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 |
|---|---|---|---|---|
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,360.72 – $12,241.00 | 5 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $7,115.73 – $12,241.00 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $215.00 – $1,586.00 | 5 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,552.91 – $12,241.00 | 5 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Partial excision of lip CPT 40500 | not published | not published | $3,552.91 – $5,339.00 | 5 |
| Partial hip replacement CPT 27125 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Partial hysterectomy CPT 58180 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Partial proctectomy CPT 45113 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Partial removal donor liver CPT 47140 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal donor liver CPT 47141 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal donor liver CPT 47142 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of bladder CPT 51550 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus CPT 43116 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus CPT 43118 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus CPT 43121 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus CPT 43123 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31367 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Partial removal of liver CPT 47125 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Partial removal of pancreas CPT 48145 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Partial removal of radius CPT 25151 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of radius CPT 25230 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of rectum CPT 45111 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of rectum CPT 45114 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of toe CPT 28160 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Partial removal of tongue CPT 41130 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Partial removal tear gland CPT 68505 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $55.84 – $56.96 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $231.39 – $236.02 | 3 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $260.15 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $336.10 | 3 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $215.00 – $1,586.00 | 5 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $137.89 – $140.65 | 3 |
| Ped home apnea mntr dl&alys CPT 94776 | $319.20 | $532.00 | $137.89 – $140.65 | 3 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,424.06 – $42,508.06 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $127.38 – $141.42 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $168.12 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $205.89 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $591.28 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $183.40 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $364.37 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,824.52 – $5,392.94 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,546.40 | $4,244.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,447.40 | $4,079.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,446.80 | $4,078.00 | $112.03 – $114.27 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,119.60 | $6,866.00 | $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.