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 |
|---|---|---|---|---|
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $37.26 | 3 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $111.68 | 3 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $8.40 | $14.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $11.40 | $19.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $231.39 – $236.02 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $536.40 | $894.00 | $231.39 – $236.02 | 3 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $231.39 – $236.02 | 3 |
| Homocysteine CPT 83090 | $234.00 | $390.00 | $17.92 – $18.28 | 3 |
| Homogenization tissue CPT 87176 | $72.60 | $121.00 | $5.88 – $6.00 | 3 |
| Homovanillic acid (hva) CPT 83150 | $221.40 | $369.00 | $22.41 – $22.86 | 3 |
| Ho post-op hip abduction HCPCS L1686 | $4,059.00 | $6,765.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $124.66 | 3 |
| Hpv combo assay ca screen HCPCS G0476 | $147.60 | $246.00 | $35.09 – $35.79 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $35.79 | 3 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $41.36 | 3 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.32 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $68.71 | 3 |
| H pylori (c-13) breath CPT 83013 | $174.60 | $291.00 | $67.36 – $68.71 | 3 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $8.02 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,303.95 – $1,330.03 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | $7,915.80 | $13,193.00 | $584.90 – $596.60 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | $7,241.40 | $12,069.00 | $584.90 – $596.60 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $20.45 | 3 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $280.33 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $805.20 | $1,342.00 | $137.00 – $139.74 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $334.80 | $558.00 | $20.81 – $21.23 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $201.60 | $336.00 | $50.18 – $51.18 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $424.80 | $708.00 | $227.94 – $232.50 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $18.26 | 3 |
| Hymenotomy CPT 56442 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $28.08 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $10.38 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $413.32 – $421.59 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $592.11 – $603.96 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $592.11 – $603.96 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $592.11 – $603.96 | 3 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.80 – $27.49 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Hysterosalpingography s&i CPT 74740 | $1,512.00 | $2,520.00 | $255.69 – $260.80 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,360.72 – $6,675.00 | 5 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,360.72 – $5,672.00 | 5 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,360.72 – $6,675.00 | 5 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,360.72 – $6,675.00 | 5 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,360.72 – $5,672.00 | 5 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $39.15 | 4 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $37.47 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $13.69 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $35.79 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $18.45 | 3 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $46.19 | 3 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $48.36 – $48.36 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,497.53 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $219.22 – $448.57 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $377.21 – $377.21 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.39 – $236.02 | 3 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.03 – $40.83 | 3 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $63.22 – $64.48 | 3 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $30.99 – $31.61 | 3 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,552.91 – $5,339.00 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,769.88 – $5,339.00 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $559,781.08 – $759,373.81 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $55.84 – $56.96 | 3 |
| Idet 1 or more levels CPT 22527 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Idh1 common variants CPT 81120 | $618.60 | $1,031.00 | $193.25 – $197.12 | 3 |
| Idh2 common variants CPT 81121 | $945.60 | $1,576.00 | $295.79 – $301.71 | 3 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,974.45 – $5,672.00 | 5 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,068.27 – $5,339.00 | 5 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,963.00 – $3,176.00 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.22 – $895.82 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,112.75 – $5,339.00 | 5 |
| Ifnl3 gene CPT 81283 | $939.00 | $1,565.00 | $73.37 – $74.84 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $211.46 | 3 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $69.92 | 3 |
| Igh gene rearrange amp meth CPT 81261 | $650.40 | $1,084.00 | $197.99 – $201.95 | 3 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,598.40 | $2,664.00 | $294.52 – $300.41 | 3 |
| Igk rearrangeabn clonal pop CPT 81264 | $490.20 | $817.00 | $172.73 – $176.18 | 3 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $314.40 | $524.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $361.20 | $602.00 | $384.12 – $391.80 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $300.00 | $500.00 | $182.57 – $186.22 | 3 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $21.25 – $21.25 | 1 |
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.