MercyOne Genesis Silvis Medical Center
801 Illini Drive, Silvis, IL · MercyOne · · NPI 1427132604
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 |
|---|---|---|---|---|
| Unsched dialysis esrd pt hos HCPCS G0257 | $822.60 | $1,371.00 | $438.72 – $1,261.32 | 5 |
| Upgrade pm system CPT 33214 | $15,587.40 | $25,979.00 | $1,429.68 – $16,363.90 | 5 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $281.40 | $469.00 | $54.71 – $254.28 | 5 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,443.00 | $2,405.00 | $1.00 – $2,212.60 | 5 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,381.20 | $2,302.00 | $1.00 – $2,117.84 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,361.60 | $3,936.00 | $372.28 – $3,621.12 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,275.60 | $2,126.00 | $372.28 – $3,022.00 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,741.80 | $2,903.00 | $235.87 – $3,022.00 | 5 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $223.20 | $372.00 | $54.71 – $303.18 | 5 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $246.00 | $410.00 | $54.71 – $334.15 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $181.20 | $302.00 | $277.84 – $988.61 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $204.60 | $341.00 | $313.72 – $988.61 | 2 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $504.00 | $840.00 | $772.80 – $15,832.73 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $363.60 | $606.00 | $114.38 – $557.52 | 5 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $346.80 | $578.00 | $114.38 – $531.76 | 5 |
| Uppr gi scope w/submuc inj CPT 43236 | $661.80 | $1,103.00 | $988.61 – $1,014.76 | 2 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,317.60 | $2,196.00 | $2,020.32 – $3,602.71 | 2 |
| Urea nitrogen CPT 84520 | $37.80 | $63.00 | $4.42 – $57.96 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.40 | $94.00 | $4.42 – $86.48 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $4.42 – $4.42 | 1 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.42 – $4.42 | 1 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $6,862.82 – $6,862.82 | 1 |
| Ureteral reflux study CPT 78740 | $802.80 | $1,338.00 | $363.22 – $1,230.96 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,465.91 – $5,392.91 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,465.91 – $5,392.91 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Ureteroneocystostomy 50780 CPT 50780 | $2,313.60 | $3,856.00 | $3,547.52 – $4,123.41 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | $2,200.20 | $3,667.00 | $3,373.64 – $6,862.82 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $274.20 | $457.00 | $114.38 – $420.44 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,965.36 – $5,392.91 | 3 |
| Urethrocystography void s&i CPT 74455 | $480.60 | $801.00 | $114.38 – $736.92 | 5 |
| Uric acid blood CPT 84550 | $40.20 | $67.00 | $4.42 – $61.64 | 4 |
| Uric acid urine CPT 84560 | $43.20 | $72.00 | $4.42 – $66.24 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.39 – $2.39 | 1 |
| Urinalysis microscopic only CPT 81015 | $17.40 | $29.00 | $2.39 – $26.68 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $113.40 | $189.00 | $2.39 – $173.88 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $27.60 | $46.00 | $2.39 – $36.68 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $21.00 | $35.00 | $2.39 – $23.64 | 4 |
| Urinary bldr retent nuc study CPT 78730 | $292.20 | $487.00 | $155.84 – $448.04 | 4 |
| Urinary reflex study CPT 51792 | not published | not published | $61.92 – $92.88 | 3 |
| Urine Culture Test CPT 87086 | $47.40 | $79.00 | $8.01 – $67.16 | 4 |
| Urine flow measurement 51736 CPT 51736 | $90.00 | $150.00 | $82.51 – $138.00 | 2 |
| Urine pregnancy test CPT 81025 | $67.80 | $113.00 | $2.39 – $92.10 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.39 – $2.39 | 1 |
| Urine shunt to intestine CPT 50815 | not published | not published | $6,862.82 – $6,862.82 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.51 – $2.51 | 1 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $118.14 – $118.14 | 1 |
| Urography, antegrade CPT 74425 | $601.80 | $1,003.00 | $114.38 – $737.84 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $114.38 – $278.36 | 3 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $472.99 – $472.99 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $107.26 – $166.28 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $25,816.55 | $43,027.58 | $13.85 – $5,486.73 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $51,633.07 | $86,055.11 | $164.37 – $37,433.99 | 5 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $3,708.65 – $20,118.95 | 3 |
| Vaccine Administration (one shot) CPT 90471 | $52.80 | $88.00 | $6.44 – $111.28 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $263.57 | $439.29 | $25.05 – $382.18 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $240.91 | $401.51 | $25.05 – $349.31 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $274.01 | $456.68 | $25.05 – $397.31 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $159.71 | $266.19 | $25.05 – $231.59 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $114.26 | $190.44 | $25.05 – $165.68 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $66.25 | $110.41 | $25.05 – $94.00 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $195.95 | $326.59 | $25.05 – $190.00 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $126.79 | $211.31 | $25.05 – $154.42 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $288.65 | $481.08 | $25.05 – $392.56 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $199.37 | $332.29 | $25.05 – $289.09 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $65.04 | $108.40 | $25.05 – $94.31 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $63.25 | $105.41 | $19.06 – $51.82 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $165.01 | $275.02 | $25.05 – $178.14 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $116.72 | $194.53 | $62.25 – $169.24 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $144.41 | $240.68 | $25.05 – $117.77 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $140.37 | $233.95 | $25.05 – $150.92 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $273.90 | $456.50 | $25.05 – $397.16 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $64.23 | $107.05 | $25.05 – $70.01 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $557.26 | $928.76 | $120.95 – $808.02 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $120.95 – $120.95 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $152.43 | $254.05 | $25.05 – $221.02 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $142.36 | $237.26 | $25.05 – $206.42 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.38 | $78.97 | $15.27 – $41.51 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $25.05 – $25.05 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $432.42 | $720.70 | $120.95 – $627.01 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $354.77 | $591.28 | $120.95 – $514.41 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $317.02 | $528.36 | $120.95 – $459.67 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $513.94 | $856.56 | $120.95 – $446.26 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $181.04 | $301.73 | $25.05 – $262.51 | 4 |
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.