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 |
|---|---|---|---|---|
| Resect part/compl phalangeal base ea 28126 CPT 28126 | $716.40 | $1,194.00 | not published | 0 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Resect prox finger tumor CPT 26260 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Resect tarsal tumor CPT 28171 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Resin three surfaces-anterio HCPCS D2332 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $1,834.99 | $3,058.31 | $10.58 – $14.81 | 2 |
| Respirator motion mgmt simul CPT 77293 | $288.00 | $480.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | $91.20 | $152.00 | $14.43 – $14.43 | 1 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $61.80 | $103.00 | $16.43 – $16.43 | 1 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $218.06 – $218.06 | 1 |
| Restore/remodelventricle 33548 CPT 33548 | $5,524.20 | $9,207.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $336.60 | $561.00 | $364.65 – $626.39 | 2 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,904.58 – $4,066.41 | 2 |
| Reticulated platelet assay CPT 85055 | $62.40 | $104.00 | $35.74 – $35.74 | 1 |
| Reticulocyte automated CPT 85045 | $77.40 | $129.00 | $3.99 – $3.99 | 1 |
| Reticulocyte direct measurement automated CPT 85046 | $40.80 | $68.00 | $5.57 – $5.57 | 1 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.98 – $41.97 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $833.49 – $1,166.89 | 2 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $19.59 | 1 |
| Revasc intra lithotrip-ather HCPCS C9766 | $18,978.60 | $31,631.00 | $17,188.53 – $20,560.15 | 2 |
| Revasc intra lithotrip-stent HCPCS C9765 | $18,978.60 | $31,631.00 | $17,188.53 – $20,560.15 | 2 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,728.80 | $19,548.00 | $10,855.42 – $12,002.25 | 2 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $13,848.60 | $23,081.00 | $15,002.65 – $17,188.53 | 2 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $18,978.60 | $31,631.00 | $17,188.53 – $20,560.15 | 2 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $11,728.80 | $19,548.00 | $10,855.42 – $12,706.20 | 2 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $13,848.60 | $23,081.00 | $15,002.65 – $17,188.53 | 2 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $13,848.60 | $23,081.00 | $15,002.65 – $17,188.53 | 2 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Revise arm/leg nerve CPT 64708 | $895.20 | $1,492.00 | not published | 0 |
| Revise breast reconst 19380 CPT 19380 | $1,421.40 | $2,369.00 | not published | 0 |
| Revise esophagus & stomach 43325 CPT 43325 | $2,754.00 | $4,590.00 | not published | 0 |
| Revise eye CPT 65091 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise eyelashes CPT 67825 | not published | not published | $286.14 – $400.60 | 2 |
| Revise eyelashes CPT 67835 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eyelid defect CPT 67911 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Revise eyelid lining CPT 68360 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eye muscle CPT 67311 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eye muscle CPT 67314 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise eye socket implant CPT 67560 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise eye sockets CPT 21260 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Revise eye sockets CPT 21261 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Revise eye sockets CPT 21263 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Revise eye sockets CPT 21267 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Revise eye with implant CPT 65093 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise finger joint each CPT 26135 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Revise finger joint each CPT 26140 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Revise gastric port open 43886 CPT 43886 | $546.00 | $910.00 | not published | 0 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise graft w/vein CPT 35879 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Revise graft w/vein 35881 CPT 35881 | $1,545.00 | $2,575.00 | not published | 0 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise head/neck of femur CPT 27179 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Revise/implant finger joint CPT 26536 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise kneecap CPT 27437 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise kneecap with implant CPT 27438 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Revise knuckle joint CPT 26530 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise knuckle with implant CPT 26531 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Revise lower leg tendon CPT 27690 | $1,158.60 | $1,931.00 | not published | 0 |
| Revise lower leg tendon CPT 27691 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise lower leg tendons CPT 27686 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Revise middle ear bone CPT 69660 | $1,740.00 | $2,900.00 | not published | 0 |
| Revise middle ear bone CPT 69661 | $2,266.80 | $3,778.00 | not published | 0 |
| Revise middle ear bone CPT 69662 | $2,169.00 | $3,615.00 | not published | 0 |
| Revise middle ear & mastoid CPT 69641 | $1,953.60 | $3,256.00 | not published | 0 |
| Revise middle ear & mastoid CPT 69642 | $2,508.00 | $4,180.00 | not published | 0 |
| Revise middle ear & mastoid CPT 69643 | $2,293.80 | $3,823.00 | not published | 0 |
| Revise middle ear & mastoid CPT 69644 | $2,773.20 | $4,622.00 | not published | 0 |
| Revise middle ear & mastoid CPT 69646 | $2,889.00 | $4,815.00 | not published | 0 |
| Revise middle ear & mastoid 69645 CPT 69645 | $2,721.60 | $4,536.00 | not published | 0 |
| Revise ocular implant CPT 65125 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Revise ocular implant CPT 65150 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Revise penis/urethra CPT 54332 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Revise penis/urethra CPT 54336 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $7,078.46 – $9,909.84 | 2 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Revise radius & ulna CPT 25365 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Revise radius & ulna CPT 25375 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Revise/remove sling repair CPT 57287 | $1,268.40 | $2,114.00 | 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.