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 |
|---|---|---|---|---|
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Pregabalin - sendout CPT 80366 | $186.60 | $311.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,924.80 | $3,208.00 | $1,815.84 – $2,085.20 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | $48.00 | $80.00 | $15.05 – $15.05 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $413.40 | $689.00 | $101.79 – $142.51 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $346.80 | $578.00 | $101.79 – $142.51 | 2 |
| Pregnancy Ultrasound (limited) CPT 76815 | $294.60 | $491.00 | $101.79 – $142.51 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $159.60 | $266.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $889.80 | $1,483.00 | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | $1,593.00 | $2,655.00 | not published | 0 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $298.08 – $417.31 | 2 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $507.90 – $711.06 | 2 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $507.90 – $711.06 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $487.46 – $682.45 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.14 – $71.60 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,940.32 – $9,716.45 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $973.87 – $1,363.41 | 2 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,940.32 – $9,716.45 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $721.80 | $1,203.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $619.80 | $1,033.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $135.60 | $226.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $97.80 | $163.00 | $39.00 – $149.77 | 2 |
| Pressure velocity wire add ves CPT 93572 | $541.20 | $902.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $36.00 | $60.00 | $39.00 – $164.03 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $87.60 | $146.00 | $53.30 – $56.86 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $58.80 | $98.00 | $63.70 – $164.03 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $81.00 | $135.00 | $52.65 – $56.86 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $32.40 | $54.00 | $35.10 – $164.03 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $170.40 | $284.00 | not published | 0 |
| Preventive counseling group CPT 99411 | $18.60 | $31.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $56.40 | $94.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $111.60 | $186.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $167.40 | $279.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $225.00 | $375.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $246.60 | $411.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $220.20 | $367.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $387.60 | $646.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $400.20 | $667.00 | $382.44 – $417.95 | 2 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,427.60 | $4,046.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $35.69 – $49.97 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $35.69 – $49.97 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,101.60 | $6,836.00 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $384.60 | $641.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $261.00 | $435.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $192.00 | $320.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $198.60 | $331.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $138.60 | $231.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $75.00 | $125.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,086.00 | $11,810.00 | $7,676.50 – $17,188.53 | 2 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,137.20 | $3,562.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $88.54 – $123.96 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $405.00 | $675.00 | $382.44 – $438.75 | 2 |
| Pr incision & drainage abscess simple/single CPT 10060 | $207.00 | $345.00 | $190.20 – $217.10 | 2 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $357.00 | $595.00 | $291.18 – $386.75 | 2 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $288.60 | $481.00 | $312.65 – $382.44 | 2 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $321.60 | $536.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $227.40 | $379.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $92.40 | $154.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,064.40 | $1,774.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $286.14 – $400.60 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,075.14 | $1,791.90 | $194.32 – $272.05 | 2 |
| Procalcitonin CPT 84145 | $228.60 | $381.00 | $27.22 – $27.22 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $28.36 | $47.27 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.59 | $4.31 | not published | 0 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $3,417.60 | $5,696.00 | not published | 0 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $3,348.00 | $5,580.00 | not published | 0 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $432.00 | $720.00 | not published | 0 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,680.60 | $2,801.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $219.00 | $365.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $415.80 | $693.00 | not published | 0 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $351.60 | $586.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $408.60 | $681.00 | not published | 0 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Progesterone CPT 84144 | $104.40 | $174.00 | $20.86 – $20.86 | 1 |
| Prolactin CPT 84146 | $125.40 | $209.00 | $19.38 – $19.38 | 1 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $60.00 | $100.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $54.00 | $90.00 | not published | 0 |
| Prolng svc o/p 1st hour CPT 99354 | $189.00 | $315.00 | not published | 0 |
| Prolng svc o/p ea addl 30 CPT 99355 | $186.60 | $311.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $317.50 – $444.50 | 2 |
| Prolong home eval add 15m HCPCS G0318 | $44.40 | $74.00 | not published | 0 |
| Prolong service without contact CPT 99358 | $203.40 | $339.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $102.00 | $170.00 | not published | 0 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $286.14 – $400.60 | 2 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $525.13 – $735.18 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Prophylactic tx radius CPT 25490 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prophylactic tx radius&ulna CPT 25492 | 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.