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 |
|---|---|---|---|---|
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $7.72 – $10.81 | 2 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $216.60 | $361.00 | $24.91 – $24.91 | 1 |
| Platelet automated CPT 85049 | $27.00 | $45.00 | $4.48 – $4.48 | 1 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $418.48 – $585.87 | 2 |
| Platelet pheresis each unit HCPCS P9034 | $1,897.80 | $3,163.00 | $380.14 – $532.20 | 2 |
| Platelet pheresis irr ea HCPCS P9036 | $1,561.20 | $2,602.00 | $562.51 – $787.51 | 2 |
| Platelets each unit HCPCS P9019 | $100.80 | $168.00 | $72.71 – $101.79 | 2 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $744.23 – $1,041.92 | 2 |
| Platelets irradiated ea unit HCPCS P9032 | $117.00 | $195.00 | $126.75 – $129.97 | 2 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $299.40 | $499.00 | $120.39 – $168.55 | 2 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $196.60 – $275.24 | 2 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $217.53 – $304.54 | 2 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $439.58 – $615.42 | 2 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $942.60 | $1,571.00 | $466.26 – $652.77 | 2 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,044.00 | $1,740.00 | $611.65 – $646.76 | 2 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | not published | not published | $562.16 – $787.02 | 2 |
| Platelet survival CPT 78191 | not published | not published | $384.64 – $538.50 | 2 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $291.36 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,913.80 | $6,523.00 | $3,378.09 – $4,089.15 | 2 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,615.40 | $9,359.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $458.40 | $764.00 | $397.15 – $3,301.42 | 2 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,014.00 | $6,690.00 | $3,301.42 – $4,348.50 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $717.60 | $1,196.00 | $673.49 – $777.40 | 2 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $541.20 | $902.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $660.00 | $1,100.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $3,684.00 | $6,140.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $3,406.20 | $5,677.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,224.20 | $3,707.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $119.47 – $167.26 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $291.60 | $486.00 | $159.90 – $298.08 | 2 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $1,320.00 | $2,200.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $5,972.81 – $8,361.94 | 2 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Plmt nephroureteral catheter CPT 50433 | $4,426.20 | $7,377.00 | $3,301.42 – $4,621.99 | 2 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Pm device progr eval dual CPT 93280 | not published | not published | $35.69 – $49.97 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $35.69 – $49.97 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $207.31 | 1 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $758.36 | 1 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $769.58 | 1 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $46.60 | 1 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $35.69 – $49.97 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $203.50 | 1 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $676.50 | 1 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $331.00 | 1 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $35.27 – $49.38 | 2 |
| Pneum full leg splnt pre ots HCPCS L4370 | $32.40 | $54.00 | not published | 0 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $250.80 | $418.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $88.80 | $148.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $127.20 | $212.00 | $26.07 – $26.07 | 1 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $29,354.83 | $48,924.72 | $136.23 – $190.72 | 2 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $973.87 – $1,363.41 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $973.87 – $1,363.41 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,931.60 | $4,886.00 | $973.87 – $1,363.41 | 2 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $10.51 | 1 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,228.42 – $33,919.79 | 2 |
| Portable 02 contents, gas HCPCS E0443 | $25.80 | $43.00 | not published | 0 |
| Positional change of finger CPT 26555 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Positional nystagmus test CPT 92532 | $45.60 | $76.00 | not published | 0 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $25.00 | 1 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $88.54 – $123.96 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,317.00 | $2,195.00 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $507.90 – $711.06 | 2 |
| Postpartum Care Only CPT 59430 | $347.40 | $579.00 | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,373.40 | $2,289.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $48.00 | $80.00 | $4.73 – $4.73 | 1 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $38.73 | $64.55 | not published | 0 |
| Potassium hydroxide preps HCPCS Q0112 | $12.00 | $20.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $54.00 | $90.00 | $4.76 – $4.76 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $137.00 | 1 |
| Pq biliary strict dil s&i CPT 74363 | $922.80 | $1,538.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $403.20 | $672.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,534.40 | $14,224.00 | $6,838.12 – $7,396.35 | 2 |
| Pq thr inj ext pse CPT 36002 | $248.40 | $414.00 | $247.65 – $591.81 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,640.00 | $4,400.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,822.60 | $6,371.00 | $2,976.35 – $3,105.81 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,822.60 | $6,371.00 | $2,976.35 – $3,105.81 | 2 |
| Pralatrexate injection HCPCS J9307 | $22,150.81 | $36,918.02 | $388.83 – $544.36 | 2 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $183.17 | $305.29 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,157.40 | $1,929.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $192.00 | $320.00 | $151.04 – $208.00 | 2 |
| Pr application splint static short arm CPT 29125 | $284.40 | $474.00 | $123.39 – $172.74 | 2 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $7.80 | $13.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $321.00 | $535.00 | $347.75 – $382.44 | 2 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,494.00 | $2,490.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $955.20 | $1,592.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $26.40 | $44.00 | $15.60 – $28.52 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $585.00 | $975.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $137.40 | $229.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $203.40 | $339.00 | not published | 0 |
| Prealbumin CPT 84134 | $123.60 | $206.00 | $14.59 – $14.59 | 1 |
| Pr ecg 12 lead report only CPT 93010 | $17.40 | $29.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $70.20 | $117.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.87 | $23.12 | 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.