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 |
|---|---|---|---|---|
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $431.28 | $599.00 | $347.42 – $1,089.07 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $37.08 | $51.50 | $11.85 – $11.85 | 1 |
| Drug assay vedolizumab CPT 80280 | $226.80 | $315.00 | $8.95 – $96.43 | 12 |
| Drug screen quant tiagabine CPT 80199 | $95.76 | $133.00 | $8.95 – $67.78 | 12 |
| Drug test def 1-7 classes HCPCS G0480 | $144.00 | $200.00 | $51.50 – $286.08 | 12 |
| Drug test def 22+ classes HCPCS G0483 | $673.20 | $935.00 | $119.86 – $617.30 | 12 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $153.36 | $213.00 | $51.50 – $155.35 | 12 |
| Drvvt confirm - quest CPT 85597 | $30.24 | $42.00 | $3.27 – $44.95 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $562.32 | $781.00 | $99.47 – $578.47 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,277.28 | $1,774.00 | $99.47 – $639.23 | 12 |
| Ear irrigation 69209 CPT 69209 | $126.72 | $176.00 | $63.22 – $158.04 | 11 |
| Ecg 12 lead tracing only CPT 93005 | $258.48 | $359.00 | $23.40 – $158.04 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $188.64 | $262.00 | $23.40 – $158.04 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $1,306.80 | $1,815.00 | $56.20 – $356.44 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $380.88 | $529.00 | $56.20 – $158.04 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,915.20 | $2,660.00 | $234.22 – $1,463.87 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $577.44 | $802.00 | $49.73 – $802.00 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,995.20 | $4,160.00 | $394.09 – $2,100.16 | 12 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $347.76 | $483.00 | $255.69 – $639.23 | 12 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $890.64 | $1,237.00 | $373.86 – $934.65 | 12 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $442.80 | $615.00 | $197.04 – $615.00 | 3 |
| Echo guide for artery repair CPT 76936 | $680.40 | $945.00 | $183.97 – $578.47 | 12 |
| Echo stress CPT 93350 | $1,328.40 | $1,845.00 | $394.09 – $1,463.87 | 12 |
| Echo transthoracic CPT 93303 | $1,026.00 | $1,425.00 | $394.09 – $1,463.87 | 12 |
| Echo transthoracic CPT 93304 | $1,026.00 | $1,425.00 | $394.09 – $1,463.87 | 12 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $488.88 | $679.00 | $255.69 – $639.23 | 12 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $103.68 | $144.00 | $65.42 – $144.00 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | not published | 0 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Egd remove lesion snare CPT 43251 | not published | not published | not published | 0 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $270.72 | $376.00 | $31.63 – $87.73 | 12 |
| Electrical stimulation/unattended 97014 CPT 97014 | $85.68 | $119.00 | $27.58 – $119.00 | 4 |
| Electrolyte panel CPT 80051 | $161.28 | $224.00 | $6.67 – $17.53 | 12 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $6.90 | $9.58 | $0.87 – $0.87 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $175.68 | $244.00 | $8.50 – $32.80 | 12 |
| Epstein barr nuclear antigen antibody CPT 86664 | $57.60 | $80.00 | $8.50 – $38.23 | 12 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $106.56 | $148.00 | $8.50 – $45.35 | 12 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $202.32 | $281.00 | $15.11 – $15.11 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $236.16 | $328.00 | $90.36 – $225.91 | 11 |
| ER Visit (level 2) CPT 99282 | $390.24 | $542.00 | $164.54 – $411.35 | 11 |
| ER Visit (level 3) CPT 99283 | $619.92 | $861.00 | $292.53 – $731.32 | 11 |
| ER Visit (level 4) CPT 99284 | $892.80 | $1,240.00 | $447.15 – $1,117.87 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $1,280.16 | $1,778.00 | $638.18 – $1,595.46 | 11 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $210.96 | $293.00 | $146.00 – $146.00 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $244.08 | $339.00 | $146.00 – $146.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $285.84 | $397.00 | $146.00 – $146.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $446.40 | $620.00 | $146.00 – $146.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $519.12 | $721.00 | $146.00 – $146.00 | 1 |
| Estradiol total CPT 82670 | $213.84 | $297.00 | $9.74 – $69.85 | 12 |
| Estrogens total-sendout CPT 82672 | $164.88 | $229.00 | $9.74 – $54.25 | 12 |
| Ethylene glycol -sendout CPT 82693 | $110.88 | $154.00 | $9.08 – $37.25 | 12 |
| Evaluation of speech fluency 92521 CPT 92521 | $167.76 | $233.00 | $128.96 – $322.40 | 12 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | not published | 0 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | not published | 0 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $450.00 | $625.00 | $121.56 – $361.53 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $406.80 | $565.00 | $134.50 – $359.38 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $170.64 | $237.00 | $8.50 – $44.83 | 12 |
| Facial bones <3 CPT 70140 | $208.08 | $289.00 | $51.11 – $233.14 | 12 |
| Factor ix CPT 85250 | $99.36 | $138.00 | $18.69 – $47.60 | 12 |
| Factor viii CPT 85240 | $124.56 | $173.00 | $3.27 – $44.75 | 12 |
| Fallopian tube recnl CPT 58345 | $5,577.84 | $7,747.00 | $2,115.12 – $8,672.41 | 12 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.17 | $0.23 | $0.02 – $0.02 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $84.24 | $117.00 | $3.99 – $12.75 | 12 |
| Fatty acids nonesterified CPT 82725 | $97.20 | $135.00 | $8.82 – $46.93 | 12 |
| #fecal-sodium CPT 84302 | $14.40 | $20.00 | $3.99 – $12.15 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $12.96 | $18.00 | $1.96 – $1.96 | 1 |
| Ferritin CPT 82728 | $170.64 | $237.00 | $8.82 – $34.08 | 12 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $6.13 | $8.52 | $0.36 – $8.52 | 12 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $683.28 | $949.00 | $91.63 – $280.08 | 12 |
| Fibrin degradation d dimer quantitative CPT 85379 | $177.84 | $247.00 | $3.27 – $25.45 | 12 |
| Fibrin degrade semiquant CPT 85378 | $180.00 | $250.00 | $3.27 – $24.30 | 12 |
| Fibrinogen activity CPT 85384 | $117.36 | $163.00 | $3.27 – $24.30 | 12 |
| Fibrinolytic plasminogen CPT 85415 | $160.56 | $223.00 | $3.27 – $42.98 | 12 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,368.72 | $1,901.00 | $621.45 – $651.05 | 2 |
| Fl exam g/colon tube w contrast CPT 49465 | $488.88 | $679.00 | $107.70 – $639.23 | 12 |
| Flow cytometry interp 16 or more CPT 88189 | $192.24 | $267.00 | $24.25 – $160.44 | 3 |
| Flow cytometry marker each additional CPT 88185 | $94.32 | $131.00 | $24.25 – $46.50 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $393.84 | $547.00 | $134.50 – $960.29 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $65.52 | $91.00 | $7.39 – $7.39 | 1 |
| Fluidotherapy charges pt CPT 97022 | $136.08 | $189.00 | $15.26 – $189.00 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $51.12 | $71.00 | $8.50 – $30.13 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $817.20 | $1,135.00 | $183.97 – $708.00 | 3 |
| Fluoroguide needle placement CPT 77002 | $182.16 | $253.00 | $183.97 – $253.00 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $591.84 | $822.00 | $107.70 – $639.23 | 12 |
| Folic acid CPT 82746 | $171.36 | $238.00 | $8.82 – $36.75 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.30 | $1.80 | $0.08 – $0.08 | 1 |
| Foot X-ray CPT 73630 | $440.64 | $612.00 | $51.11 – $233.14 | 12 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $24.78 | $34.41 | $1.34 – $3.35 | 11 |
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.