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 |
|---|---|---|---|---|
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,974.45 – $5,672.00 | 5 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,223.00 – $6,675.00 | 5 |
| Progesterone CPT 84144 | $355.20 | $592.00 | $20.86 – $21.28 | 3 |
| Prolactin CPT 84146 | $271.80 | $453.00 | $19.38 – $19.77 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $81.60 | $136.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $227.94 – $232.50 | 3 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $340.14 – $1,586.00 | 5 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $589.39 – $3,176.00 | 5 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,506.34 – $12,241.00 | 5 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $8,099.00 – $14,033.33 | 5 |
| _propoxygc/msur CPT 80367 | $260.40 | $434.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $3,721.80 | $6,203.00 | $384.12 – $391.80 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,745.80 – $12,241.00 | 5 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,745.80 – $12,241.00 | 5 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,777.44 – $5,339.00 | 5 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,777.44 – $12,241.00 | 5 |
| Prosthetic sock multi ply bk HCPCS L8420 | $169.20 | $282.00 | not published | 0 |
| Protein c activity CPT 85303 | $279.00 | $465.00 | $13.84 – $14.12 | 3 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.05 – $24.93 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $136.20 | $227.00 | $10.74 – $10.95 | 3 |
| Protein s total CPT 85305 | $268.20 | $447.00 | $11.61 – $11.84 | 3 |
| Protein total 24 hour urine CPT 84156 | $89.40 | $149.00 | $3.67 – $3.74 | 3 |
| Protein total body fluid CPT 84157 | $130.80 | $218.00 | $4.00 – $4.08 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $72.60 | $121.00 | $3.67 – $3.74 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.05 – $3.60 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $174.60 | $291.00 | $3.94 – $4.02 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $592.11 – $603.96 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $9.93 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $142.67 – $145.52 | 3 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,723.15 – $5,672.00 | 5 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $7,993.00 – $20,037.41 | 5 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $6,099.19 – $17,033.00 | 5 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $478.72 – $1,586.00 | 5 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $252.60 | $421.00 | $142.58 – $1,586.00 | 5 |
| Pr removal intrauterine device CPT 58301 | $334.80 | $558.00 | $326.55 – $1,586.00 | 5 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $487.20 | $812.00 | $435.63 – $1,586.00 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $334.80 | $558.00 | $215.00 – $1,586.00 | 5 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $334.80 | $558.00 | $215.00 – $1,586.00 | 5 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $334.80 | $558.00 | $215.00 – $1,586.00 | 5 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $345.00 | $575.00 | $215.00 – $1,586.00 | 5 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $75.60 | $126.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $472.77 – $1,586.00 | 5 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,005.80 | $3,343.00 | $1,686.89 – $3,176.00 | 5 |
| PSA (Prostate) Test CPT 84153 | $243.60 | $406.00 | $18.39 – $18.76 | 3 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $30.99 – $31.61 | 3 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $96.60 | $161.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $231.39 – $236.02 | 3 |
| Psycl/nrpsyc tech 1st CPT 96138 | $248.40 | $414.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $142.58 – $145.43 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $15.48 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $18.72 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $14.22 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $14.50 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $306.00 | 3 |
| Pten gene full sequence CPT 81321 | $4,166.40 | $6,944.00 | $600.00 – $612.00 | 3 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $47.53 | 3 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $94.04 – $95.92 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $98.89 – $100.87 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $99.73 – $101.72 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $26.25 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $160.80 | $268.00 | $68.90 – $70.28 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $118.20 | $197.00 | $30.03 – $30.63 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $12.58 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $105.00 | $175.00 | $28.06 – $28.62 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.54 – $31.15 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $108.00 | $180.00 | $31.68 – $32.31 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,517.79 | 3 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $5,543.00 – $5,672.00 | 2 |
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.