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 |
|---|---|---|---|---|
| Potassium serum/plasma/whole blood CPT 84132 | $72.00 | $90.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $520.00 | $650.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $2,096.00 | $2,620.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $958.40 | $1,198.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $626.40 | $783.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $439.20 | $549.00 | not published | 0 |
| Prealbumin CPT 84134 | $175.20 | $219.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,753.60 | $2,192.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $970.40 | $1,213.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $695.20 | $869.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $240.80 | $301.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $140.00 | $175.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $176.80 | $221.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $296.80 | $371.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,344.00 | $1,680.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $626.40 | $783.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $14,049.60 | $17,562.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $180.00 | $225.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $626.40 | $783.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,524.00 | $1,905.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $2,762.40 | $3,453.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $654.40 | $818.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $246.40 | $308.00 | not published | 0 |
| Procalcitonin CPT 84145 | $454.40 | $568.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,306.40 | $1,633.00 | not published | 0 |
| Progesterone CPT 84144 | $439.20 | $549.00 | not published | 0 |
| Prolactin CPT 84146 | $253.60 | $317.00 | not published | 0 |
| _propoxygc/msur CPT 80367 | $217.60 | $272.00 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $225.60 | $282.00 | not published | 0 |
| Protein c activity CPT 85303 | $377.60 | $472.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $173.60 | $217.00 | not published | 0 |
| Protein s total CPT 85305 | $300.00 | $375.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $120.00 | $150.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $162.40 | $203.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $70.40 | $88.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $246.40 | $308.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $2,260.80 | $2,826.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $263.20 | $329.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,329.60 | $1,662.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $380.00 | $475.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $380.00 | $475.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $380.00 | $475.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $955.20 | $1,194.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $7,377.60 | $9,222.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $215.20 | $269.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $135.20 | $169.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $328.80 | $411.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $115.20 | $144.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $115.20 | $144.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $107.20 | $134.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $107.20 | $134.00 | not published | 0 |
| Pten gene full sequence CPT 81321 | $5,681.60 | $7,102.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $371.20 | $464.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $308.80 | $386.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $329.60 | $412.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $214.40 | $268.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $157.60 | $197.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $140.00 | $175.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $144.00 | $180.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $3,990.40 | $4,988.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $1,153.60 | $1,442.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $155.20 | $194.00 | not published | 0 |
| Pulse ox single CPT 94760 | $24.00 | $30.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $220.80 | $276.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,064.80 | $1,331.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,172.00 | $1,465.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $402.40 | $503.00 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $402.40 | $503.00 | not published | 0 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $27,503.20 | $34,379.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $160.00 | $200.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $124.80 | $156.00 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,080.80 | $3,851.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,640.00 | $4,550.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,426.40 | $3,033.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,296.00 | $2,870.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $136.80 | $171.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $806.40 | $1,008.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,116.80 | $1,396.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $835.20 | $1,044.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $4,116.00 | $5,145.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $1,821.60 | $2,277.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $296.00 | $370.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $2,375.20 | $2,969.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,671.20 | $2,089.00 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $280.80 | $351.00 | not published | 0 |
| Remove hip foreign body 27086 CPT 27086 | $3,837.60 | $4,797.00 | not published | 0 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $5,868.80 | $7,336.00 | not published | 0 |
| Renal function panel CPT 80069 | $232.00 | $290.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,741.60 | $2,177.00 | not published | 0 |
| Repair eyelid wound CPT 67930 | $8,968.80 | $11,211.00 | not published | 0 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $334.40 | $418.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $7,563.20 | $9,454.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $1,259.20 | $1,574.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $2,393.60 | $2,992.00 | not published | 0 |
| Replace/revise brain shunt CPT 62230 | $9,256.00 | $11,570.00 | not published | 0 |
| Reptilase test CPT 85635 | $248.80 | $311.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $1,717.60 | $2,147.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $361.60 | $452.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $155.20 | $194.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $127.20 | $159.00 | 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.