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 |
|---|---|---|---|---|
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.39 – $7.55 | 2 |
| Trim nail(s) HCPCS G0127 | $35.40 | $59.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $40.80 | $68.00 | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | $8,654.89 | $14,424.81 | $491.90 – $688.66 | 2 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $928.20 | $1,547.00 | not published | 0 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $6,378.60 | $10,631.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $12,157.20 | $20,262.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $1,710.00 | $2,850.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,816.00 | $11,360.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $7,412.40 | $12,354.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,900.80 | $23,168.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,181.80 | $5,303.00 | $3,012.85 – $3,328.65 | 2 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,858.80 | $3,098.00 | $2,013.70 – $5,174.44 | 2 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,291.60 | $5,486.00 | $3,012.85 – $3,565.90 | 2 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,779.00 | $7,965.00 | $3,012.85 – $4,217.99 | 2 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,566.00 | $2,610.00 | $1,696.50 – $3,012.85 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $1,986.00 | $3,310.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $414.00 | $690.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,422.00 | $2,370.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,855.80 | $3,093.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $1,592.40 | $2,654.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,456.80 | $2,428.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,132.80 | $1,888.00 | not published | 0 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $640.73 | 1 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,240.00 | 1 |
| Troponin quantitative CPT 84484 | $130.80 | $218.00 | $12.47 – $12.47 | 1 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $525.13 – $735.18 | 2 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $756.26 – $1,058.77 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $677.40 | $1,129.00 | not published | 0 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $198.00 | $330.00 | not published | 0 |
| Tubing (oxygen) per foot HCPCS A4616 | $19.20 | $32.00 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $418.48 – $585.87 | 2 |
| Tvh >250 gms 58290 CPT 58290 | $2,137.20 | $3,562.00 | not published | 0 |
| Tvh w/mmk 58267 CPT 58267 | $1,960.80 | $3,268.00 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $23,534.40 | $39,224.00 | $23,482.81 – $25,495.60 | 2 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $229.62 – $321.47 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | $691.80 | $1,153.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,177.80 | $1,963.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $617.40 | $1,029.00 | not published | 0 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $585.94 – $820.32 | 2 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $105.00 | $175.00 | not published | 0 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $1,692.00 | $2,820.00 | not published | 0 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $1,707.00 | $2,845.00 | not published | 0 |
| Tx l/r atrial fib addl CPT 93657 | $4,005.60 | $6,676.00 | not published | 0 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $892.80 | $1,488.00 | not published | 0 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $972.00 | $1,620.00 | not published | 0 |
| Tx open nsl fx uncomp CPT 21325 | $867.60 | $1,446.00 | not published | 0 |
| Tx open nsl sptl fx CPT 21336 | $1,201.20 | $2,002.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,070.40 | $1,784.00 | not published | 0 |
| Tx septic abortion surgical 59830 CPT 59830 | $853.80 | $1,423.00 | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $390.60 | $651.00 | not published | 0 |
| Tympanic membrane repair CPT 69610 | $723.00 | $1,205.00 | not published | 0 |
| Tympanolysis transcanal 69450 CPT 69450 | $1,018.80 | $1,698.00 | not published | 0 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $149.77 – $209.67 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $742.20 | $1,237.00 | not published | 0 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $2,576.40 | $4,294.00 | not published | 0 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $2,289.00 | $3,815.00 | not published | 0 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $174.81 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $193.25 | 1 |
| Ua w/micro/comp poc CPT 81000 | $141.00 | $235.00 | $4.02 – $4.02 | 1 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $71.90 – $100.66 | 2 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $234.00 | 1 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound breast complete CPT 76641 | $507.00 | $845.00 | $101.79 – $142.51 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $472.80 | $788.00 | $84.28 – $118.00 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $259.20 | $432.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $118.80 | $198.00 | $101.79 – $128.70 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound encephalogram CPT 76506 | $342.60 | $571.00 | $101.79 – $142.51 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $296.40 | $494.00 | $101.79 – $142.51 | 2 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $804.00 | $1,340.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $236.40 | $394.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $472.80 | $788.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $224.40 | $374.00 | $84.28 – $118.00 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | $163.80 | $273.00 | $84.28 – $118.00 | 2 |
| Ultrasound joint complete left CPT 76881 | $218.40 | $364.00 | $101.79 – $142.51 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $101.79 – $142.51 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $279.00 | $465.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $192.00 | $320.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $331.20 | $552.00 | $231.38 – $323.93 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $252.00 | $420.00 | $101.79 – $142.51 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | $388.80 | $648.00 | $101.79 – $142.51 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $364.80 | $608.00 | $101.79 – $142.51 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | $213.60 | $356.00 | not published | 0 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $170.40 – $238.57 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $10.45 – $10.45 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | $137.40 | $229.00 | not published | 0 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $291.18 – $407.65 | 2 |
| Umbilicoplasty 15847 CPT 15847 | $624.60 | $1,041.00 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.44 – $32.82 | 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.