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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $187.80 | $313.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $68.40 | $114.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $88.80 | $148.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $862.20 | $1,437.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $140.40 | $234.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $131.40 | $219.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $281.40 | $469.00 | not published | 0 |
| Decalcification CPT 88311 | $53.40 | $89.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $191.40 | $319.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $82.20 | $137.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $2,302.20 | $3,837.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $468.00 | $780.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $78.00 | $130.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $439.20 | $732.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $548.40 | $914.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $324.00 | $540.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $349.80 | $583.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $61.20 | $102.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $411.00 | $685.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $687.60 | $1,146.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $421.80 | $703.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $627.60 | $1,046.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $722.40 | $1,204.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,893.00 | $3,155.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $150.00 | $250.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $108.00 | $180.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,411.80 | $2,353.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $303.60 | $506.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $444.00 | $740.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $275.40 | $459.00 | not published | 0 |
| Echo stress CPT 93350 | $1,201.20 | $2,002.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,441.80 | $2,403.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $1,360.80 | $2,268.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $804.60 | $1,341.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $90.00 | $150.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $683.40 | $1,139.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $688.80 | $1,148.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $547.80 | $913.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,092.60 | $1,821.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $639.00 | $1,065.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $606.60 | $1,011.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $52.80 | $88.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,231.20 | $2,052.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $348.60 | $581.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $224.40 | $374.00 | not published | 0 |
| Emg needle test 4-extremities CPT 95864 | $490.80 | $818.00 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $562.20 | $937.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $375.60 | $626.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $421.80 | $703.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $280.20 | $467.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $393.60 | $656.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $66.00 | $110.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $365.40 | $609.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $440.40 | $734.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $219.60 | $366.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $37.20 | $62.00 | not published | 0 |
| Ferritin CPT 82728 | $85.20 | $142.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $18.00 | $30.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $49.20 | $82.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $309.00 | $515.00 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $196.20 | $327.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $86.40 | $144.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $2,162.40 | $3,604.00 | not published | 0 |
| #flow interp 9 - 15 markers CPT 88188 | $96.00 | $160.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $62.40 | $104.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $60.60 | $101.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $469.20 | $782.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $456.60 | $761.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $397.20 | $662.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,632.60 | $2,721.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,632.60 | $2,721.00 | not published | 0 |
| Folic acid CPT 82746 | $76.20 | $127.00 | not published | 0 |
| Foot X-ray CPT 73630 | $210.60 | $351.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $127.20 | $212.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $126.00 | $210.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $124.80 | $208.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,428.00 | $2,380.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $90.00 | $150.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $3.00 | $5.00 | not published | 0 |
| Gastric emptying imag study CPT 78265 | $1,213.80 | $2,023.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $537.60 | $896.00 | not published | 0 |
| General health panel CPT 80050 | $262.20 | $437.00 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $118.20 | $197.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $108.00 | $180.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $135.00 | $225.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $160.80 | $268.00 | not published | 0 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $392.40 | $654.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $392.40 | $654.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $392.40 | $654.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $270.00 | $450.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $187.80 | $313.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,949.40 | $3,249.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $643.20 | $1,072.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $34.80 | $58.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.00 | $205.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $108.00 | $180.00 | not published | 0 |
| Ghs reticulocyte count CPT 85044 | $13.20 | $22.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $34.20 | $57.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $84.60 | $141.00 | not published | 0 |
| Ghs somatosensory testing lower extremit CPT 95926 | $771.60 | $1,286.00 | 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.