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 |
|---|---|---|---|---|
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $577.95 – $1,586.00 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Macroscopic exam arthropod CPT 87168 | $96.00 | $160.00 | $4.27 – $4.36 | 3 |
| Macroscopic exam parasite CPT 87169 | $87.60 | $146.00 | $4.31 – $4.40 | 3 |
| Magnesium CPT 83735 | $181.80 | $303.00 | $6.70 – $6.83 | 3 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $255.69 – $260.80 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $24.32 – $24.32 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $13.45 | 3 |
| Male sling procedure CPT 53440 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $693.00 – $1,757.62 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $102.00 | $170.00 | $142.58 – $145.43 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $102.00 | $170.00 | $142.58 – $145.43 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $264.33 – $1,586.00 | 5 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.17 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $693.00 – $1,586.00 | 2 |
| Map tachycard site(s) CPT 93609 | not published | not published | $693.00 – $1,586.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $53.27 – $75.70 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,357.60 | $5,596.00 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mastectomy partial CPT 19301 | not published | not published | $4,195.85 – $5,672.00 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $7,115.73 – $12,241.00 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Mastoids complete CPT 70130 | $664.80 | $1,108.00 | $112.03 – $114.27 | 3 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Mastopexy CPT 19316 | not published | not published | $6,223.00 – $7,258.04 | 5 |
| Mast radical CPT 19305 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $6,223.00 – $7,258.04 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $35.79 | 3 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $27.84 | 3 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $43.70 | 3 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $190.20 | $317.00 | $14.46 – $14.75 | 3 |
| Mayo aathr protein s free CPT 85306 | $264.60 | $441.00 | $15.32 – $15.63 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $506.40 | $844.00 | $15.32 – $15.63 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $694.80 | $1,158.00 | $38.57 – $39.34 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $200.40 | $334.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $291.00 | $485.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $123.00 | $205.00 | $14.78 – $15.08 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $134.40 | $224.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $178.20 | $297.00 | $13.44 – $13.71 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $174.00 | $290.00 | $15.08 – $15.38 | 3 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $49.20 | $82.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $177.60 | $296.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,323.00 | $2,205.00 | $121.63 – $124.06 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,198.20 | $1,997.00 | $91.66 – $93.49 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,596.60 | $2,661.00 | $137.00 – $139.74 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $4,407.60 | $7,346.00 | $1,160.00 – $1,183.20 | 3 |
| Mayo androstenedione CPT 82157 | $216.60 | $361.00 | $29.28 – $29.87 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $251.40 | $419.00 | $14.60 – $14.89 | 3 |
| Mayo antithrombin iii antigen CPT 85301 | $196.80 | $328.00 | $10.81 – $11.03 | 3 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $113.40 | $189.00 | $15.05 – $15.35 | 3 |
| Mayo avwpr vw factor activity CPT 85397 | $497.40 | $829.00 | $30.86 – $31.48 | 3 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $36.60 | $61.00 | $35.09 – $35.79 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $619.80 | $1,033.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $98.40 | $164.00 | $10.18 – $10.38 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $322.20 | $537.00 | $144.84 – $147.74 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $387.00 | $645.00 | $214.62 – $218.91 | 3 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $123.60 | $206.00 | $12.90 – $13.16 | 3 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $30.60 | $51.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $219.00 | $365.00 | $13.19 – $13.45 | 3 |
| Mayo brcmg brucella antibody igm CPT 86622 | $376.20 | $627.00 | $8.93 – $9.11 | 3 |
| Mayo c1 esterase inhibitor CPT 83883 | $334.80 | $558.00 | $13.60 – $13.87 | 3 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $281.40 | $469.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $229.80 | $383.00 | $16.87 – $17.21 | 3 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $362.40 | $604.00 | $26.78 – $27.32 | 3 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $273.60 | $456.00 | $122.22 – $124.66 | 3 |
| Mayo ceruloplasmin CPT 82390 | $137.40 | $229.00 | $10.74 – $10.95 | 3 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $362.40 | $604.00 | $14.12 – $14.40 | 3 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $402.60 | $671.00 | $12.88 – $13.14 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $106.20 | $177.00 | $11.82 – $12.06 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $99.60 | $166.00 | $12.68 – $12.93 | 3 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $758.40 | $1,264.00 | $116.49 – $118.82 | 3 |
| Mayo chromium CPT 82495 | $288.60 | $481.00 | $20.28 – $20.69 | 3 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $352.20 | $587.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $108.00 | $180.00 | $11.47 – $11.70 | 3 |
| Mayo cocou cortisone urine CPT 82542 | $844.80 | $1,408.00 | $24.09 – $24.57 | 3 |
| Mayo cortisol free CPT 82530 | $337.80 | $563.00 | $16.71 – $17.04 | 3 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $34.80 | $58.00 | $42.13 – $42.97 | 3 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $116.40 | $194.00 | $12.12 – $12.36 | 3 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $291.60 | $486.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $295.80 | $493.00 | not published | 0 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $19.79 | 3 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $844.80 | $1,408.00 | $182.57 – $186.22 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $108.60 | $181.00 | $13.25 – $13.52 | 3 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $175.80 | $293.00 | $25.27 – $25.78 | 3 |
| Mayo dihydrotestosterone CPT 82642 | $109.80 | $183.00 | $29.28 – $29.87 | 3 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $9.83 | 3 |
| Mayo efpo chloride stool CPT 82438 | $135.00 | $225.00 | $5.00 – $5.10 | 3 |
| Mayo estriol CPT 82677 | $137.40 | $229.00 | $24.18 – $24.66 | 3 |
| Mayo estrone CPT 82679 | $171.00 | $285.00 | $24.95 – $25.45 | 3 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $172.20 | $287.00 | $16.34 – $16.67 | 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.