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 |
|---|---|---|---|---|
| CT guidance for needle placement CPT 77012 | $1,514.16 | $2,103.00 | $74.96 – $2,103.00 | 4 |
| CT hrt w/3d image CPT 75572 | $398.88 | $554.00 | $276.64 – $934.65 | 12 |
| CT limited or localized follow-up study CPT 76380 | $180.72 | $251.00 | $93.26 – $251.00 | 13 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,220.48 | $3,084.00 | $187.96 – $2,290.00 | 13 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,826.64 | $2,537.00 | $97.12 – $2,290.00 | 13 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,494.08 | $3,464.00 | $187.96 – $2,290.00 | 13 |
| CT neck soft tissue w/contrast CPT 70491 | $2,553.12 | $3,546.00 | $187.96 – $2,290.00 | 13 |
| CT neck soft tissue without contrast CPT 70490 | $1,917.36 | $2,663.00 | $97.12 – $2,290.00 | 13 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,612.88 | $3,629.00 | $187.96 – $2,290.00 | 13 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,612.88 | $3,629.00 | $187.96 – $2,290.00 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,325.60 | $3,230.00 | $187.96 – $2,290.00 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,761.84 | $2,447.00 | $97.12 – $2,290.00 | 13 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $300.24 | $417.00 | $154.17 – $634.53 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,347.44 | $7,427.00 | $149.54 – $2,290.00 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,667.76 | $6,483.00 | $138.32 – $2,290.00 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,777.84 | $5,247.00 | $102.28 – $2,290.00 | 13 |
| CT thoracic spine w/contrast CPT 72129 | $2,787.84 | $3,872.00 | $187.96 – $2,290.00 | 13 |
| CT thoracic spine without contrast CPT 72128 | $2,348.64 | $3,262.00 | $97.12 – $2,290.00 | 13 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $221.76 | $308.00 | $44.81 – $308.00 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $2,987.28 | $4,149.00 | $187.96 – $2,290.00 | 13 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,220.48 | $3,084.00 | $276.64 – $2,290.00 | 13 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,829.52 | $2,541.00 | $97.12 – $2,290.00 | 13 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,494.08 | $3,464.00 | $187.96 – $2,290.00 | 13 |
| Culture aerobic additional method definitive id each CPT 87077 | $210.96 | $293.00 | $7.78 – $20.20 | 12 |
| Culture afb any source CPT 87116 | $186.48 | $259.00 | $7.78 – $27.00 | 12 |
| Culture anaerobic additional method definitive id each CPT 87076 | $141.12 | $196.00 | $7.78 – $20.20 | 12 |
| Culture anaerobic except blood CPT 87075 | $220.32 | $306.00 | $7.78 – $23.68 | 12 |
| Culture body fluid CPT 87070 | $110.88 | $154.00 | $7.78 – $21.55 | 12 |
| Culture fungi definitive id mold CPT 87107 | $87.84 | $122.00 | $7.78 – $25.80 | 12 |
| Culture fungi definitive id yeast CPT 87106 | $147.60 | $205.00 | $7.78 – $25.80 | 12 |
| Culture fungi other (except blood) CPT 87102 | $188.64 | $262.00 | $7.78 – $21.03 | 12 |
| Culture fungi skin/hair/nail CPT 87101 | $74.88 | $104.00 | $7.71 – $19.28 | 12 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $90.72 | $126.00 | $7.78 – $36.53 | 12 |
| Culture mycoplasma any source CPT 87109 | $147.60 | $205.00 | $7.78 – $38.48 | 12 |
| Culture screening strep group a CPT 87081 | $133.20 | $185.00 | $6.63 – $16.58 | 12 |
| Culture typing immunologic CPT 87147 | $156.96 | $218.00 | $5.18 – $12.95 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $150.51 – $545.15 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $189.36 | $263.00 | $31.63 – $87.73 | 12 |
| Culture urine each isolate CPT 87088 | $100.80 | $140.00 | $7.78 – $20.23 | 12 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $55.44 | $77.00 | $8.82 – $35.80 | 12 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $12.96 | $18.00 | $1.06 – $1.06 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $87.84 | $122.00 | $8.50 – $32.38 | 12 |
| Cyclosporine 2 hour CPT 80158 | $198.00 | $275.00 | $8.95 – $45.13 | 12 |
| Cystatin c CPT 82610 | $106.56 | $148.00 | $8.82 – $46.30 | 12 |
| Cystine urine quantitative CPT 82131 | $61.92 | $86.00 | $8.82 – $57.45 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,406.88 | $1,954.00 | $107.70 – $934.65 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,954.96 | $5,493.00 | $1,417.01 – $5,600.23 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $56.88 | $79.00 | $8.50 – $35.98 | 12 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $177.12 | $246.00 | $8.50 – $42.13 | 12 |
| Cytopath fl nongyn filter CPT 88106 | $72.72 | $101.00 | $24.25 – $77.49 | 12 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $134.64 | $187.00 | $24.25 – $139.61 | 12 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $179.28 | $249.00 | $15.10 – $66.53 | 12 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $132.48 | $184.00 | $15.10 – $50.65 | 12 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $64.80 | $90.00 | $24.25 – $100.07 | 12 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $114.48 | $159.00 | $24.25 – $100.07 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $401.04 | $557.00 | $134.50 – $456.43 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $171.36 | $238.00 | $55.84 – $139.61 | 12 |
| Cytopath smear other source CPT 88160 | $67.68 | $94.00 | $24.25 – $77.49 | 12 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $313.92 | $436.00 | $134.50 – $456.43 | 12 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.21 | $0.29 | $0.05 – $0.05 | 1 |
| Dch glucoscan CPT 82948 | $38.16 | $53.00 | $3.99 – $12.60 | 12 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $109.44 | $152.00 | $8.50 – $30.13 | 12 |
| Decalcification CPT 88311 | $64.08 | $89.00 | $17.02 – $30.74 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $610.56 | $848.00 | $141.58 – $884.90 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $108.03 | $150.04 | $29.46 – $150.04 | 12 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $367.20 | $510.00 | $142.58 – $356.44 | 12 |
| Desoxycorticosterone CPT 82633 | $130.32 | $181.00 | $25.81 – $77.45 | 12 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $226.08 | $314.00 | $150.25 – $537.51 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $639.36 | $888.00 | $37.30 – $233.14 | 12 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.27 | $0.38 | $0.02 – $0.02 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $32.40 | $45.00 | $9.98 – $9.98 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $32.40 | $45.00 | $4.85 – $4.85 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $136.08 | $189.00 | $9.74 – $55.58 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $143.28 | $199.00 | $3.99 – $24.28 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $37.44 | $52.00 | $15.78 – $39.45 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $904.32 | $1,256.00 | $154.17 – $534.76 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $571.68 | $794.00 | $43.46 – $256.10 | 12 |
| Diagnostic Mammogram (one breast) CPT 77065 | $427.68 | $594.00 | $43.46 – $199.13 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $42.66 | $59.25 | $11.04 – $11.04 | 1 |
| Dicyclomine injection HCPCS J0500 | $135.00 | $187.50 | $18.69 – $18.69 | 1 |
| Diffusing capacity CPT 94729 | $361.44 | $502.00 | $52.41 – $502.00 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $135.36 | $188.00 | $8.95 – $33.20 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,110.32 | $2,931.00 | $354.02 – $2,429.86 | 12 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $0.26 | $0.36 | $0.05 – $0.05 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $12.96 | $18.00 | $1.17 – $1.17 | 1 |
| Dna antibody native/double stranded CPT 86225 | $213.84 | $297.00 | $8.50 – $34.35 | 12 |
| Dna gardnerella CPT 87510 | $103.68 | $144.00 | $7.78 – $50.13 | 12 |
| Dna trichomonas CPT 87660 | $97.20 | $135.00 | $7.78 – $50.13 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $77.76 | $108.00 | $13.23 – $13.23 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $6.55 | $9.10 | $1.32 – $1.32 | 1 |
| Doppler echo complete CPT 93320 | $720.00 | $1,000.00 | $394.09 – $953.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $915.12 | $1,271.00 | $150.84 – $578.47 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $488.16 | $678.00 | $99.47 – $356.44 | 12 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.87 | $1.21 | $0.17 – $0.17 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $780.48 | $1,084.00 | $758.85 – $1,897.12 | 12 |
| Drainage mouth roof lesion CPT 42000 | $658.80 | $915.00 | $154.17 – $634.53 | 12 |
| Drainage of mouth lesion CPT 41008 | $3,502.80 | $4,865.00 | $1,272.97 – $8,882.27 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $231.12 | $321.00 | $60.45 – $356.44 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $447.84 | $622.00 | $165.87 – $537.51 | 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.