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 |
|---|---|---|---|---|
| Reticulocyte direct measurement automated CPT 85046 | $7.80 | $13.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $40.20 | $67.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $205.20 | $342.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $765.00 | $1,275.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $520.80 | $868.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $609.60 | $1,016.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $564.60 | $941.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $424.80 | $708.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $532.20 | $887.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $746.40 | $1,244.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $472.80 | $788.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $466.20 | $777.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $487.20 | $812.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $3.60 | $6.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,999.00 | $6,665.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $3,672.60 | $6,121.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $3,672.60 | $6,121.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $223.80 | $373.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $253.20 | $422.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,788.60 | $2,981.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,632.60 | $2,721.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,632.60 | $2,721.00 | not published | 0 |
| Sleep study attended CPT 95807 | $1,495.80 | $2,493.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $2,358.00 | $3,930.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $484.80 | $808.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $185.40 | $309.00 | not published | 0 |
| Smear gram stain CPT 87205 | $33.60 | $56.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $30.60 | $51.00 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $6.60 | $11.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $7,956.00 | $13,260.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $15.00 | $25.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $358.20 | $597.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $124.20 | $207.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $293.40 | $489.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $406.20 | $677.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $410.40 | $684.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $309.60 | $516.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $256.80 | $428.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $108.00 | $180.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $75.60 | $126.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $112.80 | $188.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $153.00 | $255.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $206.40 | $344.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $424.20 | $707.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $667.80 | $1,113.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $30.00 | $50.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $83.40 | $139.00 | not published | 0 |
| Svc venogram s&i CPT 75827 | $1,522.20 | $2,537.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $137.40 | $229.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $47.40 | $79.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,849.20 | $3,082.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,592.80 | $5,988.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $689.40 | $1,149.00 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $3,592.80 | $5,988.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,012.80 | $1,688.00 | not published | 0 |
| Throat x-ray & fluoroscopy CPT 70370 | $172.20 | $287.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $530.40 | $884.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $108.60 | $181.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $481.80 | $803.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $662.40 | $1,104.00 | not published | 0 |
| Tilt table study CPT 93660 | $1,245.00 | $2,075.00 | not published | 0 |
| Tixagev and cilgav inj HCPCS M0220 | $92.40 | $154.00 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $65.40 | $109.00 | not published | 0 |
| Total tau CPT 84394 | $333.00 | $555.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,563.60 | $2,606.00 | not published | 0 |
| Transferrin CPT 84466 | $72.00 | $120.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $546.60 | $911.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $100.20 | $167.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $69.00 | $115.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $81.00 | $135.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $128.40 | $214.00 | not published | 0 |
| Triglycerides CPT 84478 | $43.20 | $72.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $172.20 | $287.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $315.60 | $526.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $411.00 | $685.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $367.80 | $613.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $415.80 | $693.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $310.80 | $518.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $416.40 | $694.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $221.40 | $369.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $359.40 | $599.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $408.00 | $680.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $462.00 | $770.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $481.80 | $803.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $110.40 | $184.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $415.20 | $692.00 | not published | 0 |
| Ultraviolet therapy CPT 97028 | $27.60 | $46.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,665.80 | $4,443.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,448.00 | $4,080.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,448.00 | $4,080.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $13.80 | $23.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $861.60 | $1,436.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $468.00 | $780.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $555.00 | $925.00 | not published | 0 |
| Uric acid blood CPT 84550 | $44.40 | $74.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $27.00 | $45.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $28.20 | $47.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $45.00 | $75.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $80.40 | $134.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $6.60 | $11.00 | 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.