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 |
|---|---|---|---|---|
| Autologous blood process CPT 86890 | $333.36 | $463.00 | $77.12 – $456.43 | 12 |
| Automated diff wbc count CPT 85004 | $54.00 | $75.00 | $4.38 – $16.18 | 12 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $310.00 | $310.00 | $60.45 – $537.51 | 13 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $31.68 | $44.00 | $3.37 – $3.37 | 1 |
| Baclofen eval charges CPT 97750 | $115.92 | $161.00 | $32.60 – $161.00 | 13 |
| Bacterial vaginosis pcr CPT 87801 | $294.48 | $409.00 | $31.63 – $175.50 | 12 |
| #bac vag cand-c. albicans naa CPT 87481 | $100.08 | $139.00 | $31.63 – $87.73 | 12 |
| B cells total count CPT 86355 | $185.76 | $258.00 | $30.13 – $94.33 | 12 |
| Bebtelovimab injection HCPCS M0222 | $360.72 | $501.00 | $42.15 – $44.16 | 2 |
| #_benzodiazconfur CPT 80346 | $87.12 | $121.00 | $10.33 – $10.82 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $97.20 | $135.00 | $8.50 – $63.63 | 12 |
| Beta-2 microglobulin CPT 82232 | $113.76 | $158.00 | $9.74 – $40.45 | 12 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | not published | 0 |
| Bilirubin direct CPT 82248 | $78.48 | $109.00 | $3.99 – $12.55 | 12 |
| Bilirubin total CPT 82247 | $69.84 | $97.00 | $3.99 – $12.55 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $262.80 | $365.00 | $78.42 – $669.36 | 12 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $432.00 | $600.00 | $108.30 – $108.30 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,808.00 | $3,900.00 | $2,815.80 – $2,815.80 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $74.16 | $103.00 | $3.27 – $10.73 | 12 |
| Blood Clotting (PTT) Test CPT 85730 | $120.96 | $168.00 | $3.27 – $15.03 | 12 |
| Blood Count (CBC) Test CPT 85025 | $111.60 | $155.00 | $4.38 – $19.43 | 12 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $84.24 | $117.00 | $4.38 – $12.50 | 12 |
| Blood Culture Test CPT 87040 | $252.00 | $350.00 | $7.78 – $25.80 | 12 |
| Blood draw capillary 36416 CPT 36416 | $42.48 | $59.00 | $2.48 – $17.68 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $324.72 | $451.00 | $50.26 – $196.93 | 12 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $47.52 | $66.00 | $3.99 – $10.58 | 12 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $59.04 | $82.00 | $3.99 – $13.30 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $49.68 | $69.00 | $3.80 – $9.50 | 12 |
| Blood typing abo CPT 86900 | $142.56 | $198.00 | $3.27 – $356.44 | 12 |
| Blood typing ag donor ea ag CPT 86902 | $453.60 | $630.00 | $3.27 – $960.29 | 12 |
| Blood typing patient serum CPT 86904 | $74.88 | $104.00 | $3.27 – $158.04 | 12 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $453.60 | $630.00 | $3.27 – $960.29 | 12 |
| Blood typing rh (d) CPT 86901 | $56.88 | $79.00 | $3.27 – $100.07 | 12 |
| Blood typing rh phenotype complete reference CPT 86906 | $85.68 | $119.00 | $3.27 – $100.07 | 12 |
| Bone biopsy open superficial CPT 20240 | not published | not published | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $586.08 | $814.00 | $44.81 – $280.08 | 12 |
| Bone imaging multiple areas CPT 78305 | $1,380.24 | $1,917.00 | $334.42 – $1,071.01 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $1,380.24 | $1,917.00 | $334.42 – $1,071.01 | 12 |
| Bone survey-lead poisoning CPT 77074 | $280.08 | $389.00 | $51.11 – $280.08 | 12 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $203.76 | $283.00 | $8.50 – $42.58 | 12 |
| Borrelia miyamotoi amp prb CPT 87478 | $114.48 | $159.00 | $31.63 – $87.73 | 12 |
| Bowel imaging CPT 78290 | $1,355.04 | $1,882.00 | $334.42 – $1,071.01 | 12 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,718.08 | $5,164.00 | $373.86 – $2,862.00 | 13 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,034.08 | $4,214.00 | $373.86 – $2,862.00 | 13 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,815.92 | $3,911.00 | $255.69 – $2,862.00 | 13 |
| Brain MRI (with and without contrast) CPT 70553 | $4,238.64 | $5,887.00 | $149.54 – $2,862.00 | 13 |
| Brain MRI (with contrast) CPT 70552 | $3,246.48 | $4,509.00 | $370.49 – $2,862.00 | 13 |
| Brain MRI (without contrast) CPT 70551 | $3,026.16 | $4,203.00 | $102.28 – $2,862.00 | 13 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,197.52 | $4,441.00 | $1,210.68 – $4,424.71 | 12 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $12.96 | $18.00 | $0.59 – $0.59 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $176.40 | $245.00 | $29.34 – $139.61 | 12 |
| Bundled special stain group 2 CPT 88313 | $164.88 | $229.00 | $29.34 – $356.44 | 12 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $0.26 | $0.36 | $0.02 – $0.02 | 1 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,052.80 | $4,240.00 | $1,210.68 – $4,424.71 | 12 |
| C1 esterase inhibitor func - sendout CPT 86161 | $249.12 | $346.00 | $8.50 – $30.00 | 12 |
| Cad breast MRI w/r&i HCPCS C8937 | $248.40 | $345.00 | $345.00 – $345.00 | 1 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,456.00 | $4,800.00 | $1,147.55 – $2,364.78 | 3 |
| Calcium 24 hour urine CPT 82340 | $138.96 | $193.00 | $3.99 – $15.08 | 12 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $0.12 | $0.16 | $0.05 – $0.05 | 1 |
| Calcium ionized CPT 82330 | $142.56 | $198.00 | $8.82 – $34.20 | 12 |
| Calcium total CPT 82310 | $74.16 | $103.00 | $3.99 – $12.90 | 12 |
| Calprotectin fecal CPT 83993 | $256.32 | $356.00 | $8.82 – $49.08 | 12 |
| Candida dna CPT 87480 | $100.08 | $139.00 | $7.78 – $50.13 | 12 |
| Canthotomy 67715 CPT 67715 | $3,319.20 | $4,610.00 | $1,203.63 – $6,369.39 | 12 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | not published | 0 |
| Carbamazepine free CPT 80157 | $67.68 | $94.00 | $8.95 – $33.13 | 12 |
| Carbamazepine total therapeutic drug level CPT 80156 | $123.12 | $171.00 | $8.95 – $36.43 | 12 |
| Carbon dioxide CPT 82374 | $47.52 | $66.00 | $3.99 – $12.20 | 12 |
| Carcinoembryonic ag (cea) CPT 82378 | $177.84 | $247.00 | $8.82 – $47.40 | 12 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,038.32 | $2,831.00 | $800.98 – $3,468.42 | 12 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $185.76 | $258.00 | $138.14 – $345.35 | 12 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $184.32 | $256.00 | $138.14 – $345.35 | 12 |
| Cardiolipin antibody iga CPT 86147 | $160.56 | $223.00 | $8.50 – $63.63 | 12 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,447.92 | $2,011.00 | $563.94 – $1,770.70 | 12 |
| Carotene CPT 82380 | $53.28 | $74.00 | $3.99 – $23.05 | 12 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $848.16 | $1,178.00 | $102.28 – $639.23 | 12 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $2,044.08 | $2,839.00 | $896.85 – $2,491.40 | 12 |
| Cataract Surgery CPT 66984 | not published | not published | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $583.20 | $810.00 | $119.85 – $119.85 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $123.84 | $172.00 | $2.48 – $23.35 | 12 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $432.00 | $600.00 | $21.66 – $21.66 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $289.44 | $402.00 | $298.08 – $402.00 | 3 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $14.40 | $20.00 | $13.72 – $13.72 | 1 |
| Cdna analysis for variants CPT 81403 | $1,016.64 | $1,412.00 | $121.56 – $463.00 | 12 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $10.80 | $15.00 | $1.37 – $1.37 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $8.55 | $11.88 | $1.44 – $1.44 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $20.88 | $29.00 | $7.82 – $7.82 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $33.12 | $46.00 | $0.76 – $0.76 | 1 |
| #celiac hla-dq2 CPT 81377 | $815.04 | $1,132.00 | $34.38 – $236.85 | 12 |
| #celiac hla-dq8 CPT 81383 | $815.04 | $1,132.00 | $34.38 – $272.83 | 12 |
| Cell count w differential body fluid CPT 89051 | $149.04 | $207.00 | $3.66 – $14.00 | 12 |
| #cf-97variants CPT 81220 | $1,100.88 | $1,529.00 | $265.21 – $1,391.50 | 12 |
| Change of windpipe airway 31502 CPT 31502 | $467.28 | $649.00 | $154.17 – $634.53 | 12 |
| Chest 2 vws w oblique CPT 71048 | $413.28 | $574.00 | $51.11 – $280.08 | 12 |
| Chest apical lordotic proj CPT 71047 | $334.80 | $465.00 | $51.11 – $233.14 | 12 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,843.28 | $3,949.00 | $75.19 – $2,290.00 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $2,487.60 | $3,455.00 | $75.19 – $2,290.00 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $1,982.88 | $2,754.00 | $97.12 – $2,290.00 | 13 |
| Chest X-ray CPT 71046 | $388.80 | $540.00 | $37.30 – $233.14 | 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.