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 |
|---|---|---|---|---|
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg vein six or more CPT 33516 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $24.18 – $36.04 | 4 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $139.74 | 3 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $863.20 | 3 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $188.90 | 3 |
| Cad breast MRI w/r&i HCPCS C8937 | $0.01 | $0.01 | not published | 0 |
| Cadd pump refill CPT 96521 | $287.40 | $479.00 | $227.94 – $232.50 | 3 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $2,254.63 – $2,254.63 | 1 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $80.37 – $81.98 | 3 |
| Calcium 24 hour urine CPT 82340 | $88.80 | $148.00 | $6.03 – $6.15 | 3 |
| Calcium infusion test CPT 82331 | not published | not published | $13.34 – $13.61 | 3 |
| Calcium ionized CPT 82330 | $186.60 | $311.00 | $13.68 – $13.95 | 3 |
| Calcium total CPT 82310 | $76.80 | $128.00 | $5.16 – $5.26 | 3 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $13.13 | 3 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $11.81 | 3 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $231.39 – $236.02 | 3 |
| Calprotectin fecal CPT 83993 | $589.80 | $983.00 | $19.63 – $20.02 | 3 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $693.00 – $1,586.00 | 2 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $13.38 | 3 |
| Canakinumab injection HCPCS J0638 | not published | not published | $149.57 – $200.49 | 4 |
| Candida dna CPT 87480 | $111.00 | $185.00 | $20.05 – $20.45 | 3 |
| Candida dna quant CPT 87482 | not published | not published | $55.74 – $56.85 | 3 |
| Candida skin test CPT 86485 | not published | not published | $30.99 – $31.61 | 3 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Canthotomy 67715 CPT 67715 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.42 – $5.40 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,723.15 – $5,672.00 | 5 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $13.52 | 3 |
| Carbamazepine free -sendout CPT 80161 | $52.80 | $88.00 | $18.64 – $19.01 | 3 |
| Carbamazepine total therapeutic drug level CPT 80156 | $192.60 | $321.00 | $14.57 – $14.86 | 3 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $244.04 – $374.27 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $147.00 | $245.00 | $18.06 – $18.42 | 3 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $5.61 | 3 |
| Carbon dioxide CPT 82374 | $61.20 | $102.00 | $4.88 – $4.98 | 3 |
| Carboxyhemoglobin quantitative CPT 82375 | $180.00 | $300.00 | $12.32 – $12.57 | 3 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Carcinoembryonic ag (cea) CPT 82378 | $663.60 | $1,106.00 | $18.96 – $19.34 | 3 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $585.55 – $597.26 | 3 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $585.55 – $597.26 | 3 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $585.55 – $597.26 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,654.00 | $6,090.00 | $1,387.37 – $1,415.12 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $219.00 | $365.00 | $138.14 – $140.90 | 3 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $138.14 – $140.90 | 3 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $428.40 – $436.97 | 3 |
| Cardioassist external CPT 92971 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $40.03 – $40.83 | 3 |
| Cardiolipin antibody iga CPT 86147 | $153.60 | $256.00 | $25.45 – $25.96 | 3 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $3,240.00 – $3,304.80 | 3 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,606.40 | $4,344.00 | $708.28 – $3,176.00 | 5 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $708.28 – $3,176.00 | 5 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $84.00 | $140.00 | $39.41 – $40.20 | 3 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $42.00 | $70.00 | $21.25 – $21.68 | 3 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $56.24 – $77.62 | 4 |
| Carinal reconstruction CPT 31766 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $596.60 | 3 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $596.60 | 3 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $241.80 – $678.08 | 4 |
| Carotene CPT 82380 | not published | not published | $9.22 – $9.40 | 3 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,207.20 | $2,012.00 | $255.69 – $260.80 | 3 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $693.00 – $1,586.00 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Car seat/bed test 60 minutes CPT 94780 | $178.80 | $298.00 | $40.03 – $40.83 | 3 |
| Car seat/bed test additional 30 minutes CPT 94781 | $91.80 | $153.00 | not published | 0 |
| Car-t admn autologous CPT 38228 | not published | not published | $353.96 – $361.04 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $996.56 – $3,176.00 | 5 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.02 – $0.02 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $27.85 | 3 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $7,743.60 | $12,906.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | not published | not published | $1,686.89 – $3,176.00 | 5 |
| Catheter insert artery CPT 36625 | $498.60 | $831.00 | $693.00 – $1,586.00 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $9.34 – $9.53 | 3 |
| Catheter stripping venous CPT 36595 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $267.74 – $273.10 | 3 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $14,436.60 | $24,061.00 | $3,474.11 – $12,241.00 | 5 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Cath plc art/grft/angio right hrt CPT 93457 | $12,403.20 | $20,672.00 | $3,474.11 – $12,241.00 | 5 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $693.00 – $1,586.00 | 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.