Hospital Profile
Critical Access Hospitals Voluntary non-profit - Church
OSF Holy Family Medical Center
1000 W HARLEM AVE, Monmouth, IL 61462
CMS Overall Rating ★★★★☆
Factual Overview
OSF Holy Family Medical Center is a Critical Access Hospitals (Voluntary non-profit - Church) operating in Monmouth, IL. Mapped commercial insurance prices across 82 procedures average N/A the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 83%.
Facility Overview
Setting: rural Bed Count: 15 Beds Teaching Status: Non-Teaching Annual Discharges: 231
Patient Experience
Recommendation Rate: 83% High Patient Rating: 86% ER Wait Time (Med): 125 min Readmission Rate: same
Pricing & Transparency
Procedures Mapped: 82 codes Avg Markup vs Medicare: N/A Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $1,801 | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | Contact Desk | — |
| CT scan, head (no contrast) CPT Code: 70450 | $2,498 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $2,646 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,687 | — |
| CT scan, sinuses CPT Code: 70486 | $2,822 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $4,469 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,551 | — |
| X-ray, chest (single view) CPT Code: 71045 | $269 | — |
| X-ray, chest (two views) CPT Code: 71046 | $317 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,515 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $468 | — |
| X-ray, lower back CPT Code: 72110 | $542 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $3,158 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $3,336 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $4,058 | — |
| X-ray, pelvis CPT Code: 72170 | $521 | — |
| CT scan, pelvis CPT Code: 72192 | $2,574 | — |
| X-ray, shoulder CPT Code: 73030 | $729 | — |
| X-ray, hand CPT Code: 73130 | $698 | — |
| X-ray, hip CPT Code: 73502 | $519 | — |
| X-ray, ankle CPT Code: 73610 | $698 | — |
| X-ray, foot CPT Code: 73630 | $702 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $4,846 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $5,098 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $6,005 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,368 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,446 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,162 | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,424 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $710 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $390 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $215 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $300 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $195 | — |
| Blood test, liver function panel CPT Code: 80076 | $218 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $130 | — |
| Blood test, amylase CPT Code: 82150 | $161 | — |
| Blood test, vitamin D CPT Code: 82306 | $145 | — |
| Blood test, calcium CPT Code: 82310 | $87 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $84 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $119 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $188 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $109 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $79 | — |
| Blood test, lipase CPT Code: 83690 | $256 | — |
| Blood test, magnesium CPT Code: 83735 | $112 | — |
| Blood test, potassium CPT Code: 84132 | $72 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $215 | — |
| Blood test, sodium CPT Code: 84295 | $68 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $187 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $87 | — |
| Blood test, hemoglobin CPT Code: 85018 | $56 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $130 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $86 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $87 | — |
| Hepatitis C antibody test CPT Code: 86803 | $294 | — |
| Blood antibody screen CPT Code: 86850 | $212 | — |
| Culture, blood CPT Code: 87040 | $461 | — |
| Culture, bacterial CPT Code: 87070 | $320 | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | Contact Desk | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $338 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $227 | — |
| Speech therapy (group session) CPT Code: 92508 | $173 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $484 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $3,130 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,452 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $116 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,922 | — |
| Psychological testing by technician CPT Code: 96138 | $329 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $140 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $144 | — |
| Physical therapy (gait training) CPT Code: 97116 | $140 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $140 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $140 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $140 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $142 | — |
| Orthotic fitting and training CPT Code: 97760 | $140 | — |
| Prosthetic fitting and training CPT Code: 97761 | $164 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $242 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $199 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $302 | — |