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 |
|---|---|---|---|---|
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $212.40 | $354.00 | $693.00 – $1,586.00 | 2 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $693.00 – $1,586.00 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $562.80 | $938.00 | $215.00 – $1,586.00 | 5 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.77 – $7.93 | 3 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.47 – $6.60 | 3 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $18.36 | 3 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $50.46 – $50.46 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $53.26 – $53.26 | 1 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $211.46 | 3 |
| Cdna analysis for variants CPT 81403 | $1,045.20 | $1,742.00 | $185.20 – $188.90 | 3 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $142.58 – $145.43 | 3 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $142.58 – $145.43 | 3 |
| Cebpa gene full sequence CPT 81218 | $837.00 | $1,395.00 | $241.90 – $246.74 | 3 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $4.25 – $6.42 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $104.75 – $152.59 | 4 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $96.63 | 3 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $111.31 | 3 |
| Cell count body fluid CPT 89050 | $140.40 | $234.00 | $4.72 – $4.81 | 3 |
| Cell count w differential body fluid CPT 89051 | $140.40 | $234.00 | $5.60 – $5.71 | 3 |
| Cell cryopreserve/storage CPT 88240 | $739.20 | $1,232.00 | $13.07 – $13.33 | 3 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $255.80 | 3 |
| Cell function assay w/stim CPT 86352 | $449.40 | $749.00 | $135.86 – $138.58 | 3 |
| Cell marker study CPT 88182 | $783.60 | $1,306.00 | $55.84 – $56.96 | 3 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.76 – $44.42 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $8,594.29 – $8,594.29 | 1 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $5.05 | 3 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $581.86 – $593.49 | 3 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.79 – $8.37 | 4 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $5,543.00 – $7,258.04 | 5 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $80.46 – $118.93 | 4 |
| #cf-97variants CPT 81220 | $2,035.80 | $3,393.00 | $556.60 – $567.73 | 3 |
| Cftr gene dup/delet variants CPT 81222 | $2,187.60 | $3,646.00 | $435.07 – $443.77 | 3 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $172.12 | 3 |
| Cftr gene known fam variants CPT 81221 | $1,306.20 | $2,177.00 | $97.22 – $99.16 | 3 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $747.24 – $3,176.00 | 5 |
| Change cystostomy tube simple CPT 51705 | $955.20 | $1,592.00 | $267.74 – $1,586.00 | 5 |
| Change gastric port open CPT 43888 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,240.09 – $5,339.00 | 5 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,240.09 – $5,339.00 | 5 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $253.81 – $1,586.00 | 5 |
| Change stent via transureth CPT 50385 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $182.57 – $186.22 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $215.00 – $1,586.00 | 5 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $435.63 – $1,586.00 | 5 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $435.63 – $1,586.00 | 5 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $792.00 – $3,176.00 | 5 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $353.96 – $361.04 | 3 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $693.00 – $1,586.00 | 5 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $693.00 – $1,586.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $693.00 – $1,586.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $756.44 – $3,176.00 | 5 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $756.44 – $3,176.00 | 5 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $340.14 – $1,586.00 | 5 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $328.94 – $1,586.00 | 5 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $756.44 – $3,176.00 | 5 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $756.44 – $3,176.00 | 5 |
| Chemo extend IV infus w/pump HCPCS G0498 | $476.40 | $794.00 | $353.96 – $361.04 | 3 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $50.18 – $51.18 | 3 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $353.96 – $361.04 | 3 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $353.96 – $361.04 | 3 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $227.94 – $232.50 | 3 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $77.16 – $78.70 | 3 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $16.31 | 3 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $353.96 – $361.04 | 3 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $353.96 – $361.04 | 3 |
| Chest 2 vws w oblique CPT 71048 | $375.60 | $626.00 | $112.03 – $114.27 | 3 |
| Chest apical lordotic proj CPT 71047 | $332.40 | $554.00 | $93.26 – $95.12 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,723.40 | $4,539.00 | $187.96 – $191.72 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $2,446.80 | $4,078.00 | $187.96 – $191.72 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $2,446.80 | $4,078.00 | $112.03 – $114.27 | 3 |
| Chest X-ray CPT 71046 | $333.60 | $556.00 | $93.26 – $95.12 | 3 |
| Chest X-ray (single view) CPT 71045 | $236.40 | $394.00 | $93.26 – $95.12 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $340.80 | $568.00 | $63.22 – $64.48 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $1,099.20 | $1,832.00 | $187.96 – $191.72 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $211.61 | 3 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $266.01 | 3 |
| Chlamydia culture CPT 87110 | $217.20 | $362.00 | $19.60 – $19.99 | 3 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $12.22 | 3 |
| Chlamydia type CPT 87140 | $82.20 | $137.00 | $5.57 – $5.68 | 3 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $20.45 | 3 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $43.70 | 3 |
| Chloride CPT 82435 | $66.00 | $110.00 | $4.60 – $4.69 | 3 |
| Chloride 24 hour urine CPT 82436 | $89.40 | $149.00 | $5.75 – $5.86 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $1.19 – $1.19 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $353.96 – $361.04 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $2,520.00 | $4,200.00 | $3,836.82 – $6,675.00 | 5 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $864.00 | $1,440.00 | not published | 0 |
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.