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 |
|---|---|---|---|---|
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $7.80 | $13.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $23,287.80 | $38,813.00 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $432.60 | $721.00 | $101.79 – $142.51 | 2 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $68.13 – $95.38 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,461.60 | $2,436.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,487.60 | $4,146.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $63.00 | $105.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.60 | $36.00 | $2.70 – $2.70 | 1 |
| Segmentectomy 32484 CPT 32484 | $2,650.20 | $4,417.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $84.00 | $140.00 | not published | 0 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $76.20 | $127.00 | $40.79 – $40.79 | 1 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $23.44 – $32.82 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $6.50 | 1 |
| Semen analysis presence/motility CPT 89321 | $32.40 | $54.00 | $12.05 – $12.05 | 1 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $8.61 | 1 |
| Sensorimotor examination CPT 92060 | not published | not published | $56.86 – $79.60 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.57 – $52.60 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $192.00 | 1 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Serial casting application 97139app CPT 97139 | $151.20 | $252.00 | not published | 0 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $43.65 | 1 |
| Sertraline (zoloft) - sendout CPT 80332 | $186.60 | $311.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $546.00 | $910.00 | $127.09 – $177.93 | 2 |
| Set radiation therapy field CPT 77285 | $601.80 | $1,003.00 | $350.41 – $490.57 | 2 |
| Set radiation therapy field CPT 77290 | $1,335.00 | $2,225.00 | $350.41 – $490.57 | 2 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $287.08 – $401.91 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $17.98 | 1 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $7.99 | 1 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $193.25 | 1 |
| Sgmdsc w/band ligation CPT 45350 | $1,215.00 | $2,025.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $155.40 | $259.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $194.40 | $324.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $225.00 | $375.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $280.20 | $467.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $127.80 | $213.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $174.00 | $290.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $204.00 | $340.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $227.40 | $379.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $126.60 | $211.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $169.80 | $283.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $202.80 | $338.00 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,414.20 | $12,357.00 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $24.48 | 1 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Shoe heel pad & depress for HCPCS L3480 | $4.80 | $8.00 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $19.80 | $33.00 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $15.60 | $26.00 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shorten radius & ulna CPT 25392 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $72.00 | $120.00 | $68.13 – $70.85 | 2 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $160.20 | $267.00 | $84.28 – $118.00 | 2 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $217.80 | $363.00 | $101.79 – $142.51 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,451.80 | $5,753.00 | $341.85 – $478.59 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | $2,205.00 | $3,675.00 | $756.26 – $1,058.77 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $2,247.60 | $3,746.00 | $231.38 – $323.93 | 2 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Shoulder X-ray CPT 73030 | $275.40 | $459.00 | $84.28 – $118.00 | 2 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $151.20 | $252.00 | $84.28 – $118.00 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,781.40 | $7,969.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $201.00 | $335.00 | $101.79 – $142.51 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $12.22 | 1 |
| Sialography s&i CPT 70390 | $264.00 | $440.00 | $231.38 – $286.00 | 2 |
| Sialolithotomy 42330 CPT 42330 | $433.20 | $722.00 | not published | 0 |
| Sickling rbc CPT 85660 | $109.20 | $182.00 | $5.51 – $5.51 | 1 |
| Sigmoidoscopy and biopsy CPT 45331 | $100.80 | $168.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $277.20 | $462.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $705.60 | $1,176.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $516.00 | $860.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,394.40 | $2,324.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $538.80 | $898.00 | not published | 0 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $303.00 | $505.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $592.80 | $988.00 | not published | 0 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $270.00 | $450.00 | not published | 0 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $547.20 | $912.00 | not published | 0 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $196.80 | $328.00 | $56.86 – $79.60 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | $883.80 | $1,473.00 | not published | 0 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,855.42 – $15,197.59 | 2 |
| Simple cystometrogram 51725 CPT 51725 | $363.60 | $606.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $236.77 | $394.61 | not published | 0 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $101.79 – $142.51 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,203.00 | $2,005.00 | $170.40 – $238.57 | 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.