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 |
|---|---|---|---|---|
| Telavancin injection HCPCS J3095 | not published | not published | $7.47 – $10.46 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | $24.00 | $40.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $631.80 | $1,053.00 | $350.41 – $490.57 | 2 |
| Telethx isodose plan simple CPT 77306 | $361.80 | $603.00 | $350.41 – $391.95 | 2 |
| Temozolomide HCPCS J8700 | $4,671.14 | $7,785.23 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $1,818.11 | $3,030.18 | $10.39 – $14.55 | 2 |
| Temperature gradient studies CPT 93740 | not published | not published | $149.77 – $209.67 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,861.96 | $4,769.94 | $32.29 – $45.21 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $13,080.79 | $21,801.32 | $171.94 – $240.72 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,035.00 | $1,725.00 | not published | 0 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,057.20 | $1,762.00 | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $799.80 | $1,333.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $708.60 | $1,181.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.51 | $32.51 | not published | 0 |
| Teriparatide injection HCPCS J3110 | $3,083.57 | $5,139.28 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $185.20 | 1 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $6.01 | 1 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $5.82 | 1 |
| Test for urine cystines CPT 82615 | $166.80 | $278.00 | $9.55 – $9.55 | 1 |
| Testicular imaging w/vasc flow CPT 78761 | $576.60 | $961.00 | $384.64 – $538.50 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $51.64 | 1 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.99 – $2.79 | 2 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $56.86 – $79.60 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $523.20 | $872.00 | $155.35 – $298.08 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $11.25 | 1 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $13.36 | 1 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $4.47 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $997.91 | $1,663.19 | $577.05 – $807.87 | 2 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $6,826.85 | $11,378.08 | $18.30 – $25.62 | 2 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $137.00 | 1 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $759.53 | 1 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $2,919.60 | 1 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $597.91 | 1 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $164.03 – $229.64 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $51.14 – $71.60 | 2 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $418.48 – $585.87 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $121.80 | $203.00 | $14.14 – $14.14 | 1 |
| Therapeutic procd strg endur HCPCS G0237 | $61.80 | $103.00 | $23.44 – $32.82 | 2 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Therapy activation ipnss CPT 93150 | not published | not published | $87.86 – $123.01 | 2 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $70.20 | $117.00 | $44.62 – $44.62 | 1 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $78.60 | $131.00 | $37.06 – $37.06 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $84.00 | $140.00 | $40.94 – $40.94 | 1 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $72.00 | $120.00 | $34.61 – $34.61 | 1 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $719.40 | $1,199.00 | not published | 0 |
| Ther fx nasal inf turbinate CPT 30930 | $228.60 | $381.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $170.40 – $238.57 | 2 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $201.68 – $282.35 | 2 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $211.80 | $353.00 | $84.28 – $118.00 | 2 |
| Thiotepa injection HCPCS J9340 | $1,369.80 | $2,283.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,047.60 | $1,746.00 | $591.81 – $692.90 | 2 |
| Thoracic aortic graft 33875 CPT 33875 | $5,075.40 | $8,459.00 | not published | 0 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $475.80 | $793.00 | not published | 0 |
| Thoracoabdominal graft 33877 CPT 33877 | $5,781.00 | $9,635.00 | not published | 0 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | $3,131.40 | $5,219.00 | not published | 0 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $571.80 | $953.00 | not published | 0 |
| Thoracoscopy lymph node exc CPT 32674 | $394.20 | $657.00 | not published | 0 |
| Thoracoscopy remove cortex CPT 32651 | $1,593.00 | $2,655.00 | not published | 0 |
| Thoracoscopy remove segment CPT 32669 | $2,542.80 | $4,238.00 | not published | 0 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | $1,937.40 | $3,229.00 | not published | 0 |
| Thoracoscopy resect bullae 32655 CPT 32655 | $1,755.60 | $2,926.00 | not published | 0 |
| Thoracoscopy surgical 32650 CPT 32650 | $1,230.00 | $2,050.00 | not published | 0 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | $2,191.80 | $3,653.00 | not published | 0 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | $1,732.20 | $2,887.00 | not published | 0 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | $3,040.20 | $5,067.00 | not published | 0 |
| Thoracoscopy w/bx med space CPT 32606 | $853.20 | $1,422.00 | not published | 0 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Thoracoscopy w/lobectomy CPT 32663 | $2,581.80 | $4,303.00 | not published | 0 |
| Thoracoscopy w/mediast exc CPT 32662 | $2,182.20 | $3,637.00 | not published | 0 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $1,237.80 | $2,063.00 | not published | 0 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | $1,814.40 | $3,024.00 | not published | 0 |
| Thoracoscopy w/thymus resect CPT 32673 | $2,209.20 | $3,682.00 | not published | 0 |
| Thoracoscopy w/wedge resect CPT 32666 | $1,596.00 | $2,660.00 | not published | 0 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | $288.60 | $481.00 | not published | 0 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | $289.80 | $483.00 | not published | 0 |
| Thoracostomy w/flap drng 32036 CPT 32036 | $1,582.20 | $2,637.00 | not published | 0 |
| Thoracostomy w/rib resection 32035 CPT 32035 | $1,320.00 | $2,200.00 | not published | 0 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | $1,850.40 | $3,084.00 | not published | 0 |
| Thoracotomy w/expl CPT 32100 | $1,516.20 | $2,527.00 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,434.60 | $2,391.00 | not published | 0 |
| Thorcscpy w/biop pleura CPT 32609 | $220.20 | $367.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $51.00 | $85.00 | not published | 0 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $361.20 | $602.00 | not published | 0 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $344.40 | $574.00 | not published | 0 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $959.40 | $1,599.00 | $384.64 – $538.50 | 2 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $84.28 – $118.00 | 2 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,287.80 | $3,813.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,491.60 | $12,486.00 | $5,457.61 – $6,242.60 | 2 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $11,733.00 | $19,555.00 | $10,855.42 – $12,710.75 | 2 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $18,978.60 | $31,631.00 | $17,188.53 – $20,560.15 | 2 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $1,996.20 | $3,327.00 | 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.