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 |
|---|---|---|---|---|
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $24.97 | 3 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Shoe post-op mens m HCPCS L3260 | $1,143.00 | $1,905.00 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Shortening of thigh bone CPT 27465 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Shorten radius & ulna CPT 25392 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,199.40 | $6,999.00 | $373.86 – $381.34 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $840.06 – $856.87 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $6,179.40 | $10,299.00 | $255.69 – $260.80 | 3 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,543.00 – $7,931.41 | 5 |
| Shoulder X-ray CPT 73030 | $604.20 | $1,007.00 | $93.26 – $95.12 | 3 |
| Shrinker prosth above knee HCPCS L8460 | $585.60 | $976.00 | not published | 0 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $112.03 – $114.27 | 3 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $12.46 | 3 |
| Sialography s&i CPT 70390 | not published | not published | $255.69 – $260.80 | 3 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,552.91 – $5,339.00 | 5 |
| Sickling rbc CPT 85660 | $94.80 | $158.00 | $5.51 – $5.62 | 3 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $996.56 – $3,176.00 | 5 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $996.56 – $5,339.00 | 5 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $996.56 – $3,176.00 | 5 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $4,157.00 – $6,635.80 | 5 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,974.45 – $5,339.00 | 5 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $996.56 – $5,339.00 | 5 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $996.56 – $3,176.00 | 5 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $63.22 – $64.48 | 3 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,282.34 – $5,339.00 | 5 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $267.74 – $1,586.00 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $172.80 | $288.00 | not published | 0 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $112.03 – $114.27 | 3 |
| Single transfer toe-hand CPT 26553 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,446.80 | $4,078.00 | $187.96 – $191.72 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $2,446.80 | $4,078.00 | $187.96 – $191.72 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $2,446.80 | $4,078.00 | $112.03 – $114.27 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | $1,959.60 | $3,266.00 | $3,383.62 – $3,451.29 | 3 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,269.19 – $87,553.03 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.11 – $177.56 | 4 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Skin Biopsy CPT 11102 | $519.60 | $866.00 | $435.63 – $1,586.00 | 5 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,211.05 – $5,672.00 | 5 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $693.00 – $1,586.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $693.00 – $1,586.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $30.99 – $31.61 | 3 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $178.31 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $4,524.60 | $7,541.00 | $920.24 – $938.65 | 3 |
| Sleep study unattended CPT 95806 | $723.00 | $1,205.00 | $231.39 – $236.02 | 3 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Sling pelv split sam med HCPCS L0621 | $307.80 | $513.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,777.44 – $5,672.00 | 5 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,240.09 – $5,672.00 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | $81.00 | $135.00 | $63.22 – $64.48 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $28,478.75 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $17.18 | 3 |
| Small bowel endoscopy CPT 44360 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44364 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44366 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44369 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44376 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44378 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44382 | not published | not published | $971.94 – $5,339.00 | 5 |
| Small bowel endoscopy CPT 44384 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $971.94 – $5,339.00 | 5 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,056.34 – $5,339.00 | 5 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,223.00 – $6,675.00 | 5 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $106.80 | $178.00 | $5.39 – $5.50 | 3 |
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.