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 |
|---|---|---|---|---|
| Prophylactic tx ulna CPT 25491 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| _propoxygc/msur CPT 80367 | $274.80 | $458.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $39.82 | $66.36 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $344.33 – $482.06 | 2 |
| Prostate ca screening; dre HCPCS G0102 | $29.40 | $49.00 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Prostate laser enucleation CPT 52649 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $578.40 | $964.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $78.60 | $131.00 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $67.80 | $113.00 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $94.62 | $157.70 | not published | 0 |
| Protein c activity CPT 85303 | $274.80 | $458.00 | $13.84 – $13.84 | 1 |
| Protein c concentrate HCPCS J2724 | not published | not published | $1.50 – $2.10 | 2 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $155.40 | $259.00 | $10.74 – $10.74 | 1 |
| Protein s total CPT 85305 | $76.80 | $128.00 | $11.61 – $11.61 | 1 |
| Protein total 24 hour urine CPT 84156 | $47.40 | $79.00 | $3.67 – $3.67 | 1 |
| Protein total body fluid CPT 84157 | $47.40 | $79.00 | $4.00 – $4.00 | 1 |
| Protein total serum plasma whole blood CPT 84155 | $69.60 | $116.00 | $3.67 – $3.67 | 1 |
| Prothrombin complex kcentra HCPCS J7168 | $17.69 | $29.48 | $2.14 – $3.00 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $117.60 | $196.00 | $3.94 – $3.94 | 1 |
| Proton treatment complex CPT 77525 | not published | not published | $1,220.94 – $1,709.32 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,220.94 – $1,709.32 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,220.94 – $1,709.32 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $553.72 – $775.21 | 2 |
| Protoporphyrin rbc screen CPT 84203 | $48.00 | $80.00 | $9.74 – $9.74 | 1 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $123.36 – $172.70 | 2 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $870.00 | $1,450.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $1,051.80 | $1,753.00 | not published | 0 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $161.40 | $269.00 | not published | 0 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $47.40 | $79.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Prq card angio/athrect addl CPT 92925 | $6,123.00 | $10,205.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $4,817.40 | $8,029.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $8,679.60 | $14,466.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,216.00 | $35,360.00 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | $7,583.40 | $12,639.00 | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $7,402.80 | $12,338.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,728.80 | $19,548.00 | $10,855.42 – $12,706.20 | 2 |
| Prq revasc byp graft addl CPT 92938 | $7,378.20 | $12,297.00 | not published | 0 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,728.80 | $19,548.00 | $10,855.42 – $15,197.59 | 2 |
| Prq trlml c athrc st angiop1 CPT 92933 | $17,662.80 | $29,438.00 | $17,188.53 – $24,063.94 | 2 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,762.40 | $9,604.00 | $5,457.61 – $7,640.65 | 2 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $9,402.00 | $15,670.00 | $10,855.42 – $15,197.59 | 2 |
| Prq trluml revsc ch occ ant CPT 92943 | $15,912.00 | $26,520.00 | $10,855.42 – $15,197.59 | 2 |
| Pr removal drug delivery implant CPT 11982 | $277.20 | $462.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $229.80 | $383.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $246.00 | $410.00 | $266.50 – $291.18 | 2 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $550.80 | $918.00 | $277.55 – $382.44 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $245.40 | $409.00 | $190.20 – $265.85 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $257.40 | $429.00 | $190.20 – $266.28 | 2 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $244.20 | $407.00 | $190.20 – $264.55 | 2 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $256.20 | $427.00 | $190.20 – $266.28 | 2 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,564.20 | $2,607.00 | not published | 0 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $83.40 | $139.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $418.48 – $585.87 | 2 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,093.80 | $1,823.00 | $852.15 – $1,486.98 | 2 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $24.00 | $40.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $84.00 | $140.00 | $18.39 – $18.39 | 1 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $12.00 | $20.00 | not published | 0 |
| Psychoanalysis CPT 90845 | not published | not published | $153.80 – $215.32 | 2 |
| Psychophysiological therapy CPT 90875 | $101.40 | $169.00 | not published | 0 |
| Psychophysiological therapy CPT 90876 | $149.40 | $249.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $341.40 | $569.00 | $88.54 – $123.96 | 2 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $135.60 | $226.00 | $80.60 – $153.80 | 2 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $161.40 | $269.00 | $118.95 – $153.80 | 2 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $190.80 | $318.00 | $153.80 – $195.65 | 2 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $236.40 | $394.00 | not published | 0 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $181.20 | $302.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $381.97 – $534.76 | 2 |
| Psy evaluation of records CPT 90885 | $105.60 | $176.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $51.00 | $85.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $42.60 | $71.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $6.60 | $11.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $108.60 | $181.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $154.80 | $258.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $174.00 | $290.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $81.60 | $136.00 | $23.82 – $23.82 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $67.80 | $113.00 | $17.72 – $17.72 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $64.80 | $108.00 | $18.62 – $18.62 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $300.00 | 1 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $600.00 | 1 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $46.60 | 1 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $1,212.60 | $2,021.00 | not published | 0 |
| Pt-focused hlth risk assmt CPT 96160 | $8.40 | $14.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $46.20 | $77.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $103.20 | $172.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $70.80 | $118.00 | $15.57 – $15.57 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $52.80 | $88.00 | $38.63 – $38.63 | 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.