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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Wrist X-ray CPT 73110 | $242.40 | $404.00 | $84.28 – $118.00 | 2 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $168.60 | $281.00 | $84.28 – $118.00 | 2 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $4,938.98 – $6,914.57 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | $247.20 | $412.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,399.20 | $2,332.00 | not published | 0 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,272.00 | $2,120.00 | not published | 0 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $914.00 | 1 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $914.00 | 1 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $23.44 – $32.82 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $637.20 | $1,062.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $170.40 | $284.00 | $101.79 – $142.51 | 2 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $407.40 | $679.00 | $341.85 – $478.59 | 2 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $12.52 | 1 |
| X-ray bone length studies CPT 77073 | $170.40 | $284.00 | $101.79 – $142.51 | 2 |
| X-ray bone survey infant CPT 77076 | $429.00 | $715.00 | $101.79 – $142.51 | 2 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $87.60 | $146.00 | $101.79 – $142.51 | 2 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray exam of arm infant CPT 73092 | $178.20 | $297.00 | $101.79 – $142.51 | 2 |
| X-ray exam of femur 1 CPT 73551 | $174.60 | $291.00 | $84.28 – $118.00 | 2 |
| X-ray exam of jaw joint CPT 70328 | $155.40 | $259.00 | $84.28 – $118.00 | 2 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $524.84 – $734.78 | 2 |
| X-ray exam of penis CPT 74445 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray exam of perineum CPT 74775 | $318.00 | $530.00 | $231.38 – $323.93 | 2 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam of teeth CPT 70300 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray exam of teeth CPT 70310 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray exam si joints CPT 72200 | $156.00 | $260.00 | $101.79 – $142.51 | 2 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $101.79 – $142.51 | 2 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $147.60 | $246.00 | $84.28 – $118.00 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $63.00 | $105.00 | $101.79 – $142.51 | 2 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $344.40 | $574.00 | $101.79 – $142.51 | 2 |
| X-ray joint survey 1 view CPT 77077 | $111.00 | $185.00 | $96.20 – $101.79 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $212.40 | $354.00 | $84.28 – $118.00 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $132.00 | $220.00 | $101.79 – $142.51 | 2 |
| X-ray male genital tract CPT 74440 | not published | not published | $231.38 – $323.93 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $165.60 | $276.00 | $84.28 – $109.85 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $152.40 | $254.00 | $84.28 – $118.00 | 2 |
| X-ray of mammary ducts CPT 77054 | $429.60 | $716.00 | $231.38 – $323.93 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $84.28 – $118.00 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $586.20 | $977.00 | $341.85 – $478.59 | 2 |
| X-ray ribs 2 views left CPT 71100 | $222.60 | $371.00 | $84.28 – $118.00 | 2 |
| X-ray sella turcica CPT 70240 | $144.00 | $240.00 | $84.28 – $118.00 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $351.00 | $585.00 | $380.25 – $524.84 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $229.80 | $383.00 | $101.79 – $142.51 | 2 |
| X-ray small intestine follow-through study CPT 74248 | $256.80 | $428.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $175.20 | $292.00 | $84.28 – $118.00 | 2 |
| X-ray surgical specimen CPT 76098 | not published | not published | $524.84 – $734.78 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $144.60 | $241.00 | $84.28 – $118.00 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $170.40 – $238.57 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $269.40 | $449.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $96.00 | $160.00 | $12.91 – $12.91 | 1 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.54 – $2.16 | 2 |
| Yersinia antibody CPT 86793 | $135.60 | $226.00 | $13.19 – $13.19 | 1 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $28,644.60 | $47,741.00 | $31,031.65 – $56,824.55 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.13 – $14.18 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $51.31 | 1 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $16.85 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $121.10 | $201.84 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $4,764.60 | $7,941.00 | $7.98 – $11.17 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.56 – $46.98 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,949.30 | $3,248.83 | not published | 0 |
| Zoster vaccine-live inj CPT 90736 | $407.60 | $679.34 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $193.25 | 1 |
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.