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 |
|---|---|---|---|---|
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $5,233.80 | $8,723.00 | not published | 0 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Nsl/sins ndsc surg max sins CPT 31295 | $3,856.80 | $6,428.00 | not published | 0 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $5,185.20 | $8,642.00 | not published | 0 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $207.31 | 1 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $207.31 | 1 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $207.31 | 1 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $518.28 | 1 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $43.80 | $73.00 | not published | 0 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $24.00 | $40.00 | not published | 0 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $43.80 | $73.00 | not published | 0 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,778.40 | $2,964.00 | $553.72 – $775.21 | 2 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,564.20 | $2,607.00 | $553.72 – $775.21 | 2 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $384.64 – $538.50 | 2 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $21.78 | 1 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $214.54 – $300.36 | 2 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $214.54 – $300.36 | 2 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $214.54 – $300.36 | 2 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $214.54 – $300.36 | 2 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,021.40 | $3,369.00 | $1,249.63 – $1,749.48 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $214.54 – $300.36 | 2 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $291.36 | 1 |
| Nursing fac care supervision CPT 99379 | $186.60 | $311.00 | not published | 0 |
| Nursing fac care supervision CPT 99380 | $174.00 | $290.00 | not published | 0 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $192.00 | $320.00 | not published | 0 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $132.60 | $221.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $2,981.40 | $4,969.00 | not published | 0 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,246.94 – $1,745.72 | 2 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $270,375.00 – $378,525.00 | 2 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $13,801.25 | $23,002.09 | $78.46 – $109.84 | 2 |
| Observation care discharge CPT 99217 | $137.40 | $229.00 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $135.60 | $226.00 | $146.90 – $586.87 | 2 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $417.60 | $696.00 | not published | 0 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $256.80 | $428.00 | not published | 0 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $324.60 | $541.00 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | $2,030.40 | $3,384.00 | not published | 0 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $74.86 | 1 |
| Obstetrics panel CPT 80055 | $90.60 | $151.00 | $47.81 – $47.81 | 1 |
| Obtaining screen pap smear HCPCS Q0091 | $82.80 | $138.00 | $23.44 – $30.55 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $101.79 – $142.51 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $454.20 | $757.00 | not published | 0 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $223.80 | $373.00 | $128.99 – $128.99 | 1 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $202.80 | $338.00 | $128.99 – $128.99 | 1 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $213.00 | $355.00 | $128.99 – $128.99 | 1 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $31,534.07 | $52,556.79 | $59.70 – $83.58 | 2 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $246.34 | $410.57 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $11,780.53 | $19,634.21 | $212.20 – $297.08 | 2 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $525.13 – $735.18 | 2 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Ocular reconst transplant CPT 65781 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.23 – $87.12 | 2 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $153.80 – $215.32 | 2 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $153.80 – $215.32 | 2 |
| Office consultation CPT 99241 | $70.80 | $118.00 | not published | 0 |
| Office emergency care CPT 99058 | $99.60 | $166.00 | not published | 0 |
| Off/op cnsltj new/est low 30 CPT 99243 | $174.00 | $290.00 | not published | 0 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $260.40 | $434.00 | not published | 0 |
| Off/op consltj new/est hi 55 CPT 99245 | $316.20 | $527.00 | not published | 0 |
| Off/op consltj new/est sf 20 CPT 99242 | $127.20 | $212.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $101.44 | $169.07 | not published | 0 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.92 – $4.09 | 2 |
| Ol dig e/m svc 11-20 min CPT 99422 | $29.40 | $49.00 | not published | 0 |
| Ol dig e/m svc 21+ min CPT 99423 | $49.80 | $83.00 | not published | 0 |
| Ol dig e/m svc 5-10 min CPT 99421 | $20.40 | $34.00 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,326.61 | $3,877.69 | $40.56 – $56.78 | 2 |
| Omental flap extra-abdom 49904 CPT 49904 | $2,635.20 | $4,392.00 | not published | 0 |
| Omental flap intra-abdom 49905 CPT 49905 | $705.60 | $1,176.00 | not published | 0 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $2,510.21 | 1 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $7,193.00 | 1 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $3,116.00 | 1 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $508.87 | 1 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $579.46 | 1 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $177.56 | 1 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $2,871.00 | 1 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $760.00 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $520.00 | 1 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $3,750.00 | 1 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $897.00 – $897.00 | 1 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $260.50 | 1 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $64.41 | 1 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $64.41 | 1 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $2,030.00 | 1 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $3,873.00 | 1 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $3,600.00 | 1 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $7,776.00 | 1 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $0.60 | $1.00 | 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.