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 |
|---|---|---|---|---|
| Spinal bone autograftlocal 20936 CPT 20936 | $403.80 | $673.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $855.00 | $1,425.00 | $662.89 – $926.25 | 2 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Spine X-ray (single view, one level) CPT 72020 | $135.60 | $226.00 | $84.28 – $118.00 | 2 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $298.08 – $417.31 | 2 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $149.77 – $209.67 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $384.64 – $538.50 | 2 |
| Splenectomy total open 38100 CPT 38100 | $2,062.80 | $3,438.00 | not published | 0 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $45.60 | $76.00 | not published | 0 |
| Splint finger 4 prong foam sm HCPCS A4570 | $16.20 | $27.00 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $3.00 | $5.00 | not published | 0 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $3.60 | $6.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $4.80 | $8.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $15.60 | $26.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,573.20 | $2,622.00 | not published | 0 |
| Split blood or products CPT 86985 | $28.80 | $48.00 | $31.20 – $164.03 | 2 |
| Spontaneous nystagmus study CPT 92531 | $49.80 | $83.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $317.50 – $444.50 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $164.03 – $229.64 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $767.40 | $1,279.00 | $831.35 – $4,146.34 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $175.40 | 1 |
| Srs linear based CPT 77372 | $6,634.80 | $11,058.00 | $7,187.70 – $7,317.46 | 2 |
| Srs multisource CPT 77371 | not published | not published | $7,317.46 – $10,244.44 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $149.77 – $209.67 | 2 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | $1,739.40 | $2,899.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $202.80 | $338.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $35.09 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $67.80 | $113.00 | $129.95 – $129.95 | 1 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $77.78 | 1 |
| Stenger test pure tone CPT 92565 | $38.40 | $64.00 | $41.60 – $56.86 | 2 |
| Stenger test speech CPT 92577 | not published | not published | $507.90 – $711.06 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $21,216.00 | $35,360.00 | $17,188.53 – $22,984.00 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $14,157.00 | $23,595.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $691.20 | $1,152.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $5,614.20 | $9,357.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $14,005.20 | $23,342.00 | $10,855.42 – $15,172.30 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $8,039.40 | $13,399.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $18,950.40 | $31,584.00 | $17,188.53 – $20,529.60 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | $2,464.80 | $4,108.00 | not published | 0 |
| Sternal debridement CPT 21627 | $998.40 | $1,664.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $202.80 | $338.00 | $142.56 – $142.56 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $211.80 | $353.00 | $113.53 – $113.53 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $819.60 | $1,366.00 | $384.64 – $538.50 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $164.03 – $229.64 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $164.03 – $229.64 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $952.80 | $1,588.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $67.20 | $112.00 | not published | 0 |
| Strapping of chest CPT 29200 | not published | not published | $151.04 – $211.46 | 2 |
| Strapping of elbow or wrist 29260 CPT 29260 | $94.20 | $157.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | not published | not published | $56.86 – $79.60 | 2 |
| Strapping of hip CPT 29520 | not published | not published | $123.39 – $172.74 | 2 |
| Strapping of knee CPT 29530 | not published | not published | $123.39 – $172.74 | 2 |
| Strapping of toes 29550 CPT 29550 | $57.00 | $95.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $42.00 | $70.00 | $16.81 – $16.81 | 1 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $20.05 | 1 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $41.76 | 1 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $12.73 | 1 |
| Strep b dna amp probe CPT 87653 | $78.60 | $131.00 | $35.09 – $35.09 | 1 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | $917.47 | $1,529.12 | not published | 0 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $12.66 | 1 |
| Streptomycin injection HCPCS J3000 | $150.80 | $251.33 | not published | 0 |
| Streptozocin injection HCPCS J9320 | $270.37 | $450.62 | not published | 0 |
| Stress test pulmonary CPT 94618 | $109.80 | $183.00 | $70.85 – $123.39 | 2 |
| Stress tte complete CPT 93351 | not published | not published | $524.84 – $734.78 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $304.81 | 1 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $233.07 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $204.00 | $340.00 | not published | 0 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $802.20 | $1,337.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $190.20 – $266.28 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $585.94 – $820.32 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $245.40 | $409.00 | not published | 0 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $231.00 | $385.00 | not published | 0 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $46.73 | $77.89 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Suction lipectomy lwr extrem CPT 15879 | $1,029.60 | $1,716.00 | not published | 0 |
| Suction lipectomy trunk CPT 15877 | $1,029.60 | $1,716.00 | not published | 0 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $11.53 | 1 |
| Sugars single quant CPT 84378 | $374.40 | $624.00 | $11.53 – $11.53 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $3,129.21 | $5,215.35 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $192.00 | $320.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $359.84 | $599.74 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $22.80 | $38.00 | not published | 0 |
| Supply of digital device HCPCS G0552 | not published | not published | $123.36 – $172.70 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $70.80 | $118.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,560.39 – $63,784.55 | 2 |
| Surg dx exam anorectal CPT 45990 | $195.00 | $325.00 | not published | 0 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,554.60 | $2,591.00 | not published | 0 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,556.40 | $2,594.00 | not published | 0 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,838.12 – $9,573.37 | 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.