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 |
|---|---|---|---|---|
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $4,681.20 | $7,802.00 | $7,177.84 – $11,036.09 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,003.40 | $3,339.00 | $896.08 – $2,721.29 | 5 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,898.40 | $3,164.00 | $2,910.88 – $11,036.09 | 2 |
| Peri-implt capslc brst compl CPT 19371 | $1,515.00 | $2,525.00 | $2,323.00 – $3,243.73 | 2 |
| Perineoplasty rpr per nonob CPT 56810 | $506.40 | $844.00 | $776.48 – $2,506.47 | 2 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $61.92 – $92.88 | 3 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $35.34 – $35.34 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $35.34 – $35.34 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | $844.20 | $1,407.00 | $1,294.44 – $3,708.65 | 2 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $114.38 – $857.34 | 3 |
| Perit-vens shunt pat tst CPT 78291 | $695.40 | $1,159.00 | $363.22 – $1,066.28 | 5 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $13,654.37 – $13,654.37 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $14,350.91 – $14,350.91 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $3,855.60 | $6,426.00 | $733.44 – $3,753.60 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $3,742.20 | $6,237.00 | $733.44 – $3,643.20 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,862.82 – $14,459.12 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,862.82 – $14,459.12 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $8,407.35 – $17,732.46 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $8,407.35 – $28,077.67 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,407.35 – $17,732.46 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,407.35 – $17,732.46 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $8,407.35 – $8,407.35 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,259.79 – $9,122.78 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,259.79 – $9,122.78 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,600.56 – $9,122.78 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $162.00 | $270.00 | $248.40 – $353.05 | 2 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | $213.00 | $355.00 | $326.60 – $993.87 | 2 |
| Perq transcath closure each CPT 93592 | not published | not published | $14,350.91 – $14,350.91 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $14,350.91 – $28,077.67 | 3 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $14,350.91 – $28,077.67 | 3 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $14,350.91 – $28,077.67 | 3 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $14,350.91 – $14,350.91 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $8,407.35 – $8,407.35 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $855.00 | $1,425.00 | $1,311.00 – $5,350.22 | 2 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,607.64 – $5,070.96 | 3 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $4,924.88 – $9,249.90 | 3 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,607.64 – $5,070.96 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $8.01 – $8.01 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $12,121.85 | $20,203.09 | $17.61 – $17,576.69 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $24,690.36 | $41,150.60 | $66.08 – $23,886.42 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $88.80 | $148.00 | $40.96 – $111.36 | 4 |
| Pessary reusable rub anytype HCPCS A4561 | $1.80 | $3.00 | $2.76 – $3.00 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,760.20 | $6,267.00 | $1,373.05 – $5,765.64 | 5 |
| Pet CT whole body initial CPT 78816 | $4,069.80 | $6,783.00 | $1,373.05 – $6,240.36 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,373.05 – $2,280.70 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,373.05 – $2,280.70 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $1,360.86 – $2,041.29 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,373.05 – $2,280.70 | 3 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,373.05 – $2,280.70 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $418.88 – $628.31 | 3 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,373.05 – $1,373.05 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $23,287.80 | $38,813.00 | $0.32 – $0.87 | 4 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $125.92 – $125.92 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | $822.00 | $1,370.00 | $1,260.40 – $2,149.95 | 2 |
| Pharmacologic management w/psytx CPT 90863 | $44.40 | $74.00 | $34.02 – $68.08 | 2 |
| Ph body fluid CPT 83986 | $36.00 | $60.00 | $4.42 – $55.20 | 4 |
| Phencyclidine (pcp) CPT 83992 | $610.20 | $1,017.00 | $9.87 – $469.20 | 4 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $112.72 | $187.87 | $8.98 – $24.41 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $128.40 | $214.00 | $9.87 – $125.12 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | $755.97 | $1,259.95 | $118.14 – $611.11 | 5 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $101.55 – $152.33 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $16.01 | $26.69 | $7.80 – $21.22 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $148.80 | $248.00 | $9.87 – $115.92 | 4 |
| Phlebotomy therapeutic CPT 99195 | $159.60 | $266.00 | $38.08 – $296.06 | 5 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,294.80 | $2,158.00 | $1,985.36 – $2,601.66 | 2 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $1,531.80 | $2,553.00 | $2,348.76 – $2,601.66 | 2 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $82.20 | $137.00 | $126.04 – $137.00 | 2 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $116.40 | $194.00 | $178.48 – $194.00 | 2 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $50.40 | $84.00 | $77.28 – $84.00 | 2 |
| Phosphorus CPT 84100 | $37.80 | $63.00 | $4.42 – $57.96 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $32.40 | $54.00 | $4.42 – $29.44 | 4 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $34.80 – $92.88 | 3 |
| Photochemotherapy puva CPT 96912 | not published | not published | $34.80 – $92.88 | 3 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $171.71 – $624.72 | 3 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $201.19 – $201.19 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $201.19 – $201.19 | 1 |
| Photo patch test CPT 95052 | not published | not published | $31.45 – $92.88 | 3 |
| Photopheresis CPT 36522 | not published | not published | $4,111.69 – $7,325.87 | 3 |
| Photosensitivity tests CPT 95056 | not published | not published | $37.55 – $201.55 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $55.70 – $83.54 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $94.23 – $267.94 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $25.53 – $38.29 | 3 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $272.40 | $454.00 | $48.64 – $289.71 | 4 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $233.40 | $389.00 | $48.64 – $289.71 | 4 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $247.20 | $412.00 | $48.64 – $289.71 | 4 |
| Physical Therapy Re-Evaluation CPT 97164 | $233.40 | $389.00 | $35.52 – $289.71 | 4 |
| Physician standby services CPT 99360 | $146.40 | $244.00 | $224.48 – $244.00 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $99.15 | $165.25 | $11.11 – $31.90 | 4 |
| Pierce earlobes 69090 CPT 69090 | $49.20 | $82.00 | $75.44 – $82.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $346.54 – $519.81 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $129.92 – $129.92 | 1 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $4,930.50 – $11,170.15 | 3 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,925.00 | $19,875.00 | $8.96 – $24.36 | 4 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,083.60 | $1,806.00 | $424.56 – $1,661.52 | 2 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Pin finger fracture each CPT 26756 | $600.60 | $1,001.00 | $920.92 – $5,350.22 | 2 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,382.25 – $5,073.37 | 3 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,382.25 – $5,073.37 | 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.