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 |
|---|---|---|---|---|
| Cell count w differential body fluid CPT 89051 | $58.20 | $97.00 | not published | 0 |
| Cell marker study CPT 88182 | $331.20 | $552.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $310.20 | $517.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $739.80 | $1,233.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $441.60 | $736.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $391.20 | $652.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,788.60 | $2,981.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,635.00 | $2,725.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,632.60 | $2,721.00 | not published | 0 |
| Chest X-ray CPT 71046 | $328.80 | $548.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $279.00 | $465.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $182.40 | $304.00 | not published | 0 |
| Chloride CPT 82435 | $3.00 | $5.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $28.20 | $47.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $558.60 | $931.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $125.40 | $209.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $94.80 | $158.00 | not published | 0 |
| Clearance of airways CPT 31720 | $377.40 | $629.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $114.00 | $190.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $82.20 | $137.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $52.80 | $88.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $139.20 | $232.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $107.40 | $179.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $129.60 | $216.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $108.00 | $180.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $16.20 | $27.00 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $97.80 | $163.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $111.00 | $185.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $219.60 | $366.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $276.60 | $461.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $269.40 | $449.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $382.80 | $638.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $2,279.40 | $3,799.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $5,428.80 | $9,048.00 | not published | 0 |
| Contrast x-ray gallbladder CPT 74290 | $260.40 | $434.00 | not published | 0 |
| Coombs direct CPT 86880 | $53.40 | $89.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $108.00 | $180.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $116.40 | $194.00 | not published | 0 |
| Cortisol total am CPT 82533 | $76.20 | $127.00 | not published | 0 |
| Co-treatment - group 15 mins, st CPT 92508 | $129.60 | $216.00 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,017.60 | $1,696.00 | not published | 0 |
| C-reactive protein CPT 86140 | $57.60 | $96.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $53.40 | $89.00 | not published | 0 |
| Creatine kinase CPT 82550 | $45.00 | $75.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $129.60 | $216.00 | not published | 0 |
| Creatinine CPT 82565 | $59.40 | $99.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $52.20 | $87.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $87.60 | $146.00 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $146.40 | $244.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $429.60 | $716.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,019.00 | $3,365.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,019.00 | $3,365.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,019.00 | $3,365.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $2,019.00 | $3,365.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,019.00 | $3,365.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,019.00 | $3,365.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $2,019.00 | $3,365.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $2,493.60 | $4,156.00 | not published | 0 |
| CT bone density axial CPT 77078 | $1,632.60 | $2,721.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,632.60 | $2,721.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,632.60 | $2,721.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $1,632.60 | $2,721.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,448.60 | $4,081.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,632.60 | $2,721.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,682.60 | $4,471.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,632.60 | $2,721.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,632.60 | $2,721.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,788.60 | $2,981.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,788.60 | $2,981.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,632.60 | $2,721.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,632.60 | $2,721.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,632.60 | $2,721.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,632.60 | $2,721.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,632.60 | $2,721.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,804.80 | $3,008.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,671.00 | $2,785.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $2,032.20 | $3,387.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,448.60 | $4,081.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,632.60 | $2,721.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,682.60 | $4,471.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $74.40 | $124.00 | not published | 0 |
| Culture afb any source CPT 87116 | $119.40 | $199.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $24.00 | $40.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $12.60 | $21.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $44.40 | $74.00 | not published | 0 |
| Culture body fluid CPT 87070 | $76.20 | $127.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $5.40 | $9.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $82.80 | $138.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $96.60 | $161.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $112.20 | $187.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $31.80 | $53.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $54.60 | $91.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $207.00 | $345.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $493.20 | $822.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $186.60 | $311.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $118.20 | $197.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $73.80 | $123.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $102.60 | $171.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $92.40 | $154.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $209.40 | $349.00 | 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.