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 |
|---|---|---|---|---|
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,830.40 | $4,788.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $20,667.20 | $25,834.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $7,312.80 | $9,141.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,727.20 | $20,909.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,235.20 | $4,044.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,852.00 | $6,065.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $180.00 | $225.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $313.60 | $392.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $90.40 | $113.00 | not published | 0 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $90.40 | $113.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $237.60 | $297.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $160.80 | $201.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $324.00 | $405.00 | not published | 0 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,208.00 | $4,010.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $77.60 | $97.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $392.80 | $491.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,612.80 | $2,016.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,082.40 | $1,353.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,376.00 | $1,720.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,167.20 | $1,459.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,383.20 | $1,729.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,649.60 | $2,062.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $919.20 | $1,149.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $919.20 | $1,149.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $223.20 | $279.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $468.80 | $586.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $235.20 | $294.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $105.60 | $132.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $101.60 | $127.00 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $1,524.00 | $1,905.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $6,654.40 | $8,318.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $6,654.40 | $8,318.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $5,815.20 | $7,269.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $876.00 | $1,095.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $780.80 | $976.00 | not published | 0 |
| Sickling rbc CPT 85660 | $116.80 | $146.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $192.00 | $240.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,640.00 | $4,550.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,765.60 | $3,457.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $3,517.60 | $4,397.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,589.60 | $3,237.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $326.40 | $408.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,922.40 | $4,903.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $1,000.80 | $1,251.00 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $410.40 | $513.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $107.20 | $134.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $440.00 | $550.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $181.60 | $227.00 | not published | 0 |
| Smear gram stain CPT 87205 | $172.00 | $215.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $96.00 | $120.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $228.00 | $285.00 | not published | 0 |
| Smear wet mount CPT 87210 | $222.40 | $278.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $1,836.80 | $2,296.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $124.80 | $156.00 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $68.00 | $85.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $10,926.40 | $13,658.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $432.00 | $540.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,637.60 | $2,047.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $910.40 | $1,138.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $113.60 | $142.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $1,524.00 | $1,905.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $780.80 | $976.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $477.60 | $597.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $373.60 | $467.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $391.20 | $489.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $541.60 | $677.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $547.20 | $684.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $412.80 | $516.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $914.40 | $1,143.00 | not published | 0 |
| Strapping of chest CPT 29200 | $1,379.20 | $1,724.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $1,248.80 | $1,561.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $1,204.00 | $1,505.00 | not published | 0 |
| Strapping of knee CPT 29530 | $1,368.00 | $1,710.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $1,200.80 | $1,501.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $150.40 | $188.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $339.20 | $424.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $487.20 | $609.00 | not published | 0 |
| Stress tte complete CPT 93351 | $3,180.00 | $3,975.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | $707.20 | $884.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $1,589.60 | $1,987.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $342.40 | $428.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $288.00 | $360.00 | not published | 0 |
| Sugars single quant CPT 84378 | $399.20 | $499.00 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $225.60 | $282.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $155.20 | $194.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $352.00 | $440.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $449.60 | $562.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $552.00 | $690.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $682.40 | $853.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,478.40 | $1,848.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $138.40 | $173.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $85.60 | $107.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $80.80 | $101.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $96.00 | $120.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $261.60 | $327.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $202.40 | $253.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $132.80 | $166.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $128.80 | $161.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $536.80 | $671.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $7,714.40 | $9,643.00 | 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.