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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | $115.80 | $193.00 | $14.60 – $31.10 | 5 |
| Ghs refill of implantable pump CPT 95990 | $259.80 | $433.00 | $93.18 – $1,203.34 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | $268.80 | $448.00 | $142.58 – $693.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $502.80 | $838.00 | $212.59 – $1,627.46 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $587.47 – $5,858.07 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $529.68 – $11,920.21 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.59 – $33.85 | 5 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $9.18 | 5 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.82 – $29.63 | 5 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.25 – $9.10 | 5 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $26.22 | 5 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $20.96 | 5 |
| Ghs sensitivity (per antimicro) CPT 87184 | $215.40 | $359.00 | $7.44 – $15.93 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $574.20 | $957.00 | $175.37 – $1,480.97 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $640.80 | $1,068.00 | $222.40 – $1,480.97 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $576.60 | $961.00 | $207.58 – $1,480.97 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $860.40 | $1,434.00 | $168.86 – $1,480.97 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $494.40 | $824.00 | $144.86 – $730.93 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $461.40 | $769.00 | $134.55 – $730.93 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $494.40 | $824.00 | $175.40 – $730.93 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $738.00 | $1,230.00 | $215.00 – $730.93 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $977.40 | $1,629.00 | $191.54 – $730.93 | 6 |
| Ghs sleep study unattended CPT 95800 | $1,338.60 | $2,231.00 | $127.33 – $786.63 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $2,845.80 | $4,743.00 | $100.52 – $786.63 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $4,261.80 | $7,103.00 | $300.50 – $3,128.47 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $183.00 | $305.00 | $48.59 – $103.50 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $582.00 | $970.00 | $126.11 – $1,118.25 | 6 |
| Ghs spont nystagmus CPT 92541 | $598.80 | $998.00 | $4.01 – $484.71 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $286.80 | $478.00 | $104.56 – $222.71 | 5 |
| Ghs st - eval for alt comm CPT 92567 | $166.80 | $278.00 | $15.97 – $136.07 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | $171.60 | $286.00 | $32.27 – $693.00 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $402.00 | $670.00 | $72.74 – $154.94 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $160.80 | $268.00 | $16.27 – $170.59 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $317.40 | $529.00 | $167.08 – $774.90 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $783.60 | $1,306.00 | $302.44 – $2,692.51 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $864.00 | $1,440.00 | $178.04 – $1,480.97 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,041.60 | $1,736.00 | $360.26 – $5,652.57 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $15.55 | 5 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $557.40 | $929.00 | $264.33 – $898.63 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $407.40 | $679.00 | $264.33 – $898.63 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $51.76 | 5 |
| Ghs urine, porphyrins quant CPT 84120 | $169.80 | $283.00 | $14.71 – $31.33 | 5 |
| Ghs vaginal delivery only CPT 59409 | $3,920.40 | $6,534.00 | $910.97 – $11,793.16 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $5,045.40 | $8,409.00 | $399.88 – $1,359.45 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $67.00 – $693.00 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $13.47 – $28.99 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $31.35 | 5 |
| Gi endoscopic ultrasound CPT 76975 | $642.60 | $1,071.00 | $62.31 – $869.25 | 5 |
| Gi inhouse confirmation CPT 87045 | $120.00 | $200.00 | $9.44 – $20.11 | 5 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $411.68 – $12,241.00 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $49.69 – $1,456.41 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,758.20 | $4,597.00 | $754.94 – $4,157.00 | 6 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $3,387.93 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $758.14 – $4,157.00 | 6 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $4,157.00 | 6 |
| Gjb2 gene full sequence CPT 81252 | $1,061.40 | $1,769.00 | $99.58 – $215.39 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $60.60 – $131.04 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.38 – $74.55 | 5 |
| Glassia injection HCPCS J0257 | not published | not published | $4.61 – $19.24 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.99 – $105.37 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $136.07 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $925.19 – $15,058.46 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $924.45 – $15,058.46 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,044.55 – $8,407.63 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,157.64 – $8,407.63 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $84.70 – $120.20 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $497.47 | 6 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $135.00 – $458.95 | 5 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $30.44 | 5 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $98.13 | 5 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $107.56 | 5 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.36 – $37.85 | 5 |
| Glucose 1 hr post dose CPT 82950 | $120.60 | $201.00 | $4.75 – $10.12 | 5 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $12.89 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $56.40 | $94.00 | $3.19 – $6.99 | 5 |
| Glucose blood quantitative CPT 82947 | $85.80 | $143.00 | $3.93 – $8.37 | 5 |
| Glucose body fluid CPT 82945 | $139.80 | $233.00 | $3.93 – $8.37 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.62 – $214.91 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $372.60 | $621.00 | $12.87 – $27.41 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $68.40 | $114.00 | $3.92 – $8.35 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.84 – $0.84 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $14.53 – $14.53 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $38.37 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $226.20 | $377.00 | $18.58 – $39.58 | 5 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $316.11 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $399.00 | $665.00 | $18.52 – $39.45 | 5 |
| Gonioscopy CPT 92020 | $112.20 | $187.00 | $28.91 – $484.71 | 5 |
| Goniotomy CPT 65820 | not published | not published | $747.00 – $15,058.46 | 6 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $492.95 – $1,163.48 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $132.60 | $221.00 | $30.12 – $453.36 | 5 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $939.32 – $11,920.21 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $91.80 | $153.00 | $30.44 – $453.36 | 5 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $745.62 – $745.62 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $168.00 | $280.00 | $29.77 – $453.36 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $307.20 | $512.00 | $58.83 – $453.36 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,219.77 – $5,543.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $597.60 | $996.00 | $132.89 – $453.36 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $42.17 – $453.36 | 5 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $73.20 | $122.00 | $133.36 – $4,983.00 | 5 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $289.80 | $483.00 | $132.89 – $453.36 | 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.