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 |
|---|---|---|---|---|
| Incision of windpipe CPT 31610 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Incision secondary cataract CPT 66820 | not published | not published | $693.00 – $2,522.57 | 5 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,723.15 – $5,672.00 | 5 |
| Incisn windpipe CPT 31600 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $693.00 – $1,586.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.29 – $8.58 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $71.60 | 3 |
| Infect ag drug suscept pheno predict CPT 87900 | $678.00 | $1,130.00 | $130.35 – $132.96 | 3 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $151.80 | $253.00 | $15.00 – $15.30 | 3 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $14.41 | 3 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $262.60 | 3 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $262.60 | 3 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,254.00 | $2,090.00 | $128.73 – $131.30 | 3 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $2,150.40 | $3,584.00 | $257.45 – $262.60 | 3 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $33.43 | 3 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $36.00 | 3 |
| Infect ag ia optc obs influenza CPT 87804 | $163.80 | $273.00 | $16.55 – $16.88 | 3 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $12.22 | 3 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $18.73 | 3 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $16.39 | 3 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $12.50 | 3 |
| Infect ag if legionella pneumophila CPT 87278 | $237.00 | $395.00 | $15.60 – $15.91 | 3 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $16.42 | 3 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $12.22 | 3 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $13.69 | 3 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $54.54 | 3 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $35.79 | 3 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $43.70 | 3 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $35.09 – $35.79 | 3 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $303.60 | $506.00 | $95.80 – $97.72 | 3 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $52.34 | 3 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $217.20 | $362.00 | $51.31 – $52.34 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $728.40 | $1,214.00 | $416.78 – $425.12 | 3 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $498.43 | 3 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $26.59 | 3 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $42.21 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $186.00 | $310.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $13.69 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $113.40 | $189.00 | $13.82 – $14.10 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $123.00 | $205.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $186.00 | $310.00 | $14.38 – $14.67 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $239.40 | $399.00 | $10.33 – $10.54 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $253.20 | $422.00 | $10.33 – $10.54 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $227.40 | $379.00 | $24.08 – $24.56 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $380.40 | $634.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $207.60 | $346.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $12.22 | 3 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $898.20 | $1,497.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $916.80 | $1,528.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $247.80 | $413.00 | $37.27 – $38.02 | 3 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,166.40 | $1,944.00 | $416.78 – $425.12 | 3 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $397.80 | $663.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $230.40 | $384.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $388.20 | $647.00 | $41.68 – $42.51 | 3 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $166.20 | $277.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $52.20 | $87.00 | $51.31 – $52.34 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $145.48 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $262.80 | $438.00 | $142.63 – $145.48 | 3 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $59.40 | $99.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $157.80 | $263.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | $70.18 – $71.58 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $78.31 | 3 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,717.20 | $2,862.00 | $679.77 – $693.37 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,194.00 | $1,990.00 | $416.78 – $425.12 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $130.86 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $268.25 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $906.00 | $1,510.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $395.40 | $659.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $519.00 | $865.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $492.60 | $821.00 | $85.10 – $86.80 | 3 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $295.80 | $493.00 | $142.63 – $145.48 | 3 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $54.30 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $46.74 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $30.41 | 4 |
| Influenza dna amp prob addl CPT 87503 | $48.00 | $80.00 | $29.22 – $29.80 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.51 – $28.51 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Infuse radioactive materials CPT 77750 | $946.20 | $1,577.00 | $413.32 – $421.59 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $222.60 | $371.00 | $234.66 – $239.35 | 3 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $40.20 | 3 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $142.67 – $145.52 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $571.20 | $952.00 | $234.66 – $239.35 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.27 – $11.09 | 4 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $9.87 – $9.87 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $2.38 | 4 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $119.66 | 4 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $158.20 | 4 |
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.