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 |
|---|---|---|---|---|
| Warde topiramate therapeutic drug level CPT 80201 | $429.60 | $537.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $436.80 | $546.00 | not published | 0 |
| Warde viscosity CPT 85810 | $181.60 | $227.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $159.20 | $199.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $249.60 | $312.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $637.60 | $797.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $696.00 | $870.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $453.60 | $567.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $160.00 | $200.00 | not published | 0 |
| Warde zinc CPT 84630 | $143.20 | $179.00 | not published | 0 |
| Wbc automated CPT 85048 | $56.00 | $70.00 | not published | 0 |
| Western blot test CPT 84181 | $391.20 | $489.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $8,570.40 | $10,713.00 | not published | 0 |
| Whole mitochondrial genome CPT 81465 | $2,616.80 | $3,271.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $574.40 | $718.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $596.00 | $745.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $326.40 | $408.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $626.40 | $783.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $974.40 | $1,218.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $314.40 | $393.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $383.20 | $479.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $441.60 | $552.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $709.60 | $887.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $637.60 | $797.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $790.40 | $988.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $860.80 | $1,076.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $524.00 | $655.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $468.80 | $586.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $1,083.20 | $1,354.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $1,033.60 | $1,292.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $468.00 | $585.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $577.60 | $722.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $635.20 | $794.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $820.80 | $1,026.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,314.40 | $1,643.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $2,049.60 | $2,562.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $812.00 | $1,015.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $868.00 | $1,085.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,140.00 | $1,425.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $379.20 | $474.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $436.80 | $546.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $851.20 | $1,064.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $718.40 | $898.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $644.00 | $805.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $470.40 | $588.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $416.00 | $520.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $569.60 | $712.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $903.20 | $1,129.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $718.40 | $898.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $812.00 | $1,015.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $553.60 | $692.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $790.40 | $988.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $821.60 | $1,027.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $774.40 | $968.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $769.60 | $962.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $587.20 | $734.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $587.20 | $734.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $708.80 | $886.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $832.00 | $1,040.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $464.00 | $580.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $971.20 | $1,214.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $498.40 | $623.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $781.60 | $977.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $934.40 | $1,168.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $462.40 | $578.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $851.20 | $1,064.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $471.20 | $589.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $542.40 | $678.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $612.80 | $766.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $687.20 | $859.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $687.20 | $859.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $551.20 | $689.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $493.60 | $617.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $472.80 | $591.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $1,118.40 | $1,398.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $520.80 | $651.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $781.60 | $977.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,614.40 | $2,018.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $509.60 | $637.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $677.60 | $847.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $677.60 | $847.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $800.00 | $1,000.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $470.40 | $588.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $587.20 | $734.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $820.80 | $1,026.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $767.20 | $959.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $776.00 | $970.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $591.20 | $739.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $536.80 | $671.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $774.40 | $968.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,258.40 | $1,573.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,137.60 | $1,422.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $688.00 | $860.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $366.40 | $458.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $564.80 | $706.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $632.80 | $791.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $451.20 | $564.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,005.60 | $1,257.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $766.40 | $958.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $459.20 | $574.00 | 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.