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 |
|---|---|---|---|---|
| Oropharyngeal biopsy 42800 CPT 42800 | $297.60 | $496.00 | not published | 0 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $56.42 | $94.03 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $78.00 | $130.00 | not published | 0 |
| Orthopantogram CPT 70355 | $173.40 | $289.00 | $84.28 – $118.00 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $56.86 – $79.60 | 2 |
| Orthovisc inj per dose HCPCS J7324 | $859.06 | $1,431.76 | $97.70 – $136.78 | 2 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $194.69 – $272.56 | 2 |
| Osmolality blood CPT 83930 | $57.00 | $95.00 | $6.61 – $6.61 | 1 |
| Osmolality urine CPT 83935 | $61.80 | $103.00 | $6.82 – $6.82 | 1 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $918.60 | $1,531.00 | not published | 0 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $128.40 | $214.00 | $24.22 – $33.90 | 2 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $133.20 | $222.00 | $24.22 – $33.90 | 2 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $159.60 | $266.00 | $24.22 – $33.90 | 2 |
| Osteoplasty humerus CPT 24420 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $1,377.60 | $2,296.00 | not published | 0 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $23.13 | 1 |
| Oth resp proc, group HCPCS G0239 | $139.80 | $233.00 | $37.57 – $52.60 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $52.80 | $88.00 | $23.44 – $32.82 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $84.00 | $140.00 | $66.46 – $66.46 | 1 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $56.40 | $94.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | $1,655.40 | $2,759.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $202.80 | $338.00 | $88.55 – $88.55 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $31.80 | $53.00 | $28.73 – $28.73 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $43.80 | $73.00 | $29.70 – $29.70 | 1 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | $4,096.80 | $6,828.00 | not published | 0 |
| Ovarian cystectomy 58925 CPT 58925 | $1,365.00 | $2,275.00 | not published | 0 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $12.70 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $69.17 | $115.28 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $2,276.71 | $3,794.51 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $54.47 | $90.78 | not published | 0 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $250.77 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $137.00 | 1 |
| Packing strips, non-impreg HCPCS A6407 | $46.20 | $77.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $938.32 | $1,563.86 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $12.12 – $16.97 | 2 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $676.50 | 1 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $301.35 | 1 |
| Palifermin injection HCPCS J2425 | not published | not published | $35.91 – $50.27 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $5,942.61 | $9,904.35 | $15.08 – $21.11 | 2 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,798.91 | $4,664.85 | $719.87 – $1,007.82 | 2 |
| Palonosetron hcl HCPCS J2469 | $366.66 | $611.10 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $77.43 | $129.05 | not published | 0 |
| Pancreatectomy 48153 CPT 48153 | $4,573.20 | $7,622.00 | not published | 0 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $2,788.20 | $4,647.00 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $11,160.67 | $18,601.12 | $172.55 – $241.57 | 2 |
| Papaverin hcl injection HCPCS J2440 | $85.76 | $142.94 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $253.20 | $422.00 | $41.28 – $41.28 | 1 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $2,553.60 | $4,256.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $515.24 – $721.34 | 2 |
| Parathyroid autotransplantation 60512 CPT 60512 | $443.40 | $739.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $483.60 | $806.00 | $384.64 – $523.90 | 2 |
| Parathyroid planar img w/tomo spect CPT 78071 | $647.40 | $1,079.00 | $384.64 – $538.50 | 2 |
| Paravaginal defect repair 57284 CPT 57284 | $1,522.20 | $2,537.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,595.40 | $2,659.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $50.18 | $83.63 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $138.00 | $230.00 | $149.50 – $190.20 | 2 |
| Parotid duct diversion CPT 42507 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Parotid duct diversion CPT 42509 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $1,609.20 | $2,682.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $347.40 | $579.00 | not published | 0 |
| Partial complicated cystectomy 51555 CPT 51555 | $2,378.40 | $3,964.00 | not published | 0 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,106.40 | $1,844.00 | not published | 0 |
| Partial excision of lip CPT 40500 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Partial hysterectomy CPT 58180 | $1,775.40 | $2,959.00 | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | $3,663.00 | $6,105.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Partial removal foot fascia CPT 28060 | $930.60 | $1,551.00 | not published | 0 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | $4,736.40 | $7,894.00 | not published | 0 |
| Partial removal of esophagus 43122 CPT 43122 | $3,734.40 | $6,224.00 | not published | 0 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of heart sac 33030 CPT 33030 | $3,628.20 | $6,047.00 | not published | 0 |
| Partial removal of lip CPT 40530 | $979.80 | $1,633.00 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $2,731.80 | $4,553.00 | not published | 0 |
| Partial removal of nose CPT 30150 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Partial removal of pharynx 42890 CPT 42890 | $2,649.00 | $4,415.00 | not published | 0 |
| Partial removal of radius CPT 25151 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of radius CPT 25230 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of rib CPT 21600 | $1,032.00 | $1,720.00 | not published | 0 |
| Partial removal of sternum CPT 21620 | $925.80 | $1,543.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $1,302.00 | $2,170.00 | not published | 0 |
| Partial removal of thyroid CPT 60225 | $1,698.60 | $2,831.00 | not published | 0 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of toe CPT 28160 | $763.80 | $1,273.00 | not published | 0 |
| Partial removal of tongue CPT 41120 | $1,966.80 | $3,278.00 | not published | 0 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,105.81 – $4,348.13 | 2 |
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.