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 |
|---|---|---|---|---|
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $201.76 – $302.99 | 4 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $756.44 – $3,176.00 | 5 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $328.94 – $1,586.00 | 5 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $693.00 – $1,586.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $693.00 – $1,586.00 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $693.00 – $1,586.00 | 2 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $693.00 – $1,586.00 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $947.82 – $3,176.00 | 5 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $747.24 – $3,176.00 | 5 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $5,745.80 – $6,675.00 | 5 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nl removal calculus CPT 50060 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,011.20 | $3,352.00 | $428.40 – $436.97 | 3 |
| Nm imaging bone/joint whole body CPT 78306 | $1,755.00 | $2,925.00 | $428.40 – $436.97 | 3 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | not published | not published | $428.40 – $436.97 | 3 |
| Nm imaging gastric emptying study CPT 78264 | not published | not published | $428.40 – $436.97 | 3 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,871.40 | $3,119.00 | $428.40 – $436.97 | 3 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,955.40 | $3,259.00 | $581.86 – $593.49 | 3 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,808.40 | $3,014.00 | $581.86 – $593.49 | 3 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,278.20 | $3,797.00 | $581.86 – $593.49 | 3 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,368.00 | $2,280.00 | $428.40 – $436.97 | 3 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $12,734.00 – $30,023.00 | 5 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $428.40 – $436.97 | 3 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $40.03 – $40.83 | 3 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $40.03 – $40.83 | 3 |
| Non-imaging heart function CPT 78414 | not published | not published | $581.86 – $593.49 | 3 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $373.86 – $381.34 | 3 |
| Noonan spectrum disorders CPT 81442 | $3,862.20 | $6,437.00 | $2,143.60 – $2,186.47 | 3 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $30.99 – $31.61 | 3 |
| Npm1 gene CPT 81310 | $1,042.80 | $1,738.00 | $246.52 – $251.45 | 3 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $20.02 – $20.42 | 3 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $29.67 – $30.26 | 3 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $10.85 – $11.07 | 3 |
| Nras gene variants exon 2&3 CPT 81311 | $587.40 | $979.00 | $295.79 – $301.71 | 3 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $11,970.00 | $19,950.00 | $1,916.11 – $1,954.43 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $3,660.81 – $12,241.00 | 5 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $693.00 – $1,586.00 | 2 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $5,543.00 – $7,714.16 | 5 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $6,223.00 – $7,714.16 | 5 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,995.36 – $5,672.00 | 5 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $6,343.80 – $6,470.68 | 3 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $6,343.80 – $6,470.68 | 3 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,907.37 – $5,672.00 | 5 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $211.46 | 3 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $211.46 | 3 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $211.46 | 3 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $528.65 | 3 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $428.40 – $436.97 | 3 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $22.22 | 3 |
| Nuclear rx IV admin CPT 79101 | $642.00 | $1,070.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,045.20 | $6,742.00 | $1,387.37 – $1,415.12 | 3 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $297.19 | 3 |
| Nushield 1 square cm HCPCS Q4160 | $1,177.20 | $1,962.00 | not published | 0 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,285.78 – $1,930.55 | 4 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $81.81 – $116.41 | 4 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $369.00 | $615.00 | $638.18 – $650.95 | 3 |
| Observation per hour HCPCS G0378 | $604.80 | $1,008.00 | not published | 0 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $76.36 | 3 |
| Obstetrics panel CPT 80055 | $904.80 | $1,508.00 | $47.81 – $48.77 | 3 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $30.99 – $31.61 | 3 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $112.03 – $114.27 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $59.60 – $101.34 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $188.35 – $343.40 | 4 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $589.39 – $3,176.00 | 5 |
| Ocular reconst transplant CPT 65780 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Ocular reconst transplant CPT 65782 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.23 – $105.53 | 4 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $41.82 – $64.98 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $3,950.46 | 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.