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 |
|---|---|---|---|---|
| Ghs cricothyroidotomy CPT 31605 | $2,654.40 | $4,424.00 | $253.81 – $1,586.00 | 5 |
| Ghs cutdown placement age 1 and over CPT 36425 | $251.40 | $419.00 | $478.72 – $1,586.00 | 5 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $142.58 – $1,586.00 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $144.60 | $241.00 | $15.21 – $15.51 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $683.40 | $1,139.00 | $264.33 – $1,586.00 | 5 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,005.20 | $3,342.00 | $971.94 – $5,339.00 | 5 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $299.72 – $1,586.00 | 5 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $756.44 – $3,176.00 | 5 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $435.63 – $1,586.00 | 5 |
| Ghs excision ingrown nail CPT 11765 | $612.60 | $1,021.00 | $435.63 – $1,586.00 | 5 |
| Ghs eye exam CPT 92002 | not published | not published | $142.67 – $145.52 | 3 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $742.20 | $1,237.00 | $340.14 – $1,586.00 | 5 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $4.95 | 3 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,769.88 – $5,339.00 | 5 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| Ghs fb removal - incisional CPT 10121 | $986.40 | $1,644.00 | $1,769.88 – $5,339.00 | 5 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,769.88 – $3,176.00 | 5 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $7.12 | 3 |
| Ghs fish cytogen CPT 88271 | $1,148.40 | $1,914.00 | $21.42 – $21.85 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $1,005.00 | $1,675.00 | $51.19 – $52.21 | 3 |
| Ghs flow volume loop CPT 94375 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $231.39 – $1,586.00 | 5 |
| Ghs hcv amplificaiton CPT 87521 | $407.40 | $679.00 | $35.09 – $35.79 | 3 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $23.43 | 3 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $15.80 | 3 |
| Ghs hgb stability-thal CPT 83068 | $460.20 | $767.00 | $9.47 – $9.66 | 3 |
| Ghs histoplasma antigen CPT 87385 | $327.60 | $546.00 | $13.25 – $13.52 | 3 |
| Ghs HIV antibody CPT 86703 | $145.20 | $242.00 | $13.71 – $13.98 | 3 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $108.26 | 3 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,596.20 | $4,327.00 | $2,240.09 – $5,672.00 | 5 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $7,122.60 | $11,871.00 | $1,282.34 – $5,339.00 | 5 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $868.20 | $1,447.00 | $758.85 – $3,176.00 | 5 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $543.60 | $906.00 | $758.85 – $3,176.00 | 5 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $30.52 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $868.80 | $1,448.00 | $267.74 – $1,586.00 | 5 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $271.80 | $453.00 | $213.90 – $1,586.00 | 5 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $693.00 – $1,586.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $916.20 | $1,527.00 | $12.87 – $13.13 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $255.60 | $426.00 | $215.00 – $1,586.00 | 5 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $947.82 – $3,176.00 | 5 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $5,204.40 | $8,674.00 | $947.82 – $3,176.00 | 5 |
| Ghs inj tendon origin/insertion CPT 20551 | $184.20 | $307.00 | $328.94 – $1,586.00 | 5 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,688.40 | $2,814.00 | $693.00 – $1,586.00 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,688.40 | $2,814.00 | $947.82 – $3,176.00 | 5 |
| Ghs insertion of needle - bone CPT 36680 | $366.00 | $610.00 | $478.72 – $1,586.00 | 5 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $709.20 | $1,182.00 | $435.63 – $1,586.00 | 5 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $676.80 | $1,128.00 | $693.00 – $1,586.00 | 5 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $693.00 – $1,586.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $555.60 | $926.00 | $267.74 – $1,586.00 | 5 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $73.80 | $123.00 | $50.18 – $51.18 | 3 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $563.40 | $939.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $563.40 | $939.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $563.40 | $939.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $541.20 | $902.00 | $353.96 – $1,586.00 | 5 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $917.40 | $1,529.00 | $478.72 – $1,586.00 | 5 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $560.40 | $934.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $560.40 | $934.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $560.40 | $934.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $592.80 | $988.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $605.40 | $1,009.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $605.40 | $1,009.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $605.40 | $1,009.00 | $435.63 – $1,586.00 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $382.20 | $637.00 | $693.00 – $1,586.00 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $605.40 | $1,009.00 | $435.63 – $1,586.00 | 5 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $693.00 – $1,586.00 | 5 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $435.63 – $1,586.00 | 5 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $819.00 | $1,365.00 | $792.00 – $3,176.00 | 5 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $435.63 – $1,586.00 | 5 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $435.63 – $1,586.00 | 5 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $8.77 | 3 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $17.54 | 3 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $407.40 | $679.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $324.00 | $540.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $220.80 | $368.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $243.00 | $405.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.60 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $382.20 | $637.00 | $693.00 – $1,586.00 | 5 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,726.80 | $2,878.00 | $947.82 – $3,176.00 | 5 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,726.80 | $2,878.00 | $756.44 – $3,176.00 | 5 |
| Ghs nerve block axillary nerve CPT 64417 | $1,688.40 | $2,814.00 | $947.82 – $3,176.00 | 5 |
| Ghs nerve block brachial plexus CPT 64415 | $1,388.40 | $2,314.00 | $947.82 – $3,176.00 | 5 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $947.82 – $3,176.00 | 5 |
| Ghs nerve block interscaline CPT 64510 | $2,578.20 | $4,297.00 | $947.82 – $3,176.00 | 5 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,726.80 | $2,878.00 | $947.82 – $3,176.00 | 5 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,688.40 | $2,814.00 | $756.44 – $3,176.00 | 5 |
| Ghs nerve block suprascapular CPT 64418 | $1,688.40 | $2,814.00 | $756.44 – $3,176.00 | 5 |
| Ghs ng placement w fluoro guidance CPT 43752 | $501.60 | $836.00 | $478.72 – $1,586.00 | 5 |
| Ghs o2 saturation CPT 82810 | $148.20 | $247.00 | $9.77 – $9.97 | 3 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $63.22 – $64.48 | 3 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $672.23 – $3,176.00 | 5 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,686.89 – $3,176.00 | 5 |
| Ghs optokenetic CPT 92544 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs oscillating trac CPT 92545 | 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.