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 |
|---|---|---|---|---|
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $182.30 – $182.30 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $182.30 – $182.30 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,880.72 – $10,824.18 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | $514.80 | $858.00 | $789.36 – $1,880.72 | 2 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,880.72 – $5,765.03 | 3 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,880.72 – $5,765.03 | 3 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $492.60 | $821.00 | $575.89 – $755.32 | 2 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,880.72 – $5,765.03 | 3 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $404.78 – $607.17 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $528.00 | $880.00 | $809.60 – $1,880.72 | 2 |
| Laryngoscopy w/bx & op scope CPT 31536 | $541.80 | $903.00 | $830.76 – $1,880.72 | 2 |
| Laryngoscopy w/exc of tumor CPT 31540 | $694.80 | $1,158.00 | $1,065.36 – $1,880.72 | 2 |
| Laryngoscopy w/fb & op scope CPT 31531 | $631.80 | $1,053.00 | $968.76 – $1,880.72 | 2 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $575.89 – $2,696.43 | 3 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,797.62 – $2,696.43 | 3 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $413.40 | $689.00 | $633.88 – $1,880.72 | 2 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $406.20 | $677.00 | $575.89 – $622.84 | 2 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,880.72 – $10,824.18 | 3 |
| Larynscop w/tumr exc + scope CPT 31541 | $615.00 | $1,025.00 | $943.00 – $1,880.72 | 2 |
| Laser surgery eye strands CPT 67031 | not published | not published | $571.87 – $857.81 | 3 |
| Laser surgery of cervix 57513 CPT 57513 | $338.40 | $564.00 | $518.88 – $2,333.21 | 2 |
| Laser surgery of prostate CPT 52647 | not published | not published | $4,450.81 – $7,948.90 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,450.81 – $7,948.90 | 3 |
| Laser surg penis lesion(s) CPT 54057 | $271.20 | $452.00 | $415.84 – $1,942.43 | 2 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,181.25 – $6,290.26 | 3 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,181.25 – $6,290.26 | 3 |
| Lateral canthopexy CPT 21282 | $723.00 | $1,205.00 | $1,108.60 – $2,989.75 | 2 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,231.66 – $5,073.37 | 3 |
| Lavage cannulation maxillary sinus CPT 31000 | $349.20 | $582.00 | $535.44 – $1,399.60 | 2 |
| Lavh >250 gms 58553 CPT 58553 | $2,213.40 | $3,689.00 | $3,393.88 – $5,759.12 | 2 |
| Lb with mastopexy 15839 CPT 15839 | $1,667.40 | $2,779.00 | $1,769.81 – $2,556.68 | 2 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,582.80 | $7,638.00 | $240.00 – $652.50 | 4 |
| Lead capillary CPT 83655 | $81.00 | $135.00 | $9.87 – $49.68 | 4 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,550.80 | $5,918.00 | $379.20 – $1,030.95 | 4 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,437.80 | $14,063.00 | $3,960.00 – $10,766.25 | 4 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $4,924.88 – $9,249.90 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $4,924.88 – $9,249.90 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $4,924.88 – $4,924.88 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $4,924.88 – $9,249.90 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $4,924.88 – $9,249.90 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $7.20 | $12.00 | $11.04 – $12.00 | 2 |
| Left compres band <3"/yd HCPCS A6448 | $6.60 | $11.00 | $10.12 – $11.00 | 2 |
| Left compres band >=5"/yd HCPCS A6450 | $120.60 | $201.00 | $184.92 – $201.00 | 2 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $535.20 | $892.00 | $88.32 – $692.52 | 5 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,693.20 | $2,822.00 | $1.00 – $1,730.52 | 5 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,674.00 | $2,790.00 | $1.00 – $1,663.36 | 5 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $8.01 – $8.01 | 1 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $47.23 – $47.23 | 1 |
| Leg vein fusion 34530 CPT 34530 | $1,495.20 | $2,492.00 | $2,292.64 – $3,989.84 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $619.20 | $1,032.00 | $48.76 – $692.52 | 5 |
| Leishmania antibody CPT 86717 | not published | not published | $9.15 – $9.15 | 1 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,311.83 – $5,073.37 | 3 |
| Lengthening of palate CPT 42227 | not published | not published | $2,644.89 – $9,249.90 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $1,785.00 | $2,975.00 | $2,644.89 – $2,737.00 | 2 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $3,796.78 – $3,796.78 | 1 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $3,796.78 – $11,170.15 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $3,796.78 – $11,170.15 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $1,484.40 | $2,474.00 | $2,276.08 – $7,577.54 | 2 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,142.60 – $11,170.15 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $5,468.30 – $20,118.95 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $5,468.30 – $11,170.15 | 3 |
| Lens, intraocular (new tech) HCPCS C1780 | $326.40 | $544.00 | $150.08 – $431.48 | 4 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $537.00 | $895.00 | $158.40 – $455.40 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,239.20 | $3,732.00 | $54.08 – $155.48 | 4 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.40 | $319.00 | $44.16 – $126.96 | 4 |
| Lepirudin HCPCS J1945 | not published | not published | $187.98 – $187.98 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $182.27 | $303.78 | $34.44 – $93.64 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $84.60 – $267.94 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.15 – $9.15 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,850.90 | $38,084.83 | $162.01 – $1,220.08 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $9,611.85 | $16,019.75 | $941.38 – $3,411.37 | 5 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,715.26 – $4,715.26 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $230.10 – $345.16 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $53.59 – $80.39 | 3 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $87.64 – $131.45 | 3 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $115.35 – $173.03 | 3 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $194.51 – $291.76 | 3 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $297.66 – $446.49 | 3 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $421.02 – $631.53 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | $18.58 | $30.97 | $2.98 – $8.57 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $133.26 | $222.10 | $9.58 – $26.04 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $50.40 | $84.00 | $9.87 – $71.76 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $115.45 | $192.42 | $19.77 – $53.74 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | $1,254.70 | $2,091.16 | $118.14 – $1,819.31 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $438.79 | $731.31 | $93.35 – $253.80 | 4 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $2,435.39 – $5,029.28 | 3 |
| Liberta rc ipg HCPCS C1820 | $37,575.00 | $62,625.00 | $60.16 – $163.56 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $55.20 | $92.00 | $9.87 – $80.96 | 4 |
| Ligate esophagus veins CPT 43400 | not published | not published | $3,659.45 – $3,659.45 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,601.66 – $4,921.53 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | $1,236.60 | $2,061.00 | $1,896.12 – $2,601.66 | 2 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $213.00 | $355.00 | $326.60 – $1,749.96 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $3,328.04 – $3,328.04 | 1 |
| Ligate/strip long leg vein CPT 37722 | $955.20 | $1,592.00 | $1,464.64 – $2,601.66 | 2 |
| Ligate/strip short leg vein CPT 37718 | $861.60 | $1,436.00 | $1,321.12 – $2,601.66 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $709.80 | $1,183.00 | $1,088.36 – $2,333.21 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $599.40 | $999.00 | $919.08 – $2,093.33 | 2 |
| Ligation common iliac vein CPT 37660 | not published | not published | $8,411.30 – $8,411.30 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $498.60 | $831.00 | $764.52 – $2,601.66 | 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.