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 |
|---|---|---|---|---|
| Fluorescent antibody titer dna CPT 86256 | $946.20 | $1,577.00 | $12.05 – $12.29 | 3 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $685.61 – $872.66 | 4 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $1,170.38 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,143.60 | $1,906.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $1,143.60 | $1,906.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $19.29 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $561.60 | $936.00 | $255.69 – $260.80 | 3 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $20.69 – $20.69 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $121.49 – $121.49 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $255.69 – $260.80 | 3 |
| Fmri brain by tech CPT 70554 | not published | not published | $255.69 – $260.80 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,446.80 | $4,078.00 | $758.85 – $3,176.00 | 5 |
| Fna bx w/ct gdn ea addl CPT 10010 | $2,446.80 | $4,078.00 | $693.00 – $1,586.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $4,119.60 | $6,866.00 | $758.85 – $3,176.00 | 5 |
| Fna bx w/mr gdn ea addl CPT 10012 | $4,119.60 | $6,866.00 | $693.00 – $1,586.00 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $19.29 | 3 |
| Folic acid CPT 82746 | $152.40 | $254.00 | $14.70 – $14.99 | 3 |
| Follow-up angiography CPT 75898 | $1,959.60 | $3,266.00 | $3,383.62 – $3,451.29 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $142.67 – $145.52 | 3 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.54 – $12.00 | 4 |
| Foot X-ray CPT 73630 | $604.20 | $1,007.00 | $93.26 – $95.12 | 3 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Forensic cytopathology CPT 88125 | not published | not published | $55.84 – $56.96 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $304.80 | $508.00 | $267.74 – $1,586.00 | 5 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $94.35 – $94.35 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $29.07 | 3 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $93.26 – $95.12 | 3 |
| _fragile x methylation-sendout CPT 81244 | $500.40 | $834.00 | $44.89 – $45.79 | 3 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,777.44 – $17,033.00 | 5 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Frenectomy 41115 CPT 41115 | $1,484.40 | $2,474.00 | $1,662.71 – $5,339.00 | 5 |
| Frenotomy 40806 CPT 40806 | not published | not published | $577.95 – $1,586.00 | 5 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $337.80 | $563.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $337.80 | $563.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $40.03 – $40.83 | 3 |
| Frozen blood prep CPT 86930 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen blood thaw CPT 86931 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $12.33 | 3 |
| Fructosamine glycated protein CPT 82985 | $98.40 | $164.00 | $16.76 – $17.10 | 3 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $693.00 – $1,586.00 | 2 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $693.00 – $1,586.00 | 2 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $1,517.12 | 3 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $70.91 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $291.60 | $486.00 | $153.50 – $156.57 | 3 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $56.65 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | $515.40 | $859.00 | $54.30 – $55.39 | 3 |
| Full field erg w/i&r CPT 92273 | not published | not published | $231.39 – $236.02 | 3 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $255.69 – $260.80 | 3 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $693.00 – $1,586.00 | 2 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $142.58 – $145.43 | 3 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $693.00 – $1,586.00 | 2 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Fusion of big toe joint CPT 28755 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $693.00 – $1,586.00 | 2 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Fusion of foot bones CPT 28730 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Fusion of foot bones CPT 28735 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fusion of knee CPT 27580 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Fusion of skull arteries CPT 61711 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,777.44 – $5,672.00 | 5 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,506.34 – $6,675.00 | 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.