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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27443 | not published | not published | $889.41 – $46,772.56 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $747.00 – $46,772.56 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $1,378.99 – $17,033.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $1,050.92 – $21,566.51 | 6 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $261.63 – $11,503.01 | 6 |
| Revision of lung CPT 32940 | not published | not published | $1,375.04 – $5,543.00 | 2 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,647.47 – $5,543.00 | 2 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,866.12 – $5,543.00 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $398.09 – $26,435.09 | 6 |
| Revision of neck muscle CPT 21720 | not published | not published | $563.49 – $11,920.21 | 6 |
| Revision of neck muscle CPT 21725 | not published | not published | $590.97 – $2,579.79 | 6 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $601.34 – $26,435.09 | 6 |
| Revision of nose CPT 30120 | not published | not published | $546.21 – $12,078.54 | 6 |
| Revision of nose CPT 30430 | not published | not published | $1,005.45 – $21,566.51 | 6 |
| Revision of nose CPT 30435 | not published | not published | $1,258.84 – $21,566.51 | 6 |
| Revision of nose CPT 30450 | not published | not published | $1,686.15 – $21,566.51 | 6 |
| Revision of nose CPT 30460 | not published | not published | $884.89 – $21,566.51 | 6 |
| Revision of nose CPT 30462 | not published | not published | $1,703.36 – $21,566.51 | 6 |
| Revision of pelvis CPT 27158 | not published | not published | $1,515.60 – $26,435.09 | 6 |
| Revision of penis CPT 54300 | not published | not published | $709.84 – $12,841.85 | 6 |
| Revision of penis CPT 54304 | not published | not published | $825.48 – $12,841.85 | 6 |
| Revision of penis CPT 54420 | not published | not published | $775.27 – $12,841.85 | 6 |
| Revision of penis CPT 54430 | not published | not published | $704.93 – $5,543.00 | 2 |
| Revision of penis CPT 54435 | not published | not published | $455.95 – $12,841.85 | 6 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,043.01 – $21,566.51 | 6 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,589.52 – $5,543.00 | 2 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,735.45 – $5,543.00 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,470.49 – $5,543.00 | 2 |
| Revision of radius CPT 25350 | not published | not published | $733.93 – $26,435.09 | 6 |
| Revision of radius CPT 25355 | not published | not published | $826.40 – $12,241.00 | 6 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $637.71 – $7,113.97 | 6 |
| Revision of scrotum CPT 55175 | not published | not published | $397.79 – $12,841.85 | 6 |
| Revision of scrotum CPT 55180 | not published | not published | $757.88 – $19,533.54 | 6 |
| Revision of spinal shunt CPT 63744 | not published | not published | $755.90 – $12,445.36 | 6 |
| Revision of testis CPT 54660 | not published | not published | $391.03 – $19,533.54 | 6 |
| Revision of thigh muscles CPT 27430 | not published | not published | $807.59 – $26,435.09 | 6 |
| Revision of toe CPT 28312 | not published | not published | $535.05 – $11,920.21 | 6 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,722.17 – $5,543.00 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,710.85 – $5,543.00 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $713.23 – $26,435.09 | 6 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $812.36 – $26,435.09 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $812.21 – $26,435.09 | 6 |
| Revision of upper arm CPT 24940 | not published | not published | $1,171.57 – $46,772.56 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $1,021.21 – $5,543.00 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $448.39 – $12,841.85 | 6 |
| Revision of urethra CPT 53460 | not published | not published | $502.88 – $12,841.85 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $348.84 – $18,224.41 | 6 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,197.07 – $5,543.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $852.81 – $20,271.96 | 6 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $915.92 – $21,566.51 | 6 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $816.89 – $26,435.09 | 6 |
| Revision tips CPT 37183 | $18,035.40 | $30,059.00 | $4,983.00 – $21,651.00 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,789.16 – $46,772.56 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,933.75 – $46,772.56 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,406.19 – $20,271.96 | 6 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,364.76 – $20,271.96 | 6 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,108.84 – $21,566.51 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,189.18 – $21,566.51 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,168.91 – $5,543.00 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,567.37 – $19,533.54 | 6 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,746.49 – $12,736.65 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,161.75 – $21,566.51 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $409.74 – $12,736.65 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $822.61 – $5,543.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $258.73 – $12,736.65 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $252.29 – $12,736.65 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,521.89 – $63,877.39 | 6 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,098.49 – $63,877.39 | 6 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $21,651.00 – $112,417.58 | 5 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $5,543.00 – $63,877.39 | 5 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,940.72 – $40,593.92 | 5 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $3,919.80 – $17,033.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.79 – $36.67 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $7,545.60 | $12,576.00 | $2,092.58 – $7,113.97 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $83.40 | $139.00 | $6.02 – $13.08 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $83.40 | $139.00 | $5.67 – $12.08 | 5 |
| Rh ig IV CPT 90386 | not published | not published | $98.87 – $98.87 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $42.17 – $271.97 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,150.86 – $21,566.51 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.61 – $4.61 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $28.00 – $28.00 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $27.29 – $116.45 | 6 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $80.80 – $80.80 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $126.00 | $210.00 | $92.14 – $92.14 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | $8,943.60 | $14,906.00 | $3,474.11 – $12,241.00 | 5 |
| R hrt cath chd nml nt cnj CPT 93593 | $8,943.60 | $14,906.00 | $3,474.11 – $12,241.00 | 5 |
| Rhythm ecg with report CPT 93040 | not published | not published | $13.45 – $13.45 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $810.33 – $21,566.51 | 6 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $78.67 – $109.54 | 4 |
| Right heart cath congenital CPT 93530 | not published | not published | $611.57 – $611.57 | 1 |
| Right ventric recording CPT 93603 | $2,541.00 | $4,235.00 | $71.64 – $4,435.61 | 6 |
| Rilonacept injection HCPCS J2793 | not published | not published | $22.68 – $22.68 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $4.96 – $4.96 | 1 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $233.18 – $399.14 | 4 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $145.30 – $238.06 | 4 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $569.14 – $569.14 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $4.96 – $4.96 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $49.63 | 5 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $40.15 – $136.50 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $9.21 – $36.70 | 6 |
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.