OSF St Joseph Medical Center
2200 E Washington, Bloomington, IL · Osfhealthcare · · NPI 1619916806
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 semen analysis fert CPT 89320 | not published | not published | $12.31 – $12.56 | 3 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $10.04 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $146.40 | $244.00 | $7.48 – $7.63 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $421.20 | $702.00 | $435.63 – $1,383.00 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $557.40 | $929.00 | $435.63 – $1,383.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $384.60 | $641.00 | $435.63 – $1,383.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $810.60 | $1,351.00 | $435.63 – $1,383.00 | 5 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $358.80 | $598.00 | $215.00 – $1,383.00 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $822.60 | $1,371.00 | $215.00 – $1,383.00 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $395.40 | $659.00 | $215.00 – $1,383.00 | 5 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $514.80 | $858.00 | $215.00 – $1,383.00 | 5 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $919.80 | $1,533.00 | $215.00 – $1,383.00 | 5 |
| Ghs sleep study unattended CPT 95800 | $694.20 | $1,157.00 | $231.39 – $236.02 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,516.80 | $2,528.00 | $231.39 – $236.02 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,634.00 | $4,390.00 | $920.24 – $938.65 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $183.00 | $305.00 | $48.59 – $49.56 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $820.80 | $1,368.00 | $328.94 – $1,383.00 | 5 |
| Ghs spont nystagmus CPT 92541 | $372.00 | $620.00 | $142.58 – $145.43 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $286.80 | $478.00 | $104.56 – $106.65 | 3 |
| Ghs st - eval for alt comm CPT 92567 | $139.20 | $232.00 | $40.03 – $40.83 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | $192.60 | $321.00 | $142.58 – $1,383.00 | 5 |
| Ghs st - re-eval for alt comm CPT 92597 | $402.00 | $670.00 | $72.74 – $74.19 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $227.94 – $232.50 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,476.60 | $2,461.00 | $693.00 – $1,383.00 | 5 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $435.63 – $1,383.00 | 5 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $922.80 | $1,538.00 | $1,662.71 – $4,652.00 | 5 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $7.45 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $583.80 | $973.00 | $264.33 – $1,383.00 | 5 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $369.60 | $616.00 | $264.33 – $1,383.00 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $24.79 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $192.00 | $320.00 | $14.71 – $15.00 | 3 |
| Ghs vaginal delivery only CPT 59409 | $3,640.80 | $6,068.00 | $3,468.96 – $5,543.00 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $4,744.80 | $7,908.00 | $399.88 – $407.88 | 3 |
| Ghs windowing of cast CPT 29730 | not published | not published | $174.14 – $1,383.00 | 5 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $13.88 | 3 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $15.01 | 3 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $255.69 – $260.80 | 3 |
| Gi inhouse confirmation CPT 87045 | $214.80 | $358.00 | $9.44 – $9.63 | 3 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Gi protein loss CPT 78282 | not published | not published | $428.40 – $436.97 | 3 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $971.94 – $4,652.00 | 5 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $1,016.49 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $971.94 – $4,652.00 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $4,652.00 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $103.14 | 3 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $62.75 | 3 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $35.70 | 3 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $15.54 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.99 – $31.61 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $40.83 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,429.45 – $5,543.00 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,429.45 – $5,543.00 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,473.11 – $5,543.00 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,473.11 – $5,543.00 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $533.03 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $135.00 – $394.43 | 4 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $14.58 | 3 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $46.99 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $51.51 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $18.13 | 3 |
| Glucose 1 hr post dose CPT 82950 | $147.00 | $245.00 | $4.75 – $4.84 | 3 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.17 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $43.80 | $73.00 | $3.28 – $3.35 | 3 |
| Glucose blood quantitative CPT 82947 | $120.00 | $200.00 | $3.93 – $4.01 | 3 |
| Glucose body fluid CPT 82945 | $146.40 | $244.00 | $3.93 – $4.01 | 3 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $63.22 – $64.48 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $284.40 | $474.00 | $12.87 – $13.13 | 3 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $108.60 | $181.00 | $3.92 – $4.00 | 3 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $1.17 – $1.17 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $30.03 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $284.40 | $474.00 | $18.58 – $18.95 | 3 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $151.38 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $445.80 | $743.00 | $18.52 – $18.89 | 3 |
| Gonioscopy CPT 92020 | not published | not published | $142.58 – $145.43 | 3 |
| Goniotomy CPT 65820 | not published | not published | $4,429.45 – $5,543.00 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $964.53 – $1,998.73 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $125.40 | $209.00 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | not published | not published | $3,203.20 – $3,203.20 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,506.34 – $6,223.00 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $93.00 | $155.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $174.00 | $290.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $301.80 | $503.00 | not published | 0 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $4,944.00 – $5,543.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $588.60 | $981.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $73.80 | $123.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $284.40 | $474.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,061.00 – $12,241.00 | 5 |
| Great toe with reduction 28495 CPT 28495 | $642.00 | $1,070.00 | $264.33 – $1,383.00 | 5 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,211.05 – $4,652.00 | 5 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,797.52 – $6,223.00 | 5 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $693.00 – $1,383.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,797.52 – $6,223.00 | 5 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.23 – $12.47 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $30.99 – $31.61 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $16.05 | 3 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $68.03 | 3 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $131.92 | 3 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $77.11 | 3 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,944.00 – $5,543.00 | 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.