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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $1,038.71 – $3,647.89 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $442.20 | $737.00 | $678.04 – $1,447.67 | 2 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $872.40 | $1,454.00 | $1,337.68 – $1,447.67 | 2 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,353.03 – $3,647.89 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $411.00 | $685.00 | $171.71 – $630.20 | 2 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $376.20 | $627.00 | $171.71 – $576.84 | 2 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $395.40 | $659.00 | $171.71 – $606.28 | 2 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $475.20 | $792.00 | $171.71 – $728.64 | 2 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $251.40 | $419.00 | $385.48 – $393.65 | 2 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $424.20 | $707.00 | $650.44 – $1,942.43 | 2 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $327.60 | $546.00 | $171.71 – $502.32 | 2 |
| Destruction rectal tumor 45190 CPT 45190 | $1,093.80 | $1,823.00 | $1,677.16 – $2,263.43 | 2 |
| Destruction vag lesions complex 57065 CPT 57065 | $456.00 | $760.00 | $699.20 – $2,506.47 | 2 |
| Destruction vag lesions simple 57061 CPT 57061 | $220.80 | $368.00 | $338.56 – $2,506.47 | 2 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $397.80 | $663.00 | $609.96 – $1,942.43 | 2 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $47.23 – $47.23 | 1 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $47.23 – $47.23 | 1 |
| Determination venous press CPT 93770 | not published | not published | $57.76 – $57.76 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | $25.20 | $42.00 | $38.64 – $604.29 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $163.10 – $244.65 | 3 |
| Device ablt adv novasure HCPCS C1886 | $2,287.80 | $3,813.00 | $1,220.16 – $3,507.96 | 4 |
| Device intraute mirena HCPCS J7298 | $2,161.20 | $3,602.00 | $472.99 – $3,133.74 | 4 |
| Device tiss remov myosure reach HCPCS C1782 | $2,122.80 | $3,538.00 | $600.00 – $1,725.00 | 4 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $35.34 – $35.34 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,023.26 – $2,023.26 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $96.42 – $144.64 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $604.29 – $604.29 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $229.20 | $382.00 | $74.26 – $351.44 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $105.80 – $158.69 | 3 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $472.99 – $472.99 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.23 | $3.71 | $1.06 – $2.88 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $47.02 | $78.37 | $7.40 – $20.13 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $213.99 – $320.98 | 3 |
| Dexamethasone panel CPT 80420 | not published | not published | $129.92 – $129.92 | 1 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.67 – $1.00 | 3 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $853.51 | $1,422.52 | $33.45 – $523.12 | 5 |
| Dextran 40 infusion HCPCS J7100 | $28.53 | $47.55 | $14.84 – $40.35 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $34.90 | $58.16 | $18.61 – $50.60 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $37.55 | $62.58 | $20.03 – $54.44 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $133.20 | $222.00 | $10.76 – $137.08 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $50.40 | $84.00 | $4.42 – $48.90 | 4 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $16.80 | $28.00 | $21.94 – $25.76 | 2 |
| Diab manage trn ind/group HCPCS G0109 | $37.80 | $63.00 | $42.09 – $57.96 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,797.62 – $2,696.43 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | $619.80 | $1,033.00 | $950.36 – $3,708.65 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $353.05 – $623.95 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $982.39 – $1,843.64 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $165.00 | $275.00 | $253.00 – $353.05 | 2 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $31.20 | $52.00 | $16.64 – $264.30 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $31.20 | $52.00 | $16.64 – $264.30 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $162.60 | $271.00 | $74.88 – $303.56 | 5 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $301.20 | $502.00 | $127.68 – $367.08 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $295.80 | $493.00 | $40.00 – $264.30 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $231.60 | $386.00 | $25.92 – $264.30 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $54.71 – $137.68 | 3 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,242.80 | $13,738.00 | $532.68 – $11,196.47 | 4 |
| Dialysis one evaluation CPT 90945 | $771.60 | $1,286.00 | $411.52 – $1,183.12 | 5 |
| Dialysis repeated eval CPT 90947 | not published | not published | $872.80 – $872.80 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $67.98 – $67.98 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $67.98 – $67.98 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $27.56 – $27.56 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $86.95 | $144.91 | $17.03 – $46.30 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $939.09 | $1,565.15 | $8.63 – $23.47 | 4 |
| Dicyclomine injection HCPCS J0500 | $161.30 | $268.84 | $20.13 – $54.73 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.13 | 3 |
| Diffusing capacity CPT 94729 | $165.00 | $275.00 | $40.48 – $754.79 | 4 |
| Digital analysis of eeg CPT 95957 | $149.40 | $249.00 | $35.34 – $2,798.02 | 4 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,339.63 – $1,339.63 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $23.45 | $39.09 | $8.32 – $22.63 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,839.56 | $14,732.60 | $4,714.43 – $12,817.36 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $81.60 | $136.00 | $9.87 – $119.60 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $245.07 | $408.45 | $41.39 – $112.52 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $5,600.56 – $5,600.56 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $353.05 – $2,966.19 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | $303.60 | $506.00 | $353.05 – $465.52 | 2 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $13,654.37 – $13,654.37 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $13,654.37 – $13,654.37 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $13,654.37 – $13,654.37 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $289.02 – $623.95 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $82.51 – $380.29 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $82.51 – $201.55 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $393.65 – $5,392.91 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $253.53 – $380.29 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | $138.60 | $231.00 | $82.51 – $212.52 | 2 |
| Dilation of anal sphincter CPT 45905 | $352.80 | $588.00 | $540.96 – $1,447.67 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | $115.80 | $193.00 | $177.56 – $2,333.21 | 2 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,032.00 | $1,720.00 | $1,447.67 – $1,582.40 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $530.85 – $796.28 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $82.51 – $201.55 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $393.65 – $3,203.11 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $2,506.47 – $4,971.61 | 3 |
| Dilation salivary duct 42650 CPT 42650 | $164.40 | $274.00 | $252.08 – $1,904.70 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $231.00 | $385.00 | $354.20 – $393.65 | 2 |
| Dilator fascial 10fx20cm HCPCS C2627 | $160.20 | $267.00 | $22.72 – $65.32 | 4 |
| Dilat xst trc ndurlgc px CPT 50436 | $6,894.60 | $11,491.00 | $1,465.91 – $7,047.20 | 5 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,465.91 – $5,392.91 | 3 |
| Dimecaprol injection HCPCS J0470 | $158.35 | $263.92 | $84.45 – $229.61 | 4 |
| Dimenhydrinate injection HCPCS J1240 | $22.36 | $37.26 | $11.92 – $32.42 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $98.40 | $164.00 | $52.48 – $1,040.06 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.35 | $0.58 | $0.19 – $0.53 | 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.