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 |
|---|---|---|---|---|
| X-ray head for orthodontia CPT 70350 | not published | not published | $54.71 – $137.68 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $83.40 | $139.00 | $54.71 – $101.20 | 2 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $376.20 | $627.00 | $54.71 – $576.84 | 5 |
| X-ray joint survey 1 view CPT 77077 | $97.20 | $162.00 | $51.84 – $166.28 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $232.20 | $387.00 | $54.71 – $210.27 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $144.60 | $241.00 | $54.71 – $221.72 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $114.38 – $377.96 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $181.20 | $302.00 | $28.52 – $150.78 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $54.71 – $54.71 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $166.80 | $278.00 | $54.71 – $226.57 | 5 |
| X-ray of mammary ducts CPT 77054 | $469.80 | $783.00 | $102.72 – $352.76 | 5 |
| X-ray optic foramina CPT 70190 | $112.20 | $187.00 | $54.71 – $172.04 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $201.19 – $201.19 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $201.19 – $201.19 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $640.20 | $1,067.00 | $114.38 – $981.64 | 5 |
| X-ray ribs 2 views left CPT 71100 | $243.60 | $406.00 | $54.71 – $330.89 | 5 |
| X-ray sella turcica CPT 70240 | $157.80 | $263.00 | $54.71 – $241.96 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $383.40 | $639.00 | $114.38 – $857.34 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $250.80 | $418.00 | $54.71 – $384.56 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $224.40 | $374.00 | $113.92 – $327.52 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $192.00 | $320.00 | $54.71 – $294.40 | 5 |
| X-ray surgical specimen CPT 76098 | not published | not published | $114.38 – $857.34 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $158.40 | $264.00 | $54.71 – $242.88 | 5 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $114.38 – $114.38 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $114.38 – $114.38 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $54.71 – $278.36 | 3 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $57.76 – $57.76 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $282.60 | $471.00 | $57.76 – $433.32 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | $102.00 | $170.00 | $9.81 – $156.40 | 4 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.61 – $2.41 | 3 |
| Yersinia antibody CPT 86793 | not published | not published | $9.15 – $9.15 | 1 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $35,545.22 – $88,852.57 | 3 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.56 – $15.84 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $47.23 – $47.23 | 1 |
| Zika virus igm antibody CPT 86794 | not published | not published | $9.15 – $9.15 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $4,764.60 | $7,941.00 | $8.32 – $3,484.35 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $8,543.16 | $14,238.60 | $34.98 – $4,169.21 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,949.30 | $3,248.83 | $22.88 – $62.20 | 4 |
| Zoster vaccine-live inj CPT 90736 | $407.60 | $679.34 | $120.95 – $624.99 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $129.92 – $129.92 | 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.