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 |
|---|---|---|---|---|
| Helicobacter pylori antibody igm CPT 86677 | $216.00 | $360.00 | $16.85 – $17.19 | 3 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $8.35 | 3 |
| Hematocrit CPT 85014 | $61.20 | $102.00 | $2.37 – $2.42 | 3 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $693.00 – $1,586.00 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $35.31 – $51.28 | 4 |
| Hemodialysis one evaluation CPT 90935 | $2,990.40 | $4,984.00 | $735.47 – $750.18 | 3 |
| Hemoglobin CPT 85018 | $61.20 | $102.00 | $2.37 – $2.42 | 3 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $4.09 | 3 |
| Hemoglobin fetal qualitative CPT 83033 | $118.80 | $198.00 | $8.00 – $8.16 | 3 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $10.95 | 3 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $114.60 | $191.00 | $8.20 – $8.36 | 3 |
| Hemoglobin-oxygen affinity CPT 82820 | $305.40 | $509.00 | $13.34 – $13.61 | 3 |
| Hemoglobin plasma CPT 83051 | $108.60 | $181.00 | $7.31 – $7.46 | 3 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $9.18 | 3 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $4.03 | 3 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $9.05 | 3 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $8.95 | 3 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $12.35 | 3 |
| Hemophilus influenza antibdy CPT 86684 | $52.80 | $88.00 | $15.84 – $16.16 | 3 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,974.45 – $5,672.00 | 5 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $996.56 – $3,176.00 | 5 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,974.45 – $6,675.00 | 5 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $70.23 – $109.33 | 4 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $70.23 – $109.33 | 4 |
| Heparin assay CPT 85520 | $481.80 | $803.00 | $13.09 – $13.35 | 3 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $12.08 | 3 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $13.35 | 3 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Hepatitis a antibody igm CPT 86709 | $266.40 | $444.00 | $11.26 – $11.49 | 3 |
| Hepatitis b core antibody igm CPT 86705 | $183.60 | $306.00 | $11.77 – $12.01 | 3 |
| Hepatitis b core antibody total CPT 86704 | $210.60 | $351.00 | $12.05 – $12.29 | 3 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $140.21 – $225.62 | 4 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $25.32 – $25.83 | 3 |
| Hepatitis b surface antibody CPT 86706 | $125.40 | $209.00 | $10.74 – $10.95 | 3 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $232.24 – $232.24 | 1 |
| Hepatitis c antibody CPT 86803 | $280.80 | $468.00 | $14.27 – $14.56 | 3 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $31.84 | 3 |
| Hepatitis d quantification CPT 87523 | $1,470.60 | $2,451.00 | $42.84 – $43.70 | 3 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $40.05 | 3 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $30.40 | 3 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $42.60 | 3 |
| Hepatobiliary system imaging CPT 78226 | $1,515.00 | $2,525.00 | $428.40 – $436.97 | 3 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $121.80 – $121.80 | 1 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $251.00 – $251.00 | 1 |
| Hereditary colon ca dsordrs CPT 81435 | $3,677.40 | $6,129.00 | $1,303.95 – $1,330.03 | 3 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $1,303.95 – $1,330.03 | 3 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $609.87 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $12.22 | 3 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $12.22 | 3 |
| Herpes simplex type 1 antibody igg CPT 86695 | $132.00 | $220.00 | $13.19 – $13.45 | 3 |
| Herpes simplex type 2 antibody igg CPT 86696 | $132.00 | $220.00 | $19.35 – $19.74 | 3 |
| Herpes simplex virus isolation CPT 87255 | $216.60 | $361.00 | $33.86 – $34.54 | 3 |
| Heterophile antibodies screening CPT 86308 | $123.60 | $206.00 | $5.18 – $5.28 | 3 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $6.60 | 3 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $7.52 | 3 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $52.48 | 3 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $6.62 | 3 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $58.00 – $59.16 | 3 |
| Hhv-6 dna quant CPT 87533 | $525.60 | $876.00 | $41.76 – $42.60 | 3 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,723.15 – $6,675.00 | 5 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Hip X-ray CPT 73502 | $502.20 | $837.00 | $93.26 – $95.12 | 3 |
| Histamine CPT 83088 | $331.80 | $553.00 | $29.53 – $30.12 | 3 |
| Histochemical stains add-on CPT 88314 | $235.20 | $392.00 | not published | 0 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $40.03 – $40.83 | 3 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $24.54 | 3 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $22.36 | 3 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $22.34 | 3 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $22.36 | 3 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $59.79 | 3 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.52 – $21.12 | 4 |
| Hla class i high defin qual CPT 86832 | not published | not published | $323.75 – $330.22 | 3 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $325.80 – $332.32 | 3 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $64.19 – $65.47 | 3 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $65.47 | 3 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $83.52 | 3 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $329.42 | 3 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $97.43 | 3 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $364.71 | 3 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $412.61 | 3 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $352.48 | 3 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $410.16 | 3 |
| Hla ii typing 1 loc hr CPT 81382 | $1,095.60 | $1,826.00 | $123.68 – $126.15 | 3 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $225.15 | 3 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $75.82 | 3 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $180.80 | 3 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $342.09 | 3 |
| Hla i typing complete lr CPT 81372 | $889.20 | $1,482.00 | $403.59 – $411.66 | 3 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $1,072.20 | $1,787.00 | $169.90 – $173.30 | 3 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $129.98 | 3 |
| Hla typing a b or c CPT 86813 | not published | not published | $58.00 – $59.16 | 3 |
| Hla typing dr/dq CPT 86816 | $366.60 | $611.00 | $30.17 – $30.77 | 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.