How many shoppable procedure prices are published for Genesis Hlth System DBA Genesis Mdl Ctr-Illini?

Genesis Hlth System DBA Genesis Mdl Ctr-Illini in Silvis, IL currently has 137 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Genesis Hlth System DBA Genesis Mdl Ctr-Illini's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Genesis Hlth System DBA Genesis Mdl Ctr-Illini's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Genesis Hlth System DBA Genesis Mdl Ctr-Illini's CMS Care Compare overall star rating?

CMS Care Compare assigns Genesis Hlth System DBA Genesis Mdl Ctr-Illini an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 145 Beds · urban Updated: 2026-03-31

Genesis Hlth System DBA Genesis Mdl Ctr-Illini

801 Illini Dr, Silvis, IL 61282 · 137 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.06×vs. Fair Market Price

Typical commercial prices here are +6% above the fair benchmark (1.06×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 51% of the Time

File Completeness66

Price Logic65

Peer Alignment72

Clean Billing86

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.06× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Genesis Hlth System DBA Genesis Mdl Ctr-Illini maintains elevated commercial insurance contracts (1.06× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 51% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#70 of 126 in IL · 54th State Percentile#1,545 of 3,385 in U.S. · 45th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.79× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 51% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 58% patient recommendation (61/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.06× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.99× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +29% above the median procedure ratio (Q50 0.99×)
Consolidated metro market (HHI 4,369) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.75× Divergence

0.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+29% Upper Tail

Q25 0.79× · Q50 0.99× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

51% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 61/100Elevated

Procedure Prices at Genesis Hlth System DBA Genesis Mdl Ctr-Illini

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 137 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,680	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,877	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,076	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,078	$8,223	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,853	$2,540	unverified
C-section delivery (full package) CPT Code: `59510`	$4,721	$2,609	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$4,264	$2,359	$2,680	0.9×
Trauma team activation HCPCS Code: `G0390`	$3,680	$2,069	$1,453	1.4×
Total hip replacement CPT Code: `27130`	$1,772	$1,772	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$1,770	$1,770	$13,523	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,616	$1,485	$1,021	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,408	$1,408	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$1,375	$1,375	$3,446	unverified
Breast lump removal CPT Code: `19120`	$914	$1,305	$3,875	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$778	$963	$855	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$938	$857	$583	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	$846	$86	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$755	$755	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$647	$647	$3,629	0.2×
Psychological testing by technician CPT Code: `96138`	—	$593	$395	1.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$524	$257	2.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$524	$269	1.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$524	$343	1.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$524	$364	1.4×
Residential mental health treatment HCPCS Code: `H2036`	—	$518	$406	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,998	$540	$511	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$516	$516	$981	0.5×
Behavioral health day program HCPCS Code: `H2012`	—	$472	$100	4.7×
Blood transfusion CPT Code: `36430`	$474	$456	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$3,575	$417	$322	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$508	$353	$272	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,465	$365	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,510	$365	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,627	$365	$369	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,676	$344	$448	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$338	$338	$1,256	0.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,240	$284	$303	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$137	$229	$123	1.9×
Mental health services (assessment) HCPCS Code: `H0031`	—	$236	$140	1.7×
Behavioral health assessment HCPCS Code: `H0001`	—	$236	$157	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$262	$236	$185	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$317	$204	$151	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,264	$223	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,509	$223	$258	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$205	$205	$987	0.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$118	$163	$87	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$103	$171	$110	1.6×
Ultrasound, pelvis CPT Code: `76856`	$318	$163	$130	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$709	$159	$134	1.2×
Neurobehavioral status check CPT Code: `96116`	$180	$180	$231	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$128	$34	3.8×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$128	$88	1.5×
Care planning with family CPT Code: `90887`	$121	$152	$107	1.4×
Family therapy session CPT Code: `90847`	$174	$152	$173	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$114	$144	$166	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$146	$144	$181	0.8×
Speech therapy (group session) CPT Code: `92508`	$149	$149	$27	unverified
X-ray, pelvis CPT Code: `72170`	$173	$111	$110	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,199	$133	$160	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$50	$83	$33	2.5×
Mental health services (therapy) HCPCS Code: `H0032`	—	$94	$65	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$121	$87	$64	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$100	$100	$86	1.2×
X-ray, chest (single view) CPT Code: `71045`	$129	$92	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$200	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$187	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$355	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$191	$92	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$223	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$176	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$187	$92	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$425	$111	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$351	$111	$132	0.8×
Review of medical records for care CPT Code: `90889`	$121	$94	$114	0.8×
CT scan, pelvis CPT Code: `72192`	$1,171	$108	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,022	$108	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,145	$108	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,415	$108	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,436	$108	$169	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$81	$81	$148	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$101	$101	$201	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$84	$84	$123	unverified
Typhoid vaccine HCPCS Code: `90675`	$588	$343	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$140	$140	$140	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$337	$121	$203	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$80	$80	$19	4.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$44	$10	4.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$62	$62	$20	3.1×
Physical therapy (gait training) CPT Code: `97116`	$74	$74	$33	2.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$42	$14	3.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$46	$35	1.3×
Blood antibody screen CPT Code: `86850`	$48	$53	$46	1.2×
X-ray, hip CPT Code: `73502`	$188	$55	$93	0.6×
Psychological testing evaluation CPT Code: `96136`	$53	$53	$128	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$69	$69	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$68	$68	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$74	$74	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$76	$76	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$70	$70	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$71	$71	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$79	$79	$14	unverified
Blood test, hemoglobin CPT Code: `85018`	$25	$5	$3	1.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$95	$26	$25	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$4	$4	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$4	$4	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$25	$25	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$33	$39	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$39	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$33	$39	$49	0.8×
Culture, bacterial CPT Code: `87070`	$61	$8	$9	0.9×
Blood test, calcium CPT Code: `82310`	$37	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$36	$4	$5	0.8×
Blood test, potassium CPT Code: `84132`	$32	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$33	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$4	$5	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$62	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$77	$7	$9	0.8×
Blood test, vitamin D CPT Code: `82306`	$104	$23	$31	0.7×
Culture, blood CPT Code: `87040`	$106	$8	$11	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$63	$10	$14	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$54	$11	$16	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$53	$25	$37	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$2	$3	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$4	$6	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$66	$25	$39	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$110	$7	$11	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$46	$5	$8	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$80	$11	$18	0.6×
Hepatitis C antibody test CPT Code: `86803`	$77	$9	$15	0.6×
Blood test, amylase CPT Code: `82150`	$65	$4	$7	0.6×
Blood test, lipase CPT Code: `83690`	$79	$4	$7	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$96	$25	$56	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$181	$25	$111	0.2×
Group therapy session CPT Code: `90853`	$37	$37	$100	unverified
Orthotic fitting and training CPT Code: `97760`	$53	$53	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$53	$53	$45	unverified
Blood test, magnesium CPT Code: `83735`	$61	$4	$7	0.6×

Showing top 25 high-impact procedures of 137 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Genesis Hlth System DBA Genesis Mdl Ctr-Illini (Zero PHI Required)

CMS CCN: 140275

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $21,680

1. Amount on Your Bill or Quote ($) Pre-filled with Genesis Hlth System DBA Genesis Mdl Ctr-Illini’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Genesis Hlth System DBA Genesis Mdl Ctr-Illini's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$32,945 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($52,032) is $32,945 above the denoised Fair BaseRate ($19,087) and 3.7× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Genesis Hlth System DBA Genesis Mdl Ctr-Illini as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite61/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait194 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (352 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Genesis Hlth System DBA Genesis Mdl Ctr-Illini.

Price Index: 1.08× regional baseline

Quality: 48/100 CMS composite

Median Household Income$66,768U.S. Census ACS

Local Uninsured Share6.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 140275

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 140275) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows1,102 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140275

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy