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 |
|---|---|---|---|---|
| Smear gram stain CPT 87205 | $88.20 | $147.00 | $4.27 – $4.36 | 3 |
| Smear nasal eosinophil CPT 89190 | $70.80 | $118.00 | $5.79 – $5.91 | 3 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $124.20 | $207.00 | $5.99 – $6.11 | 3 |
| Smear wet mount CPT 87210 | $107.40 | $179.00 | $5.82 – $5.94 | 3 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $307.38 | 3 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $188.90 | 3 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $47.94 | 3 |
| Snrpn/ube3a gene CPT 81331 | $1,533.00 | $2,555.00 | $51.07 – $52.09 | 3 |
| Sodium 24 hour urine CPT 84300 | $84.60 | $141.00 | $5.06 – $5.16 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $72.60 | $121.00 | $4.81 – $4.91 | 3 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $93.26 – $95.12 | 3 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,372.22 | 3 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,219.75 | 3 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,354.28 | 3 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,067.28 | 3 |
| Somatosensory testing CPT 95927 | not published | not published | $231.39 – $236.02 | 3 |
| Somatropin injection HCPCS J2941 | not published | not published | $279.79 – $279.79 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,049.34 | 3 |
| So neo gsap dna mcrstl ins CPT 81457 | $8,194.80 | $13,658.00 | $896.87 – $914.81 | 3 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $34.22 – $34.22 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $693.00 – $1,586.00 | 2 |
| Special physics consult CPT 77370 | $927.00 | $1,545.00 | $144.03 – $146.92 | 3 |
| Special radiation dosimetry CPT 77331 | $536.40 | $894.00 | $144.03 – $146.92 | 3 |
| Special radiation treatment CPT 77470 | $2,347.20 | $3,912.00 | $592.11 – $603.96 | 3 |
| Special teletx port plan CPT 77321 | $1,158.00 | $1,930.00 | $401.25 – $409.27 | 3 |
| Specific gravity body fluid CPT 84315 | $72.60 | $121.00 | $3.28 – $3.35 | 3 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $6.00 | 3 |
| Speech audiometry complete CPT 92556 | not published | not published | $63.22 – $64.48 | 3 |
| Speech evaluation complex CPT 70371 | not published | not published | $255.69 – $260.80 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $63.22 – $64.48 | 3 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $10.88 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $19.98 | 3 |
| Sperm identification CPT 89257 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm washing 58323 CPT 58323 | not published | not published | $216.65 – $1,586.00 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,343.80 – $12,241.00 | 5 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,974.45 – $6,675.00 | 5 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $693.00 – $1,586.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,444.40 | $4,074.00 | $756.44 – $3,176.00 | 5 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $231.39 – $236.02 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $872.40 | $1,454.00 | not published | 0 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $137.89 – $140.65 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $428.40 – $436.97 | 3 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $85.20 | $142.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $1,143.00 | $1,905.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $585.60 | $976.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Split blood or products CPT 86985 | not published | not published | $182.57 – $186.22 | 3 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $693.00 – $1,586.00 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $353.96 – $361.04 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $182.57 – $186.22 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $6,858.34 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $178.91 | 3 |
| Srs linear based CPT 77372 | $17,736.00 | $29,560.00 | not published | 0 |
| Srs multisource CPT 77371 | $36,840.00 | $61,400.00 | not published | 0 |
| Srs spinal lesion CPT 63620 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $4,157.00 – $5,339.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $137.89 – $140.65 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $358.20 | $597.00 | $111.98 – $114.22 | 3 |
| Staph a dna amp probe CPT 87640 | $187.80 | $313.00 | $35.09 – $35.79 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $280.20 | $467.00 | $100.65 – $102.66 | 3 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $79.34 | 3 |
| Stenger test pure tone CPT 92565 | not published | not published | $63.22 – $64.48 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $11,661.00 – $23,867.00 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| St evaluate speech sound production CPT 92522 | $293.40 | $489.00 | $114.30 – $116.59 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $406.20 | $677.00 | $218.13 – $222.49 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $410.40 | $684.00 | $94.22 – $96.10 | 3 |
| St evaluation swallow function CPT 92610 | $309.60 | $516.00 | $56.75 – $57.88 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $182.57 – $186.22 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $412.80 | $688.00 | $174.14 – $1,586.00 | 5 |
| Strapping of chest CPT 29200 | not published | not published | $174.14 – $1,586.00 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $63.22 – $1,586.00 | 5 |
| Strapping of hand or finger CPT 29280 | not published | not published | $63.22 – $1,586.00 | 5 |
| Strapping of hip CPT 29520 | not published | not published | $142.58 – $1,586.00 | 5 |
| Strapping of knee CPT 29530 | not published | not published | $142.58 – $1,586.00 | 5 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $63.22 – $1,586.00 | 5 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $17.15 | 3 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $20.45 | 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.