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 |
|---|---|---|---|---|
| Artery x-rays lung CPT 75741 | $1,897.80 | $3,163.00 | $1,644.50 – $3,012.85 | 2 |
| Artery x-rays lung CPT 75746 | $1,081.80 | $1,803.00 | $794.30 – $3,012.85 | 2 |
| Artery x-rays lungs CPT 75743 | $2,397.60 | $3,996.00 | $2,078.05 – $3,012.85 | 2 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $1,881.60 | $3,136.00 | $1,630.85 – $5,174.44 | 2 |
| Artery x-rays spine CPT 75705 | $1,119.60 | $1,866.00 | $1,212.90 – $5,174.44 | 2 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $438.60 | $731.00 | not published | 0 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $2,678.40 | $4,464.00 | not published | 0 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $2,103.00 | $3,505.00 | not published | 0 |
| Arthrd ant ntrbdy cervical CPT 22551 | $4,778.40 | $7,964.00 | $5,176.60 – $12,316.38 | 2 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $3,315.60 | $5,526.00 | not published | 0 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $2,748.60 | $4,581.00 | not published | 0 |
| Arthrd si jt perq/min nvas CPT 27279 | $1,111.80 | $1,853.00 | not published | 0 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $301.20 | $502.00 | $282.56 – $326.30 | 2 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $501.60 | $836.00 | $543.40 – $662.89 | 2 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $621.00 | $1,035.00 | $282.56 – $395.59 | 2 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $251.40 | $419.00 | $272.35 – $282.56 | 2 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $319.20 | $532.00 | $282.56 – $345.80 | 2 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $705.60 | $1,176.00 | not published | 0 |
| Arthrodesis big toe joint 28760 CPT 28760 | $1,435.20 | $2,392.00 | not published | 0 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $783.60 | $1,306.00 | not published | 0 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $891.60 | $1,486.00 | not published | 0 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $572.40 | $954.00 | not published | 0 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | $1,965.60 | $3,276.00 | not published | 0 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $2,653.80 | $4,423.00 | not published | 0 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $703.20 | $1,172.00 | not published | 0 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrodesis triple CPT 28715 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthroplasty finger joint 26535 CPT 26535 | $766.80 | $1,278.00 | not published | 0 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $755.40 | $1,259.00 | not published | 0 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $858.60 | $1,431.00 | not published | 0 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Artificial insemination CPT 58321 | not published | not published | $291.18 – $407.65 | 2 |
| Artific inseminationintrauterine 58322 CPT 58322 | $159.60 | $266.00 | not published | 0 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $142.07 – $198.90 | 2 |
| Art pressure waveform analys CPT 93050 | not published | not published | $23.44 – $32.82 | 2 |
| Art trnsposj subclav carotid 35694 CPT 35694 | $1,896.60 | $3,161.00 | not published | 0 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | $5,985.60 | $9,976.00 | not published | 0 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | $4,522.20 | $7,537.00 | not published | 0 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | $6,352.80 | $10,588.00 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $23,222.40 | $38,704.00 | not published | 0 |
| Ascvd rsk mng clin stf pr mo HCPCS G0538 | not published | not published | $88.54 – $123.96 | 2 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | $3,030.60 | $5,051.00 | not published | 0 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $2,448.56 – $2,448.56 | 1 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $47.25 | 1 |
| Asp core fat pad CPT 17999 | not published | not published | $190.20 – $266.28 | 2 |
| Asp & inj bone cyst CPT 20615 | $421.80 | $703.00 | not published | 0 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,937.40 | $3,229.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $364.80 | $608.00 | not published | 0 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $301.20 | $502.00 | $282.56 – $326.30 | 2 |
| Aspirate pleura without imaging 32554 CPT 32554 | $851.40 | $1,419.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $755.40 | $1,259.00 | $673.49 – $777.40 | 2 |
| Aspiration orbital contents CPT 67415 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $222.29 – $311.20 | 2 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $206.40 | $344.00 | not published | 0 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $577.80 | $963.00 | $500.50 – $852.20 | 2 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $7.64 | 1 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $8.26 | 1 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $29.08 | 1 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $20.65 | 1 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $27.94 | 1 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $7.20 | 1 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $22.65 | 1 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $7.37 | 1 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $50.86 | 1 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $25.80 | 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.