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 |
|---|---|---|---|---|
| Composite byp grft 2 veins CPT 35682 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Comprehensive hearing test CPT 92557 | not published | not published | $137.89 – $140.65 | 3 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $142.67 – $145.52 | 3 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $142.67 – $145.52 | 3 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,362.80 | $3,938.00 | $373.86 – $381.34 | 3 |
| Concentration infection agents any type CPT 87015 | $79.20 | $132.00 | $6.68 – $6.81 | 3 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $137.89 – $140.65 | 3 |
| Condylomata destruction 56420 CPT 56420 | $527.40 | $879.00 | $216.65 – $1,586.00 | 5 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $5.05 | 3 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $77.95 – $77.95 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Conization of cervix CPT 57520 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $391.72 – $613.62 | 4 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Construct bladder opening CPT 51980 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construct bowel bladder CPT 50820 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construct bowel bladder CPT 50825 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construction of absent anus CPT 46730 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construction of absent anus CPT 46735 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construction of absent anus CPT 46740 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $5,360.72 – $5,672.00 | 5 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Construct vagina with graft CPT 57292 | not published | not published | $5,360.72 – $6,675.00 | 5 |
| Consultation pathology during surgery CPT 88329 | $130.80 | $218.00 | $63.22 – $64.48 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $540.60 | $901.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $366.60 | $611.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $346.80 | $578.00 | $182.57 – $186.22 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $844.20 | $1,407.00 | $55.84 – $56.96 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $25.20 | $42.00 | $40.03 – $40.83 | 3 |
| Consult comp w/report rfrd material CPT 88325 | $931.80 | $1,553.00 | $182.57 – $186.22 | 3 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $142.58 – $145.43 | 3 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $693.00 – $1,586.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Contour of face bone lesion CPT 21029 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Contrast baths charges CPT 97034 | not published | not published | $14.54 – $14.83 | 3 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,831.20 | $8,052.00 | $3,383.62 – $3,451.29 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $5,963.01 – $6,082.27 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $187.96 – $191.72 | 3 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $840.06 – $856.87 | 3 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $373.86 – $381.34 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | $419.40 | $699.00 | $142.58 – $1,586.00 | 5 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,552.91 – $5,339.00 | 5 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $253.81 – $1,586.00 | 5 |
| Control of nosebleed ant comp 30903 CPT 30903 | $344.40 | $574.00 | $142.58 – $1,586.00 | 5 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $406.20 | $677.00 | $142.58 – $1,586.00 | 5 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $577.95 – $1,586.00 | 5 |
| Control throat bleeding CPT 42961 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Convert nephrostomy catheter CPT 50434 | $1,320.00 | $2,200.00 | $1,963.00 – $3,176.00 | 5 |
| Conv gtube to jtube CPT 44373 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Coombs direct CPT 86880 | $174.00 | $290.00 | $63.22 – $64.48 | 3 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $145.80 | $243.00 | $182.57 – $186.22 | 3 |
| Coombs indirect titer reference CPT 86886 | $330.00 | $550.00 | $182.57 – $186.22 | 3 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $594.28 – $1,600.93 | 4 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,071.00 | 3 |
| Core ndl bx lng/med perq CPT 32408 | $2,497.80 | $4,163.00 | $1,769.88 – $5,339.00 | 5 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $63.22 – $64.48 | 3 |
| Corneal smear CPT 65430 | not published | not published | $478.72 – $1,586.00 | 5 |
| Corneal transplant CPT 65710 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Corneal transplant CPT 65730 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Corneal transplant CPT 65750 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Corneal transplant CPT 65755 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $12,570.60 | $20,951.00 | $3,474.11 – $12,241.00 | 5 |
| Coronary angio/lv gram/lt heart CPT 93458 | $11,347.20 | $18,912.00 | $3,474.11 – $12,241.00 | 5 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $13,213.20 | $22,022.00 | $3,474.11 – $12,241.00 | 5 |
| Coronary artery correction CPT 33502 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Coronary artery graft CPT 33503 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Coronary artery graft CPT 33504 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $3,474.11 – $12,241.00 | 5 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $693.00 – $1,586.00 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Correct finger deformity CPT 26567 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $4,195.85 – $6,675.00 | 5 |
| Correction claw finger other CPT 26499 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,068.27 – $5,339.00 | 5 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Correction of bladder defect CPT 51940 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $340.14 – $1,586.00 | 5 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $142.58 – $1,586.00 | 5 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,068.27 – $5,339.00 | 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.