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 |
|---|---|---|---|---|
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $118.47 – $118.47 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $92.60 – $92.60 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $136.20 | $227.00 | $87.85 – $727.19 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $640.80 | $1,068.00 | $121.69 – $727.19 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $681.00 | $1,135.00 | $111.97 – $238.50 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $514.80 | $858.00 | $88.75 – $189.04 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | $274.80 | $458.00 | $93.26 – $317.04 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $21,088.80 | $35,148.00 | $693.00 – $1,968.07 | 2 |
| Dialysis one evaluation CPT 90945 | $3,361.80 | $5,603.00 | $91.64 – $1,520.13 | 5 |
| Dialysis repeated eval CPT 90947 | not published | not published | $133.93 – $133.93 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $381.60 – $381.60 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $82.60 – $82.60 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.39 – $16.66 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $4.20 | $7.00 | $0.35 – $0.35 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.73 – $6.73 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $68.40 – $68.40 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.15 – $0.15 | 1 |
| Diffusing capacity CPT 94729 | $576.60 | $961.00 | $46.18 – $46.18 | 1 |
| Digital analysis of eeg CPT 95957 | $1,111.20 | $1,852.00 | $165.83 – $165.83 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $204.56 – $693.00 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $4.96 – $4.96 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $3,626.40 – $17,565.81 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $317.40 | $529.00 | $13.28 – $28.29 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $68.04 – $68.04 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $3,639.60 | $6,066.00 | $504.99 – $693.00 | 2 |
| Dilate esophagus CPT 43453 | $5,016.00 | $8,360.00 | $908.43 – $6,990.77 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $172.45 – $4,157.00 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,443.00 | $2,405.00 | $388.91 – $5,543.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,443.00 | $2,405.00 | $194.46 – $5,543.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | $1,443.00 | $2,405.00 | $553.81 – $5,543.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $94.19 – $1,627.46 | 6 |
| Dilate urethra stricture CPT 53600 | not published | not published | $89.93 – $910.22 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $85.44 – $693.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $71.83 – $12,841.85 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $132.05 – $910.22 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $73.63 – $693.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $184.61 – $4,359.48 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | $7,365.60 | $12,276.00 | $69.08 – $11,793.16 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $210.11 – $4,359.48 | 6 |
| Dilation of salivary duct CPT 42660 | $2,113.20 | $3,522.00 | $135.14 – $1,964.83 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $72.60 – $693.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $43.07 – $7,615.47 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $145.68 – $11,793.16 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $85.49 – $5,652.57 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $141.38 – $2,540.32 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,855.60 | $6,426.00 | $166.56 – $12,841.85 | 6 |
| Dilat xst trc new access rcs CPT 50437 | $3,855.60 | $6,426.00 | $278.51 – $12,841.85 | 6 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $53.51 – $53.51 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $6.73 – $6.73 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $532.64 – $2,546.23 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.35 – $0.35 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.71 – $0.71 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.30 – $16.30 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.77 – $1.77 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $4,983.00 – $4,983.00 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $26.34 – $136.07 | 5 |
| Disability dlco CPT 94727 | $621.00 | $1,035.00 | $31.29 – $786.63 | 5 |
| Disaccharidases CPT 82657 | $1,420.20 | $2,367.00 | $21.97 – $47.22 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $508.26 – $7,516.73 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,237.93 – $46,772.56 | 6 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,715.93 – $5,543.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $239.27 – $5,543.00 | 2 |
| Discography cerv/thor spine CPT 72285 | $5,913.60 | $9,856.00 | $57.88 – $7,113.97 | 5 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $63.08 – $81.00 | 4 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $169.04 – $269.08 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $693.00 – $6,484.34 | 5 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,724.28 – $5,543.00 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $428.55 – $5,543.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,298.14 – $20,271.96 | 6 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,300.68 – $5,543.00 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $866.07 – $21,566.51 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $354.64 – $4,157.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $23.74 – $23.74 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $10,597.80 | $17,663.00 | $340.57 – $5,543.00 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $274.29 – $594.27 | 5 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $270.39 – $585.39 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.67 – $291.81 | 5 |
| Dna antibody native/double stranded CPT 86225 | $304.20 | $507.00 | $13.74 – $29.27 | 5 |
| Dna gardnerella CPT 87510 | $69.00 | $115.00 | $20.05 – $42.71 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.33 – $48.46 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.58 – $57.25 | 5 |
| Dna trichomonas CPT 87660 | $69.00 | $115.00 | $20.05 – $42.71 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.09 – $7.09 | 1 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $1.42 – $1.42 | 1 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $172.04 | 5 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $3.90 – $3.90 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.60 – $60.60 | 1 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $64.37 – $64.37 | 1 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $101.57 – $101.57 | 1 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $144.95 – $144.95 | 1 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $207.70 – $207.70 | 1 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $59.22 – $59.22 | 1 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $85.95 – $85.95 | 1 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $149.03 – $149.03 | 1 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $199.78 – $199.78 | 1 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $235.15 – $235.15 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $0.71 | 1 |
| Doppler echo complete CPT 93320 | $972.00 | $1,620.00 | $35.08 – $35.08 | 1 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,822.40 | $4,704.00 | $149.77 – $693.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,663.80 | $2,773.00 | $111.85 – $786.63 | 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.