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 |
|---|---|---|---|---|
| Hematocrit CPT 85014 | $38.88 | $54.00 | $2.37 – $5.93 | 12 |
| Hemoglobin CPT 85018 | $38.88 | $54.00 | $2.37 – $5.93 | 12 |
| Hemoglobin plasma CPT 83051 | $47.52 | $66.00 | $3.99 – $18.28 | 12 |
| Hemophilus influenza antibdy CPT 86684 | $410.40 | $570.00 | $8.50 – $39.60 | 12 |
| Heparin assay CPT 85520 | $177.84 | $247.00 | $3.27 – $32.73 | 12 |
| Heparin bolus from bag HCPCS J1644 | $2.62 | $3.64 | $0.30 – $0.30 | 1 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.09 | $0.12 | $0.03 – $0.03 | 1 |
| Hepatitis a antibody igm CPT 86709 | $172.80 | $240.00 | $8.50 – $28.15 | 12 |
| Hepatitis b core antibody igm CPT 86705 | $87.84 | $122.00 | $8.50 – $29.43 | 12 |
| Hepatitis b core antibody total CPT 86704 | $171.36 | $238.00 | $8.50 – $30.13 | 12 |
| Hepatitis b surface antibody CPT 86706 | $84.24 | $117.00 | $8.50 – $26.85 | 12 |
| Hepatitis c antibody CPT 86803 | $103.68 | $144.00 | $8.50 – $35.68 | 12 |
| Hepatobiliary system imaging CPT 78226 | $1,659.60 | $2,305.00 | $334.42 – $1,071.01 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $164.16 | $228.00 | $8.50 – $32.98 | 12 |
| Herpes simplex type 2 antibody igg CPT 86696 | $106.56 | $148.00 | $8.50 – $48.38 | 12 |
| Herpes simplex virus isolation CPT 87255 | $324.00 | $450.00 | $31.63 – $84.65 | 12 |
| Heterophile antibodies screening CPT 86308 | $122.40 | $170.00 | $5.18 – $12.95 | 12 |
| Hip X-ray CPT 73502 | $414.00 | $575.00 | $37.30 – $233.14 | 12 |
| Histamine CPT 83088 | $204.48 | $284.00 | $20.78 – $73.83 | 12 |
| Hla ii typing 1 loc hr CPT 81382 | $360.00 | $500.00 | $34.38 – $309.20 | 12 |
| Hla i typing complete lr CPT 81372 | $684.00 | $950.00 | $265.21 – $1,008.98 | 12 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.57 | $2.18 | $0.36 – $0.36 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $692.64 | $962.00 | $138.16 – $578.47 | 12 |
| Homocysteine CPT 83090 | $194.40 | $270.00 | $9.74 – $44.80 | 12 |
| Homogenization tissue CPT 87176 | $68.40 | $95.00 | $5.88 – $14.70 | 12 |
| Hpv types 16 & 18 only CPT 87625 | $132.48 | $184.00 | $31.63 – $101.38 | 12 |
| H pylori (c-13) breath CPT 83013 | $256.32 | $356.00 | $50.26 – $168.40 | 12 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,480.32 | $2,056.00 | $483.95 – $3,259.88 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $976.32 | $1,356.00 | $8.50 – $52.03 | 12 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $10.89 | $15.12 | $1.71 – $4.26 | 11 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $51.84 | $72.00 | $7.24 – $7.24 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $126.00 | $175.00 | $20.07 – $175.00 | 12 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $303.12 | $421.00 | $91.17 – $569.84 | 12 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $15.12 | $21.00 | $15.16 – $15.16 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $2.88 | $4.00 | $0.23 – $0.23 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $55.80 | $77.50 | $21.45 – $21.45 | 1 |
| Hysterosalpingography s&i CPT 74740 | $969.12 | $1,346.00 | $107.70 – $639.23 | 12 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $94.32 | $131.00 | $31.63 – $87.73 | 12 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,057.68 | $1,469.00 | $121.56 – $736.30 | 12 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $259.20 | $360.00 | $29.34 – $125.08 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $555.12 | $771.00 | $119.73 – $960.29 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $454.32 | $631.00 | $119.73 – $456.43 | 12 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $21.60 | $30.00 | $30.00 – $269.30 | 11 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $54.00 | $75.00 | $71.60 – $179.00 | 11 |
| Immune complex assay CPT 86332 | $47.52 | $66.00 | $8.50 – $60.93 | 12 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $198.00 | $275.00 | $8.50 – $52.03 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $185.76 | $258.00 | $8.50 – $52.03 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $36.72 | $51.00 | $8.50 – $29.95 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $266.40 | $370.00 | $8.50 – $55.85 | 12 |
| Immunoglobulin assay CPT 86023 | $114.48 | $159.00 | $8.50 – $31.15 | 12 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,276.00 | $4,550.00 | $976.26 – $4,424.71 | 12 |
| Incision of foot fascia CPT 28008 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28308 | not published | not published | not published | 0 |
| Infect ag eia influenza a or b ea CPT 87400 | $131.76 | $183.00 | $7.78 – $35.33 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $132.48 | $184.00 | $7.78 – $41.38 | 12 |
| Infect ag na herpes simplex quant CPT 87530 | $277.92 | $386.00 | $31.63 – $107.10 | 12 |
| Infect ag na hpv high-risk types CPT 87624 | $256.32 | $356.00 | $31.63 – $87.73 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $99.36 | $138.00 | $31.63 – $128.28 | 12 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,321.20 | $1,835.00 | $150.51 – $1,041.95 | 12 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $113.76 | $158.00 | $7.78 – $103.45 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $137.52 | $191.00 | $7.78 – $29.95 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $180.00 | $250.00 | $7.78 – $34.55 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $88.56 | $123.00 | $7.78 – $29.95 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $619.20 | $860.00 | $7.78 – $35.95 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $272.16 | $378.00 | $7.78 – $25.83 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $254.16 | $353.00 | $7.78 – $60.20 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $33.12 | $46.00 | $7.78 – $29.95 | 12 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $458.64 | $637.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $231.12 | $321.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $158.40 | $220.00 | $31.63 – $93.18 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $635.76 | $883.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $217.44 | $302.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $226.80 | $315.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $342.00 | $475.00 | $31.63 – $128.28 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $346.32 | $481.00 | $31.63 – $356.58 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $396.00 | $550.00 | $31.63 – $356.58 | 12 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $186.48 | $259.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $227.52 | $316.00 | $31.63 – $87.73 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $721.44 | $1,002.00 | $150.51 – $1,041.95 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $480.96 | $668.00 | $31.63 – $107.10 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,247.76 | $1,733.00 | $31.63 – $107.10 | 12 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $658.80 | $915.00 | $31.63 – $107.10 | 12 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $181.44 | $252.00 | $31.63 – $212.75 | 12 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $464.40 | $645.00 | $142.63 – $356.58 | 12 |
| Initiation & management bipap/cpap initial day CPT 94660 | $507.60 | $705.00 | $121.04 – $586.65 | 12 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $529.20 | $735.00 | $298.08 – $708.00 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.42 | $0.58 | $0.05 – $0.05 | 1 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $289.44 | $402.00 | $298.08 – $402.00 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,348.56 | $1,873.00 | $695.24 – $1,891.09 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | $289.44 | $402.00 | $298.08 – $402.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $955.44 | $1,327.00 | $298.08 – $708.00 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $332.64 | $462.00 | $298.08 – $462.00 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $970.56 | $1,348.00 | $334.42 – $1,071.01 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,348.56 | $1,873.00 | $756.44 – $1,891.09 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,550.88 | $2,154.00 | $363.04 – $1,891.09 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $134.64 | $187.00 | $20.07 – $125.45 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $134.64 | $187.00 | $42.15 – $44.16 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $216.72 | $301.00 | $42.15 – $569.84 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $103.68 | $144.00 | $30.86 – $192.89 | 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.