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 |
|---|---|---|---|---|
| X-ray mandible complete > 4 views CPT 70110 | $493.80 | $823.00 | $112.03 – $114.27 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $327.00 | $545.00 | $93.26 – $95.12 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $442.20 | $737.00 | $93.26 – $95.12 | 3 |
| X-ray neck soft tissue CPT 70360 | $520.20 | $867.00 | $93.26 – $95.12 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $332.40 | $554.00 | $93.26 – $95.12 | 3 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $255.69 – $260.80 | 3 |
| X-ray optic foramina CPT 70190 | not published | not published | $93.26 – $95.12 | 3 |
| X-ray pelvis 1-2 views CPT 72170 | $327.60 | $546.00 | $112.03 – $114.27 | 3 |
| X-ray pelvis complete > 3 views CPT 72190 | $342.00 | $570.00 | $112.03 – $114.27 | 3 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $927.00 | $1,545.00 | $373.86 – $381.34 | 3 |
| X-ray ribs 2 views left CPT 71100 | $431.40 | $719.00 | $93.26 – $95.12 | 3 |
| X-ray ribs 3 views bilateral CPT 71110 | $540.00 | $900.00 | $112.03 – $114.27 | 3 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $583.20 | $972.00 | $112.03 – $114.27 | 3 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $600.60 | $1,001.00 | $112.03 – $114.27 | 3 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $483.00 | $805.00 | $112.03 – $114.27 | 3 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $286.80 | $478.00 | $93.26 – $95.12 | 3 |
| X-ray scapula complete (both sides) CPT 73010 | $588.60 | $981.00 | $112.03 – $114.27 | 3 |
| X-ray sella turcica CPT 70240 | not published | not published | $93.26 – $95.12 | 3 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $265.20 | $442.00 | $93.26 – $95.12 | 3 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $526.20 | $877.00 | $93.26 – $95.12 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $793.20 | $1,322.00 | $585.55 – $597.26 | 3 |
| X-ray skull < 4 views CPT 70250 | $396.60 | $661.00 | $112.03 – $114.27 | 3 |
| X-ray skull > 4 views complete CPT 70260 | $507.60 | $846.00 | $112.03 – $114.27 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $112.03 – $114.27 | 3 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $484.20 | $807.00 | $187.96 – $191.72 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $550.80 | $918.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $324.00 | $540.00 | $93.26 – $95.12 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $356.40 | $594.00 | $93.26 – $95.12 | 3 |
| X-ray sternum > 2 views CPT 71120 | $414.00 | $690.00 | $93.26 – $95.12 | 3 |
| X-ray surgical specimen CPT 76098 | $340.80 | $568.00 | $585.55 – $597.26 | 3 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $514.20 | $857.00 | $187.96 – $191.72 | 3 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $556.80 | $928.00 | $93.26 – $95.12 | 3 |
| X-ray thoracic spine 2 views CPT 72070 | $405.00 | $675.00 | $112.03 – $114.27 | 3 |
| X-ray thoracic spine 3 views CPT 72072 | $465.60 | $776.00 | $112.03 – $114.27 | 3 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $198.00 | $330.00 | $93.26 – $95.12 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $260.40 | $434.00 | $93.26 – $95.12 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $301.80 | $503.00 | $112.03 – $114.27 | 3 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $679.20 | $1,132.00 | $93.26 – $95.12 | 3 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $447.00 | $745.00 | $93.26 – $95.12 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $718.80 | $1,198.00 | $187.96 – $191.72 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $771.00 | $1,285.00 | $187.96 – $191.72 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | $628.20 | $1,047.00 | $93.26 – $95.12 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $187.96 – $191.72 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | $356.40 | $594.00 | $12.91 – $13.17 | 3 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $4.19 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $13.45 | 3 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $154,704.84 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.46 – $27.57 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | $695.40 | $1,159.00 | $51.31 – $52.34 | 3 |
| Zika virus igm antibody CPT 86794 | $525.00 | $875.00 | $16.85 – $17.19 | 3 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $21.73 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.65 – $91.36 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $50.40 – $50.40 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $197.12 | 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.