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 |
|---|---|---|---|---|
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $306.72 | $511.20 | $110.53 – $300.52 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | $10.48 | $17.46 | $5.59 – $16.06 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $353.05 – $829.66 | 3 |
| Acne surgery 10040 CPT 10040 | $194.40 | $324.00 | $171.71 – $298.08 | 2 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $284.40 | $474.00 | $436.08 – $474.00 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $190.20 | $317.00 | $291.64 – $317.00 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $80.40 | $134.00 | $57.22 – $123.28 | 2 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $51.60 | $86.00 | $57.22 – $79.12 | 2 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $87.00 | $145.00 | $57.22 – $133.40 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $171.00 | $285.00 | $57.22 – $262.20 | 2 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $279.00 | $465.00 | $57.76 – $427.80 | 2 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $23.40 | $39.00 | $21.94 – $35.88 | 2 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $48.60 | $81.00 | $25.92 – $296.06 | 4 |
| Acoustic immitance testing CPT 92570 | not published | not published | $78.50 – $244.65 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $32.23 – $61.37 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Acth stimulation panel CPT 80402 | not published | not published | $28.22 – $28.22 | 1 |
| Acth stimulation panel CPT 80406 | not published | not published | $28.22 – $28.22 | 1 |
| Actigraphy testing CPT 95803 | not published | not published | $57.76 – $92.88 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $27.56 – $61.37 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $25.53 – $38.29 | 3 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $27.56 – $27.56 | 1 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $27.56 – $27.56 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $25.53 – $38.29 | 3 |
| Acute hepatitis panel CPT 80074 | $210.60 | $351.00 | $7.35 – $322.92 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $363.22 – $2,041.29 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $98.15 | $163.59 | $33.55 – $91.22 | 4 |
| #acylcarnitineprfl CPT 82017 | $235.80 | $393.00 | $9.81 – $115.92 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $9.81 – $9.81 | 1 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,090.13 – $1,090.13 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $43.83 – $251.23 | 3 |
| Adapter b 8 channel 10cm HCPCS C1883 | $760.80 | $1,268.00 | $405.76 – $1,103.16 | 4 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $43.83 – $144.64 | 3 |
| Adding walker to prev cast CPT 29440 | not published | not published | $164.48 – $246.73 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $590.89 | $984.82 | $12.48 – $33.93 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $8.01 – $8.01 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $48.00 | $80.00 | $9.15 – $69.92 | 4 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $8.01 – $8.01 | 1 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $25.05 – $25.05 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $1,701.60 | $2,836.00 | $2,609.12 – $4,296.92 | 2 |
| Adh-sendout CPT 84588 | $205.80 | $343.00 | $28.22 – $153.64 | 4 |
| Adj gastric band via subq port CPT 43999 | $1,609.80 | $2,683.00 | $2,468.36 – $3,328.04 | 2 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,354.49 – $11,170.15 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,816.80 | $3,028.00 | $1,906.25 – $2,785.76 | 2 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $518.35 | $863.92 | $6.88 – $18.71 | 4 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $461.87 – $461.87 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $131.40 | $219.00 | $63.48 – $818.33 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $109.80 | $183.00 | $53.44 – $818.33 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $376.80 | $628.00 | $88.64 – $818.33 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $154.20 | $257.00 | $50.82 – $818.33 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $128.40 | $214.00 | $50.82 – $818.33 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $174.60 | $291.00 | $50.82 – $818.33 | 5 |
| Administration immunization each additional component CPT 90461 | $24.60 | $41.00 | $13.12 – $33.42 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $52.80 | $88.00 | $6.44 – $30.16 | 4 |
| Administration immunization first component each vaccine CPT 90460 | $40.20 | $67.00 | $16.64 – $42.38 | 4 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $39.00 | $65.00 | $39.22 – $59.80 | 2 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $20.40 | $34.00 | $31.28 – $39.22 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $33.00 | $55.00 | $39.22 – $50.60 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $33.00 | $55.00 | $39.22 – $50.60 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $33.00 | $55.00 | $39.22 – $50.60 | 2 |
| Administration vaccine pneumococcal HCPCS G0009 | $33.00 | $55.00 | $39.22 – $50.60 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $28.20 | $47.00 | $39.22 – $43.24 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,347.68 | $18,912.80 | $43.63 – $10,306.36 | 5 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $895.16 – $2,041.29 | 3 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | $2,321.40 | $3,869.00 | $3,559.48 – $3,708.65 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $148.80 | $248.00 | $125.92 – $228.16 | 2 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $31.05 – $46.58 | 3 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $31.05 – $46.58 | 3 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $96.42 – $144.64 | 3 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $78.50 – $486.91 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $78.50 – $486.91 | 3 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $78.50 – $486.91 | 3 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,068.28 – $4,602.42 | 3 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $803,309.70 – $1,204,964.55 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $110.40 | $184.00 | $8.01 – $126.96 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | $31.80 | $53.00 | $8.01 – $48.76 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $408.00 | $680.00 | $146.06 – $625.60 | 4 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $129.92 – $129.92 | 1 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $129.92 – $129.92 | 1 |
| Aflibercept injection HCPCS J0178 | not published | not published | $823.55 – $1,235.33 | 3 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $25.05 – $25.05 | 1 |
| Afo sing upright with adjust s HCPCS L1920 | $16.80 | $28.00 | $25.76 – $28.00 | 2 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $16.20 | $27.00 | $24.84 – $27.00 | 2 |
| Afo tibial fracture rigid HCPCS L2116 | $6.60 | $11.00 | $10.12 – $11.00 | 2 |
| Afo tibial fracture soft HCPCS L2112 | $7.80 | $13.00 | $11.96 – $13.00 | 2 |
| After cataract laser surgery CPT 66821 | not published | not published | $566.08 – $857.81 | 3 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $13,216.24 | $22,027.06 | $240.03 – $2,914.28 | 5 |
| Ag detect nos ia single CPT 87450 | not published | not published | $8.01 – $8.01 | 1 |
| Air conduction bilat CPT 92552 | $55.20 | $92.00 | $32.23 – $84.64 | 2 |
| Air injection into abdomen 49400 CPT 49400 | $235.80 | $393.00 | $340.32 – $361.56 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $114.60 | $191.00 | $48.96 – $754.79 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | $52.80 | $88.00 | $4.42 – $30.36 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $322.92 | $538.20 | $58.25 – $158.37 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $22.13 – $33.20 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $322.92 | $538.20 | $55.33 – $210.63 | 5 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $87.35 | $145.59 | $46.59 – $126.66 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $22.78 – $22.78 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $184.20 | $307.00 | $2.39 – $161.92 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $97.20 | $162.00 | $4.42 – $63.48 | 4 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.62 | $11.03 | $2.02 – $5.81 | 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.