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 |
|---|---|---|---|---|
| Sympathectomy lumbar CPT 64818 | not published | not published | $4,842.19 – $4,842.19 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,339.63 – $5,073.37 | 3 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $4,842.19 – $4,842.19 | 1 |
| Synch audio-only est high 40 CPT 98015 | $196.80 | $328.00 | $301.76 – $928.00 | 2 |
| Synch audio-only est low 20 CPT 98013 | $90.60 | $151.00 | $138.92 – $928.00 | 2 |
| Synch audio-only est mod 30 CPT 98014 | $132.60 | $221.00 | $203.32 – $928.00 | 2 |
| Synch audio-only est sf 10 CPT 98012 | $49.20 | $82.00 | $75.44 – $928.00 | 2 |
| Synch audio-only new high 60 CPT 98011 | $241.80 | $403.00 | $370.76 – $928.00 | 2 |
| Synch audio-only new low 30 CPT 98009 | $117.00 | $195.00 | $179.40 – $928.00 | 2 |
| Synch audio-only new mod 45 CPT 98010 | $183.60 | $306.00 | $281.52 – $928.00 | 2 |
| Synch audio-only new sf 15 CPT 98008 | $67.80 | $113.00 | $103.96 – $928.00 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $187.98 – $187.98 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $32.23 – $61.37 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $2,438.29 | $4,063.81 | $9.48 – $1,190.51 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $20.40 | $34.00 | $9.15 – $31.28 | 4 |
| System cardiomems hosp electronics HCPCS C2624 | $52,875.00 | $88,125.00 | $28,200.00 – $76,668.75 | 4 |
| System pacing micra av HCPCS C1786 | $25,312.80 | $42,188.00 | $2,979.84 – $8,101.44 | 4 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $27,495.00 | $45,825.00 | $2,605.44 – $7,083.54 | 4 |
| T3 (triiodothyronine) free CPT 84481 | $240.60 | $401.00 | $10.76 – $79.12 | 4 |
| T3 (triiodothyronine) total CPT 84480 | $68.40 | $114.00 | $10.76 – $75.44 | 4 |
| T4 (thyroxine) free CPT 84439 | $73.80 | $123.00 | $10.76 – $67.16 | 4 |
| T4 (thyroxine) total CPT 84436 | $45.00 | $75.00 | $10.76 – $46.92 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $14.21 | $23.68 | $7.58 – $20.60 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $50.21 | $83.68 | $3.09 – $8.88 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $464.12 | $773.54 | $118.14 – $672.98 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $60.60 | $101.00 | $9.87 – $92.92 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,513.77 | $4,189.61 | $14.68 – $3,644.96 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $4,096.20 | $6,827.00 | $5,759.12 – $6,280.84 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | $3,778.80 | $6,298.00 | $5,759.12 – $5,794.16 | 2 |
| Tah w/mmk 58152 CPT 58152 | $2,428.80 | $4,048.00 | $3,724.16 – $5,759.12 | 2 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $186.60 | $311.00 | $54.71 – $253.47 | 5 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $76.67 – $115.01 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $75.47 – $113.21 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $187.20 | $312.00 | $287.04 – $1,443.96 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | $153.00 | $255.00 | $234.60 – $394.49 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $16.80 | $28.00 | $25.76 – $28.00 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $530.03 – $530.03 | 1 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,904.28 – $1,904.28 | 1 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $289.62 – $289.62 | 1 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $26,609.40 | $44,349.00 | $1,439.04 – $3,912.39 | 5 |
| Tas congenital car anomal CPT 33741 | not published | not published | $14,350.91 – $14,350.91 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $383.40 | $639.00 | $424.56 – $587.88 | 2 |
| Tavr perq femoral CPT 33361 | $1,890.00 | $3,150.00 | $2,898.00 – $14,350.91 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $780.64 | $1,301.06 | $0.31 – $601.37 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $129.92 – $129.92 | 1 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $74.26 – $74.26 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $74.26 – $137.68 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $74.26 – $137.68 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $33.06 – $33.06 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $213.60 | $356.00 | $33.06 – $316.48 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $843.85 – $1,265.77 | 3 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $712.81 – $1,069.21 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,084.45 – $1,626.68 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | $1,956.00 | $3,260.00 | $836.38 – $2,585.20 | 5 |
| Tc-99m gluceptate HCPCS A9550 | $765.60 | $1,276.00 | $54.72 – $157.32 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $342.54 – $513.81 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $309.00 | $515.00 | $63.68 – $183.08 | 4 |
| Tc-99m maa HCPCS A9540 | $196.80 | $328.00 | $98.56 – $283.36 | 4 |
| Tc-99m mebrofenin HCPCS A9537 | $140.40 | $234.00 | $74.88 – $215.28 | 4 |
| Tc-99m medronate HCPCS A9503 | $67.20 | $112.00 | $35.84 – $103.04 | 4 |
| Tc-99m mertiatide HCPCS A9562 | $557.40 | $929.00 | $280.32 – $805.92 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.42 – $15.64 | 3 |
| Tc-99m oxidronate HCPCS A9561 | $99.00 | $165.00 | $52.80 – $151.80 | 4 |
| Tc-99m pentetate dtpa HCPCS A9539 | $127.80 | $213.00 | $68.16 – $195.96 | 4 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $120.00 | $200.00 | $60.80 – $174.80 | 4 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $141.00 | $235.00 | $75.20 – $216.20 | 4 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $318.00 | $530.00 | $122.88 – $312.96 | 4 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $355.80 | $593.00 | $189.76 – $545.56 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $211.80 | $353.00 | $106.56 – $306.36 | 4 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $255.60 | $426.00 | $136.32 – $391.92 | 4 |
| Tca peel dermal 15789 CPT 15789 | $1,062.00 | $1,770.00 | $171.71 – $1,628.40 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $107.26 – $166.28 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $110.85 – $166.28 | 3 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $107.26 – $107.26 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $455.73 – $683.59 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $163.20 | $272.00 | $33.06 – $241.04 | 4 |
| T cells absolute cd 4 count CPT 86361 | $98.40 | $164.00 | $33.06 – $114.08 | 4 |
| T cells total count CPT 86359 | $104.40 | $174.00 | $33.06 – $160.08 | 4 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $324.61 – $486.91 | 3 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $324.61 – $486.91 | 3 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $324.61 – $486.91 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $6,011.90 – $6,011.90 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $2,322.60 | $3,871.00 | $3,561.32 – $3,989.84 | 2 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $125.92 – $125.92 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $125.92 – $125.92 | 1 |
| Team conf w/pat by hc prof CPT 99366 | $74.40 | $124.00 | $114.08 – $125.92 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $226.30 – $339.45 | 3 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $461.87 – $1,235.36 | 3 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $461.87 – $1,235.36 | 3 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.79 – $11.68 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $25.20 | $42.00 | $11.60 – $38.64 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $174.94 – $572.40 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $117.55 – $572.40 | 3 |
| Temozolomide HCPCS J8700 | $4,671.14 | $7,785.23 | $8.03 – $21.84 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $1,818.11 | $3,030.18 | $10.83 – $2,636.26 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $163.10 – $244.65 | 3 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $8,646.21 – $8,646.21 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,861.96 | $4,769.94 | $33.66 – $4,149.85 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $1,311.83 – $5,073.37 | 3 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,704.23 – $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.