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 |
|---|---|---|---|---|
| X-ray eye detection foreign body (both sides) CPT 70030 | $403.92 | $561.00 | $37.30 – $233.14 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $485.28 | $674.00 | $51.11 – $280.08 | 12 |
| X-ray femur >=2 views (both sides) CPT 73552 | $385.92 | $536.00 | $51.11 – $233.14 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $352.08 | $489.00 | $25.55 – $116.57 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | $379.44 | $527.00 | $25.55 – $116.57 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | $379.44 | $527.00 | $51.11 – $233.14 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | $379.44 | $527.00 | $25.55 – $140.04 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $352.08 | $489.00 | $25.55 – $116.57 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $406.80 | $565.00 | $51.11 – $280.08 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $496.08 | $689.00 | $44.81 – $280.08 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $496.80 | $690.00 | $44.81 – $280.08 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | $385.92 | $536.00 | $25.55 – $116.57 | 12 |
| X-ray joint survey 1 view CPT 77077 | $280.08 | $389.00 | $51.11 – $280.08 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $432.00 | $600.00 | $51.11 – $233.14 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | $440.64 | $612.00 | $51.11 – $233.14 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $409.68 | $569.00 | $51.11 – $280.08 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $768.24 | $1,067.00 | $44.81 – $280.08 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $909.36 | $1,263.00 | $51.11 – $280.08 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | $385.92 | $536.00 | $51.11 – $280.08 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $385.92 | $536.00 | $25.55 – $116.57 | 12 |
| X-ray neck soft tissue CPT 70360 | $403.92 | $561.00 | $51.11 – $233.14 | 12 |
| X-ray optic foramina CPT 70190 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $379.44 | $527.00 | $51.11 – $280.08 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $414.00 | $575.00 | $51.11 – $280.08 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $946.08 | $1,314.00 | $107.70 – $934.65 | 12 |
| X-ray ribs 2 views left CPT 71100 | $415.44 | $577.00 | $51.11 – $233.14 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $519.84 | $722.00 | $44.81 – $280.08 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $498.96 | $693.00 | $51.11 – $280.08 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $633.60 | $880.00 | $44.81 – $280.08 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $419.76 | $583.00 | $51.11 – $280.08 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $431.28 | $599.00 | $37.30 – $233.14 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | $385.92 | $536.00 | $51.11 – $280.08 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $352.08 | $489.00 | $51.11 – $233.14 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $485.28 | $674.00 | $51.11 – $233.14 | 12 |
| X-ray skull < 4 views CPT 70250 | $415.44 | $577.00 | $51.11 – $280.08 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $648.00 | $900.00 | $51.11 – $280.08 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $788.40 | $1,095.00 | $107.70 – $469.91 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $1,092.96 | $1,518.00 | $107.70 – $708.00 | 3 |
| X-ray spine single view CPT 72020 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray sternum > 2 views CPT 71120 | $385.92 | $536.00 | $51.11 – $233.14 | 12 |
| X-ray surgical specimen CPT 76098 | $591.84 | $822.00 | $107.70 – $1,463.87 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $718.56 | $998.00 | $107.70 – $469.91 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $385.92 | $536.00 | $51.11 – $280.08 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $473.76 | $658.00 | $44.81 – $280.08 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $321.12 | $446.00 | $51.11 – $233.14 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $256.32 | $356.00 | $51.11 – $233.14 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $589.68 | $819.00 | $51.11 – $280.08 | 12 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $385.92 | $536.00 | $25.55 – $116.57 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $489.00 | $489.00 | $37.30 – $489.00 | 13 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,109.52 | $1,541.00 | $107.70 – $469.91 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $458.64 | $637.00 | $107.70 – $469.91 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | $379.44 | $527.00 | $25.55 – $116.57 | 12 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $207.36 | $288.00 | $8.38 – $8.38 | 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.