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 |
|---|---|---|---|---|
| Modification of contact lens CPT 92325 | not published | not published | $123.39 – $172.74 | 2 |
| Modified maze/limited 33254 CPT 33254 | $2,528.40 | $4,214.00 | not published | 0 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,083.00 | $1,805.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $37.73 – $37.73 | 1 |
| Molecular pathology interpr HCPCS G0452 | $68.40 | $114.00 | not published | 0 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $15.89 | 2 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,451.40 | $17,419.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $2,669.22 | $4,448.70 | $528.58 – $740.01 | 2 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $123.36 – $172.70 | 2 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $63.96 | 1 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $150.33 | 1 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $274.83 | 1 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $301.35 | 1 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $282.88 | 1 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $846.27 | 1 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $2,000.00 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $274.48 | $457.47 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $427.18 | $711.96 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $164.03 – $229.64 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $344.33 – $482.06 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $164.03 – $229.64 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $652.75 – $913.85 | 2 |
| Motion analysis video/3d CPT 96000 | not published | not published | $507.90 – $711.06 | 2 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $973.87 – $1,363.41 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $381.97 – $534.76 | 2 |
| Mouth piece HCPCS A4617 | $3.60 | $6.00 | not published | 0 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $703.20 | $1,172.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $164.03 – $229.64 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $164.03 – $229.64 | 2 |
| Mpl gene analysis common variants CPT 81338 | $336.00 | $560.00 | $150.33 – $150.33 | 1 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $20.05 | 1 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $302.62 | 1 |
| MRA abdomen post contrast CPT 74185 | $3,006.00 | $5,010.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,322.00 | $3,870.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $341.85 – $478.59 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $231.38 – $323.93 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $341.85 – $478.59 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,252.60 | $5,421.00 | not published | 0 |
| MRA pelvis CPT 72198 | $1,826.40 | $3,044.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $341.85 – $478.59 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $231.38 – $323.93 | 2 |
| MRA spinal canal CPT 72159 | $2,378.40 | $3,964.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,937.00 | $4,895.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $341.85 – $478.59 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $231.38 – $323.93 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $231.38 – $323.93 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $231.38 – $323.93 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $231.38 – $323.93 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $341.85 – $478.59 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $341.85 – $478.59 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $341.85 – $478.59 | 2 |
| Mr elastography CPT 76391 | not published | not published | $231.38 – $323.93 | 2 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $170.40 – $238.57 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $524.84 – $734.78 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $170.40 – $238.57 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $231.38 – $323.93 | 2 |
| MRI breast without cont bi CPT 77047 | $1,054.20 | $1,757.00 | $231.38 – $323.93 | 2 |
| MRI breast w IV cont bi CPT 77049 | $1,543.20 | $2,572.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,128.60 | $1,881.00 | $231.38 – $323.93 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,372.80 | $2,288.00 | $341.85 – $478.59 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,288.40 | $3,814.00 | $756.26 – $1,058.77 | 2 |
| MRI chest without contrast CPT 71550 | $1,311.60 | $2,186.00 | $231.38 – $323.93 | 2 |
| MRI chest without & w/contrast CPT 71552 | $2,110.80 | $3,518.00 | $341.85 – $478.59 | 2 |
| MRI chest w IV cont CPT 71551 | $1,425.00 | $2,375.00 | $756.26 – $1,058.77 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $231.38 – $323.93 | 2 |
| MRI guid ndl plc s&i CPT 77021 | $744.60 | $1,241.00 | not published | 0 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,197.00 – $1,675.81 | 2 |
| MRI loex nonjt w IV cont CPT 73719 | $2,143.20 | $3,572.00 | $341.85 – $478.59 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,208.60 | $3,681.00 | $231.38 – $323.93 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,472.20 | $5,787.00 | $341.85 – $478.59 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,522.20 | $2,537.00 | $341.85 – $478.59 | 2 |
| MRI tmj CPT 70336 | $1,141.80 | $1,903.00 | $231.38 – $323.93 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,850.40 | $3,084.00 | $231.38 – $323.93 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,432.60 | $5,721.00 | $341.85 – $478.59 | 2 |
| MRI upper extremity w/dye CPT 73219 | $1,457.40 | $2,429.00 | $341.85 – $478.59 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $341.85 – $478.59 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $170.40 – $238.57 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $341.85 – $478.59 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $341.85 – $478.59 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.28 – $118.00 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $87.86 – $123.01 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $56.86 – $79.60 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.44 – $32.82 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $231.38 – $323.93 | 2 |
| Mr spectroscopy CPT 76390 | $1,023.00 | $1,705.00 | $84.28 – $118.00 | 2 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $213.30 | 1 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $381.70 | 1 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $337.73 | 1 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $238.00 | 1 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $641.85 | 1 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $308.00 | 1 |
| Mthfr gene analy common variants CPT 81291 | $173.40 | $289.00 | $65.34 – $65.34 | 1 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $26.88 | 1 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $42.84 | 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.