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 |
|---|---|---|---|---|
| Rmvl perq right heart vad CPT 33997 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $13,282.20 | $22,137.00 | $10,384.00 – $21,651.00 | 5 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,868.06 – $21,651.00 | 5 |
| Rmvl pq iabp CPT 33968 | not published | not published | $11,661.00 – $23,867.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $4,004.60 – $6,675.00 | 5 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $758.85 – $3,176.00 | 5 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,112.75 – $5,672.00 | 5 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $478.72 – $1,586.00 | 5 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $4,004.60 – $6,675.00 | 5 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $4,004.60 – $6,675.00 | 5 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $11,940.72 – $12,179.53 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $8,099.00 – $12,241.00 | 2 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.69 – $2.69 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.80 – $50.11 | 4 |
| Romiplostim injection HCPCS J2796 | not published | not published | $157.53 – $157.53 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.19 – $17.11 | 4 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $18.59 | 3 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $215.00 – $219.30 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,686.89 – $3,176.00 | 5 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $3,597.00 | $5,995.00 | $428.40 – $436.97 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,182.60 | $6,971.00 | $1,532.36 – $1,563.01 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $1,686.89 – $3,176.00 | 5 |
| Rpl tun-cvad w subq port CPT 36582 | $9,226.80 | $15,378.00 | $3,383.62 – $6,675.00 | 5 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $3,383.62 – $6,675.00 | 5 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,478.50 – $17,033.00 | 5 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,963.01 – $17,033.00 | 5 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,223.00 – $6,675.00 | 5 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,745.80 – $6,675.00 | 5 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,223.00 – $7,076.22 | 5 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $63.22 – $64.48 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,836.82 – $6,675.00 | 5 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | 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.