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 |
|---|---|---|---|---|
| Application short leg cast 29405 CPT 29405 | $396.00 | $495.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,105.60 | $3,882.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,105.60 | $3,882.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $410.40 | $513.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $70.40 | $88.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $70.40 | $88.00 | not published | 0 |
| Appl multlay comprs arm/hand CPT 29584 | $215.20 | $269.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $806.40 | $1,008.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $246.40 | $308.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $684.80 | $856.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $437.60 | $547.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $560.00 | $700.00 | not published | 0 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $1,047.20 | $1,309.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $144.00 | $180.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $52.80 | $66.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $974.40 | $1,218.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $5,377.60 | $6,722.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $2,589.60 | $3,237.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $423.20 | $529.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $960.00 | $1,200.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $656.80 | $821.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $1,139.20 | $1,424.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,977.60 | $2,472.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $2,101.60 | $2,627.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,712.80 | $2,141.00 | not published | 0 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,737.60 | $2,172.00 | not published | 0 |
| Assay neurflmnt light chain CPT 83884 | $2,408.80 | $3,011.00 | not published | 0 |
| Assay of corticosterone CPT 82528 | $296.00 | $370.00 | not published | 0 |
| Assay of glutathione CPT 82978 | $164.00 | $205.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $105.60 | $132.00 | not published | 0 |
| Assay of leflunomide CPT 80193 | $559.20 | $699.00 | not published | 0 |
| Assay of lrh hormone CPT 83727 | $861.60 | $1,077.00 | not published | 0 |
| Assay of procainamide w/metab CPT 80192 | $278.40 | $348.00 | not published | 0 |
| Assay of prostaglandin CPT 84150 | $136.80 | $171.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $212.00 | $265.00 | not published | 0 |
| Assay of somatostatin CPT 84307 | $963.20 | $1,204.00 | not published | 0 |
| Assay of thiocyanate CPT 84430 | $252.80 | $316.00 | not published | 0 |
| Assay of tyrosine CPT 84510 | $128.00 | $160.00 | not published | 0 |
| Assay of urine sulfate CPT 84392 | $27.20 | $34.00 | not published | 0 |
| Assay phosphohexose enzymes CPT 84087 | $114.40 | $143.00 | not published | 0 |
| Assay toxin or antitoxin CPT 87230 | $341.60 | $427.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $400.00 | $500.00 | not published | 0 |
| Assistive tech assessment, ot CPT 97755 | $120.80 | $151.00 | not published | 0 |
| Ast/sgot CPT 84450 | $88.00 | $110.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $180.00 | $225.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $520.00 | $650.00 | not published | 0 |
| Baclofen eval charges CPT 97750 | $141.60 | $177.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $94.40 | $118.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $1,418.40 | $1,773.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $172.00 | $215.00 | not published | 0 |
| B cells total count CPT 86355 | $708.80 | $886.00 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $296.00 | $370.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $296.00 | $370.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $270.40 | $338.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $590.40 | $738.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $568.80 | $711.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $444.00 | $555.00 | not published | 0 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $82.40 | $103.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $56.80 | $71.00 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,324.00 | $1,655.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $617.60 | $772.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $551.20 | $689.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $72.80 | $91.00 | not published | 0 |
| Bilirubin total CPT 82247 | $155.20 | $194.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,344.00 | $1,680.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,344.00 | $1,680.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,315.20 | $2,894.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,035.20 | $2,544.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $2,240.80 | $2,801.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $3,493.60 | $4,367.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $872.00 | $1,090.00 | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $4,416.00 | $5,520.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $51.20 | $64.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,325.60 | $2,907.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $4,294.40 | $5,368.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $95.20 | $119.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $140.80 | $176.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $140.80 | $176.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $73.60 | $92.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $460.80 | $576.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $34.40 | $43.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $87.20 | $109.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $92.00 | $115.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $91.20 | $114.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $138.40 | $173.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $101.60 | $127.00 | not published | 0 |
| Blood typing abo CPT 86900 | $106.40 | $133.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $532.00 | $665.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $532.00 | $665.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $80.00 | $100.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $140.80 | $176.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $760.80 | $951.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,760.00 | $2,200.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $2,297.60 | $2,872.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,344.80 | $1,681.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $709.60 | $887.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $724.00 | $905.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $780.80 | $976.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,524.00 | $1,905.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $591.20 | $739.00 | 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.