OSF Healthcare Saint Katharine Medical Center
403 E 1St St, Dixon, IL · Osfhealthcare · · NPI 1508683590
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Ureteral reflux study CPT 78740 | $1,336.30 | $1,909.00 | $428.40 – $428.40 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,636.00 – $3,777.44 | 2 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,952.00 – $5,745.80 | 2 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,636.00 – $3,777.44 | 2 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,952.00 – $5,745.80 | 2 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $5,690.00 – $5,690.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,099.70 | $1,571.00 | $255.69 – $255.69 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,777.44 – $8,442.00 | 2 |
| Urethrocystography void s&i CPT 74455 | $1,099.70 | $1,571.00 | $255.69 – $255.69 | 1 |
| Uric acid blood CPT 84550 | $58.10 | $83.00 | $4.52 – $4.52 | 2 |
| Uric acid urine CPT 84560 | $58.10 | $83.00 | $5.08 – $5.08 | 2 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.70 | 2 |
| Urinalysis microscopic only CPT 81015 | $49.70 | $71.00 | $3.05 – $3.05 | 2 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $2.17 | 2 |
| Urinalysis (with microscopy) CPT 81001 | $52.50 | $75.00 | $3.17 – $3.17 | 2 |
| Urinalysis (without microscopy) CPT 81003 | $34.30 | $49.00 | $2.25 – $2.25 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $1,757.00 | 2 |
| Urine Culture Test CPT 87086 | $77.70 | $111.00 | $8.07 – $8.07 | 2 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $1,757.00 | 2 |
| Urine pregnancy test CPT 81025 | $123.90 | $177.00 | $8.61 – $8.61 | 2 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $29.98 | 2 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.34 – $9.34 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $373.86 – $373.86 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $187.96 – $187.96 | 1 |
| Use 1st target lesion CPT 76982 | $744.10 | $1,063.00 | $112.03 – $112.03 | 1 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,233.87 – $2,233.87 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $12.49 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,758.17 – $13,758.17 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $161.65 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $147.06 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $168.37 – $168.37 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $94.80 – $94.80 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $73.54 – $73.54 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $75.15 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $75.15 – $75.15 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $177.56 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $33.20 – $33.20 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $98.16 – $98.16 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $98.16 – $98.16 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.07 – $22.07 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $23.22 – $23.22 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $49.50 – $49.50 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $11.03 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $133.47 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $269.31 – $269.31 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $312.90 – $312.90 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $315.22 – $319.75 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $39.69 – $39.69 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $38.97 – $38.97 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $576.44 – $576.44 | 1 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $226.28 – $226.28 | 1 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $5,143.47 – $5,143.47 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,360.72 – $8,442.00 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,360.72 – $14,401.00 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,360.72 – $8,442.00 | 2 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,946.52 – $14,401.00 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,360.72 – $14,401.00 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,360.72 – $8,442.00 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $216.65 – $1,757.00 | 2 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,360.72 – $8,442.00 | 2 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $1,680.58 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $8,442.00 – $8,442.00 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.05 – $0.05 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $107.80 | $154.00 | $13.54 – $13.54 | 2 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,270.52 – $1,303.34 | 2 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $6,099.19 – $14,951.00 | 2 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $12,370.97 – $14,951.00 | 2 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $12,370.97 – $14,951.00 | 2 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.10 – $0.10 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $186.20 | $266.00 | $13.54 – $13.54 | 2 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $35.09 | 2 |
| Varicella zoster antibody igg CPT 86787 | $136.50 | $195.00 | $12.88 – $12.88 | 2 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $75.76 – $75.76 | 1 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $16,639.00 – $19,644.52 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,506.34 – $14,401.00 | 2 |
| Vasectomy CPT 55250 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $0.53 – $0.53 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.98 – $21.37 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $399.88 – $399.88 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $920.24 – $920.24 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $399.88 – $399.88 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $399.88 – $399.88 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.