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 |
|---|---|---|---|---|
| Chest X-ray (single view) CPT 71045 | $337.68 | $469.00 | $51.11 – $233.14 | 12 |
| Chg pr pul rehab for copd patients CPT 94626 | $164.16 | $228.00 | $31.11 – $158.04 | 12 |
| Chlamydia culture CPT 87110 | $92.16 | $128.00 | $7.78 – $49.00 | 12 |
| Chlamydia type CPT 87140 | $48.96 | $68.00 | $5.57 – $13.93 | 12 |
| Chloride CPT 82435 | $47.52 | $66.00 | $3.99 – $11.50 | 12 |
| Chloride 24 hour urine CPT 82436 | $90.72 | $126.00 | $3.99 – $14.38 | 12 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $840.96 | $1,168.00 | $183.97 – $708.00 | 3 |
| Cholesterol CPT 82465 | $80.64 | $112.00 | $3.99 – $10.88 | 12 |
| Cholesterol (Lipid) Test CPT 80061 | $215.28 | $299.00 | $6.67 – $33.48 | 12 |
| Cholinesterase CPT 82480 | $62.64 | $87.00 | $3.99 – $19.68 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $355.68 | $494.00 | $34.38 – $142.60 | 12 |
| Chromosome analysis 15-20 cell count CPT 88262 | $478.80 | $665.00 | $34.38 – $313.73 | 12 |
| Chromosome study additional CPT 88289 | $102.24 | $142.00 | $34.38 – $86.08 | 12 |
| Chronic urticaria - sendout CPT 86343 | $249.84 | $347.00 | $8.50 – $31.15 | 12 |
| Cine/video x-rays add-on CPT 76125 | $465.84 | $647.00 | $51.11 – $647.00 | 3 |
| Clearance of airways CPT 31720 | $219.60 | $305.00 | $52.41 – $586.65 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $32.76 | $45.50 | $3.15 – $3.15 | 1 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,186.72 | $4,426.00 | $418.59 – $4,307.88 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,728.72 | $2,401.00 | $418.59 – $4,307.88 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $486.72 | $676.00 | $264.33 – $660.83 | 12 |
| Clot factor xii hageman CPT 85280 | $38.88 | $54.00 | $18.69 – $48.38 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $480.24 | $667.00 | $264.33 – $660.83 | 12 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $523.44 | $727.00 | $264.33 – $660.83 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $429.84 | $597.00 | $264.33 – $660.83 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $636.48 | $884.00 | $264.33 – $660.83 | 12 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $480.24 | $667.00 | $264.33 – $660.83 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,405.60 | $4,730.00 | $418.59 – $4,307.88 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $438.48 | $609.00 | $264.33 – $660.83 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,496.16 | $2,078.00 | $209.30 – $2,153.94 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $440.64 | $612.00 | $264.33 – $660.83 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $438.48 | $609.00 | $264.33 – $660.83 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,076.56 | $4,273.00 | $418.59 – $4,307.88 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $438.48 | $609.00 | $264.33 – $660.83 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,307.68 | $4,594.00 | $418.59 – $4,307.88 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $429.84 | $597.00 | $264.33 – $660.83 | 12 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,728.72 | $2,401.00 | $418.59 – $4,307.88 | 12 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,458.80 | $3,415.00 | $418.59 – $4,307.88 | 12 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $117.36 | $163.00 | $7.78 – $48.90 | 12 |
| Cmv pcr-sendout CPT 87496 | $664.56 | $923.00 | $31.63 – $87.73 | 12 |
| Cold agglutinin titer CPT 86157 | $199.44 | $277.00 | $8.06 – $20.15 | 12 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $11.52 | $16.00 | $16.00 – $73.02 | 11 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $159.84 | $222.00 | $68.36 – $356.44 | 12 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $159.84 | $222.00 | $68.36 – $356.44 | 12 |
| Collection of venous blood by venipuncture CPT 36415 | $24.48 | $34.00 | $2.48 – $23.35 | 12 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | not published | 0 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $5,794.56 | $8,048.00 | $2,216.94 – $8,672.41 | 12 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $216.00 | $300.00 | $119.60 – $456.43 | 12 |
| Compatibility test each unit immediate spin technique CPT 86920 | $189.36 | $263.00 | $119.60 – $456.43 | 12 |
| Complement antigen each component c3 CPT 86160 | $146.88 | $204.00 | $8.50 – $30.00 | 12 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,016.72 | $2,801.00 | $382.65 – $400.87 | 2 |
| Composite drsg <= 16 sq in HCPCS A6203 | $7.92 | $11.00 | $7.94 – $7.94 | 1 |
| Concentration infection agents any type CPT 87015 | $71.28 | $99.00 | $6.68 – $16.70 | 12 |
| Condylomata destruction 56420 CPT 56420 | $443.52 | $616.00 | $192.27 – $541.63 | 12 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $76.32 | $106.00 | $56.20 – $106.00 | 3 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $7,365.60 | $10,230.00 | $708.00 – $8,459.04 | 12 |
| Contrast x-ray of hip CPT 73525 | $1,192.32 | $1,656.00 | $107.70 – $934.65 | 12 |
| Contrast x-ray of knee joint CPT 73580 | $1,136.16 | $1,578.00 | $107.70 – $934.65 | 12 |
| Contrast x-ray of wrist CPT 73115 | $1,136.16 | $1,578.00 | $107.70 – $934.65 | 12 |
| Control nosebleed pack+caut 30905 CPT 30905 | $292.32 | $406.00 | $142.58 – $356.44 | 12 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $236.88 | $329.00 | $142.58 – $356.44 | 12 |
| Coombs direct CPT 86880 | $87.84 | $122.00 | $3.27 – $158.04 | 12 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $203.76 | $283.00 | $3.27 – $456.43 | 12 |
| Coombs indirect titer reference CPT 86886 | $216.00 | $300.00 | $3.27 – $456.43 | 12 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | not published | 0 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | not published | 0 |
| Cortisol total am CPT 82533 | $30.24 | $42.00 | $9.74 – $40.75 | 12 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $28.08 | $39.00 | $8.50 – $32.58 | 12 |
| C-peptide CPT 84681 | $130.32 | $181.00 | $8.82 – $52.03 | 12 |
| C-reactive protein CPT 86140 | $100.80 | $140.00 | $5.18 – $12.95 | 12 |
| C-reactive protein high sensitivity CPT 86141 | $108.00 | $150.00 | $8.50 – $32.38 | 12 |
| Creatine kinase CPT 82550 | $120.24 | $167.00 | $3.99 – $16.28 | 12 |
| Creatine kinase isoenzymes CPT 82552 | $39.60 | $55.00 | $8.82 – $33.48 | 12 |
| Creatine kinase mb CPT 82553 | $36.00 | $50.00 | $8.82 – $28.88 | 12 |
| Creatinine CPT 82565 | $71.28 | $99.00 | $3.99 – $12.80 | 12 |
| Creatinine 24 hour urine CPT 82570 | $87.84 | $122.00 | $3.99 – $12.95 | 12 |
| Creatinine clearance urine CPT 82575 | $89.28 | $124.00 | $3.99 – $23.65 | 12 |
| #creutz-prot.,western blot CPT 84182 | $95.04 | $132.00 | $29.21 – $73.03 | 12 |
| Critical care 30-74 minutes CPT 99291 | $1,781.28 | $2,474.00 | $885.19 – $2,212.97 | 11 |
| Cryptococcus abs qn - sendout CPT 86641 | $18.72 | $26.00 | $8.50 – $36.03 | 12 |
| Crystal identification light microscopy CPT 89060 | $67.68 | $94.00 | $3.66 – $18.33 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $925.20 | $1,285.00 | $1,285.00 – $1,285.00 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,196.72 | $3,051.00 | $187.96 – $2,290.00 | 13 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,778.48 | $3,859.00 | $75.19 – $2,290.00 | 13 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,547.36 | $3,538.00 | $187.96 – $2,290.00 | 13 |
| Cta neck without &/or w/contrast CPT 70498 | $2,838.24 | $3,942.00 | $187.96 – $2,290.00 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,664.80 | $5,090.00 | $149.54 – $2,290.00 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,772.00 | $3,850.00 | $75.19 – $2,290.00 | 13 |
| CT Angiogram of the Head CPT 70496 | $2,860.56 | $3,973.00 | $187.96 – $2,290.00 | 13 |
| CT angio hrt w/3d image CPT 75574 | $398.88 | $554.00 | $338.01 – $934.65 | 12 |
| CT angio pelvis CPT 72191 | $2,196.72 | $3,051.00 | $187.96 – $2,290.00 | 13 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,547.36 | $3,538.00 | $187.96 – $2,290.00 | 13 |
| CT bone density axial CPT 77078 | $313.20 | $435.00 | $71.76 – $435.00 | 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.