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 |
|---|---|---|---|---|
| Vancomycin peak therapeutic drug level CPT 80202 | $137.40 | $229.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $448.80 | $748.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,209.00 | $2,015.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,303.20 | $2,172.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $900.00 | $1,500.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,110.00 | $1,850.00 | not published | 0 |
| Vital capacity test CPT 94150 | $134.40 | $224.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $123.60 | $206.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $150.00 | $250.00 | not published | 0 |
| Warde 1003990 aldosterone CPT 82088 | $28.20 | $47.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $91.80 | $153.00 | not published | 0 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $285.00 | $475.00 | not published | 0 |
| Warde hepatitis be antibody CPT 86707 | $62.40 | $104.00 | not published | 0 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $27.00 | $45.00 | not published | 0 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $744.60 | $1,241.00 | not published | 0 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $142.80 | $238.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $153.60 | $256.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $46.80 | $78.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $461.40 | $769.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $456.60 | $761.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $544.20 | $907.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $1,038.60 | $1,731.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $435.60 | $726.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $204.00 | $340.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $326.40 | $544.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $397.80 | $663.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $457.80 | $763.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $320.40 | $534.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $246.00 | $410.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $211.80 | $353.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $689.40 | $1,149.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $500.40 | $834.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $486.00 | $810.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $599.40 | $999.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $659.40 | $1,099.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $195.00 | $325.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $484.80 | $808.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $607.20 | $1,012.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $173.40 | $289.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $213.00 | $355.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $387.00 | $645.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $393.60 | $656.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $453.00 | $755.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $301.80 | $503.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $169.20 | $282.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $171.60 | $286.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $165.00 | $275.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $191.40 | $319.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $591.60 | $986.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $196.80 | $328.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $314.40 | $524.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $204.00 | $340.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $178.80 | $298.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $181.20 | $302.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $194.40 | $324.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $187.20 | $312.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $180.60 | $301.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $345.00 | $575.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $295.20 | $492.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $297.60 | $496.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $444.00 | $740.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $162.60 | $271.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $204.00 | $340.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $187.80 | $313.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $231.00 | $385.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $213.00 | $355.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $489.60 | $816.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $562.80 | $938.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $636.00 | $1,060.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $299.40 | $499.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $192.60 | $321.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $231.00 | $385.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $204.00 | $340.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $204.00 | $340.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $285.60 | $476.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $618.60 | $1,031.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $223.20 | $372.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $318.00 | $530.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $281.40 | $469.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $373.80 | $623.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $246.00 | $410.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $228.60 | $381.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $214.80 | $358.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $163.20 | $272.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $294.60 | $491.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $609.60 | $1,016.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $219.60 | $366.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $323.40 | $539.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $537.00 | $895.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $429.60 | $716.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $381.60 | $636.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $223.80 | $373.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $224.40 | $374.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $415.80 | $693.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $352.20 | $587.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $267.00 | $445.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $476.40 | $794.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $547.80 | $913.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $232.20 | $387.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $306.00 | $510.00 | 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.