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 |
|---|---|---|---|---|
| Mayo tgrp testosterone free CPT 84402 | $210.60 | $351.00 | $25.47 – $25.47 | 1 |
| Mayo tgrp testosterone total CPT 84403 | $153.00 | $255.00 | $25.81 – $25.81 | 1 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $22.17 | 1 |
| Mayo thyroglobulin CPT 84432 | $142.80 | $238.00 | $16.06 – $16.06 | 1 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $145.20 | $242.00 | $10.18 – $10.18 | 1 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $109.80 | $183.00 | $12.39 – $12.39 | 1 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $274.80 | $458.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $51.28 | 1 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $17.40 | $29.00 | $14.16 – $14.16 | 1 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $43.20 | $72.00 | $13.54 – $13.54 | 1 |
| Mayo vasoactive intestinal peptide CPT 84586 | $290.40 | $484.00 | $35.33 – $35.33 | 1 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $194.40 | $324.00 | $20.24 – $20.24 | 1 |
| Mayo vitamin b3 (niacin) CPT 84591 | $270.00 | $450.00 | $17.06 – $17.06 | 1 |
| Mayo vitamin k CPT 84597 | $264.60 | $441.00 | $13.72 – $13.72 | 1 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $42.00 | $70.00 | $13.25 – $13.25 | 1 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $1,570.20 | $2,617.00 | not published | 0 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $39.31 | 1 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $1,020.00 | $1,700.00 | not published | 0 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Md service required for pmd HCPCS G0372 | $16.20 | $27.00 | not published | 0 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $507.90 – $711.06 | 2 |
| Measure kidney pressure CPT 50396 | not published | not published | $638.92 – $894.48 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | $102.00 | $170.00 | $56.86 – $79.60 | 2 |
| Measure ureter pressure CPT 50686 | not published | not published | $149.77 – $209.67 | 2 |
| Mechlorethamine hcl inj HCPCS J9230 | $292.91 | $488.18 | not published | 0 |
| #mec-opiates CPT 80356 | $292.20 | $487.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $150.00 | 1 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $527.87 | 1 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $120.00 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $411.60 | $686.00 | not published | 0 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $485.40 | $809.00 | not published | 0 |
| Medical services after hrs CPT 99050 | $46.80 | $78.00 | not published | 0 |
| Medical testimony CPT 99075 | $354.00 | $590.00 | not published | 0 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $507.90 – $711.06 | 2 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $156.85 | $261.41 | not published | 0 |
| Meg evoked single CPT 95966 | not published | not published | $973.87 – $1,363.41 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $973.87 – $1,363.41 | 2 |
| Melphalan oral 2 mg HCPCS J8600 | $14.26 | $23.76 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $4,725.00 | $7,875.00 | not published | 0 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $59.08 | $98.47 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $6,343.37 | $10,572.29 | $31.33 – $43.86 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $846.21 | $1,410.35 | not published | 0 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $481.80 | $803.00 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $352.14 | $586.90 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.20 | $92.00 | $8.46 – $8.46 | 1 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $99.00 | $165.00 | $10.56 – $10.56 | 1 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $13.73 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $248.95 | $414.92 | not published | 0 |
| Methadone injection HCPCS J1230 | $71.31 | $118.85 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $35.37 | $58.95 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $10.88 | $18.14 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $106.46 | $177.43 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $56.40 | $94.00 | $38.57 – $38.57 | 1 |
| Methyldopate hcl injection HCPCS J0210 | $49.32 | $82.20 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $7.86 – $11.00 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $26.36 | $43.93 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $284.92 | $474.87 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $54.13 | $90.22 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $47.36 | $78.93 | $0.12 – $0.17 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $126.50 | $210.84 | $0.26 – $0.36 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $18.36 | $30.60 | not published | 0 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $91.16 | 1 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $124.64 | 1 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $360.82 | $601.37 | not published | 0 |
| Microalbumin urine screen CPT 82044 | $33.00 | $55.00 | $6.23 – $6.23 | 1 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $40.17 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $22.48 | 1 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $348.56 | 1 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $383.40 | $639.00 | not published | 0 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $149.77 – $209.67 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,590.05 – $5,026.08 | 2 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $150.60 | $251.00 | $84.28 – $118.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $61.52 | $102.53 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $101.79 – $142.51 | 2 |
| Mifepristone 200 mg ta HCPCS S0190 | $134.52 | $224.20 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $263.72 | $439.53 | not published | 0 |
| Minocycline hydrochloride HCPCS J2265 | $452.93 | $754.88 | $2.67 – $3.74 | 2 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $69.52 – $97.33 | 2 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,324.00 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,130.88 | $3,551.47 | $28.27 – $39.58 | 2 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $317.42 – $444.39 | 2 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $2,274.68 | $3,791.13 | $29.60 – $41.44 | 2 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $5,207.40 | $8,679.00 | not published | 0 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $192.32 | 1 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $202.40 | 1 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $675.40 | 1 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $331.00 | 1 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $28.05 – $28.05 | 1 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $7.92 – $7.92 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $84.28 – $118.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | $84.00 | $140.00 | not published | 0 |
| Mobilization of colon 44139 CPT 44139 | $241.80 | $403.00 | 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.