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 |
|---|---|---|---|---|
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $1.20 | $1.66 | $0.43 – $0.43 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.96 | $18.00 | $1.78 – $1.78 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $2.59 | $3.60 | $0.20 – $0.20 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $1.31 | $1.82 | $0.05 – $0.05 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $6.48 | $9.00 | $0.23 – $0.23 | 1 |
| Mopath procedure level 1 CPT 81400 | $446.40 | $620.00 | $34.38 – $159.90 | 12 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $12.96 | $18.00 | $5.02 – $5.02 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $12.96 | $18.00 | $11.17 – $11.17 | 1 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $453.60 | $630.00 | $119.73 – $960.29 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $293.04 | $407.00 | $119.73 – $456.43 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $717.12 | $996.00 | $119.73 – $456.43 | 12 |
| MRA chest w IV cont HCPCS C8909 | $2,422.08 | $3,364.00 | $373.86 – $2,862.00 | 13 |
| MRA chest wo IV cont HCPCS C8910 | $2,226.96 | $3,093.00 | $255.69 – $2,862.00 | 13 |
| MRA chest wwo IV cont HCPCS C8911 | $2,862.72 | $3,976.00 | $373.86 – $2,862.00 | 13 |
| MRA pelvis w IV cont HCPCS C8918 | $2,641.68 | $3,669.00 | $373.86 – $2,862.00 | 13 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,286.00 | $3,175.00 | $255.69 – $2,862.00 | 13 |
| MRA w/cont, abd HCPCS C8900 | $2,357.28 | $3,274.00 | $373.86 – $2,862.00 | 13 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,905.92 | $4,036.00 | $373.86 – $2,862.00 | 13 |
| Mra, w/dye, upper extremity HCPCS C8934 | $2,070.00 | $2,875.00 | $373.86 – $2,862.00 | 13 |
| MRA without cont, abd HCPCS C8901 | $2,315.52 | $3,216.00 | $255.69 – $2,862.00 | 13 |
| MRA without cont, lwr ext HCPCS C8913 | $2,514.24 | $3,492.00 | $255.69 – $2,862.00 | 13 |
| Mra, without dye, upper extr HCPCS C8935 | $1,611.36 | $2,238.00 | $255.69 – $2,238.00 | 13 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,846.16 | $3,953.00 | $373.86 – $2,862.00 | 13 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,333.60 | $4,630.00 | $373.86 – $2,862.00 | 13 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $3,333.60 | $4,630.00 | $373.86 – $2,862.00 | 13 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,334.96 | $3,243.00 | $373.86 – $2,862.00 | 13 |
| MRI breast c- unilateral CPT 77046 | $1,868.40 | $2,595.00 | $219.59 – $2,595.00 | 13 |
| MRI breast without cont bi CPT 77047 | $551.52 | $766.00 | $219.59 – $766.00 | 13 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $882.72 | $1,226.00 | $370.49 – $1,226.00 | 13 |
| MRI chest without contrast CPT 71550 | $2,514.24 | $3,492.00 | $219.59 – $2,862.00 | 13 |
| MRI chest without & w/contrast CPT 71552 | $3,667.68 | $5,094.00 | $370.49 – $2,862.00 | 13 |
| MRI chest w IV cont CPT 71551 | $2,905.92 | $4,036.00 | $370.49 – $2,862.00 | 13 |
| MRI fetal sngl/1st gestation CPT 74712 | $551.52 | $766.00 | $219.59 – $766.00 | 13 |
| MRI loex nonjt w IV cont CPT 73719 | $3,037.68 | $4,219.00 | $370.49 – $2,862.00 | 13 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,934.00 | $4,075.00 | $219.59 – $2,862.00 | 13 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,722.40 | $5,170.00 | $370.49 – $2,862.00 | 13 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,624.40 | $3,645.00 | $219.59 – $2,862.00 | 13 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,718.08 | $5,164.00 | $370.49 – $2,862.00 | 13 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,034.08 | $4,214.00 | $370.49 – $2,862.00 | 13 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,808.00 | $3,900.00 | $219.59 – $2,862.00 | 13 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,834.72 | $5,326.00 | $370.49 – $2,862.00 | 13 |
| MRI upper extremity w/dye CPT 73219 | $3,037.68 | $4,219.00 | $370.49 – $2,862.00 | 13 |
| MRI w/cont, breast, bi HCPCS C8906 | $882.72 | $1,226.00 | $370.49 – $1,226.00 | 13 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,286.72 | $3,176.00 | $187.96 – $2,862.00 | 13 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,741.76 | $3,808.00 | $370.49 – $2,862.00 | 13 |
| Mthfr gene analy common variants CPT 81291 | $694.08 | $964.00 | $34.38 – $163.35 | 12 |
| Multiple sleep latency test CPT 95805 | $3,059.28 | $4,249.00 | $719.35 – $2,300.60 | 12 |
| Mumps antibody igg CPT 86735 | $114.48 | $159.00 | $8.50 – $32.63 | 12 |
| Mycoplasma antibody igm CPT 86738 | $612.72 | $851.00 | $8.50 – $33.10 | 12 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,843.92 | $2,561.00 | $508.85 – $2,100.16 | 12 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $124.56 | $173.00 | $8.82 – $28.83 | 12 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.37 | $1.90 | $0.12 – $0.12 | 1 |
| Natriuretic peptide CPT 83880 | $303.12 | $421.00 | $20.78 – $98.15 | 12 |
| Natural killer cells total count CPT 86357 | $181.44 | $252.00 | $30.13 – $94.33 | 12 |
| Ndl insj without njx 3+ musc CPT 20561 | $69.84 | $97.00 | $27.58 – $77.49 | 12 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,931.84 | $4,072.00 | $187.96 – $2,290.00 | 13 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,411.28 | $3,349.00 | $97.12 – $2,290.00 | 13 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,682.08 | $5,114.00 | $149.54 – $2,862.00 | 13 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,340.08 | $4,639.00 | $370.49 – $2,862.00 | 13 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,143.52 | $4,366.00 | $102.28 – $2,862.00 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,718.08 | $5,164.00 | $373.86 – $2,862.00 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,034.08 | $4,214.00 | $373.86 – $2,862.00 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,548.08 | $3,539.00 | $255.69 – $2,862.00 | 13 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $1.62 | $2.25 | $2.25 – $2.25 | 1 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $335.52 | $466.00 | $146.00 – $146.00 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $424.80 | $590.00 | $146.00 – $146.00 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $567.36 | $788.00 | $146.00 – $146.00 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $705.60 | $980.00 | $146.00 – $146.00 | 1 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $1.40 | $1.95 | $0.12 – $1.95 | 3 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $7.78 | $10.80 | $2.51 – $2.51 | 1 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,748.16 | $2,428.00 | $695.24 – $2,369.54 | 12 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,573.20 | $2,185.00 | $334.42 – $1,071.01 | 12 |
| Nm imaging bone/joint whole body CPT 78306 | $1,573.20 | $2,185.00 | $334.42 – $1,071.01 | 12 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,594.08 | $2,214.00 | $334.42 – $1,071.01 | 12 |
| Nm imaging gastric emptying study CPT 78264 | $1,544.40 | $2,145.00 | $334.42 – $1,071.01 | 12 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,355.04 | $1,882.00 | $428.40 – $1,071.01 | 12 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,892.16 | $2,628.00 | $334.42 – $1,454.64 | 12 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,694.16 | $2,353.00 | $334.42 – $1,454.64 | 12 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,229.04 | $1,707.00 | $334.42 – $1,071.01 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,075.92 | $5,661.00 | $800.98 – $3,468.42 | 12 |
| Observation direct referral from physician office for admission HCPCS G0379 | $662.40 | $920.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $61.92 | $86.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $280.08 | $389.00 | $91.63 – $280.08 | 12 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.56 | $48.00 | $1.09 – $1.09 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $3.46 | $4.80 | $1.34 – $1.34 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.24 | $4.50 | $0.15 – $0.15 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $54.00 | $75.00 | $10.54 – $10.54 | 1 |
| Osmolality blood CPT 83930 | $83.52 | $116.00 | $3.99 – $16.53 | 12 |
| Osmolality urine CPT 83935 | $70.56 | $98.00 | $3.99 – $17.05 | 12 |
| Ot evaluation high complexity patient/family CPT 97167 | $838.08 | $1,164.00 | $96.97 – $300.00 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $287.28 | $399.00 | $96.97 – $300.00 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $575.28 | $799.00 | $96.97 – $300.00 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $144.00 | $200.00 | $32.81 – $200.00 | 13 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $526.32 | $731.00 | $27.02 – $160.00 | 13 |
| Ot re-evaluation patient/family CPT 97168 | $166.32 | $231.00 | $65.92 – $231.00 | 13 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $117.36 | $163.00 | $32.81 – $163.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $116.64 | $162.00 | $20.64 – $162.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $123.84 | $172.00 | $22.29 – $172.00 | 13 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $118.08 | $164.00 | $28.30 – $164.00 | 13 |
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.