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 |
|---|---|---|---|---|
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $12.91 | 3 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Eculizumab injection HCPCS J1300 | not published | not published | $372.55 – $372.55 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,102.87 – $9,419.17 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $28.54 – $29.11 | 3 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $119.87 – $122.27 | 3 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $920.24 – $938.65 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $738.60 | $1,231.00 | $231.39 – $236.02 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $231.39 – $236.02 | 3 |
| E equine encephalitis igg CPT 86652 | $44.40 | $74.00 | $13.19 – $13.45 | 3 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.61 – $52.49 | 4 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd control bleeding any CPT 43255 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd dilate stricture CPT 43245 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $6,223.00 – $6,675.00 | 5 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $6,223.00 – $11,618.95 | 5 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $971.94 – $5,339.00 | 5 |
| Egd guide wire insertion CPT 43248 | not published | not published | $971.94 – $5,339.00 | 5 |
| Egd injection varices CPT 43243 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd lesion ablation CPT 43270 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd remove foreign body CPT 43247 | $1,602.60 | $2,671.00 | $971.94 – $5,339.00 | 5 |
| Egd remove lesion snare CPT 43251 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd varices ligation CPT 43244 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $5,543.00 – $6,635.80 | 5 |
| Egfr gene com variants CPT 81235 | $5,190.60 | $8,651.00 | $324.58 – $331.07 | 3 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $40.80 | $68.00 | $35.09 – $35.79 | 3 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $19.96 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $30.99 – $31.61 | 3 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $329.13 – $1,586.00 | 5 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.41 – $11.64 | 3 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $329.13 – $1,586.00 | 5 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $329.13 – $1,586.00 | 5 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $55.72 – $1,586.00 | 5 |
| Electrical stimulation/unattended 97014 CPT 97014 | $52.80 | $88.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $137.89 – $140.65 | 3 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $920.24 – $938.65 | 3 |
| Electrode stimulation brain CPT 95961 | not published | not published | $920.24 – $938.65 | 3 |
| Electroejaculation CPT 55870 | not published | not published | $987.01 – $3,176.00 | 5 |
| Electrogastrography CPT 91132 | not published | not published | $231.39 – $1,586.00 | 5 |
| Electrogastrography w/test CPT 91133 | not published | not published | $142.58 – $1,586.00 | 5 |
| Electrolyte panel CPT 80051 | $153.00 | $255.00 | $7.01 – $7.15 | 3 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.15 – $10.35 | 3 |
| Electron microscopy diagnostic CPT 88348 | $2,565.00 | $4,275.00 | not published | 0 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $142.58 – $145.43 | 3 |
| Electrophysiologic study CPT 93624 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $693.00 – $1,586.00 | 2 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $693.00 – $1,586.00 | 2 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $693.00 – $1,586.00 | 2 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $1,304.74 – $5,339.00 | 5 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $693.00 – $1,586.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $693.00 – $1,586.00 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $18.66 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $311.95 – $462.21 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.04 – $11.86 | 4 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Embryo hatching CPT 89253 | not published | not published | $182.57 – $186.22 | 3 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $987.01 – $3,176.00 | 5 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Emb w/colposcopy 58110 CPT 58110 | 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.