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Saint Francis Medical Center

530 Ne Glen Oak Ave, Peoria, IL 61637 · (309) 655-2000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Peoria, IL metroWebsite ↗

Price file

Prices published

File dated 2026-03-31

969 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $122

$122
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,253

$2,253
cash
CT scan of the head, no contrast

CPT 70450 · metro median $2,253

$2,253
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,264

$2,264
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $56

$56
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $501

$501
cash
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cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $80

$80
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $193

$193
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $595

$595
cash
—
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $241

$241
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 5 lines · metro median $258

$258
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $235

$235
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $56

$56
cash
Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $52

$52
cash
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cash
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cash
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Left heart catheterization

CPT 93452 · metro median $12,518

$12,518
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $140

$140
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $124

$124
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $3,613

$3,613
cash
—
cash
$3,380
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $3,380

$3,380
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $2,306

$2,306
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 7 lines · metro median $190

$190
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 7 lines · metro median $266

$266
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 8 lines · metro median $339

$339
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $152

$152
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $41

$41
cash
—
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $1,273

$1,273
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 3 lines · metro median $101

$101
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 3 lines · metro median $101

$101
cash
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cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $22

$22
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $161

$161
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $215

$215
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $270

$270
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $325

$325
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $5,285

$5,285
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 5 lines · metro median $1,858

$1,858
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 5 lines · metro median $2,303

$2,303
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $32

$32
cash
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cash
Transvaginal ultrasound

CPT 76830 · metro median $712

$712
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,318

$1,318
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 3 lines · metro median $511

$511
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,039

$1,039
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $55

$55
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $563

$563
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.