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 |
|---|---|---|---|---|
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $112.03 – $114.27 | 3 |
| Boot j walker l HCPCS L4386 | $585.60 | $976.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,143.00 | $1,905.00 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $13.65 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $424.80 | $708.00 | $17.03 – $17.37 | 3 |
| Borrelia miyamotoi amp prb CPT 87478 | $36.60 | $61.00 | $35.09 – $35.79 | 3 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $5.00 – $5.00 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $3.50 | 3 |
| Bowel imaging CPT 78290 | $2,892.00 | $4,820.00 | $428.40 – $436.97 | 3 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg iliorenal CPT 35634 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg splenorenal CPT 35636 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brace afo lg left 6607 HCPCS L1930 | $1,838.40 | $3,064.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $1,143.00 | $1,905.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $307.80 | $513.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $169.20 | $282.00 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $2,745.60 | $4,576.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $3,423.00 | $5,705.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $307.80 | $513.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $1,384.80 | $2,308.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $307.80 | $513.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,112.75 – $5,339.00 | 5 |
| Brach/thor cath 1st CPT 36215 | $1,216.20 | $2,027.00 | $693.00 – $1,586.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $1,189.20 | $1,982.00 | $693.00 – $1,586.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $693.00 – $1,586.00 | 2 |
| Brach/thor cath addl CPT 36218 | $1,189.20 | $1,982.00 | $693.00 – $1,586.00 | 2 |
| Brachytx isodose complex CPT 77318 | $1,411.80 | $2,353.00 | $401.25 – $409.27 | 3 |
| Brachytx isodose intermed CPT 77317 | $1,064.40 | $1,774.00 | $401.25 – $409.27 | 3 |
| Brachytx isodose plan simple CPT 77316 | $876.00 | $1,460.00 | $401.25 – $409.27 | 3 |
| Braf gene CPT 81210 | $675.00 | $1,125.00 | $175.40 – $178.91 | 3 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Brain flow imaging only CPT 78610 | not published | not published | $581.86 – $593.49 | 3 |
| Brain image < 4 views CPT 78600 | not published | not published | $428.40 – $436.97 | 3 |
| Brain image 4+ views CPT 78605 | not published | not published | $581.86 – $593.49 | 3 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $428.40 – $436.97 | 3 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $581.86 – $593.49 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Brain MRI (with contrast) CPT 70552 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Brain MRI (without contrast) CPT 70551 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $169.20 | $282.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $477.36 | 3 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $595.91 | 3 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $382.76 | 3 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $307.38 | 3 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $288.54 | 3 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $188.82 | 3 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $382.76 | 3 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $288.54 | 3 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $448.80 | 3 |
| Brcassure comprehensive panel-sendout CPT 81162 | $5,069.40 | $8,449.00 | $1,824.88 – $1,861.38 | 3 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,234.20 | $7,057.00 | $1,769.88 – $5,339.00 | 5 |
| Breast punct aspir cyst, bil CPT 19000 | $1,096.80 | $1,828.00 | $758.85 – $3,176.00 | 5 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $8,099.00 – $12,241.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Breast reduction CPT 19318 | not published | not published | $7,115.73 – $12,241.00 | 5 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $231.39 – $1,586.00 | 5 |
| Breathing response hypoxia CPT 94450 | not published | not published | $137.89 – $140.65 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $96.30 | 3 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $11.28 | 3 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $268.73 – $366.23 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $489,290.60 – $741,576.00 | 4 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $10.87 – $11.09 | 3 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $23.39 – $23.86 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $419.13 – $1,586.00 | 5 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $693.00 – $1,586.00 | 2 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,995.36 – $5,672.00 | 5 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,995.36 – $5,672.00 | 5 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $419.13 – $1,586.00 | 5 |
| Bronchial challenge CPT 94070 | $772.80 | $1,288.00 | not published | 0 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $693.00 – $1,586.00 | 2 |
| Bronchial valve init insert CPT 31647 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,907.37 – $5,339.00 | 5 |
| Bronchial valve remov init CPT 31648 | not published | not published | $3,995.36 – $6,675.00 | 5 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Bronchoscopy clear airways 31645 CPT 31645 | $2,249.40 | $3,749.00 | $1,907.37 – $5,339.00 | 5 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,995.36 – $6,675.00 | 5 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $693.00 – $1,586.00 | 2 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $3,995.36 – $5,339.00 | 5 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $693.00 – $1,586.00 | 2 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $3,995.36 – $6,675.00 | 5 |
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.