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 |
|---|---|---|---|---|
| Antigen therapy services CPT 95148 | not published | not published | $77.16 – $78.70 | 3 |
| Antigen therapy services CPT 95149 | not published | not published | $77.16 – $78.70 | 3 |
| Antigen therapy services CPT 95165 | not published | not published | $50.18 – $51.18 | 3 |
| Antigen therapy services CPT 95170 | not published | not published | $50.18 – $51.18 | 3 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.49 – $2.23 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.25 – $2.01 | 4 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.42 – $3.68 | 4 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $12.29 | 3 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $29.40 | $49.00 | $12.05 – $12.29 | 3 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $12.05 – $12.29 | 3 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Antinuclear antibodies CPT 86038 | $183.60 | $306.00 | $12.09 – $12.33 | 3 |
| Antinuclear antibodies titer CPT 86039 | $130.80 | $218.00 | $11.16 – $11.38 | 3 |
| Antiphosphatidylserine antibody CPT 86148 | $321.00 | $535.00 | $16.07 – $16.39 | 3 |
| Antistreptolysin o screen CPT 86063 | $169.20 | $282.00 | $5.77 – $5.89 | 3 |
| Antistreptolysin o titer CPT 86060 | $132.60 | $221.00 | $7.30 – $7.45 | 3 |
| Antithrombin iii activity CPT 85300 | $247.80 | $413.00 | $11.85 – $12.09 | 3 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $4.10 – $5.53 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,932.58 – $5,398.28 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,023.12 – $1,518.87 | 4 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $5,360.72 – $12,241.00 | 5 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $142.58 – $145.43 | 3 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $142.58 – $145.43 | 3 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Aortic dysfunction/dilation CPT 81410 | $6,641.40 | $11,069.00 | $504.00 – $514.08 | 3 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,377.19 | 3 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $693.00 – $1,586.00 | 2 |
| Aortic suspension CPT 33800 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $204.00 | 3 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $795.60 | 3 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $285.60 | 3 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $63.22 – $64.48 | 3 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,667.44 – $12,241.00 | 5 |
| Apheresis plasma CPT 36514 | not published | not published | $1,668.97 – $5,339.00 | 5 |
| Apheresis platelets CPT 36513 | not published | not published | $472.77 – $1,586.00 | 5 |
| Apheresis rbc CPT 36512 | not published | not published | $1,668.97 – $5,339.00 | 5 |
| Apheresis wbc CPT 36511 | not published | not published | $1,668.97 – $5,339.00 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | $742.20 | $1,237.00 | $207.31 – $211.46 | 3 |
| Appendectomy CPT 44950 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $693.00 – $1,586.00 | 2 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,110.80 | $3,518.00 | $2,211.05 – $5,339.00 | 5 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,132.20 | $1,887.00 | $693.00 – $1,586.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $454.80 | $758.00 | $693.00 – $1,586.00 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,428.40 | $5,714.00 | $2,211.05 – $6,675.00 | 5 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,132.20 | $1,887.00 | $693.00 – $1,586.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $454.80 | $758.00 | $693.00 – $1,586.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $174.14 – $1,586.00 | 5 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Appl halo type body cast CPT 29000 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $299.72 – $1,586.00 | 5 |
| Application clubfoot cast CPT 29450 | not published | not published | $174.14 – $1,586.00 | 5 |
| Application finger splntstatic 29130 CPT 29130 | $412.80 | $688.00 | $142.58 – $1,586.00 | 5 |
| Application halo femoral CPT 20663 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Application halo pelvic CPT 20662 | not published | not published | $1,723.15 – $5,672.00 | 5 |
| Application long leg splint 29505 CPT 29505 | $317.40 | $529.00 | $174.14 – $1,586.00 | 5 |
| Application lower leg splint 29515 CPT 29515 | $379.80 | $633.00 | $174.14 – $1,586.00 | 5 |
| Application multi layer compression below knee (both sides) CPT 29581 | $210.00 | $350.00 | $174.14 – $1,586.00 | 5 |
| Application of body cast CPT 29010 | not published | not published | $299.72 – $1,586.00 | 5 |
| Application of body cast CPT 29015 | not published | not published | $299.72 – $1,586.00 | 5 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $299.72 – $1,586.00 | 5 |
| Application of forearm cast 29075 CPT 29075 | $260.40 | $434.00 | $299.72 – $1,586.00 | 5 |
| Application of long arm cast 29065 CPT 29065 | $260.40 | $434.00 | $299.72 – $1,586.00 | 5 |
| Application of long leg cast CPT 29355 | $403.80 | $673.00 | $299.72 – $1,586.00 | 5 |
| Application of long leg cast 29345 CPT 29345 | $307.80 | $513.00 | $299.72 – $1,586.00 | 5 |
| Application of paste boot 29580 CPT 29580 | $649.80 | $1,083.00 | $174.14 – $1,586.00 | 5 |
| Application short leg cast 29405 CPT 29405 | $919.80 | $1,533.00 | $299.72 – $1,586.00 | 5 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,835.40 | $3,059.00 | $792.00 – $5,339.00 | 5 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,835.40 | $3,059.00 | $792.00 – $5,339.00 | 5 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $307.80 | $513.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $6,223.00 – $14,033.33 | 5 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $52.80 | $88.00 | $6.06 – $6.18 | 3 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $52.80 | $88.00 | $11.72 – $11.95 | 3 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $40.03 – $40.83 | 3 |
| Appl multlay comprs arm/hand CPT 29584 | $161.40 | $269.00 | $174.14 – $1,586.00 | 5 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $299.72 – $1,586.00 | 5 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $174.14 – $1,586.00 | 5 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $142.58 – $1,586.00 | 5 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,723.15 – $3,176.00 | 5 |
| Apply hand/wrist cast 29085 CPT 29085 | $184.80 | $308.00 | $174.14 – $1,586.00 | 5 |
| Apply interstit radiat compl CPT 77778 | $3,073.20 | $5,122.00 | not published | 0 |
| Apply intrcav radiat compl CPT 77763 | $3,031.80 | $5,053.00 | not published | 0 |
| Apply intrcav radiat interm CPT 77762 | $2,107.80 | $3,513.00 | $592.11 – $603.96 | 3 |
| Apply intrcav radiat simple CPT 77761 | $1,410.00 | $2,350.00 | $592.11 – $603.96 | 3 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $63.22 – $1,586.00 | 5 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,723.15 – $5,339.00 | 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.