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 |
|---|---|---|---|---|
| Closed tx septal&nose fx CPT 21337 | not published | not published | $428.18 – $12,078.54 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $123.06 – $898.63 | 6 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $380.40 | $634.00 | $251.95 – $898.63 | 6 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $958.18 – $11,920.21 | 6 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,300.85 – $1,963.00 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $537.60 | $896.00 | $253.81 – $862.87 | 6 |
| Close mastoid fistula CPT 69700 | not published | not published | $723.48 – $5,652.57 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $763.30 – $26,435.09 | 6 |
| Close mult vsd CPT 33675 | not published | not published | $2,193.25 – $5,543.00 | 2 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,298.56 – $5,543.00 | 2 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,653.25 – $5,543.00 | 2 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,773.17 – $5,543.00 | 2 |
| Close tear duct opening CPT 68760 | not published | not published | $216.80 – $1,156.34 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $154.96 – $1,156.34 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $666.22 – $8,661.41 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.59 – $34.08 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,608.80 | $4,348.00 | $286.56 – $5,652.57 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $970.09 – $5,543.00 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,800.42 – $5,543.00 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,135.48 – $5,543.00 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,575.00 – $5,543.00 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $364.99 – $1,964.83 | 6 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $181.22 – $4,157.00 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $524.79 – $12,078.54 | 6 |
| Closure of valve CPT 33600 | not published | not published | $1,917.07 – $5,543.00 | 2 |
| Closure of valve CPT 33602 | not published | not published | $1,859.38 – $5,543.00 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $460.55 – $12,078.54 | 6 |
| Closure paravalvlr leak pq CPT 33999 | $1,171.20 | $1,952.00 | $357.00 – $2,285.33 | 6 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,218.16 – $5,543.00 | 2 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $966.97 – $5,543.00 | 2 |
| Clot factor fletcher fact CPT 85292 | $539.40 | $899.00 | $18.93 – $40.32 | 5 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $43.49 | 5 |
| Clot factor wght kininogen CPT 85293 | $539.40 | $899.00 | $18.93 – $40.32 | 5 |
| Clot factor xii hageman CPT 85280 | $450.00 | $750.00 | $19.35 – $41.22 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $403.80 | $673.00 | $9.11 – $19.40 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $556.80 | $928.00 | $16.34 – $34.80 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $21.93 – $21.93 | 1 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.06 – $1.06 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.77 – $1.77 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.42 – $1.42 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,654.80 | $2,758.00 | $264.33 – $898.63 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $370.20 | $617.00 | $264.33 – $898.63 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $250.42 – $5,858.07 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $447.00 | $745.00 | $243.60 – $898.63 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $379.57 – $5,858.07 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $316.20 | $527.00 | $232.27 – $898.63 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $252.00 | $420.00 | $196.30 – $898.63 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $252.00 | $420.00 | $194.68 – $898.63 | 6 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $566.40 | $944.00 | $264.33 – $898.63 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $600.60 | $1,001.00 | $106.15 – $898.63 | 6 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,244.60 | $3,741.00 | $833.33 – $5,858.07 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $517.25 – $5,858.07 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $656.40 | $1,094.00 | $264.33 – $898.63 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $252.00 | $420.00 | $151.33 – $898.63 | 6 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $347.40 | $579.00 | $172.15 – $898.63 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $370.20 | $617.00 | $264.33 – $898.63 | 6 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,755.60 | $2,926.00 | $579.08 – $5,858.07 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $826.20 | $1,377.00 | $264.33 – $898.63 | 6 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,755.60 | $2,926.00 | $551.07 – $5,858.07 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $555.60 | $926.00 | $264.33 – $898.63 | 6 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $383.40 | $639.00 | $264.33 – $898.63 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $347.40 | $579.00 | $264.33 – $898.63 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $618.00 | $1,030.00 | $264.33 – $898.63 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $299.72 – $1,018.95 | 6 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $321.00 | $535.00 | $577.95 – $1,964.83 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $242.95 – $898.63 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $385.80 | $643.00 | $264.33 – $898.63 | 6 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $385.80 | $643.00 | $264.33 – $898.63 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $505.91 – $11,920.21 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $380.40 | $634.00 | $231.31 – $898.63 | 6 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $265.10 – $12,078.54 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $135.95 – $135.95 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,428.20 | $4,047.00 | $388.59 – $5,858.07 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $407.40 | $679.00 | $264.33 – $898.63 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $312.60 | $521.00 | $264.33 – $898.63 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $134.64 – $898.63 | 6 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $962.40 | $1,604.00 | $459.59 – $5,858.07 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $272.40 | $454.00 | $207.67 – $898.63 | 6 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $347.40 | $579.00 | $264.33 – $898.63 | 6 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,542.60 | $2,571.00 | $472.11 – $5,858.07 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $246.77 – $898.63 | 6 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,410.80 | $4,018.00 | $458.37 – $5,858.07 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,500.80 | $4,168.00 | $591.13 – $5,858.07 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,051.20 | $1,752.00 | $435.03 – $5,858.07 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $393.64 – $11,920.21 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $451.20 | $752.00 | $111.70 – $898.63 | 6 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $579.60 | $966.00 | $125.56 – $898.63 | 6 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $471.60 | $786.00 | $264.33 – $898.63 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,620.00 | $2,700.00 | $521.31 – $5,858.07 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $656.40 | $1,094.00 | $264.33 – $898.63 | 6 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $147.00 | $245.00 | $264.33 – $898.63 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $264.33 – $898.63 | 6 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $347.40 | $579.00 | $264.33 – $898.63 | 6 |
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.