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 |
|---|---|---|---|---|
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $17.75 | $29.59 | $7.73 – $21.02 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $20.32 | $33.86 | $10.84 – $29.46 | 4 |
| Direct advanced life support CPT 99288 | $241.20 | $402.00 | $369.84 – $402.00 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $31.45 – $61.37 | 3 |
| Disability dlco CPT 94727 | $191.40 | $319.00 | $57.10 – $754.79 | 5 |
| Disaccharidases CPT 82657 | $174.00 | $290.00 | $9.81 – $192.28 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,795.34 – $2,860.24 | 3 |
| Disarticulation shoulder CPT 23920 | not published | not published | $9,342.99 – $9,342.99 | 1 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $2,813.40 | $4,689.00 | $4,313.88 – $4,930.50 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | $370.20 | $617.00 | $567.64 – $9,902.79 | 2 |
| Discography cerv/thor spine CPT 72285 | $2,169.60 | $3,616.00 | $548.03 – $3,326.72 | 5 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $182.30 – $2,696.43 | 3 |
| Dissect brain w/scope CPT 62161 | not published | not published | $6,011.90 – $6,011.90 | 1 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $94.80 | $158.00 | $145.36 – $158.00 | 2 |
| Dissolve clot heart vessel CPT 92975 | $1,140.00 | $1,900.00 | $608.00 – $3,857.76 | 4 |
| Dist revas ligation hemo CPT 36838 | $2,282.40 | $3,804.00 | $3,499.68 – $3,539.03 | 2 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $8,411.30 – $8,411.30 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,542.60 | $2,571.00 | $2,365.32 – $3,659.45 | 2 |
| Division of fallopian tube 58605 CPT 58605 | $641.40 | $1,069.00 | $983.48 – $1,749.96 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | $213.60 | $356.00 | $11.24 – $327.52 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $15,239.74 – $15,239.74 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $129.92 – $129.92 | 1 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $129.92 – $129.92 | 1 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $129.92 – $129.92 | 1 |
| Dna antibody native/double stranded CPT 86225 | $102.60 | $171.00 | $9.15 – $53.36 | 4 |
| Dna gardnerella CPT 87510 | $74.40 | $124.00 | $8.01 – $80.04 | 4 |
| Dna probe chlamydia CPT 87490 | $85.80 | $143.00 | $8.01 – $125.12 | 4 |
| Dna probe gc CPT 87590 | $56.40 | $94.00 | $8.01 – $86.48 | 4 |
| Dna trichomonas CPT 87660 | $74.40 | $124.00 | $8.01 – $84.64 | 4 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $50.08 | $83.47 | $10.26 – $27.90 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $528.48 | $880.80 | $43.11 – $707.38 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $43.11 – $76.74 | 3 |
| Dolasetron mesylate HCPCS J1260 | $116.27 | $193.78 | $62.01 – $168.59 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | $114.21 | $190.35 | $46.18 – $125.56 | 4 |
| Domicil/r-home visit est pat CPT 99334 | $117.00 | $195.00 | $179.40 – $195.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | $183.60 | $306.00 | $281.52 – $306.00 | 2 |
| Domicil/r-home visit est pat CPT 99336 | $259.80 | $433.00 | $398.36 – $433.00 | 2 |
| Domicil/r-home visit est pat CPT 99337 | $372.60 | $621.00 | $571.32 – $621.00 | 2 |
| Domicil/r-home visit new pat CPT 99324 | $110.40 | $184.00 | $169.28 – $184.00 | 2 |
| Domicil/r-home visit new pat CPT 99325 | $159.00 | $265.00 | $243.80 – $265.00 | 2 |
| Domicil/r-home visit new pat CPT 99326 | $271.80 | $453.00 | $416.76 – $453.00 | 2 |
| Domicil/r-home visit new pat CPT 99327 | $360.60 | $601.00 | $552.92 – $601.00 | 2 |
| Domicil/r-home visit new pat CPT 99328 | $418.80 | $698.00 | $642.16 – $698.00 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $19.51 | $32.52 | $9.03 – $24.56 | 4 |
| Doppler echo complete CPT 93320 | $938.40 | $1,564.00 | $164.16 – $895.82 | 4 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,119.00 | $1,865.00 | $596.80 – $1,715.80 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $414.60 | $691.00 | $31.28 – $692.52 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $198.60 | $331.00 | $17.48 – $692.52 | 5 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $97.51 | $162.51 | $52.00 – $141.38 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $104.99 – $104.99 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $21,349.42 | $35,582.36 | $254.16 – $30,956.65 | 5 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,697.59 – $5,697.59 | 1 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $457.16 | $761.93 | $30.58 – $83.15 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,785.36 | $7,975.60 | $113.92 – $1,215.74 | 5 |
| Dpyd gene common variants CPT 81232 | not published | not published | $129.92 – $129.92 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $401.40 | $669.00 | $615.48 – $1,235.24 | 2 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $457.20 | $762.00 | $182.30 – $701.04 | 2 |
| Drainage external ear complex 69005 CPT 69005 | $418.20 | $697.00 | $641.24 – $1,399.60 | 2 |
| Drainage external ear simple 69000 CPT 69000 | $360.60 | $601.00 | $110.40 – $317.40 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | $667.20 | $1,112.00 | $1,023.04 – $3,264.24 | 2 |
| Drainage lymph node lesion 38305 CPT 38305 | $767.40 | $1,279.00 | $1,176.68 – $3,264.24 | 2 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $182.30 – $363.11 | 3 |
| Drainage of abdomen CPT 48000 | not published | not published | $5,600.56 – $5,600.56 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $537.60 | $896.00 | $824.32 – $1,795.34 | 2 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,546.86 – $4,475.19 | 3 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,796.78 – $3,796.78 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,231.66 – $3,231.66 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $1,038.71 – $3,566.22 | 3 |
| Drainage of eye CPT 65810 | not published | not published | $1,038.71 – $3,566.22 | 3 |
| Drainage of eye CPT 65815 | not published | not published | $1,038.71 – $3,566.22 | 3 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,668.30 – $2,502.45 | 3 |
| Drainage of kidney lesion CPT 50390 | $1,129.80 | $1,883.00 | $321.28 – $2,573.12 | 5 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $182.30 – $363.11 | 3 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,399.60 – $2,316.17 | 3 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,399.60 – $2,316.17 | 3 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,399.60 – $5,070.96 | 3 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $530.85 – $796.28 | 3 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $530.85 – $796.28 | 3 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $2,872.92 – $9,249.90 | 3 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,904.70 – $5,070.96 | 3 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,544.12 – $2,316.17 | 3 |
| Drainage of nose lesion int 30000 CPT 30000 | $448.80 | $748.00 | $182.30 – $688.16 | 2 |
| Drainage of nose lesion sept 30020 CPT 30020 | $448.80 | $748.00 | $688.16 – $1,399.60 | 2 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,668.30 – $2,502.45 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,176.60 | $1,961.00 | $1,804.12 – $3,796.78 | 2 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,688.32 – $5,392.91 | 3 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,688.32 – $5,392.91 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,688.32 – $5,392.91 | 3 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,229.10 – $1,843.64 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,197.00 | $1,995.00 | $1,835.40 – $2,263.43 | 2 |
| Drainage of salivary gland CPT 42305 | not published | not published | $2,663.48 – $5,070.96 | 3 |
| Drainage of salivary gland CPT 42320 | not published | not published | $530.85 – $796.28 | 3 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $4,930.50 – $4,930.50 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $16,205.33 – $16,205.33 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,399.60 – $9,249.90 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,965.36 – $5,392.91 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | $523.80 | $873.00 | $803.16 – $2,965.36 | 2 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $393.65 – $1,043.68 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,135.41 – $3,203.11 | 3 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $393.65 – $1,590.82 | 3 |
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.