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 |
|---|---|---|---|---|
| Mayo ticks babesia microti antibody igg CPT 86753 | $522.00 | $870.00 | $12.39 – $12.64 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $94.80 | $158.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $169.20 | $282.00 | $51.28 – $52.31 | 3 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $100.20 | $167.00 | $14.16 – $14.44 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $172.20 | $287.00 | $13.54 – $13.81 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $134.40 | $224.00 | $35.33 – $36.04 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $207.60 | $346.00 | $20.24 – $20.64 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $390.00 | $650.00 | $17.06 – $17.40 | 3 |
| Mayo vitamin k CPT 84597 | $270.00 | $450.00 | $13.72 – $13.99 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $173.40 | $289.00 | $13.25 – $13.52 | 3 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $40.10 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,723.15 – $6,675.00 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Measure kidney pressure CPT 50396 | not published | not published | $747.24 – $3,176.00 | 5 |
| Measurement post void urine by ultrasound CPT 51798 | $255.60 | $426.00 | $63.22 – $1,586.00 | 5 |
| Measure ureter pressure CPT 50686 | not published | not published | $137.89 – $1,586.00 | 5 |
| #mec-opiates CPT 80356 | $111.00 | $185.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,096.80 | $1,828.00 | $150.00 – $153.00 | 3 |
| Mecp2 gene full seq CPT 81302 | $1,672.80 | $2,788.00 | $527.87 – $538.43 | 3 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $122.40 | 3 |
| Medial canthopexy CPT 21280 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,478.50 – $12,241.00 | 5 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,478.50 – $12,241.00 | 5 |
| Meg evoked single CPT 95966 | not published | not published | $920.24 – $938.65 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $920.24 – $938.65 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,302.00 | $2,170.00 | not published | 0 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.82 – $49.09 | 4 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $693.00 – $1,586.00 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $177.60 | $296.00 | $8.46 – $8.63 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $313.20 | $522.00 | $10.56 – $10.77 | 3 |
| Metabolic panel ionized ca CPT 80047 | $274.20 | $457.00 | $13.73 – $14.00 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $201.00 | $335.00 | $38.57 – $39.34 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $37.20 | $62.00 | $10.29 – $12.74 | 4 |
| Methylphenidate CPT 80360 | $334.80 | $558.00 | not published | 0 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $92.98 | 3 |
| Mgmt promoter methylation analysis CPT 81287 | $1,041.00 | $1,735.00 | $124.64 – $127.13 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.35 | 3 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $40.97 | 3 |
| Microdissection manual CPT 88381 | $994.20 | $1,657.00 | not published | 0 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $22.93 | 3 |
| Microsatellite instability CPT 81301 | $1,010.40 | $1,684.00 | $348.56 – $355.53 | 3 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $693.00 – $1,586.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $137.89 – $140.65 | 3 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $8,099.00 – $12,241.00 | 2 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $112.03 – $114.27 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.66 – $3.96 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.13 – $108.57 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,390.48 | 3 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $28.46 – $130.38 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $323.17 – $488.68 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $38.61 – $47.95 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $196.17 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $206.45 | 3 |
| Mlh1 gene full seq CPT 81292 | $1,937.40 | $3,229.00 | $675.40 – $688.91 | 3 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $337.62 | 3 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $18.16 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $5.42 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $8,099.00 – $14,033.33 | 5 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $93.26 – $95.12 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $693.00 – $1,586.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $693.00 – $1,586.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $693.00 – $1,586.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Mnt subs tx for change dx HCPCS G0270 | $52.80 | $88.00 | $21.65 – $22.08 | 3 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $142.58 – $145.43 | 3 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $680.40 | $1,134.00 | $37.73 – $38.48 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $18.73 | 4 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $1,143.04 | 4 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $145.52 | 3 |
| Mopath procedure level 1 CPT 81400 | $1,516.20 | $2,527.00 | $63.96 – $65.24 | 3 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $153.34 | 3 |
| Mopath procedure level 5 CPT 81404 | $4,545.00 | $7,575.00 | $274.83 – $280.33 | 3 |
| Mopath procedure level 6 CPT 81405 | $3,681.60 | $6,136.00 | $301.35 – $307.38 | 3 |
| Mopath procedure level 7 CPT 81406 | $8,935.80 | $14,893.00 | $282.88 – $288.54 | 3 |
| Mopath procedure level 8 CPT 81407 | $5,824.80 | $9,708.00 | $846.27 – $863.20 | 3 |
| Mopath procedure level 9 CPT 81408 | $5,161.80 | $8,603.00 | $2,000.00 – $2,040.00 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $182.57 – $186.22 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $379.80 | $633.00 | $384.12 – $391.80 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $273.60 | $456.00 | $182.57 – $186.22 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.54 – $1,009.60 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $920.24 – $938.65 | 3 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $182.57 – $186.22 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $182.57 – $186.22 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $153.34 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $20.45 | 3 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $308.67 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,119.60 | $6,866.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,119.60 | $6,866.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $373.86 – $381.34 | 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.