Supplies, drugs & other prices at Osf Holy Family Medical Center
Monmouth, IL · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $68 | $85 | 1.4× |
| Admin influenza virus vac (G0008) | $78.40 | $98 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $84.80 | $106 | 1.7× |
| Chemo extend iv infus w/pump (G0498) | $520 | $650 | 1.5× |
| Diab manage trn per indiv (G0108) | $126.40 | $158 | 2.3× |
| Diab manage trn ind/group (G0109) | $48 | $60 | 3.0× |
| Direct refer hospital observ (G0379) | $528.80 | $661 | 0.8× |
| Ekg tracing for initial prev (G0404) | $484 | $605 | 15.6× |
| Fern test (Q0114) | $44 | $55 | 4.5× |
| Hbot, full body chamber, 30m (G0277) | $215.20 | $269 | 1.5× |
| Home sleep test/type 3 porta (G0399) | $900.80 | $1,126 | 3.9× |
| Hpv combo assay ca screen (G0476) range across 2 matching MRF lines |
$196.80–$217.60 | $246–$272 | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$1,212–$1,222.40 | $1,515–$1,528 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,490.40 | $1,863 | 3.0× |
| Neuro csf prion prtn qual (0035U) | $2,016.80 | $2,521 | 3.7× |
| Oth resp proc, group (G0239) | $126.40 | $158 | 3.2× |
| Pin service 60m per month (G0023) | $180 | $225 | 1.7× |
| Psa screening (G0103) | $235.20 | $294 | 12.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $223.20 | $279 | 8.4× |
| Screen pap by tech w md supv (P3000) | $105.60 | $132 | 5.7× |
| Therapeutic procd strg endur (G0237) | $53.60 | $67 | 1.7× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$134.40–$202.40 | $168–$253 | varies |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$1,243.20–$1,467.20 | $1,554–$1,834 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $15,388 | $19,235 | 0.8× |
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.