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 |
|---|---|---|---|---|
| Resect tibia tumor CPT 27645 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $11.53 – $16.83 | 4 |
| Respirator motion mgmt simul CPT 77293 | $1,046.40 | $1,744.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $14.43 – $14.72 | 3 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $16.43 – $16.76 | 3 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $218.06 – $222.42 | 3 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Resuscitation cardiopulmonary CPT 92950 | $1,947.60 | $3,246.00 | $231.39 – $1,586.00 | 5 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $708.28 – $722.45 | 3 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,904.58 – $4,606.22 | 4 |
| Reticulated platelet assay CPT 85055 | not published | not published | $35.74 – $36.45 | 3 |
| Reticulocyte automated CPT 85045 | $84.00 | $140.00 | $3.99 – $4.07 | 3 |
| Reticulocyte direct measurement automated CPT 85046 | $273.60 | $456.00 | $5.57 – $5.68 | 3 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Retrieval of oocyte CPT 58970 | not published | not published | $987.01 – $3,176.00 | 5 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.59 – $19.98 | 3 |
| Revasc intra lithotrip-ather HCPCS C9766 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc intra lithotrip-stent HCPCS C9765 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc intravasc lithotripsy HCPCS C9764 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc lithotrip-stent-ather HCPCS C9767 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc lithotrip tibi/perone HCPCS C9772 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revascularization penis CPT 37788 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Revise additional leg tendon CPT 27692 | not published | not published | $693.00 – $1,586.00 | 2 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $7,115.73 – $12,241.00 | 5 |
| Revise circulation to head CPT 61708 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise circulation to head CPT 61705 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise circulation to head CPT 61710 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Revise eye CPT 65091 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise eyelashes CPT 67825 | not published | not published | $340.14 – $1,586.00 | 5 |
| Revise eyelashes CPT 67835 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eyelid defect CPT 67909 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eyelid defect CPT 67911 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eyelid lining CPT 68330 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Revise eyelid lining CPT 68360 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eye muscle CPT 67311 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eye muscle CPT 67314 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $693.00 – $1,586.00 | 2 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $693.00 – $1,586.00 | 2 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $693.00 – $1,586.00 | 2 |
| Revise eye socket implant CPT 67560 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise eye sockets CPT 21260 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise eye sockets CPT 21261 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise eye sockets CPT 21263 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise eye sockets CPT 21267 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise eye sockets CPT 21268 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise eye with implant CPT 65093 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise finger joint each CPT 26135 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Revise finger joint each CPT 26140 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise graft w/vein CPT 35879 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Revise head/neck of femur CPT 27179 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Revise hip joint replacement CPT 27134 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revise hip joint replacement CPT 27138 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revise hip joint replacement CPT 27137 | not published | not published | $10,384.00 – $21,651.00 | 5 |
| Revise/implant finger joint CPT 26536 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise kneecap CPT 27437 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise kneecap with implant CPT 27438 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Revise knuckle joint CPT 26530 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise knuckle with implant CPT 26531 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Revise lower leg tendon CPT 27690 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise lower leg tendon CPT 27691 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Revise lower leg tendons CPT 27686 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Revise middle ear bone CPT 69660 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear bone CPT 69661 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear bone CPT 69662 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Revise ocular implant CPT 65125 | not published | not published | $2,547.76 – $5,672.00 | 5 |
| Revise ocular implant CPT 65150 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,777.44 – $12,241.00 | 5 |
| Revise penis/urethra CPT 54332 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Revise penis/urethra CPT 54336 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $6,223.00 – $8,105.45 | 5 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,506.34 – $12,241.00 | 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.