St Mary Medical Center

3333 North Seminary, Galesburg, IL 61401 · (309) 344-3161

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 2/5Galesburg, IL metro Part of OSF Healthcare System · 6 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

500 price rows for 57 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $140

$140

cash

$8 to $9

3 negotiated rates

$233

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,534

$3,534

cash

$374 to $381

3 negotiated rates

$5,890

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,447

$2,447

cash

$112 to $114

3 negotiated rates

$4,078

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,447

$2,447

cash

$188 to $192

3 negotiated rates

$4,079

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,473 to $5,672

5 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,482 to $16,233

14 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $55

$55

cash

$35 to $36

3 negotiated rates

$92

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$997 to $5,339

5 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,282 to $5,339

5 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,282 to $5,339

5 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $92

$92

cash

$8 to $8

3 negotiated rates

$153

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $223

$223

cash

$11 to $11

3 negotiated rates

$372

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $487

$487

cash

—

$811

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $377

$377

cash

—

$629

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,479 to $17,033

5 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $55

$55

cash

$35 to $36

3 negotiated rates

$92

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,051 to $32,658

14 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,083 to $13,199

14 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,681 to $21,006

14 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,837 to $6,675

5 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,506 to $6,675

5 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$589 to $3,176

5 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,474 to $12,241

5 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $143

$143

cash

$13 to $14

3 negotiated rates

$238

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $115

$115

cash

$8 to $8

3 negotiated rates

$191

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $4,120

$4,120

cash

$374 to $381

3 negotiated rates

$6,866

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$256 to $261

3 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $4,120

$4,120

cash

$256 to $261

3 negotiated rates

$6,866

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $4,120

$4,120

cash

$256 to $261

3 negotiated rates

$6,866

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$19,049 to $41,334

14 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$948 to $3,176

5 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $205

$205

cash

—

$342

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $326

$326

cash

—

$544

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $427

$427

cash

—

$712

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $140

$140

cash

$18 to $19

3 negotiated rates

$233

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $38

$38

cash

$6 to $6

3 negotiated rates

$63

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$30 to $30

3 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $743

$743

cash

$112 to $114

3 negotiated rates

$1,238

list

Prostate biopsy

CPT 55700

—

cash

$4,157 to $5,339

2 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,384 to $21,651

5 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 9 lines · metro median $22

$22

cash

$4 to $4

3 negotiated rates

$36

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $97

$97

cash

—

$161

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,196 to $5,672

5 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $275

$275

cash

—

$459

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$693 to $1,586

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $4,525

$4,525

cash

$920 to $939

3 negotiated rates

$7,541

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$948 to $3,176

5 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $896

$896

cash

$756 to $3,176

5 negotiated rates

$1,494

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $31

$31

cash

$17 to $17

3 negotiated rates

$52

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$5,543 to $6,471

5 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $743

$743

cash

$112 to $114

3 negotiated rates

$1,238

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $743

$743

cash

$112 to $114

3 negotiated rates

$1,238

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,603

$1,603

cash

$972 to $5,339

5 negotiated rates

$2,671

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,603

$1,603

cash

$972 to $5,339

5 negotiated rates

$2,671

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $77

$77

cash

$3 to $3

3 negotiated rates

$129

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,261 to $11,415

14 negotiated rates

—

list

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

CPT 72110 · metro median $478

$478

cash

$112 to $114

3 negotiated rates

$797

list

Source files

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

https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662581_osf-st-mary-medical-center_standardcharges.json
OSF St Mary Medical Center · parsed · json v3.0.0 · file dated 2026-03-31 · 20.1 MB · 500 price rows read · read Nov 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json
OSF Saint James John W Albrecht Medical Center · unmatched · json v3.0.0 · file dated 2026-03-31 · 17.5 MB · read Oct 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/261579585_osf-healthcare-divine-mercy-continuing-care-hospital_standardcharges.json
OSF Healthcare Divine Mercy Continuing Care Hospital · unmatched · json v3.0.0 · file dated 2026-03-31 · 6.8 MB · read Oct 2026