Supplies, drugs & other prices at Saint Francis Medical Center
Peoria, IL · every code in this section with a posted price and a Medicare benchmark.
63 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) | $11,431.20 | $19,052 | 1.0× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $8,597.40 | $14,329 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $65.40 | $109 | 1.3× |
| Admin influenza virus vac (G0008) | $57 | $95 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $78.60 | $131 | 1.6× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) | $37.20 | $62 | 0.3× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) | $42.60 | $71 | 0.3× |
| Behavior counsel obesity 15m (G0447) | $204 | $340 | 1.9× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$78–$93.60 | $130–$156 | varies |
| Chemo extend iv infus w/pump (G0498) | $897 | $1,495 | 2.5× |
| Diab manage trn per indiv (G0108) | $187.80 | $313 | 3.4× |
| Diab manage trn ind/group (G0109) | $139.80 | $233 | 8.7× |
| Direct refer hospital observ (G0379) | $1,494.60 | $2,491 | 2.3× |
| Fern test (Q0114) | $34.20 | $57 | 3.5× |
| Group behave couns 2-10 (G0473) | $171.60 | $286 | 4.3× |
| Hbot, full body chamber, 30m (G0277) | $1,082.40 | $1,804 | 7.3× |
| Home sleep test/type 3 porta (G0399) | $793.20 | $1,322 | 3.4× |
| Hpv combo assay ca screen (G0476) | $100.20 | $167 | 2.9× |
| Insert cv cath inf & sup app (C9780) | $16,152 | $26,920 | 1.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $31,102.80 | $51,838 | 0.9× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $33,816.60 | $56,361 | 1.0× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $11,431.20 | $19,052 | 1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $922.20 | $1,537 | 7.6× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,137 | $1,895 | 2.3× |
| Mnt subs tx for change dx (G0270) | $55.20 | $92 | 1.7× |
| Mri w/cont, breast, uni (C8903) | $3,379.80 | $5,633 | 18.0× |
| Neuro csf prion prtn qual (0035U) | $1,535.40 | $2,559 | 2.8× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$69–$84.60 | $115–$141 | varies |
| Opps service,sched team conf (G0175) | $1,159.20 | $1,932 | 2.6× |
| Oth resp proc, group (G0239) | $114 | $190 | 2.8× |
| Oth resp proc, indiv (G0238) | $111.60 | $186 | 3.6× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $26,738.40 | $44,564 | 1.9× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $26,738.40 | $44,564 | 1.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $16,815 | $28,025 | 2.2× |
| Perq Sacral Augmt Unilat Inj (0200T) | $11,052 | $18,420 | 1.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $7,183.80 | $11,973 | 0.6× |
| Pet not otherwise specified (G0235) | $8,011.80 | $13,353 | 18.7× |
| Pin service 60m per month (G0023) | $183.60 | $306 | 1.7× |
| Place device/marker, non pro (C9728) | $2,595 | $4,325 | 1.7× |
| Potassium hydroxide preps (Q0112) | $59.40 | $99 | 10.2× |
| Prostate biopsy, any mthd (G0416) | $4,554.60 | $7,591 | 11.9× |
| Psa screening (G0103) | $160.80 | $268 | 8.3× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $2,314.20 | $3,857 | 3.4× |
| Revasc intra lithotrip-ather (C9766) | $24,974.40 | $41,624 | 1.3× |
| Revasc intra lithotrip-stent (C9765) | $24,974.40 | $41,624 | 1.3× |
| Revasc intravasc lithotripsy (C9764) | $24,974.40 | $41,624 | 2.0× |
| Revasc lithotrip-stent-ather (C9767) | $24,974.40 | $41,624 | 1.3× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $40,905.60 | $68,176 | 1.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $174 | $290 | 6.6× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $174 | $290 | 6.4× |
| Screen pap by tech w md supv (P3000) | $79.80 | $133 | 4.3× |
| Therapeutic procd strg endur (G0237) | $111.60 | $186 | 3.6× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$103.80–$155.40 | $173–$259 | varies |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$954.60–$1,105.80 | $1,591–$1,843 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $31,778.40 | $52,964 | 5.2× |
| Transcatheter renal sympath denervation unilat (0338T) | $21,184.20 | $35,307 | 3.5× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$4,550.40–$5,997 | $7,584–$9,995 | varies |
| Trluml perip athrc abd aorta (0236T) | $9,536.40 | $15,894 | 0.8× |
| Trluml Perip Athrc Brchiocph (0237T) | $12,977.40 | $21,629 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $13,108.80 | $21,848 | 0.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $9,035.40 | $15,059 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $3,311.40 | $5,519 | 3.9× |
| Wet mounts/ w preparations (Q0111) | $71.40 | $119 | 3.9× |
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.