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 |
|---|---|---|---|---|
| Cyclic citrullinated peptide antibody CPT 86200 | $99.20 | $124.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $314.40 | $393.00 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $2,572.00 | $3,215.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $1,585.60 | $1,982.00 | not published | 0 |
| Cystatin c CPT 82610 | $143.20 | $179.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $4,188.80 | $5,236.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $292.80 | $366.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $920.00 | $1,150.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,946.40 | $3,683.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $766.40 | $958.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $7,458.40 | $9,323.00 | not published | 0 |
| Cytogenom microarray copy nmbr var CPT 81228 | $2,196.80 | $2,746.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $248.80 | $311.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $232.00 | $290.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $184.00 | $230.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $272.00 | $340.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $199.20 | $249.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $224.80 | $281.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $258.40 | $323.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $805.60 | $1,007.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $280.80 | $351.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $177.60 | $222.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $296.00 | $370.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86808 | $1,087.20 | $1,359.00 | not published | 0 |
| Dch validity tests CPT 81002 | $39.20 | $49.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $504.80 | $631.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $569.60 | $712.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,551.20 | $3,189.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $570.40 | $713.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,531.20 | $1,914.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $811.20 | $1,014.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $529.60 | $662.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $643.20 | $804.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $376.80 | $471.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $4,319.20 | $5,399.00 | not published | 0 |
| Decalcification CPT 88311 | $154.40 | $193.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $591.20 | $739.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,671.20 | $3,339.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $116.00 | $145.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $1,002.40 | $1,253.00 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $487.20 | $609.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $219.20 | $274.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $442.40 | $553.00 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $248.00 | $310.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $376.00 | $470.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $79.20 | $99.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $48.00 | $60.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $568.00 | $710.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $709.60 | $887.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $604.00 | $755.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $5.60 | $7.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $232.00 | $290.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $340.00 | $425.00 | not published | 0 |
| Disaccharidases CPT 82657 | $1,866.40 | $2,333.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $237.60 | $297.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $184.00 | $230.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $184.00 | $230.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $780.80 | $976.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $2,524.80 | $3,156.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,605.60 | $2,007.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $2,219.20 | $2,774.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $2,068.80 | $2,586.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,328.00 | $1,660.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $2,181.60 | $2,727.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $334.40 | $418.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,143.20 | $2,679.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,765.60 | $5,957.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $805.60 | $1,007.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $3,712.00 | $4,640.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $2,762.40 | $3,453.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $1,403.20 | $1,754.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $3,169.60 | $3,962.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $474.40 | $593.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,124.00 | $2,655.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $77.60 | $97.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $224.00 | $280.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $149.60 | $187.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $510.40 | $638.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $185.60 | $232.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $464.00 | $580.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,365.60 | $1,707.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $297.60 | $372.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $2,071.20 | $2,589.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,533.60 | $1,917.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,023.20 | $1,279.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,569.60 | $3,212.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,008.80 | $2,511.00 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $344.00 | $430.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $414.40 | $518.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $484.00 | $605.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $613.60 | $767.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $216.80 | $271.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $360.80 | $451.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,931.20 | $4,914.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $588.00 | $735.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,214.40 | $1,518.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $607.20 | $759.00 | not published | 0 |
| Echo stress CPT 93350 | $3,452.00 | $4,315.00 | 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.