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 |
|---|---|---|---|---|
| CT Angiogram of the Head CPT 70496 | $2,736.60 | $4,561.00 | $187.96 – $639.00 | 5 |
| CT angio hrt w/3d image CPT 75574 | $2,736.60 | $4,561.00 | $272.50 – $1,270.98 | 5 |
| CT angio pelvis CPT 72191 | $3,380.40 | $5,634.00 | $187.96 – $639.00 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $4,105.20 | $6,842.00 | $187.96 – $639.00 | 5 |
| CT bone density axial CPT 77078 | $647.40 | $1,079.00 | $93.26 – $317.04 | 5 |
| CT cerebral perf w cont & prcssng CPT 70473 | $2,121.60 | $3,536.00 | $187.96 – $639.00 | 4 |
| CT colonography dx CPT 74261 | $2,253.00 | $3,755.00 | $112.03 – $380.87 | 5 |
| CT colonography dx w/dye CPT 74262 | $2,253.00 | $3,755.00 | $187.96 – $639.00 | 5 |
| CT colonography screening CPT 74263 | $2,253.00 | $3,755.00 | $255.69 – $869.25 | 5 |
| CT guidance for needle placement CPT 77012 | $2,253.00 | $3,755.00 | $77.01 – $77.01 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $4,214.40 | $7,024.00 | $62.84 – $62.84 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $4,486.20 | $7,477.00 | $264.33 – $898.63 | 6 |
| CT guid parench tis ablat CPT 77013 | $2,253.00 | $3,755.00 | $349.57 – $349.57 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $117.00 | $195.00 | $74.53 – $317.04 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,253.00 | $3,755.00 | $233.76 – $1,270.98 | 5 |
| CT hrt w/3d image CPT 75572 | $2,253.00 | $3,755.00 | $179.19 – $1,270.98 | 5 |
| CT limited or localized follow-up study CPT 76380 | $1,098.00 | $1,830.00 | $93.26 – $317.04 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,379.80 | $5,633.00 | $166.67 – $639.00 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $3,379.80 | $5,633.00 | $112.03 – $380.87 | 5 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,845.63 – $2,495.50 | 4 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $1,906.58 – $2,743.21 | 4 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $61.31 – $104.89 | 4 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,853.42 – $2,541.88 | 4 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,636.60 | $6,061.00 | $187.96 – $639.00 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $2,253.00 | $3,755.00 | $132.65 – $639.00 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $2,253.00 | $3,755.00 | $99.69 – $380.87 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,424.60 | $4,041.00 | $162.42 – $639.00 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,424.60 | $4,041.00 | $187.96 – $639.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,253.00 | $3,755.00 | $187.96 – $639.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,253.00 | $3,755.00 | $112.03 – $380.87 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $527.40 | $879.00 | $253.81 – $862.87 | 6 |
| CT scan for localization CPT 77011 | $2,253.00 | $3,755.00 | $165.96 – $165.96 | 1 |
| CT scan for therapy guide CPT 77014 | not published | not published | $75.95 – $75.95 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,253.00 | $3,755.00 | $258.93 – $1,270.98 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,253.00 | $3,755.00 | $226.56 – $1,270.98 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,253.00 | $3,755.00 | $112.45 – $869.25 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $2,446.20 | $4,077.00 | $166.68 – $639.00 | 5 |
| CT thoracic spine without contrast CPT 72128 | $2,265.60 | $3,776.00 | $112.03 – $380.87 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $176.40 | $294.00 | $112.03 – $380.87 | 4 |
| CT t-spine w /wo contrast CPT 72130 | $2,754.60 | $4,591.00 | $187.96 – $639.00 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,379.80 | $5,633.00 | $163.84 – $1,270.98 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,379.80 | $5,633.00 | $112.03 – $380.87 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,636.60 | $6,061.00 | $187.96 – $639.00 | 5 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $954.71 – $1,225.82 | 4 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $182.57 – $963.57 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $1,002.20 | 5 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $860.25 – $12,910.13 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $765.28 – $7,516.73 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $74.40 | $124.00 | $8.08 – $17.21 | 5 |
| Culture afb any source CPT 87116 | $328.20 | $547.00 | $10.80 – $23.00 | 5 |
| Culture anaerobic additional method definitive id each CPT 87076 | $190.80 | $318.00 | $8.08 – $17.21 | 5 |
| Culture anaerobic except blood CPT 87075 | $212.40 | $354.00 | $9.47 – $20.17 | 5 |
| Culture bacteria anaerobic CPT 87073 | $451.80 | $753.00 | $9.66 – $20.58 | 5 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $19.14 – $19.14 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $124.80 | $208.00 | $9.44 – $20.11 | 5 |
| Culture body fluid CPT 87070 | $249.60 | $416.00 | $8.62 – $18.36 | 5 |
| Culture fungi definitive id mold CPT 87107 | $141.60 | $236.00 | $10.32 – $21.98 | 5 |
| Culture fungi definitive id yeast CPT 87106 | $130.20 | $217.00 | $10.32 – $21.98 | 5 |
| Culture fungi other (except blood) CPT 87102 | $105.00 | $175.00 | $8.41 – $17.91 | 5 |
| Culture fungi skin/hair/nail CPT 87101 | $133.20 | $222.00 | $7.71 – $16.42 | 5 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $527.40 | $879.00 | $14.53 – $31.12 | 5 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $32.78 | 5 |
| Culture of specimen by kit CPT 87084 | not published | not published | $26.58 – $57.66 | 5 |
| Culture quantitative aerobic other source CPT 87071 | $963.00 | $1,605.00 | $9.89 – $21.07 | 5 |
| Culture screening strep group a CPT 87081 | $117.60 | $196.00 | $6.63 – $14.12 | 5 |
| Culture type pulse field gel CPT 87152 | $436.20 | $727.00 | $7.44 – $16.49 | 5 |
| Culture typing added method CPT 87158 | not published | not published | $7.44 – $16.49 | 5 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $26.67 | 5 |
| Culture typing immunologic CPT 87147 | $91.20 | $152.00 | $5.18 – $11.03 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $634.20 | $1,057.00 | $218.06 – $464.47 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $531.00 | $885.00 | $35.09 – $74.74 | 5 |
| Culture urine each isolate CPT 87088 | $120.60 | $201.00 | $8.09 – $17.23 | 5 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $41.66 | 5 |
| Curette/treat cornea CPT 65435 | not published | not published | $85.76 – $4,157.00 | 6 |
| Curette/treat cornea CPT 65436 | not published | not published | $410.55 – $8,661.41 | 6 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,149.97 – $1,652.13 | 4 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,149.97 – $1,652.13 | 4 |
| Custom glove for term device HCPCS L6895 | not published | not published | $542.92 – $838.78 | 4 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $903.32 – $1,440.14 | 4 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $512.08 – $785.51 | 4 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,203.13 – $1,887.21 | 4 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $886.31 – $1,404.66 | 4 |
| Cv line/pic reposition CPT 36597 | $3,941.40 | $6,569.00 | $136.00 – $5,734.80 | 6 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $15.93 – $15.93 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $23.95 – $23.95 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $30.50 | 5 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.77 – $1.77 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $142.20 | $237.00 | $12.95 – $27.58 | 5 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $37.21 – $37.21 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.77 – $2.63 | 5 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $4.61 – $4.61 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $48.20 – $48.20 | 1 |
| Cyclosporine 2 hour CPT 80158 | $506.40 | $844.00 | $18.05 – $38.45 | 5 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.71 – $0.71 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.48 – $2.48 | 1 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $745.62 – $745.62 | 1 |
| Cyp2c19 gene com variants CPT 81225 | $1,702.80 | $2,838.00 | $286.34 – $620.60 | 5 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $171.88 – $372.35 | 5 |
| Cyp2d6 gene com variants CPT 81226 | $2,655.00 | $4,425.00 | $443.33 – $960.44 | 5 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $171.88 – $372.35 | 5 |
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.