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 |
|---|---|---|---|---|
| Chylomicron screen, bf - sendout CPT 82664 | $261.60 | $327.00 | not published | 0 |
| Clearance of airways CPT 31720 | $135.20 | $169.00 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $410.40 | $513.00 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $10,228.80 | $12,786.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $8,863.20 | $11,079.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $11,099.20 | $13,874.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,199.20 | $2,749.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $9,784.80 | $12,231.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,316.80 | $2,896.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $2,831.20 | $3,539.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,344.00 | $1,680.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $4,940.00 | $6,175.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $1,017.60 | $1,272.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,453.60 | $3,067.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $3,022.40 | $3,778.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $396.80 | $496.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $530.40 | $663.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $568.80 | $711.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $867.20 | $1,084.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $7,720.00 | $9,650.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $7,591.20 | $9,489.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $6,443.20 | $8,054.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $4,592.00 | $5,740.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,672.00 | $2,090.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $3,700.80 | $4,626.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $3,411.20 | $4,264.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $328.00 | $410.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $1,064.80 | $1,331.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $4,026.40 | $5,033.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,180.00 | $2,725.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $6,224.00 | $7,780.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $2,490.40 | $3,113.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $2,904.80 | $3,631.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $6,824.00 | $8,530.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,013.60 | $2,517.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $6,219.20 | $7,774.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $8,799.20 | $10,999.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $9,384.00 | $11,730.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $8,294.40 | $10,368.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $7,492.00 | $9,365.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $3,879.20 | $4,849.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $5,353.60 | $6,692.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $7,341.60 | $9,177.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $5,478.40 | $6,848.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $1,152.80 | $1,441.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $6,059.20 | $7,574.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,312.00 | $2,890.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $797.60 | $997.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $704.00 | $880.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $3,317.60 | $4,147.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $6,071.20 | $7,589.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,380.00 | $2,975.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,292.00 | $2,865.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,803.20 | $4,754.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $476.00 | $595.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $3,100.80 | $3,876.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $4,060.00 | $5,075.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $11,949.60 | $14,937.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $5,940.00 | $7,425.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $6,804.00 | $8,505.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $6,518.40 | $8,148.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $7,213.60 | $9,017.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $3,130.40 | $3,913.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $6,796.00 | $8,495.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $10,137.60 | $12,672.00 | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,156.00 | $2,695.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,385.60 | $5,482.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,232.80 | $2,791.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,120.00 | $2,650.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $9,855.20 | $12,319.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $560.80 | $701.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $616.80 | $771.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $150.40 | $188.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $44,148.00 | $55,185.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $92.00 | $115.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $92.00 | $115.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $410.40 | $513.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $113.60 | $142.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $113.60 | $142.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $34.40 | $43.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $318.40 | $398.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $471.20 | $589.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $140.00 | $175.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $140.00 | $175.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $508.00 | $635.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,528.80 | $1,911.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $4,749.60 | $5,937.00 | not published | 0 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $924.80 | $1,156.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,590.40 | $1,988.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $4,673.60 | $5,842.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $3,470.40 | $4,338.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,892.00 | $2,365.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,972.80 | $2,466.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $2,048.00 | $2,560.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,821.60 | $2,277.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $4,445.60 | $5,557.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,590.40 | $1,988.00 | 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.