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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $489.60 | $816.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $6,103.20 | $10,172.00 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $75.60 | $126.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $790.20 | $1,317.00 | not published | 0 |
| Magnesium CPT 83735 | $37.80 | $63.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $80.40 | $134.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $86.40 | $144.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $66.60 | $111.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $12.00 | $20.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $681.60 | $1,136.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $30.00 | $50.00 | not published | 0 |
| Mayo factor ii CPT 85210 | $58.20 | $97.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $69.00 | $115.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $5,569.20 | $9,282.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $51.00 | $85.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $51.00 | $85.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,183.20 | $1,972.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $64.80 | $108.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $73.20 | $122.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $228.60 | $381.00 | not published | 0 |
| Mayo insulin antibodies CPT 86337 | $132.60 | $221.00 | not published | 0 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $382.80 | $638.00 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $61.20 | $102.00 | not published | 0 |
| Mayo myoglobin CPT 83874 | $94.20 | $157.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $37.80 | $63.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $109.80 | $183.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $57.00 | $95.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $168.00 | $280.00 | not published | 0 |
| Mayo renin CPT 84244 | $19.20 | $32.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $15.00 | $25.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $105.60 | $176.00 | not published | 0 |
| Mayo tau phosphorylated 217 each CPT 84393 | $1,020.00 | $1,700.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $30.00 | $50.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $97.20 | $162.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $103.80 | $173.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $132.00 | $220.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $218.40 | $364.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $3,478.20 | $5,797.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $3,478.20 | $5,797.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $231.60 | $386.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $2,448.00 | $4,080.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $2,868.00 | $4,780.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $2,647.80 | $4,413.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $3,672.60 | $6,121.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,672.60 | $6,121.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,999.00 | $6,665.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,448.00 | $4,080.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,665.80 | $4,443.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,448.00 | $4,080.00 | not published | 0 |
| MRI tmj CPT 70336 | $2,448.00 | $4,080.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,672.60 | $6,121.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,999.00 | $6,665.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $3,672.60 | $6,121.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $158.40 | $264.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $165.00 | $275.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $88.80 | $148.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $106.80 | $178.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $44.40 | $74.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $435.00 | $725.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $1,660.80 | $2,768.00 | not published | 0 |
| Myelography l-s spine CPT 72265 | $1,269.00 | $2,115.00 | not published | 0 |
| Myelography neck spine CPT 72240 | $1,699.20 | $2,832.00 | not published | 0 |
| Myelography thoracic spine CPT 72255 | $531.60 | $886.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $58.20 | $97.00 | not published | 0 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,786.20 | $2,977.00 | not published | 0 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,898.60 | $4,831.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $204.60 | $341.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $30.00 | $50.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $30.00 | $50.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,032.20 | $3,387.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,804.80 | $3,008.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,671.00 | $2,785.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,665.80 | $4,443.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,448.00 | $4,080.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,448.00 | $4,080.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,932.20 | $4,887.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,665.80 | $4,443.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,665.80 | $4,443.00 | not published | 0 |
| Nerve conduction 7-8 studies CPT 95910 | $687.60 | $1,146.00 | not published | 0 |
| Nerve conduction studies 11-12 CPT 95912 | $1,117.20 | $1,862.00 | not published | 0 |
| Nerve conduction studies 1-2 CPT 95907 | $211.80 | $353.00 | not published | 0 |
| Nerve conduction studies 13+ CPT 95913 | $1,264.20 | $2,107.00 | not published | 0 |
| Nerve conduction studies 3-4 CPT 95908 | $397.20 | $662.00 | not published | 0 |
| Nerve conduction studies 5-6 CPT 95909 | $570.00 | $950.00 | not published | 0 |
| Nerve conduction studies 9-10 CPT 95911 | $939.60 | $1,566.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,171.20 | $1,952.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,050.00 | $1,750.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,172.40 | $1,954.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $999.00 | $1,665.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $782.40 | $1,304.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,228.80 | $2,048.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,086.60 | $1,811.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,172.40 | $1,954.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $835.20 | $1,392.00 | not published | 0 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,015.20 | $1,692.00 | not published | 0 |
| Non-card vasc flow imaging CPT 78445 | $662.40 | $1,104.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,567.40 | $4,279.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $78.00 | $130.00 | not published | 0 |
| Osmolality blood CPT 83930 | $54.60 | $91.00 | not published | 0 |
| Osmolality urine CPT 83935 | $57.60 | $96.00 | 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.