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 |
|---|---|---|---|---|
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $814.20 | $1,357.00 | not published | 0 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $11.98 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $11,264.93 | $18,774.88 | $16.89 – $23.65 | 2 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $22,548.04 | $37,580.06 | $63.39 – $88.75 | 2 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $84.60 | $141.00 | not published | 0 |
| Pessary reusable rub anytype HCPCS A4561 | $1.80 | $3.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,442.80 | $5,738.00 | $1,396.19 – $1,954.67 | 2 |
| Pet CT whole body initial CPT 78816 | $3,840.00 | $6,400.00 | $1,396.19 – $1,954.67 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,998.20 | $4,997.00 | $1,396.19 – $1,954.67 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet image ltd area CPT 78811 | $2,018.40 | $3,364.00 | $1,249.63 – $1,749.48 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $384.64 – $538.50 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $23,287.80 | $38,813.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $30.24 – $30.24 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $43.07 – $43.07 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $15.47 – $15.47 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | $783.00 | $1,305.00 | not published | 0 |
| Pharmacologic management w/psytx CPT 90863 | $42.00 | $70.00 | not published | 0 |
| Ph body fluid CPT 83986 | $69.60 | $116.00 | $3.58 – $3.58 | 1 |
| Phencyclidine (pcp) CPT 83992 | $274.80 | $458.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $112.72 | $187.87 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $121.80 | $203.00 | $15.30 – $15.30 | 1 |
| Phentolaine mesylate inj HCPCS J2760 | $278.10 | $463.50 | $436.51 – $611.11 | 2 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $31.29 | $52.15 | not published | 0 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $93.25 – $130.55 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $16.01 | $26.69 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $141.60 | $236.00 | $13.25 – $13.25 | 1 |
| Phlebotomy therapeutic CPT 99195 | $143.40 | $239.00 | $69.55 – $123.39 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,233.00 | $2,055.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $1,458.60 | $2,431.00 | not published | 0 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $78.00 | $130.00 | not published | 0 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $111.00 | $185.00 | not published | 0 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $48.00 | $80.00 | not published | 0 |
| Phosphorus CPT 84100 | $46.20 | $77.00 | $4.74 – $4.74 | 1 |
| Phosphorus 24 hour urine CPT 84105 | $28.80 | $48.00 | $5.78 – $5.78 | 1 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $56.86 – $79.60 | 2 |
| Photochemotherapy puva CPT 96912 | not published | not published | $56.86 – $79.60 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $382.44 – $535.41 | 2 |
| Photo patch test CPT 95052 | not published | not published | $56.86 – $79.60 | 2 |
| Photopheresis CPT 36522 | not published | not published | $4,484.74 – $6,278.63 | 2 |
| Photosensitivity tests CPT 95056 | not published | not published | $123.39 – $172.74 | 2 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $51.14 – $71.60 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $164.03 – $229.64 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.44 – $32.82 | 2 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $244.80 | $408.00 | $126.19 – $126.19 | 1 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $222.00 | $370.00 | $126.19 – $126.19 | 1 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $233.40 | $389.00 | $126.19 – $126.19 | 1 |
| Physical Therapy Re-Evaluation CPT 97164 | $222.00 | $370.00 | $86.04 – $86.04 | 1 |
| Physician standby services CPT 99360 | $139.20 | $232.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $99.15 | $165.25 | not published | 0 |
| Pierce earlobes 69090 CPT 69090 | $46.80 | $78.00 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $6,026.40 | $10,044.00 | $332.44 – $465.42 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $274.83 | 1 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,925.00 | $19,875.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,032.00 | $1,720.00 | not published | 0 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $88.54 – $123.96 | 2 |
| Pinworm exam CPT 87172 | $30.00 | $50.00 | $4.27 – $4.27 | 1 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $4.27 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $70.27 | $117.12 | not published | 0 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $579.48 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,242.47 – $8,739.46 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,309.73 – $1,833.62 | 2 |
| Place duod/jej tube perc CPT 49441 | $2,168.40 | $3,614.00 | not published | 0 |
| Place endorectal app HCPCS C9725 | not published | not published | $872.71 – $1,221.79 | 2 |
| Place gastrostomy tube open 43832 CPT 43832 | $1,892.40 | $3,154.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $1,956.60 | $3,261.00 | $1,563.25 – $1,815.84 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,485.80 | $4,143.00 | $1,550.93 – $1,795.30 | 2 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,361.00 | $3,935.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,608.20 | $4,347.00 | $673.49 – $942.89 | 2 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,036.40 | $8,394.00 | $1,960.87 – $2,661.75 | 2 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $304.20 | $507.00 | not published | 0 |
| Placement of seton CPT 46020 | $489.60 | $816.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $11,728.80 | $19,548.00 | not published | 0 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Place needles h&n for right CPT 41019 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,291.60 | $5,486.00 | $3,012.85 – $3,565.90 | 2 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $20.22 | 1 |
| Place po breast cath for rad CPT 19296 | not published | not published | $9,159.69 – $12,823.56 | 2 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,309.73 – $1,833.62 | 2 |
| Place slctv cath carotd art uni CPT 36224 | $11,520.00 | $19,200.00 | $5,174.44 – $7,244.22 | 2 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,640.60 | $9,401.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $5,640.60 | $9,401.00 | $5,174.44 – $5,764.20 | 2 |
| Place slctv cath subclavian art CPT 36225 | $5,493.60 | $9,156.00 | $3,012.85 – $3,967.60 | 2 |
| Place slctv cath vertebral art uni CPT 36226 | $10,459.20 | $17,432.00 | $5,174.44 – $7,244.22 | 2 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $533.48 – $746.87 | 2 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $39.00 | $65.00 | $42.25 – $141.00 | 2 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $129.37 – $181.12 | 2 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $70.57 – $98.79 | 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.