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 |
|---|---|---|---|---|
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,790.40 | $5,988.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $4,714.40 | $5,893.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $349.60 | $437.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $376.80 | $471.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $272.80 | $341.00 | not published | 0 |
| T cells total count CPT 86359 | $259.20 | $324.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $60.00 | $75.00 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $3,325.60 | $4,157.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,341.60 | $1,677.00 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $9,375.20 | $11,719.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $260.00 | $325.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $53.60 | $67.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $83.20 | $104.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $72.00 | $90.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $249.60 | $312.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,747.20 | $3,434.00 | not published | 0 |
| Thrombin time CPT 85670 | $141.60 | $177.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $246.40 | $308.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $160.80 | $201.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $1,302.40 | $1,628.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $192.00 | $240.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $1,368.00 | $1,710.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $108.00 | $135.00 | not published | 0 |
| Tissue culture placenta CPT 88235 | $1,722.40 | $2,153.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $1,976.80 | $2,471.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $4,800.00 | $6,000.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $156.80 | $196.00 | not published | 0 |
| Tixagev and cilgav inj HCPCS M0220 | $131.20 | $164.00 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $340.00 | $425.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $202.40 | $253.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $117.60 | $147.00 | not published | 0 |
| Total tau CPT 84394 | $444.00 | $555.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $263.20 | $329.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $263.20 | $329.00 | not published | 0 |
| Tp53 gene full gene sequence CPT 81351 | $932.80 | $1,166.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,397.60 | $1,747.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $1,671.20 | $2,089.00 | not published | 0 |
| Trabeculoplasty laser surg CPT 65855 | $3,662.40 | $4,578.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $5,836.00 | $7,295.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $126.40 | $158.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $4,604.00 | $5,755.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $15,388.00 | $19,235.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $9,509.60 | $11,887.00 | not published | 0 |
| Transferrin CPT 84466 | $178.40 | $223.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $2,048.80 | $2,561.00 | not published | 0 |
| Treat clavicle dislocation 23545 CPT 23545 | $9,136.80 | $11,421.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,297.60 | $1,622.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $7,821.60 | $9,777.00 | not published | 0 |
| Treat foot dislocation CPT 28540 | $4,178.40 | $5,223.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $7,013.60 | $8,767.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $7,013.60 | $8,767.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $2,120.00 | $2,650.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $2,199.20 | $2,749.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $2,120.00 | $2,650.00 | not published | 0 |
| Treat knee dislocation CPT 27552 | $1,297.60 | $1,622.00 | not published | 0 |
| Treat knee fracture 27530 CPT 27530 | $13,269.60 | $16,587.00 | not published | 0 |
| Treat knee fracture(s) CPT 27538 | $15,773.60 | $19,717.00 | not published | 0 |
| Treat lower leg dislocation CPT 27830 | $8,728.80 | $10,911.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $216.00 | $270.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $203.20 | $254.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $116.00 | $145.00 | not published | 0 |
| Treatment of ankle fracture 27786 CPT 27786 | $1,035.20 | $1,294.00 | not published | 0 |
| Treatment of fibula fracture 27780 CPT 27780 | $872.80 | $1,091.00 | not published | 0 |
| Treatment of heel fracture 28400 CPT 28400 | $929.60 | $1,162.00 | not published | 0 |
| Treatment of thigh fracture CPT 27501 | $23,257.60 | $29,072.00 | not published | 0 |
| Treatment of thigh fracture CPT 27508 | $11,798.40 | $14,748.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,344.00 | $1,680.00 | not published | 0 |
| Treatment of toe fracture 28510 CPT 28510 | $2,248.80 | $2,811.00 | not published | 0 |
| Treat sternum fracture CPT 21820 | $2,799.20 | $3,499.00 | not published | 0 |
| Treat thigh fracture CPT 27238 | $9,488.80 | $11,861.00 | not published | 0 |
| Treat thigh fracture CPT 27246 | $14,132.00 | $17,665.00 | not published | 0 |
| Treat thigh fx growth plate CPT 27516 | $11,897.60 | $14,872.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $5,969.60 | $7,462.00 | not published | 0 |
| Treat vaginal bleeding CPT 57180 | $1,433.60 | $1,792.00 | not published | 0 |
| Treat wrist dislocation CPT 25675 | $375.20 | $469.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $185.60 | $232.00 | not published | 0 |
| Triglycerides CPT 84478 | $120.00 | $150.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $92.80 | $116.00 | not published | 0 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $21,961.60 | $27,452.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,604.80 | $5,756.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,700.00 | $3,375.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,700.00 | $3,375.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,700.00 | $3,375.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $285.60 | $357.00 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $20,412.80 | $25,516.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $797.60 | $997.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $8,405.60 | $10,507.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,445.60 | $1,807.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $1,023.20 | $1,279.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,023.20 | $1,279.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $750.40 | $938.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $877.60 | $1,097.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $786.40 | $983.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $795.20 | $994.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $504.00 | $630.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $1,784.80 | $2,231.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,784.80 | $2,231.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $2,093.60 | $2,617.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,276.80 | $1,596.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,012.00 | $1,265.00 | 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.