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 |
|---|---|---|---|---|
| Ercp w/specimen collection CPT 43260 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $76.76 – $212.49 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $183.00 | $305.00 | $90.36 – $92.17 | 3 |
| ER Visit (level 2) CPT 99282 | $379.80 | $633.00 | $164.54 – $167.83 | 3 |
| ER Visit (level 3) CPT 99283 | $648.00 | $1,080.00 | $292.53 – $298.38 | 3 |
| ER Visit (level 4) CPT 99284 | $1,026.60 | $1,711.00 | $447.15 – $456.09 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $1,706.40 | $2,844.00 | $638.18 – $650.95 | 3 |
| Erwinaze injection HCPCS J9019 | not published | not published | $705.00 – $705.00 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $144.09 – $144.09 | 1 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $428.40 – $436.97 | 3 |
| Esophageal recording CPT 93615 | not published | not published | $1,304.74 – $5,339.00 | 5 |
| Esophageal recording CPT 93616 | not published | not published | $1,304.74 – $5,339.00 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $971.94 – $5,339.00 | 5 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $6,223.00 – $6,675.00 | 5 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $971.94 – $5,339.00 | 5 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $971.94 – $5,339.00 | 5 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $4,131.60 – $5,672.00 | 5 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $2,056.34 – $5,672.00 | 5 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $4,131.60 – $5,339.00 | 5 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esophagus motility study CPT 91010 | not published | not published | $399.88 – $1,586.00 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $399.88 – $1,586.00 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $693.00 – $1,586.00 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $231.39 – $1,586.00 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $399.88 – $1,586.00 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $5,360.72 – $12,241.00 | 5 |
| Establish access to aorta CPT 36160 | not published | not published | $693.00 – $1,586.00 | 2 |
| Establish access to artery CPT 36100 | not published | not published | $693.00 – $1,586.00 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Established Patient Office Visit (level 1) CPT 99211 | $93.60 | $156.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $105.60 | $176.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $177.00 | $295.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $267.00 | $445.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $377.40 | $629.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $693.00 – $1,586.00 | 2 |
| Estradiol total CPT 82670 | $253.20 | $422.00 | $27.94 – $28.50 | 3 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $22.13 | 3 |
| Etanercept injection HCPCS J1438 | not published | not published | $1,304.79 – $1,304.79 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $518.63 – $793.75 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Ethylene glycol -sendout CPT 82693 | $288.60 | $481.00 | $14.90 – $15.20 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $86.84 – $127.69 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $216.84 | 4 |
| Euglobulin lysis CPT 85360 | $260.40 | $434.00 | $8.41 – $8.58 | 3 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $280.20 | $467.00 | $137.89 – $140.65 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $393.60 | $656.00 | $117.78 – $120.14 | 3 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $10.59 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $164.40 | $274.00 | $98.11 – $100.07 | 3 |
| Evaluation heart device CPT 93640 | $2,416.20 | $4,027.00 | $693.00 – $1,586.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $362.40 | $604.00 | $134.52 – $137.21 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $295.80 | $493.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $13,153.80 | $21,923.00 | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $13,153.80 | $21,923.00 | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $26,853.00 | $44,755.00 | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $5,166.60 | $8,611.00 | $5,543.00 – $5,672.00 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $13,153.80 | $21,923.00 | $5,543.00 – $5,672.00 | 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.