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 |
|---|---|---|---|---|
| Thrombin time CPT 85670 | $117.60 | $196.00 | $5.77 – $5.77 | 1 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $6.85 | 1 |
| Thromboendarterectomy common femoral CPT 35371 | $1,565.40 | $2,609.00 | not published | 0 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $1,701.00 | $2,835.00 | not published | 0 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $1,747.80 | $2,913.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $2,141.40 | $3,569.00 | not published | 0 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $17.27 | 1 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $9.63 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $117.60 | $196.00 | $6.47 – $6.47 | 1 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $35.11 | 1 |
| Thumb fusion with graft CPT 26820 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Thumb fusion with graft CPT 26842 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | $2,517.00 | $4,195.00 | not published | 0 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | $2,100.60 | $3,501.00 | not published | 0 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | $2,068.80 | $3,448.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $91.80 | $153.00 | $15.91 – $15.91 | 1 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $2,491.20 | $4,152.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $462.60 | $771.00 | $384.64 – $501.15 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $384.64 – $538.50 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $384.64 – $538.50 | 2 |
| Thyroid mets imag whole body CPT 78018 | $655.80 | $1,093.00 | $515.24 – $568.10 | 2 |
| Thyroid met uptake CPT 78020 | $222.60 | $371.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $118.80 | $198.00 | $16.80 – $16.80 | 1 |
| Thyroid Ultrasound CPT 76536 | $321.60 | $536.00 | $101.79 – $142.51 | 2 |
| Thyroid uptake measurement CPT 78012 | $270.60 | $451.00 | $293.15 – $384.64 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $3,429.09 | $5,715.15 | $1,926.50 – $2,113.24 | 2 |
| Thyrotropin releasing hormone CPT 80438 | $156.00 | $260.00 | $50.41 – $50.41 | 1 |
| Thyroxine binding globulin (tbg) CPT 84442 | $78.60 | $131.00 | $14.78 – $14.78 | 1 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $20,079.60 | $33,466.00 | $17,188.53 – $21,752.90 | 2 |
| Tib/per revasc stnt & ather CPT 37235 | $8,039.40 | $13,399.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $11,292.60 | $18,821.00 | not published | 0 |
| Tigecycline injection HCPCS J3243 | $117.25 | $195.42 | not published | 0 |
| Tilt table study CPT 93660 | $1,203.00 | $2,005.00 | $507.90 – $711.06 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $452.93 | $754.88 | not published | 0 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $578,324.58 – $809,654.41 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $11,729.55 | $19,549.25 | $188.65 – $264.11 | 2 |
| Tissue culture placenta CPT 88235 | $453.00 | $755.00 | $150.30 – $150.30 | 1 |
| Tissue culture skin/biopsy CPT 88233 | $589.20 | $982.00 | $140.73 – $140.73 | 1 |
| Tissue culture tumor CPT 88239 | not published | not published | $147.52 – $147.52 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $42.60 | $71.00 | $4.27 – $4.27 | 1 |
| Tissue transglutaminase iga CPT 86364 | $45.60 | $76.00 | $11.53 – $11.53 | 1 |
| Tl-201 thallium diag per mci HCPCS A9505 | $87.00 | $145.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $1,719.60 | $2,866.00 | not published | 0 |
| Tlh uterus over 250 g CPT 58572 | $2,142.00 | $3,570.00 | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | $1,911.60 | $3,186.00 | not published | 0 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $2,449.80 | $4,083.00 | not published | 0 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $4,431.60 | $7,386.00 | not published | 0 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $4,557.00 | $7,595.00 | not published | 0 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $33.23 | $55.38 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $101.40 | $169.00 | $16.13 – $16.13 | 1 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,733.60 | $7,889.33 | $5.79 – $8.11 | 2 |
| Toe X-ray (both feet) CPT 73660 | $207.00 | $345.00 | $84.28 – $118.00 | 2 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $53.92 – $53.92 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $23.40 | $39.00 | $65.52 – $65.52 | 1 |
| Tone decay hearing test CPT 92563 | $23.40 | $39.00 | $25.35 – $37.57 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $315.00 | $525.00 | not published | 0 |
| Tongue suspension CPT 41512 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Tonsillectomy (age 12+) CPT 42826 | $475.20 | $792.00 | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | $459.00 | $765.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $570.18 | $950.30 | not published | 0 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.50 – $55.30 | 2 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $2,439.00 | $4,065.00 | not published | 0 |
| Total Hip Replacement CPT 27130 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Total hysterectomy CPT 58150 | $1,848.60 | $3,081.00 | not published | 0 |
| Total Knee Replacement CPT 27447 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | $4,564.80 | $7,608.00 | not published | 0 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $17,603.32 – $24,644.65 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,042.80 | $1,738.00 | not published | 0 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $4,633.80 | $7,723.00 | not published | 0 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $55.89 | 1 |
| Toxoplasma antibody igg CPT 86777 | $84.60 | $141.00 | $14.39 – $14.39 | 1 |
| Toxoplasma antibody igm CPT 86778 | $62.40 | $104.00 | $14.41 – $14.41 | 1 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $641.85 | 1 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $308.00 | 1 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $329.51 | 1 |
| Tpmt gene com vrnts CPT 81335 | $419.40 | $699.00 | $174.81 – $174.81 | 1 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $232.81 – $325.93 | 2 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $12,436.60 – $17,411.25 | 2 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $5,748.93 | $9,581.55 | $383.07 – $536.30 | 2 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $525.13 – $735.18 | 2 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $637.80 | $1,063.00 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $340.20 | $567.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $836.40 | $1,394.00 | not published | 0 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $33.04 – $33.04 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $78.60 | $131.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $291.18 – $407.65 | 2 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $1,838.40 | $3,064.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $5,679.00 | $9,465.00 | $5,174.44 – $6,152.25 | 2 |
| Transcath closure of asd CPT 93580 | $9,849.60 | $16,416.00 | $10,670.40 – $17,188.53 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $17,188.53 – $24,063.94 | 2 |
| Transcatheter bx s&i CPT 75970 | $1,444.80 | $2,408.00 | 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.