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 |
|---|---|---|---|---|
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,936.20 | $3,227.00 | $1,231.59 – $5,543.00 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,116.45 – $5,543.00 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | $1,173.60 | $1,956.00 | $753.63 – $6,223.00 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,936.20 | $3,227.00 | $1,784.61 – $5,543.00 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $222.64 – $5,652.57 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $188.06 – $1,964.83 | 6 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.06 – $1.06 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $3.19 – $3.19 | 1 |
| Drop lock knee HCPCS L2182 | not published | not published | $83.63 – $143.24 | 4 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $29.06 – $37.15 | 4 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $9.41 – $453.36 | 5 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $59.40 | $99.00 | $11.34 – $453.36 | 5 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $133.36 – $4,983.00 | 5 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $17.36 – $17.36 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $10.63 – $10.63 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $37.56 – $453.36 | 5 |
| Drug admin & hemodynmic meas CPT 93463 | $4,757.40 | $7,929.00 | $107.63 – $693.00 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $37.92 – $82.15 | 5 |
| Drug assay posaconazole CPT 80187 | $196.20 | $327.00 | $27.11 – $57.74 | 4 |
| Drug assay rufinamide CPT 80210 | $112.80 | $188.00 | $27.11 – $57.74 | 4 |
| Drug assay vedolizumab CPT 80280 | $448.80 | $748.00 | $38.57 – $82.15 | 4 |
| Drug assay voriconazole CPT 80285 | $164.40 | $274.00 | $27.11 – $57.74 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $39.70 | 4 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.40 – $26.84 | 5 |
| Drug screening tapentadol CPT 80372 | not published | not published | $23.74 – $23.74 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $26.58 – $57.74 | 5 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $23.74 – $23.74 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $195.27 – $423.32 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $112.69 – $243.74 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $242.75 – $525.94 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $154.16 – $333.54 | 5 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $132.36 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $413.40 | $689.00 | $17.01 – $36.51 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $739.20 | $1,232.00 | $62.14 – $132.36 | 5 |
| Drvvt confirm - quest CPT 85597 | $227.40 | $379.00 | $17.98 – $38.30 | 5 |
| Dry needling (97799) CPT 97799 | not published | not published | $4,983.00 – $4,983.00 | 1 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $309.39 – $14,322.46 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $7,545.60 | $12,576.00 | $2,092.58 – $7,113.97 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $302.57 – $1,480.97 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $260.46 – $1,480.97 | 6 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $297.45 – $2,692.51 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $357.00 – $2,692.51 | 6 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $589.39 – $2,003.69 | 6 |
| Ductogram sgl duct CPT 77053 | $598.80 | $998.00 | $39.45 – $869.25 | 5 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,013.82 – $5,543.00 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $94.49 – $1,359.45 | 6 |
| Duplex scan bilateral study 93985 CPT 93985 | $4,284.00 | $7,140.00 | $255.69 – $869.25 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | $2,854.80 | $4,758.00 | $112.03 – $380.87 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,334.40 | $2,224.00 | $112.03 – $380.87 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,537.80 | $2,563.00 | $140.91 – $786.63 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,883.40 | $3,139.00 | $166.42 – $869.25 | 5 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.15 – $292.86 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | $270.60 | $451.00 | $39.45 – $380.87 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $252.00 | $420.00 | $137.89 – $468.77 | 4 |
| Dx aly aud oi snd prcsr each CPT 92623 | $63.00 | $105.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,663.00 | $6,105.00 | $276.81 – $6,484.34 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,663.00 | $6,105.00 | $262.39 – $6,484.34 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,813.60 | $6,356.00 | $253.31 – $6,484.34 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $49.02 – $1,627.46 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $234.58 – $4,157.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $327.50 – $4,157.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $165.80 – $786.63 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $693.00 | 6 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $170.88 – $1,424.88 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $171.27 – $6,484.34 | 6 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $153.52 – $4,157.00 | 6 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $18.63 – $18.63 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $23.94 – $786.63 | 5 |
| Ear and throat examination CPT 92502 | not published | not published | $102.69 – $1,964.83 | 6 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $145.39 – $5,652.57 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $771.96 – $21,566.51 | 6 |
| Ear irrigation 69209 CPT 69209 | $325.80 | $543.00 | $14.29 – $693.00 | 6 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $136.07 | 5 |
| Ecallantide injection HCPCS J1290 | not published | not published | $470.62 – $1,967.52 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $394.80 | $658.00 | $8.62 – $214.91 | 5 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.67 – $7.67 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $177.00 | $295.00 | $5.78 – $214.91 | 5 |
| Ecg < 30 days transmission & analysis CPT 93271 | $636.60 | $1,061.00 | $101.88 – $346.35 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $636.60 | $1,061.00 | $25.98 – $484.71 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $636.60 | $1,061.00 | $36.61 – $214.91 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $225.00 | $375.00 | $40.03 – $136.07 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $374.40 | $624.00 | $40.03 – $136.07 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $204.07 – $204.07 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $27.36 – $27.36 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,679.80 | $6,133.00 | $133.48 – $1,990.64 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $720.60 | $1,201.00 | $21.97 – $21.97 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $840.06 – $2,855.90 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,552.80 | $2,588.00 | $72.76 – $869.25 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $373.86 – $1,270.98 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $720.60 | $1,201.00 | $19.49 – $19.49 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $31.29 – $380.87 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $34.84 – $380.87 | 5 |
| Echo exam of eye CPT 76529 | $399.00 | $665.00 | $49.37 – $317.04 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $4.72 – $105.37 | 5 |
| Echo exam of fetal heart CPT 76825 | $1,368.00 | $2,280.00 | $191.95 – $1,990.64 | 5 |
| Echo exam of fetal heart CPT 76826 | $756.00 | $1,260.00 | $122.37 – $869.25 | 5 |
| Echo exam of fetal heart CPT 76827 | $756.00 | $1,260.00 | $45.82 – $380.87 | 5 |
| Echo exam of fetal heart CPT 76828 | $683.40 | $1,139.00 | $24.92 – $380.87 | 5 |
| Echo exam uterus 76831- CPT 76831 | $1,683.00 | $2,805.00 | $81.98 – $869.25 | 5 |
| Echograp trans r pros study CPT 76873 | $2,797.80 | $4,663.00 | $95.44 – $380.87 | 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.