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 |
|---|---|---|---|---|
| Pt wheelchair management each 15 minutes CPT 97542 | $46.80 | $78.00 | $39.57 – $39.57 | 1 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,445.00 – $5,445.00 | 1 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | $6,748.80 | $11,248.00 | not published | 0 |
| Pulmonary decortication partial 32225 CPT 32225 | $1,659.00 | $2,765.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $642.60 | $1,071.00 | $384.64 – $538.50 | 2 |
| Pulse ox continuous overnight monitoring CPT 94762 | $226.80 | $378.00 | $149.77 – $209.67 | 2 |
| Pulse ox multiple CPT 94761 | $145.20 | $242.00 | not published | 0 |
| Pulse ox single CPT 94760 | $69.00 | $115.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $396.00 | $660.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $57.60 | $96.00 | $14.30 – $123.39 | 2 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $232.20 | $387.00 | $128.70 – $382.44 | 2 |
| Puncture/clear windpipe 31612 CPT 31612 | $151.80 | $253.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $871.20 | $1,452.00 | $662.89 – $928.05 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $662.89 – $928.05 | 2 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $662.89 – $928.05 | 2 |
| Pyloroplasty 43800 CPT 43800 | $1,665.00 | $2,775.00 | not published | 0 |
| Pyruvate CPT 84210 | $185.40 | $309.00 | $14.48 – $14.48 | 1 |
| Pyruvate kinase CPT 84220 | $135.60 | $226.00 | $9.44 – $9.44 | 1 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $123.39 – $172.74 | 2 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $803.40 | $1,339.00 | $515.24 – $721.34 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,206.60 | $2,011.00 | $384.64 – $538.50 | 2 |
| Quest t3 uptake CPT 84479 | $40.80 | $68.00 | $6.47 – $6.47 | 1 |
| Quinupristin/dalfopristin HCPCS J2770 | $190.43 | $317.39 | $4.26 – $5.96 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $179.40 | $299.00 | not published | 0 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $237.10 – $331.94 | 2 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,949.85 | $9,916.42 | $266.44 – $373.02 | 2 |
| Rabies vaccine id CPT 90676 | not published | not published | $264.47 – $370.26 | 2 |
| Radiation handling CPT 77790 | $199.80 | $333.00 | not published | 0 |
| Radiation physics consult CPT 77336 | $356.40 | $594.00 | $127.09 – $177.93 | 2 |
| Radiation therapy dose plan CPT 77300 | $301.20 | $502.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77332 | $403.80 | $673.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77333 | $374.40 | $624.00 | $127.09 – $177.93 | 2 |
| Radiation treatment aid(s) CPT 77334 | $607.20 | $1,012.00 | $350.41 – $490.57 | 2 |
| Radiation treatment delivery CPT 77401 | not published | not published | $104.82 – $146.74 | 2 |
| Radiation treatment delivery CPT 77402 | $281.40 | $469.00 | $104.82 – $146.74 | 2 |
| Radiation treatment delivery CPT 77412 | $480.60 | $801.00 | $251.73 – $352.42 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $3,266.40 | $5,444.00 | not published | 0 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Radical resection sternum 21630 CPT 21630 | $2,280.00 | $3,800.00 | not published | 0 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,129.40 | $3,549.00 | not published | 0 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $2,746.80 | $4,578.00 | not published | 0 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $466.79 | 2 |
| Radiology port images(s) CPT 77417 | $84.00 | $140.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $4,449.60 | $7,416.00 | $1,309.73 – $1,833.62 | 2 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $171.78 – $240.49 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,266.60 | $2,111.00 | $1,249.63 – $1,372.15 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,261.80 | $2,103.00 | $1,249.63 – $1,366.95 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $643.80 | $1,073.00 | $697.45 – $1,249.63 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,067.40 | $1,779.00 | $897.65 – $1,249.63 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $636.60 | $1,061.00 | $384.64 – $538.50 | 2 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $1,369.20 | $2,282.00 | not published | 0 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $2,691.60 | $4,486.00 | not published | 0 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $1,691.40 | $2,819.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $12,068.81 | $20,114.68 | $74.45 – $104.23 | 2 |
| Range of motion measurements CPT 95852 | not published | not published | $7.28 – $7.28 | 1 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $91.11 – $127.55 | 2 |
| Rapid desensitization CPT 95180 | not published | not published | $381.97 – $534.76 | 2 |
| Rapid Strep Test CPT 87880 | $40.80 | $68.00 | $16.53 – $16.53 | 1 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $9,451.30 | $15,752.16 | $376.48 – $527.07 | 2 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $41,631.54 | $69,385.90 | $225.19 – $315.27 | 2 |
| Rbc count only automated CPT 85041 | $25.20 | $42.00 | $3.02 – $3.02 | 1 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $625.77 – $876.08 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $418.48 – $585.87 | 2 |
| Rbc irradiated each unit HCPCS P9038 | $297.00 | $495.00 | $142.84 – $199.97 | 2 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $8.60 | 1 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $466.26 – $652.77 | 2 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $7.47 | 1 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $381.97 – $534.76 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Realignment of tendons CPT 26437 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rebuild eardrum structures CPT 69633 | $1,953.00 | $3,255.00 | not published | 0 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rebuild outer ear canal CPT 69310 | $2,031.00 | $3,385.00 | not published | 0 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rechanneling of artery 35305 CPT 35305 | $1,778.40 | $2,964.00 | not published | 0 |
| Rechanneling of artery 35341 CPT 35341 | $2,008.80 | $3,348.00 | not published | 0 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $2,430.00 | $4,050.00 | not published | 0 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $2,773.80 | $4,623.00 | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $2,093.40 | $3,489.00 | not published | 0 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $2,356.80 | $3,928.00 | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconst major injured chest 32820 CPT 32820 | $2,775.00 | $4,625.00 | not published | 0 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $2,177.40 | $3,629.00 | not published | 0 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,662.59 – $7,927.62 | 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.