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 |
|---|---|---|---|---|
| Infect ag if legionella pneumophila CPT 87278 | $229.80 | $383.00 | $15.24 – $33.23 | 5 |
| Infect ag if nos ea CPT 87299 | not published | not published | $15.95 – $34.29 | 5 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $25.52 | 5 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.11 – $28.58 | 5 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $52.45 – $113.89 | 5 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $74.74 | 5 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $91.25 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | $173.40 | $289.00 | $35.09 – $74.74 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $324.60 | $541.00 | $94.27 – $204.05 | 5 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $109.29 | 5 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $228.60 | $381.00 | $51.31 – $109.29 | 4 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $798.60 | $1,331.00 | $416.78 – $887.74 | 5 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $2,211.60 | $3,686.00 | $488.66 – $1,040.85 | 5 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $169.80 | $283.00 | $26.07 – $55.53 | 5 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $88.14 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $222.00 | $370.00 | $11.98 – $25.52 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.11 – $28.58 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $130.20 | $217.00 | $13.47 – $29.44 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $149.40 | $249.00 | $11.98 – $25.52 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $199.80 | $333.00 | $14.38 – $30.63 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $257.40 | $429.00 | $10.33 – $22.00 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $297.00 | $495.00 | $10.33 – $22.00 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $129.60 | $216.00 | $24.08 – $51.29 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $444.60 | $741.00 | $11.98 – $25.52 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $286.20 | $477.00 | $11.98 – $25.52 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $25.52 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $1,015.20 | $1,692.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $961.20 | $1,602.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $291.60 | $486.00 | $37.27 – $79.39 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,183.20 | $1,972.00 | $416.78 – $887.74 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $336.00 | $560.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $227.40 | $379.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $492.60 | $821.00 | $41.11 – $88.78 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $273.60 | $456.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $54.00 | $90.00 | $51.31 – $109.29 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $303.80 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.60 | $446.00 | $142.63 – $303.80 | 4 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $108.00 | $180.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $163.80 | $273.00 | $35.09 – $74.74 | 5 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | $70.18 – $149.48 | 4 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $164.40 | $274.00 | $76.77 – $163.52 | 4 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,717.20 | $2,862.00 | $679.77 – $1,447.91 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,251.60 | $2,086.00 | $416.78 – $887.74 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $273.26 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $258.70 – $560.17 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $951.00 | $1,585.00 | $42.84 – $91.25 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $423.60 | $706.00 | $42.84 – $91.25 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $481.80 | $803.00 | $42.84 – $91.25 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $434.40 | $724.00 | $85.10 – $181.26 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $306.00 | $510.00 | $140.34 – $303.80 | 5 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $105.53 | 6 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $95.33 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $88.51 | 6 |
| Influenza dna amp prob addl CPT 87503 | $90.00 | $150.00 | $28.71 – $62.24 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $40.00 – $137.76 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $15.95 – $47.64 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $693.00 – $693.00 | 1 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,423.64 – $5,543.00 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,378.31 – $5,543.00 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $693.00 – $693.00 | 1 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $693.00 – $693.00 | 1 |
| Infuse radioactive materials CPT 77750 | $1,878.60 | $3,131.00 | $118.81 – $1,405.13 | 5 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $90.63 – $90.63 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $126.91 – $1,359.45 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $127.80 | $213.00 | $46.81 – $797.75 | 5 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,691.47 – $2,605.47 | 4 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,249.20 – $1,852.15 | 4 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $83.94 | 4 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,149.97 – $1,652.13 | 4 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $70.04 – $485.03 | 5 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $375.84 – $375.84 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $139.18 – $139.18 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $178.24 – $178.24 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $96.47 – $96.47 | 1 |
| Initial observation care CPT 99218 | not published | not published | $107.36 – $107.36 | 1 |
| Initial observation care CPT 99219 | not published | not published | $145.97 – $145.97 | 1 |
| Initial observation care CPT 99220 | not published | not published | $199.25 – $199.25 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $261.60 | $436.00 | $67.19 – $797.75 | 5 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $96.26 – $96.26 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $135.60 | $226.00 | $175.33 – $175.33 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $108.87 – $370.10 | 4 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $20.47 | 5 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.32 – $24.72 | 6 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.36 | 5 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $151.35 – $151.35 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $17.34 – $17.34 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,282.30 – $218,535.43 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $9.87 – $9.87 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.58 – $120.94 | 5 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $821.40 – $2,792.43 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $1,023.89 | 5 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $5.34 | 5 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.81 – $12.95 | 5 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.12 – $418.58 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $175.38 | 5 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $32.50 | 5 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $445.91 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.31 – $62.24 | 5 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $3.07 – $3.07 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $11.05 | 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.