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 |
|---|---|---|---|---|
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $520.20 | $867.00 | $157.44 – $957.14 | 5 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $315.00 | $525.00 | $165.12 – $624.72 | 5 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,206.00 | $2,010.00 | $643.20 – $2,316.17 | 5 |
| Ghs trypsin (fecal) CPT 84488 | $108.60 | $181.00 | $4.42 – $166.52 | 4 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $591.00 | $985.00 | $243.20 – $699.20 | 5 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $475.80 | $793.00 | $214.40 – $616.40 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | $224.40 | $374.00 | $10.76 – $344.08 | 4 |
| Ghs urine, porphyrins quant CPT 84120 | $160.20 | $267.00 | $9.81 – $69.00 | 4 |
| Ghs vaginal delivery only CPT 59409 | $2,466.60 | $4,111.00 | $1,315.52 – $4,971.61 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,576.80 | $2,628.00 | $472.21 – $2,798.02 | 5 |
| Ghs windowing of cast CPT 29730 | $151.20 | $252.00 | $80.64 – $246.73 | 5 |
| Giardia ag if CPT 87269 | not published | not published | $8.01 – $8.01 | 1 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $9.15 – $9.15 | 1 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $106.54 – $377.96 | 3 |
| Gi inhouse confirmation CPT 87045 | $78.60 | $131.00 | $8.01 – $120.52 | 4 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,356.43 – $5,070.96 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $363.22 – $628.31 | 3 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,345.80 | $2,243.00 | $353.05 – $2,063.56 | 2 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $353.05 – $1,425.58 | 3 |
| Gi trc img intral esophagus CPT 91111 | $76.20 | $127.00 | $116.84 – $1,466.00 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $353.05 – $1,466.00 | 3 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $35.34 – $35.34 | 1 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $35.34 – $35.34 | 1 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.34 – $35.34 | 1 |
| Glassia injection HCPCS J0257 | $40.24 | $67.06 | $5.95 – $58.34 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.53 – $38.29 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.92 – $61.37 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,345.07 – $6,290.26 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,345.07 – $6,290.26 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,377.48 – $3,566.22 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,377.48 – $3,566.22 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $509.77 | $849.62 | $68.13 – $274.11 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $118.14 – $226.54 | 3 |
| Glucagon plasma - sendout CPT 82943 | $58.20 | $97.00 | $10.76 – $89.24 | 4 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $28.22 – $28.22 | 1 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $28.22 – $28.22 | 1 |
| Glucagon tolerance test CPT 82946 | not published | not published | $9.81 – $9.81 | 1 |
| Glucose 1 hr post dose CPT 82950 | $40.20 | $67.00 | $4.42 – $48.76 | 4 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.42 – $4.42 | 1 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $29.40 | $49.00 | $4.42 – $37.49 | 4 |
| Glucose blood quantitative CPT 82947 | $41.40 | $69.00 | $4.42 – $42.32 | 4 |
| Glucose body fluid CPT 82945 | $45.00 | $75.00 | $4.42 – $53.36 | 4 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $179.40 | $299.00 | $67.98 – $275.08 | 2 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $75.00 | $125.00 | $9.81 – $115.00 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $67.80 | $113.00 | $4.42 – $39.56 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.45 – $0.67 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,570.58 | $5,950.96 | $11.50 – $5,177.34 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $99.60 | $166.00 | $10.76 – $126.04 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $129.92 – $129.92 | 1 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $105.60 | $176.00 | $10.76 – $126.04 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $78.80 – $201.55 | 3 |
| Goniotomy CPT 65820 | not published | not published | $1,038.71 – $6,290.26 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,489.50 | $9,149.17 | $765.29 – $2,904.58 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,868.60 | $4,781.00 | $1,339.52 – $3,641.82 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,142.60 – $5,073.37 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $31,054.80 | $51,758.00 | $408.00 – $1,109.25 | 4 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $26,257.80 | $43,763.00 | $180.16 – $489.81 | 4 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $10,269.00 | $17,115.00 | $26.56 – $72.21 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $3,950.40 | $6,584.00 | $297.92 – $809.97 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $11,542.80 | $19,238.00 | $0.32 – $0.87 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | $2,054.40 | $3,424.00 | $3,150.08 – $9,902.79 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,142.80 | $10,238.00 | $342.72 – $931.77 | 4 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,232.60 | $8,721.00 | $447.04 – $1,215.39 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $53,325.60 | $88,876.00 | $43.52 – $118.32 | 4 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,876.40 | $9,794.00 | $62.40 – $179.40 | 4 |
| Granisetron 1 mg tab HCPCS Q0166 | $94.60 | $157.66 | $37.93 – $103.11 | 4 |
| Granisetron hcl injection HCPCS J1626 | $300.53 | $500.89 | $15.13 – $41.12 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $300.62 – $300.62 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,697.59 – $5,697.59 | 1 |
| Great toe with reduction 28495 CPT 28495 | $338.40 | $564.00 | $478.73 – $518.88 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $930.00 | $1,550.00 | $1,426.00 – $1,906.25 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $907.20 | $1,512.00 | $1,391.04 – $1,906.25 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | $291.00 | $485.00 | $446.20 – $1,906.25 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,906.25 – $5,724.40 | 3 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $31.05 – $46.58 | 3 |
| Group health education CPT 99078 | not published | not published | $42.09 – $42.09 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $39.60 | $66.00 | $60.72 – $203.04 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $9.15 – $9.15 | 1 |
| Growth hormone panel CPT 80428 | not published | not published | $28.22 – $28.22 | 1 |
| Growth hormone panel CPT 80430 | not published | not published | $28.22 – $28.22 | 1 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $28.22 – $28.22 | 1 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $31.05 – $46.58 | 3 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $31.05 – $46.58 | 3 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $3,604.20 | $6,007.00 | $3,659.45 – $5,526.44 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $5,140.96 – $5,140.96 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $5,140.96 – $5,140.96 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $5,140.96 – $5,140.96 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $5,140.96 – $5,140.96 | 1 |
| Gstrst open wo constj tube CPT 43830 | $1,315.20 | $2,192.00 | $2,016.64 – $3,328.04 | 2 |
| G-tube reposition CPT 43761 | $361.80 | $603.00 | $192.96 – $2,143.62 | 5 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,820.40 | $8,034.00 | $201.19 – $7,391.28 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $739.80 | $1,233.00 | $1,093.60 – $1,134.36 | 2 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,200.60 | $7,001.00 | $2,240.32 – $6,090.87 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,939.20 | $8,232.00 | $2.56 – $7.36 | 4 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $695.40 | $1,159.00 | $36.16 – $103.96 | 4 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $117.55 – $117.55 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,356.43 – $2,316.17 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $1,428.60 | $2,381.00 | $6.08 – $17.48 | 4 |
| Gynecomastia (males) 19300 CPT 19300 | $972.60 | $1,621.00 | $1,305.43 – $1,491.32 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $9.15 – $9.15 | 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.