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 |
|---|---|---|---|---|
| Cystotomy excise/incise/repair 51535 CPT 51535 | $1,532.40 | $2,554.00 | $1,546.86 – $2,349.68 | 2 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,546.86 – $5,392.91 | 3 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,546.86 – $5,392.91 | 3 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,123.41 – $7,948.90 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,881.23 – $7,948.90 | 3 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,546.86 – $5,392.91 | 3 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,595.28 – $5,392.91 | 3 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,965.36 – $5,392.91 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $543.60 | $906.00 | $833.52 – $1,546.86 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $751.80 | $1,253.00 | $1,152.76 – $1,546.86 | 2 |
| Cystourethro w/addl implant 52442 CPT 52442 | $129.60 | $216.00 | $198.72 – $4,450.81 | 2 |
| Cystourethro w/implant CPT 52441 | $482.40 | $804.00 | $739.68 – $1,688.32 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,546.86 – $1,546.86 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,465.91 – $5,392.91 | 3 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,465.91 – $5,392.91 | 3 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,546.86 – $5,392.91 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $92.04 | $153.40 | $29.15 – $79.25 | 4 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $1,712.24 – $1,712.24 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,904.28 – $1,904.28 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $35.34 – $35.34 | 1 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.34 – $35.34 | 1 |
| Cytogenomic neo microra alys CPT 81277 | $3,098.40 | $5,164.00 | $1,652.48 – $4,750.88 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $530.03 – $530.03 | 1 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $8.01 – $8.01 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $51.60 | $86.00 | $9.15 – $56.12 | 4 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $62.40 | $104.00 | $9.15 – $65.32 | 4 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $8.01 – $8.01 | 1 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,886.20 – $2,829.29 | 3 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $47.23 – $47.23 | 1 |
| Cyto/molecular report CPT 88291 | not published | not published | $94.23 – $94.23 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v automated CPT 88147 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v manual CPT 88150 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v redo CPT 88153 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath fl nongyn filter CPT 88106 | $27.00 | $45.00 | $14.40 – $41.40 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $211.20 | $352.00 | $32.23 – $259.44 | 5 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $63.00 | $105.00 | $26.88 – $77.28 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $66.00 | $110.00 | $22.72 – $65.32 | 5 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $100.80 | $168.00 | $32.23 – $154.56 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $169.80 | $283.00 | $72.32 – $267.94 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $134.40 | $224.00 | $55.70 – $165.60 | 5 |
| Cytopath smear other source CPT 88160 | $79.80 | $133.00 | $25.53 – $122.36 | 5 |
| Cytopath smear other source CPT 88162 | not published | not published | $32.23 – $83.54 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $80.40 | $134.00 | $25.53 – $123.28 | 5 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath tbs c/v manual CPT 88164 | $40.20 | $67.00 | $16.56 – $61.64 | 4 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $16.56 – $16.56 | 1 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $16.56 – $16.56 | 1 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $49.98 – $49.98 | 1 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $3.53 – $3.53 | 1 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $163.82 – $267.94 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $82.33 | $137.21 | $33.41 – $90.85 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $315.77 – $473.65 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,180.80 | $5,301.34 | $16.21 – $4,612.17 | 5 |
| Dalteparin sodium HCPCS J1645 | $41.88 | $69.80 | $22.34 – $60.73 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $801.47 | $1,335.79 | $29.30 – $79.65 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.08 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,766.29 | $31,277.15 | $56.99 – $27,211.12 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,866.96 | $11,444.94 | $3.13 – $343.15 | 5 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $6,866.96 | $11,444.94 | $3.13 – $335.18 | 5 |
| Dark field exam spec collj CPT 87164 | not published | not published | $8.01 – $8.01 | 1 |
| Dark field exam without collj CPT 87166 | not published | not published | $8.01 – $8.01 | 1 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $265.91 – $398.87 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $292.03 | $486.71 | $20.60 – $423.44 | 5 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $110.67 – $110.67 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $171.71 – $310.69 | 3 |
| D&c after delivery 59160 CPT 59160 | $424.20 | $707.00 | $650.44 – $1,749.96 | 2 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $639.60 | $1,066.00 | $980.72 – $2,333.21 | 2 |
| Dch glucoscan CPT 82948 | $32.40 | $54.00 | $4.42 – $23.92 | 4 |
| Dch pulmonary stress test CPT 94621 | $472.80 | $788.00 | $104.15 – $754.79 | 5 |
| Dch validity tests CPT 81002 | $15.60 | $26.00 | $2.39 – $21.19 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,724.40 | $2,874.00 | $919.68 – $3,097.90 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,380.64 – $5,070.96 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,339.63 – $3,053.41 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,333.21 – $4,971.61 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $31.20 | $52.00 | $9.15 – $47.84 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,357.80 | $2,263.00 | $1,006.01 – $2,081.96 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $260.40 | $434.00 | $138.88 – $2,143.62 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $192.00 | $320.00 | $68.61 – $208.84 | 4 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,711.20 | $2,852.00 | $912.64 – $2,573.12 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $385.80 | $643.00 | $196.80 – $524.05 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $777.00 | $1,295.00 | $354.20 – $2,143.62 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $768.60 | $1,281.00 | $316.48 – $2,143.62 | 5 |
| Debride nail1-5 11720 CPT 11720 | $61.20 | $102.00 | $65.35 – $93.84 | 2 |
| Debride nail6 or more 11721 CPT 11721 | $85.80 | $143.00 | $65.35 – $131.56 | 2 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,012.80 | $1,688.00 | $385.40 – $1,552.96 | 2 |
| Debride skin bone at fx site CPT 11012 | $1,343.40 | $2,239.00 | $1,006.01 – $2,059.88 | 2 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,117.20 | $1,862.00 | $1,006.01 – $1,713.04 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,488.00 | $2,480.00 | $1,006.01 – $2,281.60 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $327.60 | $546.00 | $117.76 – $444.99 | 4 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $268.20 | $447.00 | $182.30 – $411.24 | 2 |
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.