HSHS Holy Family Hospital
200 HEALTH CARE DR, GREENVILLE, IL · Hshs · · NPI 1205850690
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 |
|---|---|---|---|---|
| 5' nucleotidase - sendout CPT 83915 | $105.84 | $147.00 | $8.82 – $27.88 | 12 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $91.44 | $127.00 | $8.50 – $30.03 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,843.28 | $3,949.00 | $187.96 – $2,290.00 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,531.52 | $3,516.00 | $75.19 – $2,290.00 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,997.28 | $2,774.00 | $97.12 – $280.08 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,885.12 | $5,396.00 | $149.54 – $2,862.00 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $2,988.00 | $4,150.00 | $102.28 – $2,862.00 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,853.28 | $2,574.00 | $656.61 – $2,429.86 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,164.24 | $1,617.00 | $44.81 – $280.08 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,056.24 | $1,467.00 | $44.81 – $280.08 | 12 |
| Acetone qualitative CPT 82009 | $74.88 | $104.00 | $3.99 – $11.30 | 12 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $293.76 | $408.00 | $56.20 – $356.68 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $43.92 | $61.00 | $14.20 – $61.00 | 12 |
| Acute hepatitis panel CPT 80074 | $456.48 | $634.00 | $6.67 – $119.08 | 12 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.46 | $0.64 | $0.20 – $0.20 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $12.96 | $18.00 | $2.60 – $3.60 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $256.32 | $356.00 | $30.86 – $356.00 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $727.92 | $1,011.00 | $141.58 – $884.90 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $707.04 | $982.00 | $42.15 – $884.90 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $187.20 | $260.00 | $30.86 – $192.89 | 12 |
| Administration immunization 1 vaccine CPT 90471 | $79.92 | $111.00 | $35.36 – $192.89 | 12 |
| Administration vaccine hepatitis b HCPCS G0010 | $49.68 | $69.00 | $35.36 – $125.45 | 12 |
| Administration vaccine influenza virus HCPCS G0008 | $43.20 | $60.00 | $35.36 – $125.45 | 12 |
| Administration vaccine pneumococcal HCPCS G0009 | $83.52 | $116.00 | $35.36 – $125.45 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $97.20 | $135.00 | $7.78 – $50.13 | 12 |
| Afo w/ankle joint, prefab HCPCS L1971 | $19.44 | $27.00 | $27.00 – $1,165.70 | 11 |
| After cataract laser surgery CPT 66821 | $519.84 | $722.00 | $517.87 – $1,473.47 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.92 | $61.00 | $3.99 – $19.45 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $311.04 | $432.00 | $53.08 – $132.69 | 12 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $90.00 | $125.00 | $2.22 – $14.45 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $67.68 | $94.00 | $3.99 – $12.38 | 12 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $46.80 | $65.00 | $46.93 – $46.93 | 1 |
| Alkaline phosphatase CPT 84075 | $68.40 | $95.00 | $3.99 – $12.95 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $46.80 | $65.00 | $8.50 – $44.83 | 12 |
| Allergen egg white ige CPT 86003 | $56.88 | $79.00 | $5.22 – $13.05 | 12 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $50.40 | $70.00 | $7.97 – $19.93 | 12 |
| Allergy injections; 2 or more 95117 CPT 95117 | $141.84 | $197.00 | $22.81 – $125.45 | 12 |
| Allergy injection; single 95115 CPT 95115 | $90.00 | $125.00 | $22.81 – $125.45 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $217.44 | $302.00 | $8.82 – $41.93 | 12 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $320.04 | $444.50 | $88.23 – $234.58 | 12 |
| Alt/sgpt CPT 84460 | $87.84 | $122.00 | $3.99 – $13.25 | 12 |
| Aluminum - quest CPT 82108 | $32.40 | $45.00 | $9.08 – $63.70 | 12 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $69.12 | $96.00 | $17.18 – $17.18 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $13.32 | $18.50 | $4.17 – $4.17 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $2.59 | $3.60 | $0.68 – $0.68 | 1 |
| Ammonia CPT 82140 | $130.32 | $181.00 | $8.82 – $36.43 | 12 |
| Amphetamine confirm urine -sendout CPT 80324 | $136.08 | $189.00 | $10.33 – $10.82 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $27.72 | $38.50 | $2.19 – $2.19 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $378.72 | $526.00 | $262.99 – $657.48 | 11 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | not published | 0 |
| Amylase CPT 82150 | $118.08 | $164.00 | $3.99 – $16.20 | 12 |
| Analysis gene f2 20210g>a variant CPT 81240 | $177.12 | $246.00 | $34.38 – $164.23 | 12 |
| Analysis gene f5 leiden variant CPT 81241 | $342.00 | $475.00 | $34.38 – $183.43 | 12 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $270.72 | $376.00 | $31.63 – $87.73 | 12 |
| Anca screen with reflex to titer -quest CPT 86021 | $250.56 | $348.00 | $8.50 – $37.63 | 12 |
| An fluoro guide for cvp CPT 77001 | $627.12 | $871.00 | $183.97 – $708.00 | 3 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $414.00 | $575.00 | $51.11 – $233.14 | 12 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $82.08 | $114.00 | $8.50 – $32.20 | 12 |
| Antibody elution rbc reference CPT 86860 | $216.00 | $300.00 | $119.60 – $456.43 | 12 |
| Antibody htlv/hiv confirm test CPT 86689 | $112.32 | $156.00 | $8.50 – $48.38 | 12 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $156.24 | $217.00 | $8.50 – $45.93 | 12 |
| Antibody id rbc panel CPT 86870 | $453.60 | $630.00 | $119.60 – $960.29 | 12 |
| Antibody influenza virus CPT 86710 | $131.04 | $182.00 | $8.50 – $33.88 | 12 |
| Antibody screen rbc CPT 86850 | $85.68 | $119.00 | $3.27 – $139.61 | 12 |
| Antibody tetanus CPT 86774 | $119.52 | $166.00 | $8.50 – $37.00 | 12 |
| Anti mog serum - sendout CPT 86362 | $1,035.36 | $1,438.00 | $8.50 – $30.13 | 12 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $200.88 | $279.00 | $8.50 – $30.13 | 12 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $51.12 | $71.00 | $8.50 – $30.13 | 12 |
| Antinuclear antibodies CPT 86038 | $172.08 | $239.00 | $8.50 – $30.23 | 12 |
| Antinuclear antibodies titer CPT 86039 | $105.84 | $147.00 | $8.50 – $27.90 | 12 |
| Antiphosphatidylserine antibody CPT 86148 | $54.72 | $76.00 | $8.50 – $40.18 | 12 |
| Antistreptolysin o titer CPT 86060 | $97.20 | $135.00 | $7.30 – $18.25 | 12 |
| Antithrombin iii activity CPT 85300 | $131.76 | $183.00 | $3.27 – $29.63 | 12 |
| Application finger splntstatic 29130 CPT 29130 | $307.44 | $427.00 | $68.88 – $356.44 | 12 |
| Application long leg splint 29505 CPT 29505 | $307.44 | $427.00 | $68.88 – $435.35 | 12 |
| Application lower leg splint 29515 CPT 29515 | $373.68 | $519.00 | $68.88 – $435.35 | 12 |
| Application multi layer compression below knee (both sides) CPT 29581 | $299.52 | $416.00 | $163.65 – $435.35 | 13 |
| Application of forearm cast 29075 CPT 29075 | $286.56 | $398.00 | $163.65 – $749.31 | 12 |
| Application of long arm cast 29065 CPT 29065 | $286.56 | $398.00 | $163.65 – $749.31 | 12 |
| Application short leg cast 29405 CPT 29405 | $286.56 | $398.00 | $163.65 – $749.31 | 12 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $71.28 | $99.00 | $6.06 – $99.00 | 13 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $101.52 | $141.00 | $11.91 – $141.00 | 13 |
| Apply forearm splintdynamic 29126 CPT 29126 | $307.44 | $427.00 | $68.88 – $356.44 | 12 |
| Aquaporin-4 antibody cba each CPT 86052 | $460.08 | $639.00 | $8.50 – $30.13 | 12 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $8,398.08 | $11,664.00 | $708.00 – $8,459.04 | 12 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,324.80 | $1,840.00 | $224.03 – $822.34 | 12 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $766.80 | $1,065.00 | $328.94 – $822.34 | 12 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $318.96 | $443.00 | $224.03 – $822.34 | 12 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,324.80 | $1,840.00 | $224.03 – $822.34 | 12 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,021.04 | $2,807.00 | $621.45 – $1,897.12 | 12 |
| Assay of interleukin-6 (il-6) CPT 83529 | $162.72 | $226.00 | $8.82 – $43.18 | 12 |
| Assay of osteocalcin CPT 83937 | $82.80 | $115.00 | $25.81 – $74.63 | 12 |
| Assay of procainamide w/metab CPT 80192 | $44.64 | $62.00 | $8.95 – $41.88 | 12 |
| Assay of thiocyanate CPT 84430 | $20.16 | $28.00 | $9.08 – $29.08 | 12 |
| Assay of urine sulfate CPT 84392 | $390.24 | $542.00 | $2.22 – $13.73 | 12 |
| Ast/sgot CPT 84450 | $94.32 | $131.00 | $3.99 – $12.95 | 12 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $1.04 | $1.45 | $0.17 – $0.17 | 1 |
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.