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 |
|---|---|---|---|---|
| Closed tx/talus fracture without manip 28430 CPT 28430 | $442.80 | $738.00 | $478.73 – $678.96 | 2 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $478.73 – $5,073.37 | 3 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $2,881.23 – $2,881.23 | 1 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $504.60 | $841.00 | $182.30 – $773.72 | 2 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,544.12 – $2,316.17 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | $1,331.40 | $2,219.00 | $2,041.48 – $5,021.02 | 2 |
| Close mult vsd CPT 33675 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $6,862.82 – $6,862.82 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $6,862.82 – $6,862.82 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $289.02 – $467.42 | 3 |
| Close tear duct opening CPT 68761 | not published | not published | $289.02 – $467.42 | 3 |
| Close tear system fistula CPT 68770 | not published | not published | $1,701.00 – $3,647.89 | 3 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $8.01 – $8.01 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $537.00 | $895.00 | $478.73 – $823.40 | 2 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,641.60 | $2,736.00 | $2,023.26 – $2,517.12 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,457.00 | $4,095.00 | $3,767.40 – $3,985.42 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,934.40 | $3,224.00 | $2,023.26 – $2,966.08 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $2,654.40 | $4,424.00 | $3,985.42 – $4,070.08 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $641.40 | $1,069.00 | $983.48 – $1,235.24 | 2 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,009.63 – $1,514.44 | 3 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,380.64 – $5,070.96 | 3 |
| Closure of valve CPT 33600 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Closure of valve CPT 33602 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | $849.00 | $1,415.00 | $1,301.80 – $2,196.53 | 2 |
| Closure paravalvlr leak pq CPT 33999 | $652.20 | $1,087.00 | $347.84 – $2,573.12 | 5 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $4,123.41 – $4,123.41 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $2,881.23 – $2,881.23 | 1 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $3.59 – $3.59 | 1 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.81 – $20.81 | 1 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $3.59 – $3.59 | 1 |
| Clot factor xii hageman CPT 85280 | not published | not published | $20.81 – $20.81 | 1 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $3.59 – $3.59 | 1 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $3.59 – $3.59 | 1 |
| Clotting assay whole blood CPT 85396 | not published | not published | $20.81 – $20.81 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $579.60 | $966.00 | $250.06 – $742.44 | 5 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $626.40 | $1,044.00 | $478.73 – $960.48 | 2 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $640.20 | $1,067.00 | $478.73 – $981.64 | 2 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $427.80 | $713.00 | $478.73 – $655.96 | 2 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $419.40 | $699.00 | $478.73 – $643.08 | 2 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $652.80 | $1,088.00 | $163.52 – $2,502.45 | 5 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $408.60 | $681.00 | $163.52 – $470.12 | 5 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $336.60 | $561.00 | $478.73 – $516.12 | 2 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $343.80 | $573.00 | $478.73 – $527.16 | 2 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $819.60 | $1,366.00 | $231.68 – $666.08 | 5 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $588.00 | $980.00 | $478.73 – $901.60 | 2 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $376.80 | $628.00 | $147.52 – $424.12 | 5 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,516.20 | $2,527.00 | $478.73 – $2,324.84 | 2 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $935.40 | $1,559.00 | $1,311.83 – $1,434.28 | 2 |
| Clsd tx fracture of radius 25500 CPT 25500 | $507.00 | $845.00 | $478.73 – $777.40 | 2 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $273.00 | $455.00 | $418.60 – $478.73 | 2 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $303.60 | $506.00 | $156.48 – $449.88 | 5 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $597.60 | $996.00 | $227.52 – $654.12 | 5 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,914.00 | $3,190.00 | $478.73 – $2,599.85 | 5 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $511.80 | $853.00 | $163.52 – $470.12 | 5 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $974.40 | $1,624.00 | $478.73 – $1,494.08 | 2 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $504.60 | $841.00 | $478.73 – $773.72 | 2 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $756.60 | $1,261.00 | $219.52 – $631.12 | 5 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $711.00 | $1,185.00 | $478.73 – $1,090.20 | 2 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $666.00 | $1,110.00 | $478.73 – $1,021.20 | 2 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $719.40 | $1,199.00 | $997.04 – $1,103.08 | 2 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,141.80 | $1,903.00 | $478.73 – $1,750.76 | 2 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $427.80 | $713.00 | $478.73 – $655.96 | 2 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $544.80 | $908.00 | $138.24 – $397.44 | 5 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $603.00 | $1,005.00 | $136.96 – $2,143.62 | 5 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $857.40 | $1,429.00 | $478.73 – $1,314.68 | 2 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $494.40 | $824.00 | $478.73 – $758.08 | 2 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $401.40 | $669.00 | $478.73 – $615.48 | 2 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $496.80 | $828.00 | $478.73 – $761.76 | 2 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $236.40 | $394.00 | $362.48 – $478.73 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $696.60 | $1,161.00 | $478.73 – $1,068.12 | 2 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $709.20 | $1,182.00 | $214.72 – $617.32 | 5 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $604.80 | $1,008.00 | $478.73 – $927.36 | 2 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $250.06 – $375.08 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $250.06 – $375.08 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $677.40 | $1,129.00 | $478.73 – $1,038.68 | 2 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $369.60 | $616.00 | $478.73 – $566.72 | 2 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $488.40 | $814.00 | $478.73 – $748.88 | 2 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $825.60 | $1,376.00 | $163.52 – $2,502.45 | 5 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $433.20 | $722.00 | $478.73 – $664.24 | 2 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $842.40 | $1,404.00 | $478.73 – $1,291.68 | 2 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $979.80 | $1,633.00 | $478.73 – $1,502.36 | 2 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,914.00 | $3,190.00 | $997.04 – $2,599.85 | 5 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $349.80 | $583.00 | $536.36 – $997.04 | 2 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $183.60 | $306.00 | $70.72 – $375.08 | 5 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $276.60 | $461.00 | $147.52 – $375.72 | 5 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $597.60 | $996.00 | $110.08 – $375.08 | 5 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $917.40 | $1,529.00 | $163.52 – $2,502.45 | 5 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $487.80 | $813.00 | $478.73 – $747.96 | 2 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $572.40 | $954.00 | $478.73 – $877.68 | 2 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $572.40 | $954.00 | $478.73 – $877.68 | 2 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $568.80 | $948.00 | $478.73 – $872.16 | 2 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $894.60 | $1,491.00 | $478.73 – $1,371.72 | 2 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $600.60 | $1,001.00 | $478.73 – $920.92 | 2 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $543.00 | $905.00 | $478.73 – $832.60 | 2 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $11,036.09 – $11,036.09 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $761.40 | $1,269.00 | $478.73 – $1,167.48 | 2 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $478.73 – $2,502.45 | 3 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $4,924.88 – $4,924.88 | 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.