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 |
|---|---|---|---|---|
| Unlisted chemotherapy px CPT 96549 | not published | not published | $44.17 – $61.83 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $149.77 – $209.67 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $192.56 – $269.59 | 2 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $192.56 – $269.59 | 2 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $623.40 | $1,039.00 | not published | 0 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $3,136.80 | $5,228.00 | not published | 0 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $2,424.00 | $4,040.00 | not published | 0 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $1,161.00 | $1,935.00 | not published | 0 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted misc path test CPT 89240 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $84.28 – $118.00 | 2 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $149.77 – $209.67 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted procedure colon CPT 45399 | not published | not published | $872.71 – $1,221.79 | 2 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted procedure liver CPT 47399 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $872.71 – $1,221.79 | 2 |
| Unlisted procedure spine CPT 22899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted procedure urinary 58750 CPT 58750 | $1,674.60 | $2,791.00 | not published | 0 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $115.20 | $192.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $151.04 – $211.46 | 2 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $673.49 – $942.89 | 2 |
| Unlisted px external ear CPT 69399 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px inner ear CPT 69949 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $286.14 – $400.60 | 2 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $232.81 – $325.93 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $127.09 – $177.93 | 2 |
| Unlisted px middle ear CPT 69799 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $229.62 – $321.47 | 2 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px small intestine CPT 44799 | not published | not published | $897.45 – $1,256.43 | 2 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $127.09 – $177.93 | 2 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $222.29 – $311.20 | 2 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $384.64 – $538.50 | 2 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $190.20 – $266.28 | 2 |
| Unlisted special svc px/rprt CPT 99199 | $7.80 | $13.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $51.14 – $71.60 | 2 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $23.44 – $32.82 | 2 |
| Unlisted ultrasound procedure CPT 76999 | $133.20 | $222.00 | $84.28 – $118.00 | 2 |
| Unlisted urinalysis px CPT 81099 | $37.80 | $63.00 | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $591.81 – $828.54 | 2 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $384.64 – $538.50 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $669.79 – $937.70 | 2 |
| Upgrade pm system CPT 33214 | $13,495.20 | $22,492.00 | $10,017.62 – $14,024.67 | 2 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $257.40 | $429.00 | $84.28 – $118.00 | 2 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,284.00 | $2,140.00 | $170.40 – $238.57 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,229.40 | $2,049.00 | $101.79 – $142.51 | 2 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,162.40 | $3,604.00 | $341.85 – $478.59 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,167.60 | $1,946.00 | $341.85 – $478.59 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,594.80 | $2,658.00 | $231.38 – $323.93 | 2 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $204.00 | $340.00 | $101.79 – $142.51 | 2 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $225.00 | $375.00 | $101.79 – $142.51 | 2 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $172.80 | $288.00 | 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.