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 |
|---|---|---|---|---|
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $25.50 | 3 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $693.00 – $1,586.00 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $693.00 – $1,586.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $100.80 | $168.00 | $4.73 – $4.82 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $5.95 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $78.00 | $130.00 | $4.76 – $4.86 | 3 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $139.74 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | $864.00 | $1,440.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Pq thr inj ext pse CPT 36002 | $413.40 | $689.00 | $672.23 – $3,176.00 | 5 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $693.00 – $1,586.00 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $392.72 – $588.24 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Pr application of long arm splint CPT 29105 | $379.80 | $633.00 | $174.14 – $1,586.00 | 5 |
| Pr application splint static short arm CPT 29125 | $379.80 | $633.00 | $142.58 – $1,586.00 | 5 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.03 – $40.83 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $519.60 | $866.00 | $435.63 – $1,586.00 | 5 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $6,223.00 – $14,033.33 | 5 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,777.44 – $5,672.00 | 5 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $537.00 | $895.00 | $215.00 – $1,586.00 | 5 |
| Prealbumin CPT 84134 | $279.00 | $465.00 | $14.59 – $14.88 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Pregnancy associated plasma protein-a CPT 84163 | $144.60 | $241.00 | $15.05 – $15.35 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $742.80 | $1,238.00 | $112.03 – $114.27 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $236.02 | 3 |
| Preparation for bladder xray CPT 51605 | not published | not published | $693.00 – $1,586.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $577.95 – $1,586.00 | 5 |
| Prepare donor heart CPT 33944 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $56.96 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $693.00 – $1,586.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $693.00 – $1,586.00 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $693.00 – $1,586.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep donor renal graft CPT 50325 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $693.00 – $1,586.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $938.65 | 3 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $435.63 – $1,586.00 | 5 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $792.00 – $5,339.00 | 5 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $693.00 – $1,586.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $140.65 | 3 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $693.00 – $1,586.00 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $182.57 – $186.22 | 3 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $63.22 – $64.48 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $105.60 | $176.00 | $182.57 – $186.22 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $63.22 – $64.48 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $225.60 | $376.00 | $182.57 – $186.22 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $145.52 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,066.80 | $1,778.00 | $1,769.88 – $3,176.00 | 5 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,769.88 – $5,339.00 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,654.20 | $2,757.00 | $435.63 – $1,586.00 | 5 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,131.60 – $6,675.00 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $693.00 – $1,586.00 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $11,166.00 | $18,610.00 | $7,993.00 – $20,037.41 | 5 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $693.00 – $1,586.00 | 2 |
| Prin care mgmt staff 1st 30 CPT 99426 | $159.60 | $266.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $721.80 | $1,203.00 | $435.63 – $1,586.00 | 5 |
| Pr incision & drainage abscess simple/single CPT 10060 | $565.20 | $942.00 | $215.00 – $1,586.00 | 5 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,173.00 | $1,955.00 | $326.55 – $1,586.00 | 5 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $565.80 | $943.00 | $435.63 – $1,586.00 | 5 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $142.67 – $145.52 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $142.67 – $145.52 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $574.80 | $958.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $340.14 – $1,586.00 | 5 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Procalcitonin CPT 84145 | $265.80 | $443.00 | $27.22 – $27.76 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,974.45 – $5,672.00 | 5 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,150.80 | $1,918.00 | $996.56 – $3,176.00 | 5 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,974.45 – $5,339.00 | 5 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,974.45 – $5,672.00 | 5 |
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.