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 |
|---|---|---|---|---|
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $263.52 | $366.00 | $31.82 – $138.00 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $117.36 | $163.00 | $27.58 – $163.00 | 13 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $107.88 | $149.83 | $18.63 – $18.63 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $12.96 | $18.00 | $14.34 – $14.34 | 1 |
| Parathormone (pth) intact CPT 83970 | $95.76 | $133.00 | $25.81 – $103.20 | 12 |
| Parathyroid planar imaging CPT 78070 | $1,229.04 | $1,707.00 | $428.40 – $1,071.01 | 12 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,313.28 | $1,824.00 | $334.42 – $1,071.01 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,382.48 | $3,309.00 | $187.96 – $2,290.00 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,121.12 | $2,946.00 | $187.96 – $2,290.00 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,906.56 | $2,648.00 | $97.12 – $2,290.00 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,561.12 | $4,946.00 | $149.54 – $2,862.00 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $2,905.92 | $4,036.00 | $370.49 – $2,862.00 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $2,687.04 | $3,732.00 | $102.28 – $2,862.00 | 13 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,164.24 | $1,617.00 | $112.03 – $280.08 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,056.24 | $1,467.00 | $44.81 – $280.08 | 12 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $339.48 | $471.50 | $66.35 – $66.35 | 1 |
| Peripheral vascular rehab CPT 93668 | $128.88 | $179.00 | $63.22 – $158.04 | 12 |
| Perq dev breast 1st mr guide CPT 19287 | $1,348.56 | $1,873.00 | $758.85 – $1,897.12 | 12 |
| Ph body fluid CPT 83986 | $22.32 | $31.00 | $3.58 – $8.95 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $118.80 | $165.00 | $8.95 – $38.25 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $171.36 | $238.00 | $8.95 – $33.13 | 12 |
| Phlebotomy therapeutic CPT 99195 | $193.68 | $269.00 | $57.03 – $356.44 | 12 |
| Phosphorus CPT 84100 | $95.04 | $132.00 | $3.99 – $11.85 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $138.96 | $193.00 | $3.99 – $14.45 | 12 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $14.80 | $20.55 | $4.64 – $4.64 | 1 |
| Pinworm exam CPT 87172 | $47.52 | $66.00 | $4.27 – $10.68 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $12.06 | $16.75 | $1.80 – $1.80 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,749.60 | $2,430.00 | $708.00 – $4,424.71 | 12 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $882.72 | $1,226.00 | $758.85 – $1,897.12 | 12 |
| Platelet automated CPT 85049 | $44.64 | $62.00 | $4.38 – $11.20 | 12 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $851.76 | $1,183.00 | $144.26 – $360.65 | 12 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $776.88 | $1,079.00 | $189.59 – $473.98 | 12 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $884.88 | $1,229.00 | $251.35 – $1,278.98 | 12 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $806.40 | $1,120.00 | $251.35 – $1,701.53 | 12 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $801.36 | $1,113.00 | $251.35 – $1,518.58 | 12 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $371.52 | $516.00 | $93.91 – $999.71 | 12 |
| #pnh-flow cytometry interp CPT 88187 | $172.80 | $240.00 | $24.25 – $68.76 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $324.72 | $451.00 | $20.78 – $65.18 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,701.52 | $5,141.00 | $719.35 – $2,300.60 | 12 |
| Potassium 24 hour urine CPT 84133 | $90.00 | $125.00 | $3.99 – $11.83 | 12 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $65.52 | $91.00 | $0.20 – $0.20 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $62.64 | $87.00 | $3.99 – $11.90 | 12 |
| Pq thr inj ext pse CPT 36002 | $1,393.20 | $1,935.00 | $672.23 – $1,680.57 | 12 |
| Pr application of long arm splint CPT 29105 | $308.88 | $429.00 | $68.88 – $435.35 | 12 |
| Pr application splint static short arm CPT 29125 | $306.00 | $425.00 | $68.88 – $356.44 | 12 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Prealbumin CPT 84134 | $128.16 | $178.00 | $8.82 – $36.48 | 12 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.16 | $3.00 | $1.00 – $1.00 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.22 | $0.30 | $0.02 – $0.02 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | $148.32 | $206.00 | $8.82 – $37.63 | 12 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $975.60 | $1,355.00 | $91.63 – $280.08 | 12 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $975.60 | $1,355.00 | $91.63 – $280.08 | 12 |
| Pretreat rbc absorption reference CPT 86978 | $153.36 | $213.00 | $63.22 – $158.04 | 12 |
| Pretreat rbc density gradient separation reference CPT 86972 | $216.00 | $300.00 | $77.12 – $456.43 | 12 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $152.64 | $212.00 | $63.22 – $158.04 | 12 |
| Pretreat rbc w enzyme reference CPT 86971 | $216.00 | $300.00 | $77.12 – $456.43 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,574.00 | $1,574.00 | $382.65 – $1,574.00 | 13 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $800.64 | $1,112.00 | $150.25 – $1,089.07 | 12 |
| Pr incision & drainage abscess simple/single CPT 10060 | $402.48 | $559.00 | $150.25 – $537.51 | 12 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $421.92 | $586.00 | $192.27 – $816.39 | 12 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $692.64 | $962.00 | $150.25 – $1,089.07 | 12 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | not published | 0 |
| Procalcitonin CPT 84145 | $334.80 | $465.00 | $9.74 – $68.05 | 12 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $25.20 | $35.00 | $4.16 – $4.16 | 1 |
| Progesterone CPT 84144 | $166.32 | $231.00 | $9.74 – $52.15 | 12 |
| Prolactin CPT 84146 | $216.72 | $301.00 | $9.74 – $48.45 | 12 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $45.32 | $62.94 | $62.94 – $62.94 | 1 |
| Protein c activity CPT 85303 | $159.84 | $222.00 | $3.27 – $34.60 | 12 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $184.32 | $256.00 | $3.99 – $26.85 | 12 |
| Protein s total CPT 85305 | $312.48 | $434.00 | $3.27 – $29.03 | 12 |
| Protein total 24 hour urine CPT 84156 | $92.16 | $128.00 | $3.67 – $9.18 | 12 |
| Protein total body fluid CPT 84157 | $55.44 | $77.00 | $3.99 – $10.00 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $41.04 | $57.00 | $3.67 – $9.18 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $168.48 | $234.00 | $142.58 – $356.44 | 11 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $742.32 | $1,031.00 | $347.42 – $1,089.07 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $298.80 | $415.00 | $165.87 – $537.51 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $327.60 | $455.00 | $165.87 – $537.51 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $275.76 | $383.00 | $165.87 – $537.51 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $303.84 | $422.00 | $165.87 – $537.51 | 12 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,098.80 | $2,915.00 | $708.00 – $4,217.23 | 12 |
| PSA (Prostate) Test CPT 84153 | $177.84 | $247.00 | $8.82 – $45.98 | 12 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $115.92 | $161.00 | $14.55 – $161.00 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $126.72 | $176.00 | $18.58 – $176.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $96.48 | $134.00 | $14.14 – $134.00 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $119.52 | $166.00 | $14.22 – $166.00 | 13 |
| Pt evaluation high complexity patient/family CPT 97163 | $789.84 | $1,097.00 | $94.52 – $300.00 | 13 |
| Pt evaluation low complexity patient/family CPT 97161 | $263.52 | $366.00 | $94.52 – $300.00 | 13 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $526.32 | $731.00 | $94.52 – $300.00 | 13 |
| Pt re-evaluation patient/family CPT 97164 | $202.32 | $281.00 | $65.00 – $281.00 | 13 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $91.44 | $127.00 | $12.52 – $127.00 | 13 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $263.52 | $366.00 | $27.58 – $137.00 | 13 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $113.76 | $158.00 | $27.58 – $158.00 | 13 |
| Pt wheelchair management each 15 minutes CPT 97542 | $106.56 | $148.00 | $30.23 – $148.00 | 13 |
| Pulse ox continuous overnight monitoring CPT 94762 | $312.48 | $434.00 | $52.41 – $344.72 | 12 |
| Pulse ox single CPT 94760 | $47.52 | $66.00 | $66.00 – $66.00 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $138.96 | $193.00 | $68.36 – $356.44 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $431.28 | $599.00 | $150.25 – $1,089.07 | 12 |
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.