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 |
|---|---|---|---|---|
| Dermabrasion other than face CPT 15782 | not published | not published | $600.99 – $10,582.16 | 6 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $581.78 – $2,579.79 | 6 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $435.63 – $1,480.97 | 6 |
| Dermabrasion total face CPT 15780 | not published | not published | $968.93 – $10,582.16 | 6 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $719.88 – $12,910.13 | 6 |
| Dermagraft HCPCS Q4106 | not published | not published | $32.25 – $32.25 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $104.73 – $7,516.73 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $920.79 – $12,910.13 | 6 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $713.27 – $7,516.73 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $5,958.60 | $9,931.00 | $2,037.86 – $5,543.00 | 2 |
| Design custom breast implant CPT 19396 | not published | not published | $302.56 – $14,264.30 | 6 |
| Design mlc device for imrt CPT 77338 | $3,135.00 | $5,225.00 | $275.67 – $1,364.08 | 5 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $7.41 – $12.40 | 2 |
| Desoxycorticosterone CPT 82633 | $444.00 | $740.00 | $30.98 – $65.99 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $450.80 – $5,543.00 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $5,958.60 | $9,931.00 | $1,748.69 – $5,543.00 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,356.20 | $3,927.00 | $1,263.17 – $5,543.00 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $146.51 – $730.93 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $188.81 – $730.93 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $215.00 – $730.93 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $156.77 – $730.93 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $172.76 – $730.93 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $197.47 – $730.93 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $100.60 – $730.93 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $151.36 – $730.93 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $185.20 – $730.93 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $202.49 – $730.93 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,773.20 | $9,622.00 | $436.81 – $7,113.97 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,602.00 | $2,670.00 | $194.59 – $693.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $220.93 – $4,359.48 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $225.00 | $375.00 | $68.36 – $730.93 | 6 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $393.00 | $655.00 | $252.45 – $7,516.73 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | $268.20 | $447.00 | $152.46 – $7,516.73 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $258.60 | $431.00 | $135.95 – $730.93 | 6 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $357.00 – $2,692.51 | 6 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $357.00 – $1,480.97 | 6 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $357.00 – $7,516.73 | 6 |
| Destruction 2-14 lesions 17003 CPT 17003 | $64.80 | $108.00 | $5.91 – $693.00 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $271.31 – $7,516.73 | 6 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $548.58 – $10,112.00 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $378.00 | $630.00 | $248.54 – $1,480.97 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $265.80 | $443.00 | $114.11 – $730.93 | 6 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $254.01 – $3,222.22 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,586.00 | $4,310.00 | $176.50 – $693.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,773.20 | $9,622.00 | $431.90 – $7,113.97 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $476.03 – $8,407.63 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $485.11 – $8,661.41 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $463.27 – $8,661.41 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $215.00 – $730.93 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $443.80 – $10,112.00 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $166.58 – $8,661.41 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $220.41 – $1,480.97 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $260.90 – $1,480.97 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $216.54 – $1,480.97 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $247.27 – $1,480.97 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $280.20 | $467.00 | $140.59 – $1,480.97 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $235.01 – $7,516.73 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $378.00 | $630.00 | $159.14 – $1,480.97 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $766.04 – $10,112.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $221.14 – $11,793.16 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | $255.00 | $425.00 | $130.70 – $11,793.16 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $129.37 – $7,516.73 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.41 – $63.96 | 5 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $93.02 | 5 |
| Determination venous press CPT 93770 | not published | not published | $0.74 – $0.74 | 1 |
| Determine refractive state CPT 92015 | $43.20 | $72.00 | $21.26 – $21.26 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | $164.40 | $274.00 | $10.03 – $10.03 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | $503.40 | $839.00 | $137.89 – $468.77 | 5 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $47.52 – $47.52 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,593.12 – $5,543.00 | 2 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $10.03 – $370.10 | 5 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $213.60 | $356.00 | $65.00 – $65.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $272.40 | $454.00 | $23.15 – $317.04 | 5 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.35 – $0.35 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.35 – $0.35 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $196.68 – $692.82 | 6 |
| Dexamethasone panel CPT 80420 | not published | not published | $159.12 – $344.80 | 5 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.06 – $1.06 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $49.74 – $217.24 | 6 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $82.93 – $82.93 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.23 – $14.23 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.35 – $0.35 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.06 – $1.06 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.48 – $2.48 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.61 – $4.61 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $407.40 | $679.00 | $22.23 – $47.35 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $82.20 | $137.00 | $9.71 – $20.68 | 5 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $40.15 – $136.50 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $194.20 – $194.20 | 1 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $32.25 – $32.25 | 1 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $32.25 – $32.25 | 1 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $32.25 – $32.25 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $139.80 | $233.00 | $15.78 – $33.61 | 5 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $64.85 – $64.85 | 1 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $32.25 – $32.25 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $194.63 – $6,484.34 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $362.05 – $22,024.44 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $147.69 – $1,627.46 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $207.98 – $4,359.48 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $325.20 | $542.00 | $99.11 – $693.00 | 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.