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 |
|---|---|---|---|---|
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $42.60 | 3 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $12.98 | 3 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $35.79 | 3 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $12.91 | 3 |
| Streptozocin injection HCPCS J9320 | not published | not published | $610.80 – $610.80 | 1 |
| Stress test pulmonary CPT 94618 | $367.80 | $613.00 | $142.58 – $145.43 | 3 |
| Stress tte complete CPT 93351 | $2,935.20 | $4,892.00 | $585.55 – $597.26 | 3 |
| Str markers spec anal addl CPT 81266 | $442.80 | $738.00 | $304.81 – $310.91 | 3 |
| Str markers specimen anal CPT 81265 | $994.80 | $1,658.00 | $233.07 – $237.73 | 3 |
| St treatment speech individual CPT 92507 | $256.80 | $428.00 | $73.52 – $74.99 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | $216.00 | $360.00 | $80.96 – $82.58 | 3 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $756.44 – $3,176.00 | 5 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $215.00 – $1,586.00 | 5 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $693.00 – $1,586.00 | 5 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $693.00 – $1,586.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $7,993.00 – $17,033.00 | 5 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,797.52 – $6,675.00 | 5 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $11.76 | 3 |
| Sugars single quant CPT 84378 | $287.40 | $479.00 | $11.53 – $11.76 | 3 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $50.18 – $51.18 | 3 |
| Supply of digital device HCPCS G0552 | not published | not published | $142.67 – $145.52 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $169.20 | $282.00 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,974.45 – $5,339.00 | 5 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,777.44 – $6,675.00 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,543.00 – $5,860.72 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $971.94 – $5,339.00 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,662.71 – $5,339.00 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $117.00 | $195.00 | $30.99 – $31.61 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $265.80 | $443.00 | $40.03 – $40.83 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $338.40 | $564.00 | $55.84 – $56.96 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $414.00 | $690.00 | $55.84 – $56.96 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $511.80 | $853.00 | $384.12 – $391.80 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,111.80 | $1,853.00 | not published | 0 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,974.45 – $5,672.00 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $101.40 | $169.00 | $4.75 – $4.84 | 3 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $52.20 | $87.00 | $4.75 – $4.84 | 3 |
| Susceptibility mic per plate CPT 87186 | $70.80 | $118.00 | $8.65 – $8.82 | 3 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $6.77 | 3 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $3,777.44 – $5,672.00 | 5 |
| Suspension of uterus CPT 58410 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $127.80 | $213.00 | $55.84 – $56.96 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,092.58 – $5,339.00 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,092.58 – $5,672.00 | 5 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $21.86 – $21.86 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.03 – $40.83 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $15.87 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $71.40 | $119.00 | $4.40 – $4.49 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $205.20 | $342.00 | $16.94 – $17.28 | 3 |
| T3 (triiodothyronine) total CPT 84480 | $165.60 | $276.00 | $14.18 – $14.46 | 3 |
| T4 (thyroxine) free CPT 84439 | $117.00 | $195.00 | $9.02 – $9.20 | 3 |
| T4 (thyroxine) total CPT 84436 | $117.60 | $196.00 | $6.87 – $7.01 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $259.96 – $406.05 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $467.40 | $779.00 | $13.73 – $14.00 | 3 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.17 – $21.95 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $108.98 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $693.00 – $1,586.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $693.00 – $1,586.00 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,830.60 | $8,051.00 | $759.53 – $774.72 | 3 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,592.80 | $5,988.00 | $2,919.60 – $2,977.99 | 3 |
| Target gsa panel organ neop CPT 81445 | $2,950.80 | $4,918.00 | $597.91 – $609.87 | 3 |
| Tas congenital car anomal CPT 33741 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $693.00 – $1,586.00 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.71 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $139.74 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $93.26 – $95.12 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $93.26 – $95.12 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $102.00 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $279.00 | $465.00 | $61.98 – $63.22 | 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.