Osf Holy Family Medical Center
Monmouth, IL · Critical Access Hospital
Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $2,497.60 | $3,122 | 22.3× |
| MRI brain without contrast (70551) | $4,468.80 | $5,586 | 17.5× |
| MRI brain with contrast (70552) | $4,768.80 | $5,961 | 12.8× |
| MRI brain without and with contrast (70553) | $5,551.20 | $6,939 | 14.8× |
| X-ray lower spine, 4+ views (72110) | $542.40 | $678 | 4.8× |
| MRI lumbar spine without contrast (72148) | $4,057.60 | $5,072 | 15.9× |
| CT pelvis with contrast (72193) | $2,962.40 | $3,703 | 15.8× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$3,876.80–$5,815.20 | $4,846–$7,269 | varies |
| CT abdomen and pelvis with contrast (74177) | $6,004.80 | $7,506 | 16.1× |
| Ultrasound, abdomen complete (76700) | $1,445.60 | $1,807 | 12.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,753.60 | $2,192 | 15.7× |
| Ultrasound, transvaginal (76830) | $1,290.40 | $1,613 | 11.5× |
| Mammography, one breast (diagnostic) (77065) | $604 | $755 | 7.0× |
| Mammography, both breasts (diagnostic) (77066) | $709.60 | $887 | 6.4× |
| Mammography, screening (bilateral) (77067) range across 6 matching MRF lines |
$312–$468.80 | $390–$586 | varies |
| Basic metabolic panel (80048) | $180.80 | $226 | 21.4× |
| Comprehensive metabolic panel (80053) | $288.80 | $361 | 27.3× |
| Lipid panel (80061) | $208 | $260 | 15.5× |
| Renal function panel (80069) | $232 | $290 | 26.7× |
| Hepatic function panel (80076) | $217.60 | $272 | 26.6× |
| Urinalysis, non-automated, without microscopy (81002) | $39.20 | $49 | 11.3× |
| PSA, total (84153) | $215.20 | $269 | 11.7× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$186.40–$192 | $233–$240 | varies |
| CBC with automated differential (85025) | $119.20 | $149 | 15.3× |
| CBC, automated (85027) | $73.60 | $92 | 11.4× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$92.80–$95.20 | $116–$119 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$52.80–$140.80 | $66–$176 | varies |
| Psychotherapy, 30 minutes (90832) | $135.20 | $169 | 0.7× |
| Sleep study (attended polysomnography) (95810) | $3,922.40 | $4,903 | 4.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $140 | $175 | 4.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $241.60 | $302 | 1.7× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $372 | $465 | 2.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $486.40 | $608 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 279 codes with posted prices and Medicare benchmarks
- Lab & pathology: 809 codes with posted prices and Medicare benchmarks
- Visits & medical services: 162 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 398 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 24 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 8.5 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.