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 |
|---|---|---|---|---|
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $149.77 – $209.67 | 2 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $123.39 – $172.74 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $2,357.01 | $3,928.35 | $100.30 – $140.42 | 2 |
| Av fistula revision CPT 36833 | $1,232.40 | $2,054.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $1,392.60 | $2,321.00 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $1,260.00 | $2,100.00 | not published | 0 |
| Av fusion direct any site CPT 36821 | $1,296.60 | $2,161.00 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | $1,511.40 | $2,519.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $75.00 | $125.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $200.40 | $334.00 | $190.20 – $217.10 | 2 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $54.08 – $75.71 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $533,076.48 – $746,307.07 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $1,233.60 | $2,056.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $953.01 | $1,588.35 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $78.05 | $130.09 | not published | 0 |
| Azathioprine parenteral HCPCS J7501 | $484.20 | $807.00 | $224.97 – $314.96 | 2 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $77.40 | $129.00 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $159.46 | $265.76 | not published | 0 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,360.49 | $5,600.81 | $175.82 – $246.15 | 2 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $141.72 | $236.20 | not published | 0 |
| Baclofen eval charges CPT 97750 | $222.00 | $370.00 | $42.65 – $42.65 | 1 |
| Bacterial meningitis antigen CPT 86403 | $174.60 | $291.00 | $11.54 – $11.54 | 1 |
| Bacterial vaginosis pcr CPT 87801 | $190.20 | $317.00 | $70.20 – $70.20 | 1 |
| Bactericidal level serum CPT 87197 | $135.60 | $226.00 | $15.02 – $15.02 | 1 |
| #bac vag cand-c. albicans naa CPT 87481 | $115.20 | $192.00 | $35.09 – $35.09 | 1 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $84.60 | $141.00 | not published | 0 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $69.60 | $116.00 | $41.24 – $41.24 | 1 |
| Balloon dilate urtrl strix CPT 50706 | $1,304.40 | $2,174.00 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $407.40 | $679.00 | $170.40 – $238.57 | 2 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $300.00 | $500.00 | $170.40 – $238.57 | 2 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $294.00 | $490.00 | $170.40 – $238.57 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $391.80 | $653.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $196.80 | $328.00 | $35.09 – $35.09 | 1 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $42.84 | 1 |
| Basic vestibular evaluation CPT 92540 | $334.20 | $557.00 | $149.77 – $209.67 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $4,672.47 – $6,541.46 | 2 |
| B cells total count CPT 86355 | $136.20 | $227.00 | $37.73 – $37.73 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $94.99 | 1 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | $1,208.04 | $2,013.40 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $33.00 | $55.00 | not published | 0 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,730.27 | $2,883.79 | $3.89 – $5.45 | 2 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $3,649.18 | $6,081.97 | $56.01 – $78.41 | 2 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $5,305.05 | $8,841.75 | $1.85 – $2.59 | 2 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.99 – $16.79 | 2 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $4,423.00 | $7,371.66 | $13.12 – $18.37 | 2 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $28.06 – $39.28 | 2 |
| Benign lesion paring 2-4 CPT 11056 | $102.60 | $171.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $129.00 | $215.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $192.00 | $320.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $219.32 | $365.54 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $121.20 | $202.00 | $25.45 – $25.45 | 1 |
| Beta-2 microglobulin CPT 82232 | $123.00 | $205.00 | $16.18 – $16.18 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $78.60 | $131.00 | not published | 0 |
| Bethanechol chloride inject HCPCS J0520 | $20.72 | $34.53 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $5,687.56 | $9,479.27 | $73.05 – $102.27 | 2 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $4,984.63 | $8,307.71 | $28.85 – $40.39 | 2 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $4,387.22 | $7,312.03 | $23.93 – $33.50 | 2 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.83 – $2.56 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $186.00 | $310.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $79.80 | $133.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $189.60 | $316.00 | $16.87 – $16.87 | 1 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $88.54 – $123.96 | 2 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $88.54 – $123.96 | 2 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $1,148.40 | $1,914.00 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $258.00 | $430.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $504.00 | $840.00 | $282.56 – $364.00 | 2 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $301.20 | $502.00 | $282.56 – $326.30 | 2 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $26.58 | 1 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $297.60 | $496.00 | not published | 0 |
| Biliary endo perq dx w/speci CPT 47552 | $1,505.40 | $2,509.00 | $1,630.85 – $5,972.81 | 2 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $5,972.81 – $8,361.94 | 2 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Bilicheck CPT 88720 | $28.80 | $48.00 | $5.02 – $5.02 | 1 |
| Bilirubin direct CPT 82248 | $34.80 | $58.00 | $5.02 – $5.02 | 1 |
| Bilirubin total CPT 82247 | $42.60 | $71.00 | $5.02 – $5.02 | 1 |
| Bilobectomy 32482 CPT 32482 | $2,922.60 | $4,871.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $22.80 | $38.00 | not published | 0 |
| Biofeedback, pt CPT 90901 | $63.00 | $105.00 | $25.17 – $25.17 | 1 |
| Biopsy abdominal mass CPT 49180 | $1,953.00 | $3,255.00 | $1,326.65 – $1,550.93 | 2 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,216.80 | $2,028.00 | $704.60 – $1,550.93 | 2 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $236.40 | $394.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $462.60 | $771.00 | not published | 0 |
| Biopsy external ear 69100 CPT 69100 | $186.60 | $311.00 | not published | 0 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $286.14 – $400.60 | 2 |
| Biopsy eye muscle CPT 67346 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Biopsy forearm soft tissues CPT 25066 | $635.40 | $1,059.00 | not published | 0 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,854.80 | $4,758.00 | $1,858.35 – $2,739.61 | 2 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,550.93 – $2,171.30 | 2 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Biopsy muscle percutaneous needle CPT 20206 | $691.80 | $1,153.00 | $630.50 – $1,550.93 | 2 |
| Biopsy needle liver percutaneous CPT 47000 | $1,226.40 | $2,044.00 | $929.50 – $1,550.93 | 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.