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 |
|---|---|---|---|---|
| Emb without cervical dilation 58100 CPT 58100 | $236.40 | $394.00 | $216.65 – $1,586.00 | 5 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $142.58 – $145.43 | 3 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $137.89 – $140.65 | 3 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $231.39 – $236.02 | 3 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $142.58 – $145.43 | 3 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $137.89 – $140.65 | 3 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $231.39 – $236.02 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $44.40 | $74.00 | $13.19 – $13.45 | 3 |
| Encephalitis, st louis igg/igm CPT 86653 | $44.40 | $74.00 | $13.19 – $13.45 | 3 |
| Encephalitis, western equine igg/igm CPT 86654 | $44.40 | $74.00 | $13.19 – $13.45 | 3 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $70.30 | 3 |
| Endo cath bile duct s&i CPT 74328 | $966.60 | $1,611.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $966.60 | $1,611.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $326.55 – $1,586.00 | 5 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $987.01 – $3,176.00 | 5 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $5,360.72 – $6,675.00 | 5 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $5,360.72 – $12,241.00 | 5 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $996.56 – $5,339.00 | 5 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $5,543.00 – $7,714.16 | 5 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $996.56 – $5,339.00 | 5 |
| Endoscopy of ureter CPT 50951 | not published | not published | $1,963.00 – $3,852.98 | 5 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,777.44 – $5,339.00 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $54.09 – $55.17 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,907.37 – $5,339.00 | 5 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $19,343.40 | $32,239.00 | $5,543.00 – $5,672.00 | 2 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $693.00 – $1,586.00 | 2 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $693.00 – $1,586.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.71 – $55.80 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $12.22 | 3 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $16.32 | 3 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $13.69 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $44.91 | 3 |
| Enzyme histochemistry CPT 88319 | $540.60 | $901.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $15,445.80 | $25,743.00 | $10,182.00 – $28,570.01 | 5 |
| Ep & ablate ventric tachy CPT 93654 | $15,445.80 | $25,743.00 | $10,182.00 – $28,570.01 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $693.00 – $1,586.00 | 2 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $693.00 – $1,586.00 | 2 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,197.20 | $3,662.00 | $693.00 – $1,586.00 | 2 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $947.82 – $3,176.00 | 5 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $947.82 – $3,176.00 | 5 |
| Epiglottidectomy CPT 31420 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Epikeratoplasty CPT 65767 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,497.53 | 3 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,304.74 – $5,339.00 | 5 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.88 – $12.38 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $7.30 – $11.35 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $2.72 – $2.72 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $138.60 | $231.00 | $13.12 – $13.38 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $134.40 | $224.00 | $15.29 – $15.60 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $166.20 | $277.00 | $18.14 – $18.50 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $20.55 – $28.78 | 4 |
| Ercp biliary & pancreas CPT 74330 | $787.20 | $1,312.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,543.00 – $6,635.80 | 5 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $5,543.00 – $6,635.80 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,056.34 – $5,672.00 | 5 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,056.34 – $5,672.00 | 5 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,543.00 – $6,635.80 | 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.