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 |
|---|---|---|---|---|
| Apply rigid leg cast 29445 CPT 29445 | $952.20 | $1,587.00 | $299.72 – $1,586.00 | 5 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $299.72 – $1,586.00 | 5 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $693.00 – $1,586.00 | 2 |
| Apply surf ldr radionuclide CPT 77789 | $212.40 | $354.00 | not published | 0 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $35.74 – $36.45 | 3 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $6,223.00 – $29,658.87 | 5 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,723.15 – $3,176.00 | 5 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.69 – $2.85 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | $303.60 | $506.00 | $35.09 – $35.79 | 3 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $767.40 | $1,279.00 | $37.73 – $38.48 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $12.29 | 3 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $11.76 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $108.00 | $180.00 | $37.72 – $38.47 | 3 |
| Aquatic exercise - group charge CPT 97150 | $39.60 | $66.00 | $17.73 – $18.08 | 3 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $0.76 – $0.76 | 1 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $2.71 – $2.71 | 1 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $2.06 – $2.06 | 1 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $0.76 – $1.85 | 4 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $2.71 – $2.71 | 1 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $1.01 – $2.06 | 4 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $139.74 | 3 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $307.38 | 3 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $188.90 | 3 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.32 – $5.07 | 4 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $8.66 – $8.66 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $21.40 – $21.40 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Arterial blood draw/perc 36620 CPT 36620 | $903.60 | $1,506.00 | $693.00 – $1,586.00 | 2 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Artery xray each vessel 7577426 CPT 75774 | $2,598.60 | $4,331.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | not published | not published | $5,963.01 – $6,082.27 | 3 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $4,831.20 | $8,052.00 | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $5,385.60 | $8,976.00 | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays chest CPT 75756 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lung CPT 75741 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lung CPT 75746 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lungs CPT 75743 | $1,959.60 | $3,266.00 | $3,383.62 – $3,451.29 | 3 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,831.20 | $8,052.00 | $5,963.01 – $6,082.27 | 3 |
| Artery x-rays spine CPT 75705 | not published | not published | $5,963.01 – $6,082.27 | 3 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $10,384.00 – $29,658.87 | 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.