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 |
|---|---|---|---|---|
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $183.00 | $305.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $286.80 | $478.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $402.00 | $670.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $88.20 | $147.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $0.01 | $0.01 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $7.80 | $13.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $40.80 | $68.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $63.60 | $106.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $84.60 | $141.00 | not published | 0 |
| Hand X-ray CPT 73130 | $210.60 | $351.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $84.60 | $141.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $652.80 | $1,088.00 | not published | 0 |
| Hc nm kidney imaging with flow CPT 78701 | $849.00 | $1,415.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,755.80 | $4,593.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $1,788.60 | $2,981.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,632.60 | $2,721.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,632.60 | $2,721.00 | not published | 0 |
| Hematocrit CPT 85014 | $23.40 | $39.00 | not published | 0 |
| Hemodialysis one evaluation CPT 90935 | $1,387.80 | $2,313.00 | not published | 0 |
| Hemoglobin CPT 85018 | $43.20 | $72.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $99.00 | $165.00 | not published | 0 |
| Hemolysins and agglutinins incubated CPT 86941 | $107.40 | $179.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $33.60 | $56.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $26.40 | $44.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $7.80 | $13.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $94.20 | $157.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $28.80 | $48.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $1,428.00 | $2,380.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,024.20 | $1,707.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $3,570.00 | $5,950.00 | not published | 0 |
| Hip X-ray CPT 73502 | $210.60 | $351.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $281.40 | $469.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $6.00 | $10.00 | not published | 0 |
| Hpv combo assay ca screen HCPCS G0476 | $143.40 | $239.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $547.80 | $913.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $143.40 | $239.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $315.60 | $526.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $238.20 | $397.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $116.40 | $194.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $179.40 | $299.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $377.40 | $629.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $326.40 | $544.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $326.40 | $544.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $115.20 | $192.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $45.00 | $75.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $58.20 | $97.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $129.00 | $215.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $163.20 | $272.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $40.20 | $67.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $39.00 | $65.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $81.00 | $135.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $45.00 | $75.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $255.00 | $425.00 | not published | 0 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $261.00 | $435.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $321.00 | $535.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $385.80 | $643.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $62.40 | $104.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $202.80 | $338.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $265.80 | $443.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $780.00 | $1,300.00 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $467.40 | $779.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $5,931.60 | $9,886.00 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $5,907.60 | $9,846.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,217.40 | $12,029.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,953.60 | $3,256.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,476.00 | $2,460.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $454.20 | $757.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $303.60 | $506.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $2,569.20 | $4,282.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $335.40 | $559.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $856.20 | $1,427.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $12.00 | $20.00 | not published | 0 |
| Iron CPT 83540 | $62.40 | $104.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $46.80 | $78.00 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $102.60 | $171.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,145.20 | $5,242.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $594.60 | $991.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $926.40 | $1,544.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $538.20 | $897.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,999.00 | $6,665.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,672.60 | $6,121.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $3,672.60 | $6,121.00 | not published | 0 |
| Knee X-ray CPT 73564 | $285.60 | $476.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $51.00 | $85.00 | not published | 0 |
| Lactic acid CPT 83605 | $83.40 | $139.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $819.00 | $1,365.00 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $211.80 | $353.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $99.00 | $165.00 | not published | 0 |
| Lipase CPT 83690 | $54.00 | $90.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $5.40 | $9.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $4.20 | $7.00 | not published | 0 |
| Liver Function Test CPT 80076 | $106.80 | $178.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $754.20 | $1,257.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,032.20 | $3,387.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,804.80 | $3,008.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,671.00 | $2,785.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,665.80 | $4,443.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,448.00 | $4,080.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,448.00 | $4,080.00 | 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.