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 |
|---|---|---|---|---|
| Borrelia miyamotoi amp prb CPT 87478 | $48.80 | $61.00 | not published | 0 |
| Bowel imaging CPT 78290 | $3,799.20 | $4,749.00 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $2,451.20 | $3,064.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $1,524.00 | $1,905.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $410.40 | $513.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $225.60 | $282.00 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $3,660.80 | $4,576.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $4,564.00 | $5,705.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $410.40 | $513.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $1,846.40 | $2,308.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $410.40 | $513.00 | not published | 0 |
| Braf gene CPT 81210 | $939.20 | $1,174.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,429.60 | $5,537.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $4,468.80 | $5,586.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $5,551.20 | $6,939.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $4,768.80 | $5,961.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $4,468.80 | $5,586.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $225.60 | $282.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $7,694.40 | $9,618.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,772.80 | $4,716.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $881.60 | $1,102.00 | not published | 0 |
| Bronchial challenge CPT 94070 | $910.40 | $1,138.00 | not published | 0 |
| Bronch w/balloon occlusion CPT 31634 | $5,543.20 | $6,929.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $938.40 | $1,173.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $312.80 | $391.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $228.80 | $286.00 | not published | 0 |
| Buprenorphine and metabolite - sendout CPT 80348 | $217.60 | $272.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,044.80 | $2,556.00 | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $1,344.80 | $1,681.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $570.40 | $713.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $376.80 | $471.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $196.00 | $245.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $660.80 | $826.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $526.40 | $658.00 | not published | 0 |
| Cad breast MRI w/r&i HCPCS C8937 | $0.01 | $0.01 | not published | 0 |
| Cadd pump refill CPT 96521 | $794.40 | $993.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $129.60 | $162.00 | not published | 0 |
| Calcium ionized CPT 82330 | $259.20 | $324.00 | not published | 0 |
| Calcium total CPT 82310 | $101.60 | $127.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $280.80 | $351.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $819.20 | $1,024.00 | not published | 0 |
| Candida dna CPT 87480 | $184.00 | $230.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $253.60 | $317.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $72.80 | $91.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $416.00 | $520.00 | not published | 0 |
| Carbohydrate deficient transf - sendout CPT 82373 | $204.00 | $255.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $72.80 | $91.00 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $250.40 | $313.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $905.60 | $1,132.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $5,558.40 | $6,948.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $249.60 | $312.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $220.80 | $276.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,082.40 | $2,603.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $112.00 | $140.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $56.00 | $70.00 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,932.80 | $2,416.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,324.80 | $12,906.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $468.00 | $585.00 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $326.40 | $408.00 | not published | 0 |
| #cbg+cort-cbg CPT 84449 | $192.00 | $240.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $1,393.60 | $1,742.00 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $557.60 | $697.00 | not published | 0 |
| #celiac hla-dq8 CPT 81383 | $613.60 | $767.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $168.00 | $210.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $218.40 | $273.00 | not published | 0 |
| Cell cryopreserve/storage CPT 88240 | $1,036.00 | $1,295.00 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $663.20 | $829.00 | not published | 0 |
| Cell marker study CPT 88182 | $1,088.00 | $1,360.00 | not published | 0 |
| #cf-97variants CPT 81220 | $684.80 | $856.00 | not published | 0 |
| Cftr gene dup/delet variants CPT 81222 | $3,493.60 | $4,367.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $333.60 | $417.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $520.00 | $650.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $426.40 | $533.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $376.80 | $471.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,305.60 | $4,132.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $2,885.60 | $3,607.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $2,515.20 | $3,144.00 | not published | 0 |
| Chest X-ray CPT 71046 | $316.80 | $396.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $268.80 | $336.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $387.20 | $484.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $1,527.20 | $1,909.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $382.40 | $478.00 | not published | 0 |
| Chlamydia type CPT 87140 | $104.00 | $130.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $368.80 | $461.00 | not published | 0 |
| Chloride CPT 82435 | $72.00 | $90.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $102.40 | $128.00 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $3,173.60 | $3,967.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,844.80 | $2,306.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,172.80 | $3,966.00 | not published | 0 |
| Cholesterol CPT 82465 | $110.40 | $138.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $279.20 | $349.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $208.00 | $260.00 | not published | 0 |
| Cholinesterase CPT 82480 | $41.60 | $52.00 | not published | 0 |
| Chrom analysis CPT 88273 | $240.00 | $300.00 | not published | 0 |
| Chromatography CPT 83021 | $949.60 | $1,187.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $1,189.60 | $1,487.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $1,605.60 | $2,007.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,246.40 | $1,558.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $192.80 | $241.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $595.20 | $744.00 | 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.