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 |
|---|---|---|---|---|
| Ikbkap gene CPT 81260 | $1,679.40 | $2,799.00 | $39.31 – $40.10 | 3 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Iliac/fem angio cath insert HCPCS G0278 | $917.40 | $1,529.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $63.22 – $64.48 | 3 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $40.03 – $40.83 | 3 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $63.22 – $64.48 | 3 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $307.80 | $513.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $585.60 | $976.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $169.20 | $282.00 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $307.80 | $513.00 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $24.86 | 3 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $49.08 – $75.95 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $128.32 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $72.80 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $219.00 | $365.00 | $20.81 – $21.23 | 3 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $351.60 | $586.00 | $20.81 – $21.23 | 3 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $26.08 | 3 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $797.40 | $1,329.00 | $11.98 – $12.22 | 3 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $14.33 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $351.60 | $586.00 | $22.34 – $22.79 | 3 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $547.80 | $913.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $644.40 | $1,074.00 | $182.57 – $186.22 | 3 |
| Immunoglobulin assay CPT 86023 | $193.80 | $323.00 | $12.46 – $12.71 | 3 |
| Impedence cardiogram CPT 93701 | not published | not published | $142.58 – $145.43 | 3 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $6,455.40 | $10,759.00 | not published | 0 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $12,734.00 – $36,040.21 | 5 |
| Implant eye drug system CPT 67027 | not published | not published | $8,099.00 – $15,251.29 | 5 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $478.72 – $1,586.00 | 5 |
| Implant nerve end CPT 64787 | not published | not published | $693.00 – $1,586.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,829.42 – $17,033.00 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,829.42 – $17,033.00 | 5 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $12,734.00 – $33,729.04 | 5 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $8,099.00 – $12,241.00 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $11,661.00 – $23,867.00 | 5 |
| Implant spine infusion pump CPT 62362 | not published | not published | $11,661.00 – $23,867.00 | 5 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,867.13 – $1,904.47 | 3 |
| Impl neurostim electr perc CPT 63650 | $19,166.40 | $31,944.00 | $6,829.42 – $17,033.00 | 5 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $693.00 – $1,586.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $699.77 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $253.81 – $1,586.00 | 5 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.82 – $73.01 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Incis addl spine segment CPT 22216 | not published | not published | $693.00 – $1,586.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,068.27 – $5,339.00 | 5 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,092.58 – $6,675.00 | 5 |
| Incise inner ear CPT 69801 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Incise inner ear nerve CPT 69950 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $589.39 – $3,176.00 | 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.