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 |
|---|---|---|---|---|
| Puncture spinal lumbar diagnostic CPT 62270 | $1,395.36 | $1,938.00 | $695.24 – $1,891.09 | 12 |
| Quest t3 uptake CPT 84479 | $59.04 | $82.00 | $6.47 – $16.18 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,175.94 | $1,633.25 | $279.95 – $1,202.20 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,777.04 | $3,857.00 | $581.86 – $1,454.64 | 12 |
| Range of motion measurements CPT 95852 | $84.96 | $118.00 | $20.33 – $118.00 | 12 |
| Rapid Strep Test CPT 87880 | $105.12 | $146.00 | $7.78 – $41.33 | 12 |
| Rbc count only automated CPT 85041 | $21.60 | $30.00 | $3.02 – $7.55 | 12 |
| Recon, cta for surg plan HCPCS G0288 | $1,605.60 | $2,230.00 | $1,315.00 – $1,315.00 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $457.92 | $636.00 | $113.98 – $462.28 | 12 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $498.96 | $693.00 | $113.98 – $663.53 | 12 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $25.92 | $36.00 | $4.42 – $4.42 | 1 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $193.68 | $269.00 | $63.22 – $158.04 | 11 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $225.36 | $313.00 | $300.00 – $313.00 | 4 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,130.48 | $2,959.00 | $382.65 – $1,897.12 | 12 |
| Removal of foot lesion CPT 28090 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28104 | not published | not published | not published | 0 |
| Removal of heel bone CPT 28118 | not published | not published | not published | 0 |
| Removal of heel spur CPT 28119 | not published | not published | not published | 0 |
| Removal of implant deep CPT 20680 | not published | not published | not published | 0 |
| Renal function panel CPT 80069 | $123.12 | $171.00 | $6.67 – $21.70 | 12 |
| Repair achilles tendon CPT 27650 | not published | not published | not published | 0 |
| Repair blood vessel direct hand finger CPT 35207 | $7,236.00 | $10,050.00 | $1,906.18 – $8,459.04 | 12 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $3,925.44 | $5,452.00 | $382.65 – $1,089.07 | 12 |
| Repair lower leg tendons CPT 27675 | not published | not published | not published | 0 |
| Repair of ankle ligament CPT 27695 | not published | not published | not published | 0 |
| Repair of foot tendon CPT 28200 | not published | not published | not published | 0 |
| Repair of kneecap tendon CPT 27380 | not published | not published | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,105.92 | $1,536.00 | $154.17 – $1,444.89 | 12 |
| Replace duod/jej tube perc CPT 49451 | $1,786.32 | $2,481.00 | $354.02 – $2,429.86 | 12 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | $214.56 | $298.00 | $7.78 – $36.08 | 12 |
| Resp virus 6-11 targets CPT 87632 | $950.40 | $1,320.00 | $150.51 – $545.15 | 12 |
| Resuscitation cardiopulmonary CPT 92950 | $735.84 | $1,022.00 | $231.39 – $670.08 | 12 |
| Reticulocyte direct measurement automated CPT 85046 | $122.40 | $170.00 | $4.38 – $13.93 | 12 |
| Rheumatoid factor quantitative CPT 86431 | $100.08 | $139.00 | $5.67 – $14.18 | 12 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | not published | 0 |
| Rubella antibody igg CPT 86762 | $103.68 | $144.00 | $8.50 – $35.98 | 12 |
| Rubeola antibody igg CPT 86765 | $139.68 | $194.00 | $8.50 – $32.20 | 12 |
| Russell viper venom diluted CPT 85613 | $53.28 | $74.00 | $3.27 – $23.95 | 12 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $674.64 | $937.00 | $153.26 – $639.23 | 12 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,316.16 | $1,828.00 | $112.03 – $280.08 | 12 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,316.16 | $1,828.00 | $153.26 – $639.23 | 12 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $280.08 | $389.00 | $99.47 – $280.08 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $231.12 | $321.00 | $99.47 – $280.08 | 12 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,013.76 | $1,408.00 | $99.47 – $280.08 | 12 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,406.88 | $1,954.00 | $153.26 – $639.23 | 12 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $318.96 | $443.00 | $99.47 – $280.08 | 12 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $280.08 | $389.00 | $99.47 – $280.08 | 12 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | not published | 0 |
| Screening Mammogram CPT 77067 | $357.12 | $496.00 | $21.73 – $210.65 | 12 |
| Screening prostate cancer PSA HCPCS G0103 | $200.88 | $279.00 | $8.50 – $48.28 | 12 |
| Sedimentation rate erythrocyte automated CPT 85652 | $72.72 | $101.00 | $2.70 – $6.75 | 12 |
| Sertraline (zoloft) - sendout CPT 80332 | $105.84 | $147.00 | $51.50 – $53.95 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,722.40 | $5,170.00 | $370.49 – $2,862.00 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $2,949.12 | $4,096.00 | $370.49 – $2,862.00 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $2,943.36 | $4,088.00 | $219.59 – $2,862.00 | 13 |
| Shoulder X-ray CPT 73030 | $425.52 | $591.00 | $51.11 – $233.14 | 12 |
| Sickling rbc CPT 85660 | $53.28 | $74.00 | $4.38 – $13.78 | 12 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $429.12 | $596.00 | $88.23 – $181.71 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,269.44 | $3,152.00 | $187.96 – $2,290.00 | 13 |
| Sinus CT scan (with contrast) CPT 70487 | $2,059.20 | $2,860.00 | $187.96 – $2,290.00 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $1,965.60 | $2,730.00 | $97.12 – $2,290.00 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $3,466.08 | $4,814.00 | $719.35 – $2,300.60 | 12 |
| Sleep study unattended CPT 95806 | $295.92 | $411.00 | $138.16 – $578.47 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $71.28 | $99.00 | $5.39 – $13.48 | 12 |
| Smear gram stain CPT 87205 | $114.48 | $159.00 | $4.27 – $10.68 | 12 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $104.40 | $145.00 | $5.99 – $14.98 | 12 |
| Sodium 24 hour urine CPT 84300 | $108.00 | $150.00 | $3.99 – $12.65 | 12 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $32.40 | $45.00 | $3.28 – $3.28 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $32.40 | $45.00 | $2.13 – $2.13 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $45.00 | $1.09 – $1.09 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.06 | $0.09 | $0.09 – $0.09 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $66.96 | $93.00 | $3.99 – $12.03 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $652.32 | $906.00 | $93.91 – $999.71 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $275.04 | $382.00 | $107.02 – $267.55 | 12 |
| Staph a dna amp probe CPT 87640 | $177.84 | $247.00 | $31.63 – $87.73 | 12 |
| St evaluate speech sound production CPT 92522 | $314.64 | $437.00 | $109.53 – $273.83 | 12 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $421.20 | $585.00 | $190.00 – $547.43 | 12 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $429.84 | $597.00 | $89.52 – $223.80 | 12 |
| St evaluation swallow function CPT 92610 | $345.60 | $480.00 | $81.89 – $217.17 | 12 |
| Strep a dna quant CPT 87652 | $75.60 | $105.00 | $31.63 – $104.40 | 12 |
| Stress test pulmonary CPT 94618 | $257.04 | $357.00 | $52.41 – $356.44 | 12 |
| Stress tte complete CPT 93351 | $1,026.00 | $1,425.00 | $394.09 – $1,463.87 | 12 |
| St treatment speech individual CPT 92507 | $281.52 | $391.00 | $73.90 – $217.17 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | $229.68 | $319.00 | $32.81 – $203.45 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $3.60 | $5.00 | $2.56 – $2.56 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $156.24 | $217.00 | $10.33 – $10.82 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $176.40 | $245.00 | $53.00 – $53.00 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $21.60 | $30.00 | $30.00 – $176.20 | 11 |
| Surgical pathology level 1 gross examination only CPT 88300 | $59.04 | $82.00 | $29.34 – $77.49 | 12 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $75.60 | $105.00 | $29.34 – $100.07 | 12 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $226.80 | $315.00 | $29.34 – $139.61 | 12 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $281.52 | $391.00 | $29.34 – $139.61 | 12 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $599.04 | $832.00 | $119.73 – $960.29 | 12 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,029.60 | $1,430.00 | $119.73 – $2,158.45 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $44.64 | $62.00 | $4.75 – $11.88 | 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.