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 |
|---|---|---|---|---|
| Long tongue stirrup HCPCS L2265 | not published | not published | $107.38 – $168.51 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $0.71 – $0.71 | 1 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.40 – $68.04 | 4 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $85.20 | $142.00 | $68.04 – $97.71 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $45.47 – $786.63 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $1,086.22 – $26,435.09 | 6 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $4,157.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $693.00 – $4,983.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $693.00 – $4,983.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,754.60 | $4,591.00 | $187.96 – $639.00 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,446.20 | $4,077.00 | $165.61 – $1,270.98 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,265.60 | $3,776.00 | $112.03 – $380.87 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,613.20 | $6,022.00 | $257.15 – $1,270.98 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,379.80 | $5,633.00 | $225.97 – $1,270.98 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,379.80 | $5,633.00 | $145.76 – $869.25 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $489.60 | $816.00 | $25.27 – $380.87 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,126.29 – $21,566.51 | 6 |
| Low frequency non-thermal Ultrasound CPT 97610 | $538.20 | $897.00 | $215.00 – $730.93 | 5 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $775.05 – $38,725.51 | 6 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $895.91 – $38,725.51 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $888.53 – $38,725.51 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $975.09 – $38,725.51 | 6 |
| Lso corset front HCPCS L0972 | not published | not published | $93.91 – $121.93 | 4 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.32 – $73.00 | 4 |
| Lso full corset HCPCS L0976 | not published | not published | $146.01 – $187.42 | 4 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $141.40 – $203.03 | 4 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,150.33 – $1,653.33 | 4 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $783.31 – $1,023.81 | 4 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.80 – $141.40 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $873.91 – $1,252.58 | 4 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,293.50 – $1,699.54 | 4 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $250.19 – $359.46 | 4 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $189.11 – $250.19 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $912.54 – $1,311.69 | 4 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,023.81 – $1,623.97 | 4 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $46.84 | 5 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.42 – $1.42 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $58.12 – $98.15 | 4 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $70.88 – $114.01 | 4 |
| Lumbar diskogram s&i CPT 72295 | $5,913.60 | $9,856.00 | $59.29 – $7,113.97 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $71.23 – $111.14 | 4 |
| Lumbar sling HCPCS L1090 | not published | not published | $83.63 – $126.13 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,777.33 – $63,877.39 | 6 |
| Lumizyme injection HCPCS J0221 | not published | not published | $163.37 – $705.46 | 6 |
| Lung function test (mbc/mvv) CPT 94200 | $102.00 | $170.00 | $22.08 – $214.91 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $370.80 | $618.00 | $27.04 – $786.63 | 5 |
| Lung perfusion imaging CPT 78580 | $1,299.60 | $2,166.00 | $206.94 – $1,456.41 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $4,983.00 – $5,543.00 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $3,723.13 – $5,543.00 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,050.64 – $5,543.00 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,983.00 – $5,543.00 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,647.69 – $5,543.00 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $212.10 – $721.06 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.75 – $145.33 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $319.94 – $1,087.69 | 5 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $259.60 – $882.53 | 5 |
| Lvad shower bag heartmate HCPCS Q0501 | $2,292.00 | $3,820.00 | $446.52 – $641.42 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.99 – $693.00 | 6 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $248.42 – $354.68 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $42.71 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $785.31 – $29,776.45 | 6 |
| Lymphatics/lymph node imaging CPT 78195 | $1,948.20 | $3,247.00 | $305.22 – $1,978.09 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $77.87 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | $1,792.80 | $2,988.00 | $49.03 – $104.43 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $186.41 – $403.66 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $101.37 | 5 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $223.17 – $2,285.33 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $214.56 – $5,734.80 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $236.50 – $11,503.01 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | $5,833.20 | $9,722.00 | $230.37 – $11,503.01 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $288.30 – $1,964.83 | 6 |
| Lysis of labial adhesions CPT 56441 | $4,480.80 | $7,468.00 | $162.54 – $11,793.16 | 6 |
| Lysis penil circumic lesion CPT 54162 | $2,123.40 | $3,539.00 | $277.56 – $7,615.47 | 6 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.85 – $6.85 | 1 |
| Macroscopic exam arthropod CPT 87168 | $97.20 | $162.00 | $4.27 – $9.10 | 5 |
| Macroscopic exam parasite CPT 87169 | $159.00 | $265.00 | $4.31 – $9.18 | 5 |
| Magnesium CPT 83735 | $239.40 | $399.00 | $6.70 – $14.27 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.71 – $0.71 | 1 |
| Magnetic image bone marrow CPT 77084 | $3,379.80 | $5,633.00 | $255.69 – $869.25 | 5 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $22.80 – $22.80 | 1 |
| Malaria antibody CPT 86750 | $121.80 | $203.00 | $13.19 – $28.09 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $829.96 – $48,065.04 | 6 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,416.71 – $5,543.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $356.90 – $5,858.07 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $446.72 – $5,858.07 | 6 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $120.00 | $200.00 | $32.83 – $484.71 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $120.00 | $200.00 | $25.38 – $484.71 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $198.80 – $5,858.07 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $144.39 – $5,858.07 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $107.51 – $898.63 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.90 – $3.90 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.70 – $0.70 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $61.66 – $92.51 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.96 – $10.80 | 5 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $2,458.80 | $4,098.00 | $89.06 – $89.06 | 1 |
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.