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 |
|---|---|---|---|---|
| Ghs abscess postoperative iandd complex CPT 10180 | $3,712.00 | $4,640.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $133.60 | $167.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $185.60 | $232.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $313.60 | $392.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $509.60 | $637.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,668.80 | $3,336.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,277.60 | $1,597.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $563.20 | $704.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $713.60 | $892.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $797.60 | $997.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,344.00 | $1,680.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,402.40 | $3,003.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $7,397.60 | $9,247.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $10,941.60 | $13,677.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $5,695.20 | $7,119.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $144.00 | $180.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $1,660.80 | $2,076.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $716.80 | $896.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $1,512.00 | $1,890.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $1,589.60 | $1,987.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $323.20 | $404.00 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $93.60 | $117.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,422.40 | $1,778.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,803.20 | $2,254.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,604.80 | $2,006.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $956.00 | $1,195.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $324.80 | $406.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $718.40 | $898.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $4,129.60 | $5,162.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $116.80 | $146.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $1,610.40 | $2,013.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $1,372.00 | $1,715.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $806.40 | $1,008.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $821.60 | $1,027.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $355.20 | $444.00 | not published | 0 |
| Ghs hgb stability-thal CPT 83068 | $639.20 | $799.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $662.40 | $828.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $182.40 | $228.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,946.40 | $3,683.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $967.20 | $1,209.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,023.20 | $1,279.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $973.60 | $1,217.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $3,662.40 | $4,578.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $1,248.80 | $1,561.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $1,468.00 | $1,835.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $243.20 | $304.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $692.80 | $866.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,821.60 | $2,277.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,892.00 | $2,365.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $4,445.60 | $5,557.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $333.60 | $417.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $83.20 | $104.00 | not published | 0 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $740.00 | $925.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $740.00 | $925.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $740.00 | $925.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $3,641.60 | $4,552.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,401.60 | $1,752.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,458.40 | $1,823.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,458.40 | $1,823.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,458.40 | $1,823.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,607.20 | $2,009.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,666.40 | $2,083.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,741.60 | $2,177.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,741.60 | $2,177.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,597.60 | $1,997.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,821.60 | $2,277.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,821.60 | $2,277.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,892.00 | $2,365.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,892.00 | $2,365.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,972.80 | $2,466.00 | not published | 0 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,876.80 | $2,346.00 | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $4,673.60 | $5,842.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $243.20 | $304.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $246.40 | $308.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $624.00 | $780.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $624.00 | $780.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $395.20 | $494.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.80 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $584.80 | $731.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,934.40 | $2,418.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,500.80 | $1,876.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $2,151.20 | $2,689.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $2,400.00 | $3,000.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $5,616.00 | $7,020.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,579.20 | $3,224.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $2,308.00 | $2,885.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $46.40 | $58.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $164.00 | $205.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $144.00 | $180.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $170.40 | $213.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $1,616.80 | $2,021.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $392.00 | $490.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $339.20 | $424.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $1,332.80 | $1,666.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $5,725.60 | $7,157.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $70.40 | $88.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $150.40 | $188.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $147.20 | $184.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $387.20 | $484.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $481.60 | $602.00 | 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.