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 |
|---|---|---|---|---|
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $813.31 – $1,044.40 | 4 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $6.38 – $8.33 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.06 – $1.06 | 1 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $54.58 – $84.82 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $45.57 – $45.57 | 1 |
| Protein c activity CPT 85303 | $285.60 | $476.00 | $13.84 – $29.48 | 5 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.88 – $51.16 | 6 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $282.00 | $470.00 | $10.74 – $31.39 | 5 |
| Protein s total CPT 85305 | $282.60 | $471.00 | $11.61 – $24.73 | 5 |
| Protein total 24 hour urine CPT 84156 | $159.00 | $265.00 | $3.67 – $7.82 | 5 |
| Protein total body fluid CPT 84157 | $139.80 | $233.00 | $3.90 – $8.52 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $68.40 | $114.00 | $3.67 – $7.82 | 5 |
| Protein western blot tissue CPT 88371 | not published | not published | $45.92 – $45.92 | 1 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.05 – $6.98 | 5 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $185.40 | $309.00 | $3.94 – $8.39 | 5 |
| Proton treatment complex CPT 77525 | $3,331.80 | $5,553.00 | $1,157.81 – $4,552.93 | 5 |
| Proton trmt intermediate CPT 77523 | $3,331.80 | $5,553.00 | $1,041.50 – $4,552.93 | 5 |
| Proton trmt simple w/comp CPT 77522 | $3,331.80 | $5,553.00 | $898.76 – $4,552.93 | 5 |
| Proton trmt simple without comp CPT 77520 | $1,441.80 | $2,403.00 | $592.11 – $2,012.96 | 5 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.57 – $20.75 | 5 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $72.05 – $485.03 | 5 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $5,543.00 – $5,543.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $653.63 – $13,043.75 | 6 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $90.85 – $370.10 | 5 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $19,644.52 – $66,783.92 | 5 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $19,644.52 – $66,783.92 | 5 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $12,956.00 – $21,651.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $12,956.00 – $17,033.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $12,956.00 – $17,033.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $26,565.00 | $44,275.00 | $757.36 – $17,033.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $5,543.00 – $5,543.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $12,956.00 – $17,033.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $12,956.00 – $17,033.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $21,229.20 | $35,382.00 | $673.00 – $42,056.60 | 6 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $12,956.00 – $17,033.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $570.89 – $26,435.09 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $781.43 – $5,858.07 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $815.08 – $26,435.09 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $486.79 – $26,435.09 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $343.20 – $26,435.09 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $20,672.40 | $34,454.00 | $673.27 – $42,056.60 | 6 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $33,712.20 | $56,187.00 | $19,644.52 – $66,783.92 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | $33,712.20 | $56,187.00 | $755.42 – $66,783.92 | 6 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $21,229.20 | $35,382.00 | $12,370.97 – $42,056.60 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,815.80 | $14,693.00 | $604.78 – $20,734.92 | 6 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $16,808.40 | $28,014.00 | $721.88 – $42,056.60 | 6 |
| Prq trluml revsc ch occ ant CPT 92943 | $48,392.40 | $80,654.00 | $756.90 – $42,056.60 | 6 |
| Pr removal drug delivery implant CPT 11982 | $6,919.80 | $11,533.00 | $168.02 – $1,627.46 | 6 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $313.80 | $523.00 | $85.74 – $693.00 | 6 |
| Pr removal intrauterine device CPT 58301 | $239.40 | $399.00 | $101.32 – $1,110.16 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $559.80 | $933.00 | $318.65 – $1,480.97 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $385.80 | $643.00 | $114.41 – $730.93 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $415.20 | $692.00 | $120.17 – $730.93 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $385.80 | $643.00 | $93.51 – $730.93 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $396.60 | $661.00 | $114.38 – $730.93 | 6 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $4,983.00 – $4,983.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $922.95 – $7,516.73 | 6 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $45.46 – $45.46 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $677.41 – $11,920.21 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $647.16 – $26,435.09 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $116.63 – $1,607.24 | 6 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $722.01 – $26,435.09 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $717.06 – $26,435.09 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,642.00 | $6,070.00 | $175.60 – $5,734.80 | 6 |
| PSA (Prostate) Test CPT 84153 | $380.40 | $634.00 | $18.39 – $39.17 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.24 – $105.37 | 5 |
| Psychoanalysis CPT 90845 | not published | not published | $103.13 – $646.63 | 5 |
| Psychophysiological therapy CPT 90875 | $226.20 | $377.00 | $68.32 – $68.32 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $115.25 – $115.25 | 1 |
| Psychotherapy group therapy CPT 90853 | $210.60 | $351.00 | $29.00 – $370.10 | 5 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $214.20 | $357.00 | $72.58 – $646.63 | 5 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $283.80 | $473.00 | $96.69 – $646.63 | 5 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $283.80 | $473.00 | $145.26 – $646.63 | 5 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $503.40 | $839.00 | $126.06 – $786.63 | 5 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $360.00 | $600.00 | $95.85 – $95.85 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | $251.40 | $419.00 | $38.38 – $1,627.46 | 5 |
| Psy evaluation of records CPT 90885 | not published | not published | $53.67 – $53.67 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $360.00 | $600.00 | $49.19 – $484.71 | 5 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $252.00 | $420.00 | $45.25 – $45.25 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $161.40 | $269.00 | $38.38 – $38.38 | 1 |
| Psytx complex interactive CPT 90785 | $85.20 | $142.00 | $16.03 – $16.03 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $75.28 – $75.28 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $95.07 – $95.07 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $125.63 – $125.63 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $32.33 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.68 – $6.68 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $39.09 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $29.69 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $30.29 | 5 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $52.67 – $52.67 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $294.85 – $639.00 | 5 |
| Pten gene full sequence CPT 81321 | $4,365.00 | $7,275.00 | $590.05 – $1,278.00 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $99.26 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $828.45 – $21,566.51 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $89.36 – $200.31 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $89.36 – $210.64 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $89.36 – $212.42 | 5 |
| Pt-focused hlth risk assmt CPT 96160 | $30.00 | $50.00 | $3.19 – $136.50 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $54.83 | 5 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,049.33 – $1,432.47 | 4 |
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.