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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,000.00 | $5,000.00 | $198.48 – $3,222.22 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,592.60 | $4,321.00 | $92.37 – $693.00 | 2 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,592.60 | $4,321.00 | $180.20 – $3,222.22 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $5,398.80 | $8,998.00 | $262.68 – $2,571.59 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $5,398.80 | $8,998.00 | $259.37 – $2,571.59 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.08 – $591.79 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $613.80 | $1,023.00 | $56.86 – $1,118.25 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $897.00 | $1,495.00 | $58.48 – $1,118.25 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,153.20 | $1,922.00 | $67.38 – $1,118.25 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $265.20 | $442.00 | $17.08 – $170.59 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $256.20 | $427.00 | $10.67 – $10.67 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $298.80 | $498.00 | $39.77 – $774.90 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $183.00 | $305.00 | $17.30 – $262.30 | 5 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $11.34 – $11.34 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $198.89 – $8,407.63 | 6 |
| Injection treatment of eye CPT 66030 | not published | not published | $177.76 – $8,407.63 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $627.79 – $7,113.97 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $832.51 – $7,113.97 | 6 |
| Injection treatment of nerve CPT 64681 | $2,760.60 | $4,601.00 | $606.54 – $3,222.22 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $116.36 – $1,964.83 | 6 |
| Inject sacroiliac joint CPT 27096 | $1,902.60 | $3,171.00 | $167.56 – $693.00 | 2 |
| Inject/treat eye socket CPT 67500 | not published | not published | $76.27 – $1,156.34 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $89.03 – $1,156.34 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $82.28 – $1,156.34 | 6 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $116.69 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $37.31 – $132.43 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $1,305.91 | 5 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $47.84 – $189.15 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $4,135.20 | $6,892.00 | $173.26 – $2,571.59 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $3,575.40 | $5,959.00 | $160.91 – $3,222.22 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.49 – $49.26 | 5 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $671.88 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.43 – $66.05 | 5 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $7,927,915.22 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $33.84 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $111.73 | 5 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.93 – $74.55 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.71 – $478.36 | 5 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.24 – $4.21 | 5 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $11.80 – $11.80 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $8.66 | 5 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $63.43 – $63.43 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $60.25 – $60.25 | 1 |
| Inj for ext venography CPT 36005 | $1,583.40 | $2,639.00 | $315.08 – $693.00 | 2 |
| Inj for mammo ductogram CPT 19030 | $769.20 | $1,282.00 | $174.32 – $693.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $2.00 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $520.59 – $1,782.00 | 6 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $5.48 – $92.17 | 5 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $141.66 | 5 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $83.63 – $83.63 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $120.98 – $411.30 | 5 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,840.68 – $9,657.22 | 5 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.74 – $2.74 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.19 – $13.18 | 6 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $67.81 – $230.54 | 5 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,691,450.00 – $12,549,529.44 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $59.91 – $203.67 | 5 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.02 – $190.44 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,555.40 | $4,259.00 | $145.56 – $693.00 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,054.20 | $1,757.00 | $65.59 – $693.00 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $69.97 – $693.00 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $2,555.40 | $4,259.00 | $50.78 – $693.00 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $2,555.40 | $4,259.00 | $160.02 – $693.00 | 2 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $5.18 | 5 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.44 – $18.50 | 5 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.68 – $264.07 | 5 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $15.96 – $15.96 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.13 – $4.13 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $69.46 – $270.07 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.23 – $0.23 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $495.54 – $1,684.66 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $315.67 – $3,222.22 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $378.60 | $631.00 | $56.98 – $730.93 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $404.40 | $674.00 | $72.83 – $730.93 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.95 – $44.02 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $39.69 – $168.39 | 6 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.97 – $6.71 | 5 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.66 – $9.03 | 5 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.56 – $5.32 | 5 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $32.19 – $109.43 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.34 – $4.54 | 5 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.30 – $75.80 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $20.20 – $20.20 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.35 – $0.35 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.96 – $23.66 | 5 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $8.48 – $8.48 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,245,381.39 – $11,033,065.40 | 5 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $327.72 – $1,114.11 | 5 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $79.53 | 5 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,070.09 – $10,437.14 | 5 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $693.00 – $693.00 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $120.67 – $791.34 | 6 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $2,702.70 | 5 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $55.64 – $55.64 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $2.48 – $2.48 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.17 – $7.38 | 5 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $2.64 – $2.64 | 1 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.06 – $1.06 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $42.09 – $143.10 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $253.47 – $861.69 | 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.