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 |
|---|---|---|---|---|
| Factor viii CPT 85240 | $275.40 | $459.00 | $17.90 – $18.26 | 3 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $1.70 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.46 – $3.58 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.24 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $3.48 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.57 – $2.49 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $2.11 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $5.31 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $31.26 – $43.30 | 4 |
| Fancc gene CPT 81242 | $876.00 | $1,460.00 | $36.62 – $37.35 | 3 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Fat/lipids feces qualitative CPT 82705 | $82.20 | $137.00 | $5.10 – $5.20 | 3 |
| Fatty acids nonesterified CPT 82725 | $207.60 | $346.00 | $18.77 – $19.15 | 3 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $4.65 | 3 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $64.32 – $101.97 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $996.56 – $1,016.49 | 3 |
| #fecal-sodium CPT 84302 | $84.60 | $141.00 | $4.86 – $4.96 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $79.72 – $81.31 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $94.80 | $158.00 | $18.64 – $19.01 | 3 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Feno poc CPT 95012 | not published | not published | $40.03 – $40.83 | 3 |
| Fern test HCPCS Q0114 | $31.20 | $52.00 | $9.74 – $9.93 | 3 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.10 – $1.86 | 4 |
| Ferritin CPT 82728 | $165.60 | $276.00 | $13.63 – $13.90 | 3 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.23 – $0.83 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.23 – $0.83 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $810.90 | 3 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $112.03 – $114.27 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $774.23 | 3 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,575.20 | $4,292.00 | $759.05 – $774.23 | 3 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $216.65 – $1,586.00 | 5 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $326.55 – $1,586.00 | 5 |
| Fetal fibronectin CPT 82731 | $808.80 | $1,348.00 | $64.41 – $65.70 | 3 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $326.55 – $1,586.00 | 5 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $211.20 | $352.00 | $7.73 – $7.88 | 3 |
| Fetal hemoglobin rosette CPT 85461 | $108.00 | $180.00 | $9.36 – $9.55 | 3 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $107.40 | $179.00 | $19.32 – $19.71 | 3 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $693.00 – $1,586.00 | 2 |
| Fetal non stress test CPT 59025 | $807.00 | $1,345.00 | $216.65 – $1,586.00 | 5 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $326.55 – $1,586.00 | 5 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $326.55 – $1,586.00 | 5 |
| #_fet/norfentcnfrmur CPT 80354 | $192.60 | $321.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $211.20 | $352.00 | $10.18 – $10.38 | 3 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $7.03 | 3 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $9.91 | 3 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $10.38 | 3 |
| Fibrinogen activity CPT 85384 | $199.20 | $332.00 | $9.72 – $9.91 | 3 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $12.68 | 3 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $454.80 | $758.00 | $15.48 – $15.79 | 3 |
| Fibrinolytic antiplasmin CPT 85410 | $217.20 | $362.00 | $7.71 – $7.86 | 3 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $7.86 | 3 |
| Fibrinolytic plasminogen CPT 85415 | $621.60 | $1,036.00 | $17.19 – $17.53 | 3 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $10.38 | 3 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $234.00 | $390.00 | $6.53 – $6.66 | 3 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.54 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.02 – $1.63 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Filtered speech hearing test CPT 92571 | not published | not published | $40.03 – $40.83 | 3 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,574.60 | $4,291.00 | $758.85 – $3,176.00 | 5 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,288.20 | $2,147.00 | $693.00 – $1,586.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $693.00 – $1,586.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,288.20 | $2,147.00 | $693.00 – $1,586.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $246.00 | $410.00 | $435.63 – $1,586.00 | 5 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $63.22 – $64.48 | 3 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $63.22 – $64.48 | 3 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $40.03 – $40.83 | 3 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $40.03 – $40.83 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $216.65 – $1,586.00 | 5 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $971.94 – $5,339.00 | 5 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Flebogamma injection HCPCS J1572 | not published | not published | $90.74 – $92.60 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $19.01 | 3 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,176.60 | $1,961.00 | $255.69 – $1,586.00 | 5 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $996.56 – $3,176.00 | 5 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,769.88 – $3,176.00 | 5 |
| Flow cytometry marker each additional CPT 88185 | $147.00 | $245.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $2,227.20 | $3,712.00 | $384.12 – $391.80 | 3 |
| Flt3 gene CPT 81245 | $1,002.00 | $1,670.00 | $165.51 – $168.82 | 3 |
| Flt3 gene analysis CPT 81246 | $659.40 | $1,099.00 | $83.00 – $84.66 | 3 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $997.84 – $997.84 | 1 |
| Fluidotherapy charges pt CPT 97022 | $62.40 | $104.00 | $16.22 – $16.54 | 3 |
| Fluid pressure muscle 20950 CPT 20950 | $921.60 | $1,536.00 | $758.85 – $3,176.00 | 5 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $509.81 – $810.07 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.79 – $531.93 | 4 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $231.39 – $236.02 | 3 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $231.39 – $236.02 | 3 |
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.