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 quinidine CPT 80194 | $306.40 | $383.00 | not published | 0 |
| Ghs refill of implantable pump CPT 95990 | $973.60 | $1,217.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $620.00 | $775.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $3,118.40 | $3,898.00 | not published | 0 |
| Ghs reticulocyte count CPT 85044 | $154.40 | $193.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $118.40 | $148.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $477.60 | $597.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $632.00 | $790.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $436.00 | $545.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,902.40 | $2,378.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $407.20 | $509.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $445.60 | $557.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $448.00 | $560.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $584.00 | $730.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,973.60 | $2,467.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $939.20 | $1,174.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $382.40 | $478.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $1,308.00 | $1,635.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,982.40 | $4,978.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $3,014.40 | $3,768.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,221.60 | $1,527.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $5,478.40 | $6,848.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $6,967.20 | $8,709.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $249.60 | $312.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $8,832.00 | $11,040.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $112.00 | $140.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $244.80 | $306.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $883.20 | $1,104.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $124.00 | $155.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $45.60 | $57.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $129.60 | $162.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $144.00 | $180.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $436.80 | $546.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $114.40 | $143.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $250.40 | $313.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $524.80 | $656.00 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $172.00 | $215.00 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $119.20 | $149.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $224.00 | $280.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $402.40 | $503.00 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $759.20 | $949.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $94.40 | $118.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $379.20 | $474.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $3,076.80 | $3,846.00 | not published | 0 |
| G-tube reposition CPT 43761 | $2,696.80 | $3,371.00 | not published | 0 |
| Hand X-ray CPT 73130 | $836.80 | $1,046.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $273.60 | $342.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,397.60 | $1,747.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,393.60 | $1,742.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $1,397.60 | $1,747.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $1,304.00 | $1,630.00 | not published | 0 |
| Hbot, full body chamber, 30m HCPCS G0277 | $215.20 | $269.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $162.40 | $203.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $228.80 | $286.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $2,687.20 | $3,359.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $2,645.60 | $3,307.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,497.60 | $3,122.00 | not published | 0 |
| Heart infarct image CPT 78466 | $2,068.00 | $2,585.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $219.20 | $274.00 | not published | 0 |
| Hematocrit CPT 85014 | $88.00 | $110.00 | not published | 0 |
| Hemoglobin CPT 85018 | $88.00 | $110.00 | not published | 0 |
| Hemoglobin fetal qualitative CPT 83033 | $160.00 | $200.00 | not published | 0 |
| Hemoglobin-oxygen affinity CPT 82820 | $409.60 | $512.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $136.80 | $171.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $72.00 | $90.00 | not published | 0 |
| Heparin assay CPT 85520 | $638.40 | $798.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $359.20 | $449.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $161.60 | $202.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $292.80 | $366.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $159.20 | $199.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $294.40 | $368.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $1,960.80 | $2,451.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $2,719.20 | $3,399.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $4,903.20 | $6,129.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $161.60 | $202.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $161.60 | $202.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $336.00 | $420.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $135.20 | $169.00 | not published | 0 |
| Hexa gene CPT 81255 | $395.20 | $494.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $700.80 | $876.00 | not published | 0 |
| Hip X-ray CPT 73502 | $519.20 | $649.00 | not published | 0 |
| Histamine CPT 83088 | $460.80 | $576.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $286.40 | $358.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $1,048.00 | $1,310.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $74.40 | $93.00 | not published | 0 |
| Hla i typing complete lr CPT 81372 | $442.40 | $553.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $1,108.00 | $1,385.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $312.80 | $391.00 | not published | 0 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $5.60 | $7.00 | not published | 0 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $5.60 | $7.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $5.60 | $7.00 | not published | 0 |
| Home sleep test/type 3 porta HCPCS G0399 | $900.80 | $1,126.00 | not published | 0 |
| Homocysteine CPT 83090 | $239.20 | $299.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $104.00 | $130.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $241.60 | $302.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $5,412.00 | $6,765.00 | not published | 0 |
| Hpv combo assay ca screen HCPCS G0476 | $217.60 | $272.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $412.00 | $515.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $12,641.60 | $15,802.00 | not published | 0 |
| Hrdtry perph neurphy panel CPT 81448 | $9,667.20 | $12,084.00 | 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.