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 |
|---|---|---|---|---|
| Ndl round specialty proguide HCPCS C1715 | $410.40 | $513.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,330.40 | $4,163.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,503.20 | $3,129.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,157.60 | $3,947.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,042.40 | $6,303.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,540.80 | $5,676.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,876.80 | $4,846.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,650.40 | $5,813.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,856.80 | $3,571.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $4,063.20 | $5,079.00 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $164.80 | $206.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $241.60 | $302.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $372.00 | $465.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $486.40 | $608.00 | not published | 0 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $650.40 | $813.00 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $5,368.80 | $6,711.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $5,368.80 | $6,711.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $3,196.00 | $3,995.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $3,220.00 | $4,025.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $3,491.20 | $4,364.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,767.20 | $2,209.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $3,246.40 | $4,058.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,011.20 | $3,764.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $9,596.00 | $11,995.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,983.20 | $2,479.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,256.00 | $1,570.00 | not published | 0 |
| Noonan spectrum disorders CPT 81442 | $5,156.00 | $6,445.00 | not published | 0 |
| Npm1 gene CPT 81310 | $1,666.40 | $2,083.00 | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $939.20 | $1,174.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,214.40 | $7,768.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $1,569.60 | $1,962.00 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $528.80 | $661.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $248.80 | $311.00 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $780.80 | $976.00 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $113.60 | $142.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $165.60 | $207.00 | not published | 0 |
| Osmolality blood CPT 83930 | $136.00 | $170.00 | not published | 0 |
| Osmolality urine CPT 83935 | $149.60 | $187.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $371.20 | $464.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $308.80 | $386.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $329.60 | $412.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $126.40 | $158.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $144.00 | $180.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.00 | $175.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $140.00 | $175.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $214.40 | $268.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $144.00 | $180.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $144.00 | $180.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $144.00 | $180.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $140.00 | $175.00 | not published | 0 |
| Ovulation tests CPT 84830 | $303.20 | $379.00 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $349.60 | $437.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,920.00 | $2,400.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $296.00 | $370.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,160.00 | $3,950.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,962.40 | $3,703.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,573.60 | $3,217.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,437.60 | $5,547.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $3,940.00 | $4,925.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,568.80 | $4,461.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,424.00 | $1,780.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $732.80 | $916.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,425.60 | $3,032.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,468.00 | $1,835.00 | not published | 0 |
| Pertussis ag if CPT 87265 | $222.40 | $278.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,889.60 | $7,362.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $5,968.80 | $7,461.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,293.60 | $6,617.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $5,582.40 | $6,978.00 | not published | 0 |
| Ph body fluid CPT 83986 | $112.00 | $140.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $488.80 | $611.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $276.80 | $346.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $303.20 | $379.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $420.00 | $525.00 | not published | 0 |
| Phosphorus CPT 84100 | $104.80 | $131.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $201.60 | $252.00 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $410.40 | $513.00 | not published | 0 |
| Pin service 60m per month HCPCS G0023 | $180.00 | $225.00 | not published | 0 |
| Pinworm exam CPT 87172 | $181.60 | $227.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,548.00 | $1,935.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,134.40 | $2,668.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,509.60 | $11,887.00 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $825.60 | $1,032.00 | not published | 0 |
| Platelet automated CPT 85049 | $85.60 | $107.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,924.00 | $2,405.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,780.00 | $2,225.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $4,351.20 | $5,439.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $4,168.00 | $5,210.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,358.40 | $2,948.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $835.20 | $1,044.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $2,872.00 | $3,590.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $2,100.00 | $2,625.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | $797.60 | $997.00 | not published | 0 |
| Pms2 gene full seq analysis CPT 81317 | $1,649.60 | $2,062.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $388.00 | $485.00 | not published | 0 |
| Polysom any age 1-3> param CPT 95808 | $3,819.20 | $4,774.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,394.40 | $5,493.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $108.00 | $135.00 | 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.