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 |
|---|---|---|---|---|
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $1,963.20 | $3,272.00 | not published | 0 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $2,092.20 | $3,487.00 | not published | 0 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $2,042.40 | $3,404.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $735.60 | $1,226.00 | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $20,527.00 – $28,737.80 | 2 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Revsc opn/prq tib/pero stent CPT 37234 | $7,374.60 | $12,291.00 | not published | 0 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.62 – $14.87 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Rheumatoid factor qualitative CPT 86430 | $218.40 | $364.00 | $6.14 – $6.14 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $58.80 | $98.00 | $5.67 – $5.67 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $1,885.20 | $3,142.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $308.33 | $513.88 | not published | 0 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $92.66 | $154.43 | not published | 0 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $2,223.29 | $3,705.48 | $30.77 – $43.08 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $135.00 | $225.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| Rhythm ecg with report CPT 93040 | $24.00 | $40.00 | not published | 0 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $295.80 | $493.00 | $101.79 – $142.51 | 2 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $316.20 | $527.00 | $101.79 – $142.51 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Rib X-ray (3 views, both sides) CPT 71110 | $256.80 | $428.00 | $101.79 – $142.51 | 2 |
| Right ventric recording CPT 93603 | $1,273.20 | $2,122.00 | $1,162.06 – $1,379.30 | 2 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $34,953.94 | $58,256.57 | $14.84 – $20.78 | 2 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $28.52 – $39.92 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,189.60 | $3,649.33 | $10.94 – $15.32 | 2 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $8,361.79 | $13,936.32 | $75.93 – $106.30 | 2 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $13,353.90 | $22,256.50 | $36.96 – $51.74 | 2 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $7,529.59 | $12,549.32 | $31.18 – $43.65 | 2 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $6,389.38 | $10,648.97 | $29.92 – $41.89 | 2 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,389.38 | $10,648.97 | $26.50 – $37.10 | 2 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $1,986.60 | $3,311.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $264.00 | $440.00 | not published | 0 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $586.20 | $977.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $366.60 | $611.00 | not published | 0 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $6,130.10 – $8,582.15 | 2 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $181.20 | $302.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $3,788.40 | $6,314.00 | $3,483.61 – $4,104.10 | 2 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $38,141.40 | $63,569.00 | $21,485.94 – $30,080.32 | 2 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $39,772.20 | $66,287.00 | $30,689.99 – $42,965.98 | 2 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $29,829.00 | $49,715.00 | $21,485.94 – $30,080.32 | 2 |
| Rmvl icd pulse gen only CPT 33241 | $3,702.60 | $6,171.00 | $3,483.61 – $4,011.15 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $1,035.00 | $1,725.00 | not published | 0 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | $4,332.60 | $7,221.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $639.60 | $1,066.00 | $591.81 – $692.90 | 2 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $270.60 | $451.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $9,019.20 | $15,032.00 | $7,921.93 – $9,770.80 | 2 |
| Rmvl perq right heart vad CPT 33997 | $5,083.20 | $8,472.00 | not published | 0 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,291.89 – $4,608.64 | 2 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $20,629.80 | $34,383.00 | $18,255.30 – $22,348.95 | 2 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $9,155.40 | $15,259.00 | $7,921.93 – $9,918.35 | 2 |
| Rmvl pq iabp CPT 33968 | $582.00 | $970.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $5,083.20 | $8,472.00 | not published | 0 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmvl sq defib electrode CPT 33272 | $740.40 | $1,234.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,026.60 | $1,711.00 | $673.49 – $942.89 | 2 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $852.00 | $1,420.00 | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $381.97 – $534.76 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $3,888.00 | $6,480.00 | $3,483.61 – $4,212.00 | 2 |
| Rmvl tv pm lead sgl CPT 33234 | $3,702.60 | $6,171.00 | $3,483.61 – $4,011.15 | 2 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $496.80 | $828.00 | not published | 0 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $11,936.83 – $16,711.56 | 2 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $29,169.93 – $40,837.90 | 2 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | $120.00 | $200.00 | not published | 0 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.56 – $2.18 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $5,226.07 | $8,710.12 | $31.08 – $43.51 | 2 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $11.00 – $15.40 | 2 |
| Romiplostim injection HCPCS J2796 | $4,236.68 | $7,061.13 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,118.84 | $6,864.73 | $12.00 – $16.80 | 2 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $99.77 | $166.28 | not published | 0 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $18.23 | 1 |
| Routine footcare pt w lops HCPCS G0247 | $114.00 | $190.00 | $123.50 – $190.20 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.16 – $32.42 | 2 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,764.60 | $2,941.00 | $1,486.98 – $1,911.65 | 2 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $384.64 – $538.50 | 2 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,396.19 – $1,954.67 | 2 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $917.40 | $1,529.00 | $794.95 – $1,486.98 | 2 |
| Rpl tun-cvad w subq port CPT 36582 | $1,948.20 | $3,247.00 | not published | 0 |
| Rpl tun-cvad w subq pump CPT 36583 | $2,171.40 | $3,619.00 | 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.