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 |
|---|---|---|---|---|
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $16.50 – $16.50 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $693.00 – $1,586.00 | 5 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $112.03 – $114.27 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $112.03 – $114.27 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $472.77 – $1,586.00 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $318.60 | $531.00 | $46.98 – $47.92 | 3 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $27.32 | 3 |
| T cells total count CPT 86359 | $189.00 | $315.00 | $37.73 – $38.48 | 3 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $231.39 – $236.02 | 3 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $231.39 – $236.02 | 3 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $231.39 – $236.02 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $222.49 – $336.32 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $840.06 – $856.87 | 3 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $840.06 – $856.87 | 3 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.03 – $11.27 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $52.80 | $88.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,371.60 | $2,286.00 | $401.25 – $409.27 | 3 |
| Telethx isodose plan simple CPT 77306 | $876.00 | $1,460.00 | $401.25 – $409.27 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $17.18 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $137.89 – $140.65 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.08 – $55.51 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Tendon shortening CPT 26477 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $197.44 – $251.96 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,775.89 – $12,241.00 | 5 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,506.34 – $5,339.00 | 5 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $6,223.00 – $7,931.41 | 5 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,723.15 – $5,339.00 | 5 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,506.34 – $17,033.00 | 5 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,506.34 – $5,672.00 | 5 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,723.15 – $5,672.00 | 5 |
| Tert gene targeted seq alys CPT 81345 | $2,531.40 | $4,219.00 | $185.20 – $188.90 | 3 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $6.13 | 3 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $5.94 | 3 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $9.74 | 3 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $428.40 – $436.97 | 3 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $52.67 | 3 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.13 – $3.14 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $63.22 – $64.48 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $764.40 | $1,274.00 | $231.39 – $236.02 | 3 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $11.48 | 3 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $13.63 | 3 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $4.56 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $558.12 – $892.63 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.58 – $30.90 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $139.74 | 3 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $774.72 | 3 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $7,031.40 | $11,719.00 | $2,919.60 – $2,977.99 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $609.87 | 3 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $182.57 – $186.22 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $182.57 – $186.22 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $182.57 – $186.22 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $55.84 – $56.96 | 3 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $472.77 – $1,586.00 | 5 |
| Theophylline therapeutic drug level CPT 80198 | $169.20 | $282.00 | $14.14 – $14.42 | 3 |
| Therapeutic procd strg endur HCPCS G0237 | $82.20 | $137.00 | $30.99 – $31.61 | 3 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $71.40 | $119.00 | $25.85 – $26.37 | 3 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $70.20 | $117.00 | $22.59 – $23.04 | 3 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $215.00 – $1,586.00 | 5 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,552.91 – $5,672.00 | 5 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $187.96 – $191.72 | 3 |
| Ther/proph/diag inj ia CPT 96373 | $186.00 | $310.00 | $227.94 – $232.50 | 3 |
| Thiotepa injection HCPCS J9340 | not published | not published | $428.27 – $428.27 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,678.00 | $6,130.00 | $672.23 – $3,176.00 | 5 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracic duct procedure CPT 38380 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracic duct procedure CPT 38382 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,478.50 – $12,241.00 | 5 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $7,993.00 – $17,033.00 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $6,223.00 – $6,675.00 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,478.50 – $12,241.00 | 5 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $8,099.00 – $12,241.00 | 5 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $10,384.00 – $21,651.00 | 2 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Thoracoscopy w/thymus resect CPT 32673 | 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.