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 |
|---|---|---|---|---|
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $507.00 | $845.00 | $12.87 – $13.13 | 3 |
| Warde hepatitis a antibody CPT 86708 | $132.00 | $220.00 | $12.39 – $12.64 | 3 |
| Warde hepatitis be antibody CPT 86707 | $34.20 | $57.00 | $11.57 – $11.80 | 3 |
| Warde hepatitis delta agent antibody CPT 86692 | $305.40 | $509.00 | $17.16 – $17.50 | 3 |
| Warde immunofixation electrophoresis urine CPT 86335 | $247.80 | $413.00 | $29.35 – $29.94 | 3 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $105.60 | $176.00 | $11.53 – $11.76 | 3 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $849.60 | $1,416.00 | $257.45 – $262.60 | 3 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $799.80 | $1,333.00 | $23.57 – $24.04 | 3 |
| Warde lipoprotein (a) CPT 83695 | $543.60 | $906.00 | $14.32 – $14.61 | 3 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $407.40 | $679.00 | $46.31 – $47.24 | 3 |
| Warde mitochondrial antibody each CPT 86381 | $55.80 | $93.00 | $25.45 – $25.96 | 3 |
| Warde neutralization rabies CPT 86382 | not published | not published | $16.91 – $17.25 | 3 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $186.60 | $311.00 | $13.25 – $13.52 | 3 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $234.00 | $390.00 | $22.97 – $23.43 | 3 |
| Warde protein c antigen CPT 85302 | $233.40 | $389.00 | $12.01 – $12.25 | 3 |
| Warde sex hormone binding globulin CPT 84270 | $140.40 | $234.00 | $21.73 – $22.16 | 3 |
| Warde somatomedin CPT 84305 | $233.40 | $389.00 | $21.26 – $21.69 | 3 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $134.40 | $224.00 | $5.50 – $5.61 | 3 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $202.20 | $337.00 | $15.76 – $16.08 | 3 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $364.20 | $607.00 | $50.86 – $51.88 | 3 |
| Warde topiramate therapeutic drug level CPT 80201 | $153.00 | $255.00 | $11.92 – $12.16 | 3 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $294.00 | $490.00 | $26.07 – $26.59 | 3 |
| Warde viscosity CPT 85810 | $110.40 | $184.00 | $11.67 – $11.90 | 3 |
| Warde vitamin a CPT 84590 | $144.60 | $241.00 | $11.61 – $11.84 | 3 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $178.80 | $298.00 | $21.23 – $21.65 | 3 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $459.60 | $766.00 | $28.10 – $28.66 | 3 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $502.20 | $837.00 | $9.89 – $10.09 | 3 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $308.40 | $514.00 | $38.50 – $39.27 | 3 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $130.80 | $218.00 | $14.18 – $14.46 | 3 |
| Warde zinc CPT 84630 | $108.60 | $181.00 | $11.39 – $11.62 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $472.77 – $1,586.00 | 5 |
| Wbc automated CPT 85048 | $61.20 | $102.00 | $2.54 – $2.59 | 3 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $6,223.00 – $8,105.45 | 5 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $5,543.00 – $5,672.00 | 2 |
| Wedging of cast CPT 29740 | not published | not published | $299.72 – $1,586.00 | 5 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $299.72 – $1,586.00 | 5 |
| Western blot test CPT 84181 | $378.60 | $631.00 | $17.03 – $17.37 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | $63.60 | $106.00 | $18.54 – $18.91 | 3 |
| Whole blood for transfusion HCPCS P9010 | $641.40 | $1,069.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $900.00 | $1,500.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $5,367.00 | $8,945.00 | $1,287.00 – $1,312.74 | 3 |
| Whole mitochondrial genome CPT 81465 | $1,992.00 | $3,320.00 | $936.00 – $954.72 | 3 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $2.08 | 4 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $693.00 – $1,586.00 | 2 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $693.00 – $1,586.00 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $246.00 | $410.00 | $435.63 – $444.34 | 3 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $435.63 – $444.34 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $219.60 | $366.00 | $215.00 – $219.30 | 3 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $376.80 | $628.00 | $435.63 – $444.34 | 3 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,506.34 – $6,675.00 | 5 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,775.89 – $17,033.00 | 5 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,723.15 – $6,675.00 | 5 |
| Wrist X-ray CPT 73110 | $604.20 | $1,007.00 | $93.26 – $95.12 | 3 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,473.11 – $5,672.00 | 5 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,429.45 – $12,241.00 | 5 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,702.41 – $12,241.00 | 5 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,211.05 – $5,339.00 | 5 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $932.28 | 3 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $932.28 | 3 |
| Xm archive tissue molec anal CPT 88363 | $151.20 | $252.00 | $30.99 – $31.61 | 3 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $693.00 – $1,586.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,262.60 | $3,771.00 | $5,543.00 – $5,672.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $277.20 | $462.00 | $93.26 – $95.12 | 3 |
| X-ray abdomen 2 views CPT 74019 | $337.80 | $563.00 | $112.03 – $114.27 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $389.40 | $649.00 | $112.03 – $114.27 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $626.40 | $1,044.00 | $112.03 – $114.27 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $463.20 | $772.00 | $93.26 – $95.12 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | $645.00 | $1,075.00 | $93.26 – $95.12 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,602.00 | $2,670.00 | $373.86 – $381.34 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $12.77 | 3 |
| X-ray bone age studies CPT 77072 | $430.80 | $718.00 | $112.03 – $114.27 | 3 |
| X-ray bone length studies CPT 77073 | $430.80 | $718.00 | $112.03 – $114.27 | 3 |
| X-ray bone survey complete CPT 77075 | $785.40 | $1,309.00 | $112.03 – $114.27 | 3 |
| X-ray bone survey infant CPT 77076 | $411.60 | $686.00 | $112.03 – $114.27 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | $412.80 | $688.00 | $93.26 – $95.12 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | $510.00 | $850.00 | $112.03 – $114.27 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | $560.40 | $934.00 | $112.03 – $114.27 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | $645.60 | $1,076.00 | $93.26 – $95.12 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $732.00 | $1,220.00 | $187.96 – $191.72 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,136.40 | $1,894.00 | $187.96 – $191.72 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $606.60 | $1,011.00 | $93.26 – $95.12 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $604.20 | $1,007.00 | $93.26 – $95.12 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $732.00 | $1,220.00 | $187.96 – $191.72 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $334.20 | $557.00 | $112.03 – $114.27 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $385.20 | $642.00 | $112.03 – $114.27 | 3 |
| X-ray exam of arm infant CPT 73092 | $659.40 | $1,099.00 | $112.03 – $114.27 | 3 |
| X-ray exam of eye sockets CPT 70200 | $463.20 | $772.00 | $112.03 – $114.27 | 3 |
| X-ray exam of femur 1 CPT 73551 | $516.00 | $860.00 | $93.26 – $95.12 | 3 |
| X-ray exam of jaw joint CPT 70328 | $339.60 | $566.00 | $93.26 – $95.12 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $255.69 – $260.80 | 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.