St. Mary Medical Center

Galesburg, IL

Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,602.60 $2,671 1.6×
Upper GI endoscopy (EGD) with biopsy (43239) $1,602.60 $2,671 1.6×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 3 matching MRF lines
$1,468.20–$2,197.20 $2,447–$3,662 varies
CT head/brain without contrast (70450) $2,446.80 $4,078 21.8×
MRI brain without contrast (70551) $4,119.60 $6,866 16.1×
MRI brain with contrast (70552) $4,119.60 $6,866 11.0×
MRI brain without and with contrast (70553) $4,119.60 $6,866 11.0×
X-ray lower spine, 4+ views (72110) $478.20 $797 4.3×
MRI lumbar spine without contrast (72148) $4,119.60 $6,866 16.1×
CT pelvis with contrast (72193) $2,447.40 $4,079 13.0×
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$4,119.60–$6,179.40 $6,866–$10,299 varies
CT abdomen and pelvis with contrast (74177) $3,534 $5,890 9.5×
Ultrasound, abdomen complete (76700) $742.80 $1,238 6.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $742.80 $1,238 6.6×
Ultrasound, transvaginal (76830) $742.80 $1,238 6.6×
Mammography, one breast (diagnostic) (77065)
range across 4 matching MRF lines
$405.60–$513.60 $676–$856 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$486.60–$625.80 $811–$1,043 varies
Mammography, screening (bilateral) (77067)
range across 6 matching MRF lines
$275.40–$413.40 $459–$689 varies
Basic metabolic panel (80048) $139.80 $233 16.5×
Comprehensive metabolic panel (80053) $223.20 $372 21.1×
Obstetric panel (80055) $477.60 $796 10.0×
Lipid panel (80061) $160.80 $268 12.0×
Renal function panel (80069) $159 $265 18.3×
Hepatic function panel (80076) $114.60 $191 14.0×
Urinalysis, non-automated, without microscopy (81002) $34.80 $58 10.0×
PSA, total (84153) $139.80 $233 7.6×
Thyroid stimulating hormone (TSH) (84443) $144 $240 8.6×
CBC with automated differential (85025) $91.80 $153 11.8×
CBC, automated (85027) $64.80 $108 10.0×
Prothrombin time (PT) (85610) $71.40 $119 16.6×
Partial thromboplastin time (PTT) (85730) $69.60 $116 11.6×
Psychotherapy, 30 minutes (90832) $96.60 $161 0.5×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$4,033.20–$4,524.60 $6,722–$7,541 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $105 $175 3.6×
Office visit, new patient (low complexity, ~30 min) (99203) $205.20 $342 1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $326.40 $544 2.3×
Office visit, new patient (high complexity, ~60 min) (99205) $427.20 $712 3.0×

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.

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Download the machine-readable file (JSON, 21.1 MB) ↓ — captured 2026-10-01

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