not published | not published | $12,436.60 – $17,411.25 | 2 |
| Management of liver hemorrhage 47361 CPT 47361 | $4,174.20 | $6,957.00 | not published | 0 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Manipulation of spine CPT 22505 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $229.62 – $321.47 | 2 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $17.38 | $28.96 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | $17.40 | $29.00 | $5.07 – $5.07 | 1 |
| Mapping io sentinel lymph node CPT 38900 | $244.80 | $408.00 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $1,279.80 | $2,133.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $50.45 – $70.63 | 2 |
| Marker biop eviva buckle ss HCPCS A4648 | $616.80 | $1,028.00 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $11,379.91 – $15,931.87 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | $2,026.80 | $3,378.00 | not published | 0 |
| Mastectomy partial CPT 19301 | $1,153.80 | $1,923.00 | not published | 0 |
| Mast mod rad CPT 19307 | $2,123.40 | $3,539.00 | not published | 0 |
| Mastoidectomy CPT 69501 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Mastoidectomy complete 69502 CPT 69502 | $1,818.60 | $3,031.00 | not published | 0 |
| Mastoids complete CPT 70130 | $215.40 | $359.00 | $101.79 – $142.51 | 2 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Mastopexy CPT 19316 | $1,673.40 | $2,789.00 | not published | 0 |
| Mast simple complete CPT 19303 | $1,787.40 | $2,979.00 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $35.09 | 1 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $27.29 | 1 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $42.84 | 1 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $103.20 | $172.00 | $14.46 – $14.46 | 1 |
| Mayo aathr protein s free CPT 85306 | $243.00 | $405.00 | $15.32 – $15.32 | 1 |
| Mayo activated protein c resistance assay CPT 85307 | $250.80 | $418.00 | $15.32 – $15.32 | 1 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $98.40 | $164.00 | $38.57 – $38.57 | 1 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $206.40 | $344.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $206.40 | $344.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $289.80 | $483.00 | $14.78 – $14.78 | 1 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $186.60 | $311.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $138.60 | $231.00 | $13.44 – $13.44 | 1 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $109.80 | $183.00 | $15.08 – $15.08 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $336.00 | $560.00 | $121.63 – $121.63 | 1 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $280.20 | $467.00 | $91.66 – $91.66 | 1 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $137.00 | 1 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,462.80 | $2,438.00 | $1,160.00 – $1,160.00 | 1 |
| Mayo androstenedione CPT 82157 | $240.00 | $400.00 | $29.28 – $29.28 | 1 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $149.40 | $249.00 | $14.60 – $14.60 | 1 |
| Mayo antithrombin iii antigen CPT 85301 | $283.20 | $472.00 | $10.81 – $10.81 | 1 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $74.40 | $124.00 | $15.05 – $15.05 | 1 |
| Mayo avwpr vw factor activity CPT 85397 | $252.00 | $420.00 | $30.86 – $30.86 | 1 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $35.09 | 1 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $274.80 | $458.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $41.40 | $69.00 | $10.18 – $10.18 | 1 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $366.60 | $611.00 | $144.84 – $144.84 | 1 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $214.62 | 1 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $227.40 | $379.00 | $12.90 – $12.90 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $204.00 | $340.00 | $13.19 – $13.19 | 1 |
| Mayo brcmg brucella antibody igm CPT 86622 | $114.60 | $191.00 | $8.93 – $8.93 | 1 |
| Mayo c1 esterase inhibitor CPT 83883 | $224.40 | $374.00 | $13.60 – $13.60 | 1 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $206.40 | $344.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $211.80 | $353.00 | $16.87 – $16.87 | 1 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $306.60 | $511.00 | $26.78 – $26.78 | 1 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $122.22 | 1 |
| Mayo ceruloplasmin CPT 82390 | $139.80 | $233.00 | $10.74 – $10.74 | 1 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $462.00 | $770.00 | $14.12 – $14.12 | 1 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $198.60 | $331.00 | $12.88 – $12.88 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $109.20 | $182.00 | $11.82 – $11.82 | 1 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $69.60 | $116.00 | $12.68 – $12.68 | 1 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $730.20 | $1,217.00 | $116.49 – $116.49 | 1 |
| Mayo chromium CPT 82495 | $78.00 | $130.00 | $20.28 – $20.28 | 1 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $192.00 | $320.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $118.20 | $197.00 | $11.47 – $11.47 | 1 |
| Mayo cocou cortisone urine CPT 82542 | $259.20 | $432.00 | $24.09 – $24.09 | 1 |
| Mayo cortisol free CPT 82530 | $192.00 | $320.00 | $16.71 – $16.71 | 1 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $45.00 | $75.00 | $42.13 – $42.13 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $96.60 | $161.00 | $12.12 – $12.12 | 1 |
| Mayo cyanide CPT 82600 | $187.80 | $313.00 | $19.40 – $19.40 | 1 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $164.03 – $229.64 | 2 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $95.40 | $159.00 | $13.25 – $13.25 | 1 |
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.