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 |
|---|---|---|---|---|
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Myringoplasty CPT 69620 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.25 – $6.50 | 4 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $262.20 | $437.00 | $213.90 – $1,586.00 | 5 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $253.81 – $1,586.00 | 5 |
| Nasal function studies CPT 92512 | not published | not published | $231.39 – $236.02 | 3 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,907.37 – $5,339.00 | 5 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,907.37 – $5,672.00 | 5 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $5,543.00 – $7,714.16 | 5 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $419.13 – $1,586.00 | 5 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,907.37 – $5,339.00 | 5 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.32 – $41.02 | 4 |
| Natriuretic peptide CPT 83880 | $274.80 | $458.00 | $39.26 – $40.05 | 3 |
| Natural killer cells total count CPT 86357 | $165.60 | $276.00 | $37.73 – $38.48 | 3 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $693.00 – $1,586.00 | 2 |
| N block inj common digit CPT 64632 | not published | not published | $328.94 – $1,586.00 | 5 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $947.82 – $3,176.00 | 5 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $267.74 – $1,586.00 | 5 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $142.58 – $145.43 | 3 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $30.00 | $50.00 | $30.99 – $1,586.00 | 5 |
| Ndl insj without njx 3+ musc CPT 20561 | $30.00 | $50.00 | $30.99 – $1,586.00 | 5 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $63.22 – $64.48 | 3 |
| Ndl round specialty proguide HCPCS C1715 | $307.80 | $513.00 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,700.00 | $4,500.00 | $187.96 – $191.72 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,446.80 | $4,078.00 | $373.86 – $381.34 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,446.80 | $4,078.00 | $112.03 – $114.27 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | not published | not published | $373.86 – $381.34 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,250.40 | $7,084.00 | $373.86 – $381.34 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $4,119.60 | $6,866.00 | $373.86 – $381.34 | 3 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| Neck spine disk surgery CPT 63020 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $693.00 – $1,586.00 | 2 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $13.45 | 3 |
| Nelarabine injection HCPCS J9261 | not published | not published | $52.71 – $212.83 | 4 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nephrectomy partial CPT 50240 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $231.39 – $236.02 | 3 |
| Nerve conduction studies 1-2 CPT 95907 | not published | not published | $231.39 – $236.02 | 3 |
| Nerve conduction studies 3-4 CPT 95908 | not published | not published | $231.39 – $236.02 | 3 |
| Nerve conduction studies 5-6 CPT 95909 | not published | not published | $231.39 – $236.02 | 3 |
| Nerve graft add-on CPT 64901 | not published | not published | $693.00 – $1,586.00 | 2 |
| Nerve graft add-on CPT 64902 | not published | not published | $693.00 – $1,586.00 | 2 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nerve surgery CPT 64859 | not published | not published | $693.00 – $1,586.00 | 2 |
| Neurectomy foot CPT 28055 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Neurectomy hamstring CPT 27325 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Neurectomy popliteal CPT 27326 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $328.94 – $1,586.00 | 5 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $693.00 – $1,586.00 | 2 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $947.82 – $3,176.00 | 5 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $947.82 – $3,176.00 | 5 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $137.89 – $140.65 | 3 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $42.97 | 3 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $81.20 | 3 |
| Neutron beam tx complex CPT 77423 | not published | not published | $592.11 – $603.96 | 3 |
| New Patient Office Visit (level 2) CPT 99202 | $144.60 | $241.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $205.20 | $342.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $326.40 | $544.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $427.20 | $712.00 | not published | 0 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $257.45 – $262.60 | 3 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $490.20 | $817.00 | $262.99 – $268.25 | 3 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $24.56 – $25.05 | 3 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $42.84 – $43.70 | 3 |
| Nikaidoh proc CPT 33782 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $920.24 – $938.65 | 3 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $4,195.85 – $5,672.00 | 5 |
| Nipple exploration CPT 19110 | not published | not published | $4,195.85 – $5,672.00 | 5 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.61 – $13.88 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $33.62 – $50.26 | 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.