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 |
|---|---|---|---|---|
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $94.40 | $118.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $108.00 | $135.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $3,000.00 | $3,750.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $52.80 | $66.00 | not published | 0 |
| EKG tracing for initial prev HCPCS G0404 | $484.00 | $605.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $70.40 | $88.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $176.80 | $221.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $108.00 | $135.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $108.00 | $135.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $108.00 | $135.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $709.60 | $887.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,412.80 | $25,516.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $20,412.80 | $25,516.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $145.60 | $182.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $132.80 | $166.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $262.40 | $328.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,784.80 | $2,231.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $183.20 | $229.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $380.00 | $475.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $648.00 | $810.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,026.40 | $1,283.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,707.20 | $2,134.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $110.40 | $138.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $118.40 | $148.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $199.20 | $249.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $301.60 | $377.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $427.20 | $534.00 | not published | 0 |
| Estradiol total CPT 82670 | $349.60 | $437.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $357.60 | $447.00 | not published | 0 |
| Euglobulin lysis CPT 85360 | $355.20 | $444.00 | not published | 0 |
| Eval aud funcj ea addl 15 CPT 92627 | $130.40 | $163.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $373.60 | $467.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $483.20 | $604.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $338.40 | $423.00 | not published | 0 |
| Event monitor CPT 93270 | $216.80 | $271.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $261.60 | $327.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $3,172.80 | $3,966.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $1,695.20 | $2,119.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,427.20 | $3,034.00 | not published | 0 |
| Excision of gum flap CPT 41821 | $2,156.00 | $2,695.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $7,920.00 | $9,900.00 | not published | 0 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $613.60 | $767.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $613.60 | $767.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $1,216.00 | $1,520.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $1,009.60 | $1,262.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $604.80 | $756.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $531.20 | $664.00 | not published | 0 |
| Factor ix CPT 85250 | $414.40 | $518.00 | not published | 0 |
| Factor viii CPT 85240 | $365.60 | $457.00 | not published | 0 |
| Fancc gene CPT 81242 | $1,399.20 | $1,749.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $124.80 | $156.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $494.40 | $618.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $130.40 | $163.00 | not published | 0 |
| Fern test HCPCS Q0114 | $44.00 | $55.00 | not published | 0 |
| Ferritin CPT 82728 | $212.00 | $265.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,343.20 | $1,679.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,576.80 | $4,471.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $1,012.00 | $1,265.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $197.60 | $247.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $360.00 | $450.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $222.40 | $278.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $348.00 | $435.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $196.00 | $245.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $597.60 | $747.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $185.60 | $232.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $559.20 | $699.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $857.60 | $1,072.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $324.80 | $406.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,328.80 | $1,661.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $168.00 | $210.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $2,969.60 | $3,712.00 | not published | 0 |
| Flt3 gene CPT 81245 | $1,459.20 | $1,824.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $1,052.80 | $1,316.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $83.20 | $104.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,045.60 | $1,307.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $1,243.20 | $1,554.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $601.60 | $752.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,859.20 | $2,324.00 | not published | 0 |
| Folic acid CPT 82746 | $283.20 | $354.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $2,589.60 | $3,237.00 | not published | 0 |
| Foot X-ray CPT 73630 | $840.80 | $1,051.00 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $343.20 | $429.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $800.00 | $1,000.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $196.80 | $246.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $235.20 | $294.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $128.80 | $161.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $409.60 | $512.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $688.00 | $860.00 | not published | 0 |
| G6pc gene CPT 81250 | $180.00 | $225.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,960.80 | $2,451.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $9.60 | $12.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $398.40 | $498.00 | not published | 0 |
| Galactose transferase test CPT 82776 | $51.20 | $64.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $324.00 | $405.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $210.40 | $263.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $155.20 | $194.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $1,372.00 | $1,715.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $10,155.20 | $12,694.00 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $156.80 | $196.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $2,713.60 | $3,392.00 | 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.