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 |
|---|---|---|---|---|
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $857.46 | 3 |
| Autologous blood process CPT 86890 | not published | not published | $182.57 – $186.22 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $6.60 | 3 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $142.58 – $145.43 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $137.89 – $140.65 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $142.58 – $145.43 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $105.54 – $149.44 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Avul nail plate addl CPT 11732 | not published | not published | $693.00 – $1,586.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $445.80 | $743.00 | $215.00 – $1,586.00 | 5 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $531,849.12 – $741,576.00 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $396.33 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $178.05 – $301.11 | 4 |
| Baclofen eval charges CPT 97750 | $106.20 | $177.00 | $34.36 – $35.05 | 3 |
| Bacterial meningitis antigen CPT 86403 | $139.80 | $233.00 | $11.54 – $11.77 | 3 |
| Bacterial vaginosis pcr CPT 87801 | $850.80 | $1,418.00 | $70.20 – $71.60 | 3 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $15.32 | 3 |
| #bac vag cand-c. albicans naa CPT 87481 | $129.00 | $215.00 | $35.09 – $35.79 | 3 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $693.00 – $1,586.00 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,468.96 – $5,672.00 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $35.79 | 3 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $43.70 | 3 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $231.39 – $236.02 | 3 |
| Basiliximab HCPCS J0480 | not published | not published | $4,812.31 – $7,241.98 | 4 |
| B cells total count CPT 86355 | $511.20 | $852.00 | $37.73 – $38.48 | 3 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $96.89 | 3 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $6.24 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $57.19 – $84.03 | 4 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.16 – $20.26 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $27.59 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $27.24 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.74 – $54.99 | 4 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $215.00 – $1,586.00 | 5 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $215.00 – $1,586.00 | 5 |
| #_benzodiazconfur CPT 80346 | $202.20 | $337.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $424.20 | $707.00 | $25.45 – $25.96 | 3 |
| Beta-2 microglobulin CPT 82232 | $409.20 | $682.00 | $16.18 – $16.50 | 3 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $131.50 | 3 |
| Beta-amyloid 1-42 CPT 82234 | $333.00 | $555.00 | $128.92 – $131.50 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.36 – $121.41 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.74 – $46.86 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.85 – $46.51 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $3.04 | 4 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $61.80 | $103.00 | $37.86 – $38.62 | 3 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $42.60 | $71.00 | $22.02 – $22.46 | 3 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $17.21 | 3 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,185.00 | $1,975.00 | $947.82 – $3,176.00 | 5 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,890.60 | $3,151.00 | $328.94 – $1,586.00 | 5 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,688.40 | $2,814.00 | $328.94 – $1,586.00 | 5 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $27.11 | 3 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $1,963.00 – $3,176.00 | 2 |
| Bile duct revision CPT 47701 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $6,937.47 – $17,033.00 | 5 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Bilicheck CPT 88720 | $77.40 | $129.00 | $5.02 – $5.12 | 3 |
| Bilirubin direct CPT 82248 | $75.60 | $126.00 | $5.02 – $5.12 | 3 |
| Bilirubin total CPT 82247 | $111.00 | $185.00 | $5.02 – $5.12 | 3 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.78 – $17.12 | 3 |
| Biopsy abdominal mass CPT 49180 | $2,238.00 | $3,730.00 | $1,769.88 – $5,339.00 | 5 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $3,112.75 – $5,339.00 | 5 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,580.00 | $4,300.00 | $1,769.88 – $3,176.00 | 5 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $710.40 | $1,184.00 | $987.01 – $3,176.00 | 5 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,963.00 – $3,176.00 | 5 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $4,195.85 – $5,672.00 | 5 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $253.81 – $1,586.00 | 5 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $340.14 – $1,586.00 | 5 |
| Biopsy eye muscle CPT 67346 | not published | not published | $4,212.96 – $6,675.00 | 5 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,838.40 | $3,064.00 | $3,112.75 – $5,339.00 | 5 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,769.88 – $3,176.00 | 5 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,487.60 | $4,146.00 | $1,769.88 – $5,339.00 | 5 |
| Biopsy needle liver percutaneous CPT 47000 | $2,196.60 | $3,661.00 | $1,769.88 – $5,339.00 | 5 |
| Biopsy needle lymph node superficial CPT 38505 | $3,076.20 | $5,127.00 | $1,769.88 – $5,339.00 | 5 |
| Biopsy of cornea CPT 65410 | not published | not published | $1,963.00 – $3,176.00 | 5 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,769.88 – $3,176.00 | 5 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Biopsy of heart lining CPT 93505 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,723.15 – $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.