OSF Healthcare Divine Mercy Continuing Care Hospital
500 W Romeo B Garrett Avenue, Peoria, IL · Osfhealthcare · · NPI 1770721508
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 |
|---|---|---|---|---|
| 3d recon without postprocess indpndt CPT 76376 | $1,632.60 | $2,721.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $158.40 | $264.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $2,899.20 | $4,832.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,788.60 | $2,981.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,632.60 | $2,721.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,632.60 | $2,721.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,665.80 | $4,443.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,448.00 | $4,080.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,448.00 | $4,080.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,378.80 | $2,298.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $666.60 | $1,111.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $517.80 | $863.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,986.00 | $3,310.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $153.00 | $255.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $229.20 | $382.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $175.20 | $292.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $426.00 | $710.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $52.20 | $87.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $52.80 | $88.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $75.60 | $126.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.20 | $122.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $48.00 | $80.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $51.60 | $86.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $9.60 | $16.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $17.40 | $29.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $51.00 | $85.00 | not published | 0 |
| Ammonia CPT 82140 | $94.20 | $157.00 | not published | 0 |
| Amylase CPT 82150 | $112.20 | $187.00 | not published | 0 |
| Analgesics non-opioid 6/more CPT 80331 | $214.80 | $358.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $238.20 | $397.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $223.80 | $373.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $120.00 | $200.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $405.60 | $676.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $211.80 | $353.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $160.80 | $268.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $237.00 | $395.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $226.80 | $378.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $78.60 | $131.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $61.20 | $102.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $1,642.20 | $2,737.00 | not published | 0 |
| Apheresis rbc CPT 36512 | $1,573.20 | $2,622.00 | not published | 0 |
| Apheresis wbc CPT 36511 | $1,769.40 | $2,949.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $210.00 | $350.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $52.80 | $88.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $52.80 | $88.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $108.00 | $180.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,755.40 | $6,259.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,555.40 | $4,259.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,357.60 | $5,596.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $3,140.40 | $5,234.00 | not published | 0 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,751.60 | $4,586.00 | not published | 0 |
| Artery x-rays spine CPT 75705 | $4,185.60 | $6,976.00 | not published | 0 |
| Assay neurflmnt light chain CPT 83884 | $1,753.80 | $2,923.00 | not published | 0 |
| Assistive tech assessment, ot CPT 97755 | $90.60 | $151.00 | not published | 0 |
| Ast/sgot CPT 84450 | $52.20 | $87.00 | not published | 0 |
| Autologous blood process CPT 86890 | $1,144.80 | $1,908.00 | not published | 0 |
| Baclofen eval charges CPT 97750 | $106.20 | $177.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $129.00 | $215.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $333.00 | $555.00 | not published | 0 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $60.00 | $100.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $41.40 | $69.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $44.40 | $74.00 | not published | 0 |
| Bilirubin total CPT 82247 | $37.80 | $63.00 | not published | 0 |
| Bld prd mix CPT 86965 | $134.40 | $224.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $49.80 | $83.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $43.80 | $73.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $58.80 | $98.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $76.20 | $127.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $69.60 | $116.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $650.40 | $1,084.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $53.40 | $89.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $23.40 | $39.00 | not published | 0 |
| Blood split unit HCPCS P9011 | $189.60 | $316.00 | not published | 0 |
| Blood typing abo CPT 86900 | $81.00 | $135.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $226.80 | $378.00 | not published | 0 |
| Blood typing patient serum CPT 86904 | $71.40 | $119.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $226.80 | $378.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $40.80 | $68.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $74.40 | $124.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $310.80 | $518.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $745.20 | $1,242.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $735.60 | $1,226.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $400.80 | $668.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $85.20 | $142.00 | not published | 0 |
| Bowel imaging CPT 78290 | $774.60 | $1,291.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,932.20 | $4,887.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,665.80 | $4,443.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,665.80 | $4,443.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $2,665.80 | $4,443.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $2,448.00 | $4,080.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $2,448.00 | $4,080.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $110.40 | $184.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $135.00 | $225.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $37.20 | $62.00 | not published | 0 |
| Calcium ionized CPT 82330 | $90.00 | $150.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $19.20 | $32.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,537.80 | $2,563.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $84.00 | $140.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $42.00 | $70.00 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $766.20 | $1,277.00 | 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.