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 |
|---|---|---|---|---|
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $947.82 – $3,176.00 | 5 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $7.79 | 3 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $8.43 | 3 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $29.66 | 3 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $21.06 | 3 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $28.50 | 3 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $7.34 | 3 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $23.10 | 3 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $7.52 | 3 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $51.88 | 3 |
| Assay neurflmnt light chain CPT 83884 | $1,806.60 | $3,011.00 | $116.23 – $118.55 | 3 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $26.32 | 3 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $26.06 | 3 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $13.00 | 3 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $5.26 | 3 |
| Assay of breath ethanol CPT 82075 | not published | not published | $30.00 – $30.60 | 3 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $18.42 | 3 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $12.92 | 3 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $22.97 | 3 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $13.55 | 3 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $72.65 | 3 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $89.64 | 3 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $26.76 | 3 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $10.13 | 3 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $39.11 – $39.89 | 3 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $17.14 | 3 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $18.91 | 3 |
| Assay of galactose CPT 82760 | not published | not published | $11.20 – $11.42 | 3 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $13.41 | 3 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $21.91 | 3 |
| Assay of glutathione CPT 82978 | $123.60 | $206.00 | $15.45 – $15.76 | 3 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $27.43 | 3 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $9.03 | 3 |
| Assay of interleukin-6 (il-6) CPT 83529 | $78.00 | $130.00 | $17.27 – $17.62 | 3 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $20.22 | 3 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $10.01 | 3 |
| Assay of leflunomide CPT 80193 | $402.60 | $671.00 | $38.57 – $39.34 | 3 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $17.53 | 3 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $10.95 | 3 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $6.60 | 3 |
| Assay of osteocalcin CPT 83937 | not published | not published | $29.85 – $30.45 | 3 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $4.06 | 3 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $21.70 | 3 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $21.47 | 3 |
| Assay of procainamide CPT 80190 | not published | not published | $60.00 – $61.20 | 3 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.75 – $17.08 | 3 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $66.18 | 3 |
| Assay of prostaglandin CPT 84150 | $103.80 | $173.00 | $41.77 – $42.61 | 3 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $18.76 | 3 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $11.86 | 3 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $9.63 | 3 |
| Assay of salicylate CPT 80179 | $126.60 | $211.00 | $18.64 – $19.01 | 3 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $17.69 | 3 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $13.71 | 3 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $25.71 | 3 |
| Assay of somatostatin CPT 84307 | $723.60 | $1,206.00 | $18.28 – $18.65 | 3 |
| Assay of thiocyanate CPT 84430 | $181.80 | $303.00 | $11.63 – $11.86 | 3 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $10.29 | 3 |
| Assay of tyrosine CPT 84510 | $136.80 | $228.00 | $10.63 – $10.84 | 3 |
| Assay of urine sulfate CPT 84392 | $70.80 | $118.00 | $5.49 – $5.60 | 3 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $9.74 | 3 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $6.17 | 3 |
| Assay phosphatidylglycerol CPT 84081 | $246.00 | $410.00 | $16.52 – $16.85 | 3 |
| Assay phosphohexose enzymes CPT 84087 | $86.40 | $144.00 | $10.73 – $10.94 | 3 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $9.63 | 3 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $20.13 | 3 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $300.00 | $500.00 | $94.91 – $96.81 | 3 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $693.00 – $1,586.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $4.36 | 3 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $137.89 – $140.65 | 3 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $693.00 – $1,586.00 | 2 |
| Assistive tech assessment, ot CPT 97755 | $90.60 | $151.00 | $36.48 – $37.21 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $182.57 – $186.22 | 3 |
| Ast/sgot CPT 84450 | $82.20 | $137.00 | $5.18 – $5.28 | 3 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $690.03 | 3 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $246.74 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $94.00 – $136.42 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $139.74 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $16.22 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $5,360.72 – $5,672.00 | 5 |
| Attach ocular implant CPT 65140 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $139.74 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $137.89 – $140.65 | 3 |
| Audiometry air + bone CPT 92553 | not published | not published | $137.89 – $140.65 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $137.89 – $140.65 | 3 |
| Aud rehab postling hear loss CPT 92633 | $138.60 | $231.00 | not published | 0 |
| Augmentation cheek bone CPT 21270 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,543.00 – $6,470.68 | 5 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $693.00 – $1,586.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $7,775.89 – $17,033.00 | 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.