OSF St Mary Medical Center
3333 North Seminary, Galesburg, IL · Osfhealthcare · · NPI 1164485363
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $210.00 | $350.00 | $29.28 – $29.87 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $164.40 | $274.00 | $22.81 – $23.27 | 3 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $13.06 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $123.00 | $205.00 | $142.67 – $145.52 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $36.64 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $142.58 – $145.43 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $840.06 – $856.87 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $840.06 – $856.87 | 3 |
| 2nd order venous cath CPT 36012 | not published | not published | $693.00 – $1,586.00 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $137.89 – $140.65 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $137.89 – $140.65 | 3 |
| 3-d radiotherapy plan CPT 77295 | $5,204.40 | $8,674.00 | $1,483.26 – $1,512.93 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $2,446.80 | $4,078.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $163.20 | $272.00 | $11.15 – $11.37 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $108.00 | $180.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.72 – $71.40 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $12.25 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $5,385.60 | $8,976.00 | $3,383.62 – $3,451.29 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Abd/low ext cath 1st CPT 36245 | $1,216.20 | $2,027.00 | $693.00 – $1,586.00 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $1,003.20 | $1,672.00 | $693.00 – $1,586.00 | 2 |
| Abd/low ext cath 3rd CPT 36247 | $1,189.20 | $1,982.00 | $693.00 – $1,586.00 | 2 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $693.00 – $1,586.00 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,597.40 | $4,329.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,446.80 | $4,078.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,446.80 | $4,078.00 | $112.03 – $114.27 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $373.86 – $381.34 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,743.60 | $2,906.00 | $971.94 – $5,339.00 | 5 |
| Abdominal Ultrasound (complete) CPT 76700 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,115.73 – $12,241.00 | 5 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,831.20 | $3,052.00 | $971.94 – $5,339.00 | 5 |
| Abl1 gene CPT 81170 | $1,072.20 | $1,787.00 | $300.00 – $306.00 | 3 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $693.00 – $1,586.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $8,099.00 – $19,165.36 | 5 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,577.40 | $2,629.00 | $137.89 – $1,586.00 | 5 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $971.94 – $5,339.00 | 5 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $264.33 – $1,586.00 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $472.77 – $1,586.00 | 5 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $264.33 – $1,586.00 | 5 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,468.20 | $2,447.00 | $328.94 – $1,586.00 | 5 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,543.00 – $10,347.33 | 5 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $13.61 | 4 |
| Abortion CPT 59850 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $326.55 – $1,586.00 | 5 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $693.00 – $1,586.00 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $1,586.00 | 5 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,998.20 | $4,997.00 | $1,769.88 – $5,339.00 | 5 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $693.00 – $1,586.00 | 2 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $693.00 – $1,586.00 | 2 |
| Acetaminophen level CPT 80143 | $204.00 | $340.00 | $18.64 – $19.01 | 3 |
| Acetone qualitative CPT 82009 | $67.20 | $112.00 | $4.52 – $4.61 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $157.80 | $263.00 | $12.05 – $12.29 | 3 |
| Acetylcholinesterase assay CPT 82013 | $250.80 | $418.00 | $12.29 – $12.54 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $399.88 – $1,586.00 | 5 |
| Acne surgery 10040 CPT 10040 | not published | not published | $215.00 – $1,586.00 | 5 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $181.55 – $185.18 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $136.48 – $139.21 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $142.67 – $145.52 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $106.80 | $178.00 | $12.87 – $13.13 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $137.89 – $140.65 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $40.03 – $40.83 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $88.70 | 3 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $79.83 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $63.22 – $64.48 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $40.83 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.99 – $31.61 | 3 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.99 – $31.61 | 3 |
| Acute hepatitis panel CPT 80074 | $1,137.60 | $1,896.00 | $47.63 – $48.58 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| #acylcarnitineprfl CPT 82017 | $258.60 | $431.00 | $16.87 – $17.21 | 3 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $16.82 | 3 |
| Adalimumab injection HCPCS J0135 | not published | not published | $3,026.91 – $3,026.91 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $1,586.00 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.22 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $127.80 | $213.00 | $12.87 – $13.13 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.20 | 3 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $590.67 – $590.67 | 1 |
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.