OSF Saint Francis Medical Center
530 Ne Glen Oak Ave, Peoria, IL · Osfhealthcare · · NPI 1043260482
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 |
|---|---|---|---|---|
| X-ray nasal bones complete > 3 views CPT 70160 | $676.80 | $1,128.00 | $25.63 – $317.04 | 5 |
| X-ray neck soft tissue CPT 70360 | $519.60 | $866.00 | $21.73 – $317.04 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $405.60 | $676.00 | $18.18 – $317.04 | 5 |
| X-ray of mammary ducts CPT 77054 | $1,041.00 | $1,735.00 | $52.21 – $869.25 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $25.63 – $317.04 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $568.20 | $947.00 | $24.21 – $380.87 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $663.60 | $1,106.00 | $28.82 – $380.87 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $912.60 | $1,521.00 | $45.82 – $1,270.98 | 5 |
| X-ray ribs 2 views left CPT 71100 | $538.20 | $897.00 | $23.15 – $317.04 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $602.40 | $1,004.00 | $26.34 – $380.87 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $624.60 | $1,041.00 | $25.62 – $380.87 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $624.60 | $1,041.00 | $32.36 – $380.87 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $545.40 | $909.00 | $25.28 – $380.87 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $519.60 | $866.00 | $21.73 – $317.04 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $814.80 | $1,358.00 | $22.79 – $380.87 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $21.73 – $317.04 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $781.80 | $1,303.00 | $15.71 – $317.04 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $676.80 | $1,128.00 | $26.34 – $317.04 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,540.20 | $2,567.00 | $30.94 – $1,990.64 | 5 |
| X-ray skull < 4 views CPT 70250 | $659.40 | $1,099.00 | $25.27 – $380.87 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $716.40 | $1,194.00 | $29.88 – $380.87 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $2,482.20 | $4,137.00 | $63.19 – $380.87 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $811.20 | $1,352.00 | $89.06 – $639.00 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $1,050.00 | $1,750.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $381.60 | $636.00 | $15.35 – $317.04 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $565.80 | $943.00 | $26.34 – $317.04 | 5 |
| X-ray sternum > 2 views CPT 71120 | $565.80 | $943.00 | $21.02 – $317.04 | 5 |
| X-ray surgical specimen CPT 76098 | $633.60 | $1,056.00 | $8.62 – $1,990.64 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $624.00 | $1,040.00 | $100.40 – $639.00 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $729.60 | $1,216.00 | $36.97 – $317.04 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $476.40 | $794.00 | $22.79 – $380.87 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $547.80 | $913.00 | $25.28 – $380.87 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $232.20 | $387.00 | $22.44 – $317.04 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $306.00 | $510.00 | $26.69 – $317.04 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $354.60 | $591.00 | $48.66 – $380.87 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $781.80 | $1,303.00 | $21.38 – $317.04 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $610.20 | $1,017.00 | $22.08 – $317.04 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,043.40 | $1,739.00 | $101.47 – $639.00 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $929.40 | $1,549.00 | $87.29 – $639.00 | 5 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $92.61 – $92.61 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $140.09 – $140.09 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $781.80 | $1,303.00 | $23.50 – $317.04 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $624.00 | $1,040.00 | $58.58 – $639.00 | 5 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $91.02 – $91.02 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $285.60 | $476.00 | $12.91 – $27.50 | 5 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.06 – $5.07 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $28.09 | 5 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $51,382.74 – $193,181.91 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $7.44 – $35.57 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.42 – $5.14 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.42 – $1.42 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $694.80 | $1,158.00 | $51.31 – $109.29 | 5 |
| Zika virus igm antibody CPT 86794 | $448.80 | $748.00 | $16.85 – $35.89 | 5 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.06 – $1.06 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $17.72 – $17.72 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.80 – $29.26 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $12.40 – $12.40 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $126.51 – $126.51 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $411.62 | 4 |
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.