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 |
|---|---|---|---|---|
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $472.77 – $1,586.00 | 5 |
| Intraventricular pacing CPT 93612 | not published | not published | $4,157.00 – $8,525.43 | 5 |
| Intrinsic factor antibody CPT 86340 | $136.80 | $228.00 | $15.08 – $15.38 | 3 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $142.67 – $145.52 | 3 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,686.89 – $5,339.00 | 5 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $6,099.19 – $17,033.00 | 5 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Intro catheter aorta CPT 36200 | $1,216.20 | $2,027.00 | $693.00 – $1,586.00 | 2 |
| Intro cath svc/ivc CPT 36010 | $1,002.60 | $1,671.00 | $693.00 – $1,586.00 | 2 |
| Intro long gi tube CPT 44500 | not published | not published | $971.94 – $5,339.00 | 5 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,907.37 – $5,339.00 | 5 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $693.00 – $1,586.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $693.00 – $1,586.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $598.80 | $998.00 | $253.81 – $1,586.00 | 5 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $63.22 – $64.48 | 3 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $71.16 – $404.25 | 4 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $558.49 – $558.49 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $6.00 | $10.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $8.40 | $14.00 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $187.17 – $277.08 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.37 – $102.23 | 4 |
| Iron CPT 83540 | $81.00 | $135.00 | $6.47 – $6.60 | 3 |
| Iron binding capacity CPT 83550 | $96.60 | $161.00 | $8.74 – $8.91 | 3 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.10 – $28.35 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $7.02 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $40.03 – $40.83 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $158.40 | $264.00 | $63.22 – $64.48 | 3 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $63.22 – $1,586.00 | 5 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $83.58 – $122.68 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Ivc venogram s&i CPT 75825 | $3,873.00 | $6,455.00 | $3,383.62 – $3,451.29 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $225.60 | $376.00 | $77.16 – $78.70 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $210.00 | $350.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $207.60 | $346.00 | $50.18 – $51.18 | 3 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $495.60 | $826.00 | $227.94 – $232.50 | 3 |
| IV inj ra drug dx study CPT 78808 | $613.80 | $1,023.00 | $428.40 – $436.97 | 3 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $478.72 – $1,586.00 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $187.96 – $191.72 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,233.00 | $2,055.00 | $187.96 – $191.72 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $202.21 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $188.90 | 3 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $17.23 | 3 |
| J-tube placement CPT 44015 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $15.78 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $118.80 | $198.00 | $8.17 – $8.33 | 3 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.34 – $0.35 | 3 |
| Kidney endoscopy CPT 50551 | not published | not published | $4,157.00 – $5,860.72 | 5 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,543.00 – $5,860.72 | 5 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,963.00 – $3,852.98 | 5 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,745.80 – $12,241.00 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $4,157.00 – $10,347.33 | 5 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,963.00 – $3,852.98 | 5 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $5,543.00 – $10,347.33 | 5 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,543.00 – $5,860.72 | 5 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $4,157.00 – $10,347.33 | 5 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $4,157.00 – $5,860.72 | 5 |
| Kidney function study CPT 78725 | not published | not published | $428.40 – $436.97 | 3 |
| Kidney imaging morphology CPT 78700 | not published | not published | $428.40 – $436.97 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $581.86 – $593.49 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,757.40 | $2,929.00 | $581.86 – $593.49 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $585.60 | $976.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,408.20 | $2,347.00 | $124.87 – $127.37 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,723.15 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,723.15 – $17,033.00 | 5 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | $6,179.40 | $10,299.00 | $373.86 – $381.34 | 3 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $840.06 – $856.87 | 3 |
| Knee MRI (without contrast) CPT 73721 | $6,179.40 | $10,299.00 | $255.69 – $260.80 | 3 |
| Knee orth pos locking joint HCPCS L1831 | $585.60 | $976.00 | not published | 0 |
| Knee X-ray CPT 73564 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Kras gene addl variants CPT 81276 | $780.00 | $1,300.00 | $193.25 – $197.12 | 3 |
| Kras gene variants exon 2 CPT 81275 | $994.20 | $1,657.00 | $193.25 – $197.12 | 3 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $100.20 | $167.00 | $6.04 – $6.16 | 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.