OSF Holy Family Medical Center
1000 W Harlem Avenue, Monmouth, IL · Osfhealthcare · · NPI 1548393184
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 |
|---|---|---|---|---|
| Mayo organic acids qualitative each specimen CPT 83919 | $581.60 | $727.00 | not published | 0 |
| Mayo oxalate 24 hour urine CPT 83945 | $180.80 | $226.00 | not published | 0 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $335.20 | $419.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $208.80 | $261.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,956.00 | $2,445.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $736.80 | $921.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $454.40 | $568.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $328.00 | $410.00 | not published | 0 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $148.00 | $185.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $306.40 | $383.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $423.20 | $529.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $197.60 | $247.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $4,319.20 | $5,399.00 | not published | 0 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $300.00 | $375.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $108.80 | $136.00 | not published | 0 |
| Mayo renin CPT 84244 | $285.60 | $357.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $286.40 | $358.00 | not published | 0 |
| Mayo selenium CPT 84255 | $247.20 | $309.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $384.00 | $480.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $248.80 | $311.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $476.80 | $596.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $144.80 | $181.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $116.00 | $145.00 | not published | 0 |
| Mayo tau phosphorylated 217 each CPT 84393 | $1,400.80 | $1,751.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $269.60 | $337.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $256.80 | $321.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $420.00 | $525.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $186.40 | $233.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $260.00 | $325.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $725.60 | $907.00 | not published | 0 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $130.40 | $163.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $230.40 | $288.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $133.60 | $167.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $326.40 | $408.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $192.80 | $241.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $358.40 | $448.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $540.80 | $676.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $386.40 | $483.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $240.00 | $300.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $234.40 | $293.00 | not published | 0 |
| #mec-opiates CPT 80356 | $152.00 | $190.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,752.00 | $2,190.00 | not published | 0 |
| Mecp2 gene full seq CPT 81302 | $2,671.20 | $3,339.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,736.00 | $2,170.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $248.80 | $311.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $310.40 | $388.00 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $161.60 | $202.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $49.60 | $62.00 | not published | 0 |
| Methylphenidate CPT 80360 | $457.60 | $572.00 | not published | 0 |
| Mgmt promoter methylation analysis CPT 81287 | $1,626.40 | $2,033.00 | not published | 0 |
| Microdissection manual CPT 88381 | $124.00 | $155.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $1,402.40 | $1,753.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $2,642.40 | $3,303.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $893.60 | $1,117.00 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $1,500.00 | $1,875.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $5,087.20 | $6,359.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $5,571.20 | $6,964.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $8,570.40 | $10,713.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $7,249.60 | $9,062.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $8,243.20 | $10,304.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $480.80 | $601.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $167.20 | $209.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $5,186.40 | $6,483.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $5,620.80 | $7,026.00 | not published | 0 |
| MRA pelvis CPT 72198 | $3,568.80 | $4,461.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $5,355.20 | $6,694.00 | not published | 0 |
| MRI breast c- unilateral CPT 77046 | $3,056.00 | $3,820.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $4,060.80 | $5,076.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $5,372.00 | $6,715.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $6,092.00 | $7,615.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $4,144.00 | $5,180.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $4,644.80 | $5,806.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $4,224.80 | $5,281.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $6,912.00 | $8,640.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $6,694.40 | $8,368.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $8,284.00 | $10,355.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $4,252.80 | $5,316.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,284.80 | $6,606.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $4,768.80 | $5,961.00 | not published | 0 |
| MRI tmj CPT 70336 | $3,568.80 | $4,461.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $5,116.80 | $6,396.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $6,967.20 | $8,709.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $6,336.80 | $7,921.00 | not published | 0 |
| Msh2 gene full seq CPT 81295 | $1,494.40 | $1,868.00 | not published | 0 |
| Msh6 gene full seq CPT 81298 | $2,512.00 | $3,140.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $949.60 | $1,187.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $1,101.60 | $1,377.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $9,016.00 | $11,270.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $204.80 | $256.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $256.80 | $321.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,500.00 | $1,875.00 | not published | 0 |
| Myelography l-s spine CPT 72265 | $2,186.40 | $2,733.00 | not published | 0 |
| Myelography thoracic spine CPT 72255 | $2,186.40 | $2,733.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,189.60 | $1,487.00 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $293.60 | $367.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $584.80 | $731.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $548.80 | $686.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $222.40 | $278.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $40.00 | $50.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $40.00 | $50.00 | not published | 0 |
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.