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 |
|---|---|---|---|---|
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $108.87 – $108.87 | 1 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $190.21 – $190.21 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $142.67 – $142.67 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $12.87 – $12.87 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $137.89 – $137.89 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $40.03 – $40.03 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,506.34 – $14,401.00 | 2 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $86.96 | 2 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $78.26 | 2 |
| Actigraphy testing CPT 95803 | not published | not published | $63.22 – $63.22 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $40.03 | 1 |
| Acute hepatitis panel CPT 80074 | $620.90 | $887.00 | $47.63 – $47.63 | 2 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,387.37 – $1,387.37 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.12 – $0.12 | 1 |
| #acylcarnitineprfl CPT 82017 | $203.70 | $291.00 | $16.87 – $16.87 | 2 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $16.49 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $190.21 – $190.21 | 1 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $108.87 – $108.87 | 1 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $1,757.00 | 2 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $506.97 – $506.97 | 1 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $234.60 – $234.60 | 1 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $684.45 – $684.45 | 1 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $422.45 – $422.45 | 1 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $453.48 – $453.48 | 1 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $377.39 – $377.39 | 1 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $895.08 – $895.08 | 1 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $456.27 – $456.27 | 1 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $608.96 – $608.96 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.53 – $0.53 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $11.98 | 2 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.87 – $12.87 | 2 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $21.76 | 2 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $5,690.00 – $5,690.00 | 1 |
| Adh-sendout CPT 84588 | $331.10 | $473.00 | $33.94 – $33.94 | 2 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $971.94 – $3,952.00 | 2 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,775.89 – $8,442.00 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $49.70 | $71.00 | $77.16 – $77.16 | 1 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $77.16 – $77.16 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $232.40 | $332.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $170.10 | $243.00 | $77.16 – $77.16 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $165.90 | $237.00 | $77.16 – $77.16 | 1 |
| Administration immunization 1 vaccine CPT 90471 | $68.60 | $98.00 | $77.16 – $77.16 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $11.90 | $17.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $28.70 | $41.00 | $77.16 – $77.16 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $50.18 – $50.18 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $50.18 – $50.18 | 1 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $50.18 – $50.18 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.19 – $42.20 | 2 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,387.37 – $1,387.37 | 1 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $108.87 – $108.87 | 1 |
| Aep hearing status deter i&r CPT 92651 | $306.60 | $438.00 | $231.39 – $231.39 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $231.39 – $231.39 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $231.39 – $231.39 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $770,620.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $168.70 | $241.00 | $20.05 – $20.05 | 2 |
| #afb mycobacteria suscep. #1 CPT 87190 | $61.60 | $88.00 | $7.31 – $7.31 | 2 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $707.00 | $1,010.00 | $115.36 – $115.36 | 2 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $137.00 | 2 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $274.83 | 2 |
| Aflibercept injection HCPCS J0178 | not published | not published | $731.88 – $763.90 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $554.72 – $554.72 | 1 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,379.49 – $1,379.49 | 1 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $598.47 – $598.47 | 1 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,096.64 – $1,096.64 | 1 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $344.65 – $344.65 | 1 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $496.21 – $496.21 | 1 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $504.86 – $504.86 | 1 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $945.14 – $945.14 | 1 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $350.64 – $350.64 | 1 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $691.55 – $691.55 | 1 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,412.85 – $1,412.85 | 1 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $968.68 – $968.68 | 1 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $776.59 – $776.59 | 1 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $947.20 – $947.20 | 1 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $620.02 – $620.02 | 1 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,811.67 – $1,811.67 | 1 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $576.10 – $576.10 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | $589.39 – $2,636.00 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.58 – $230.32 | 2 |
| Air conduction bilat CPT 92552 | not published | not published | $142.58 – $142.58 | 1 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $739.20 | $1,056.00 | $137.89 – $137.89 | 1 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,000.26 – $3,000.26 | 1 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,972.47 – $1,972.47 | 1 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $688.96 – $688.96 | 1 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,751.06 – $1,751.06 | 1 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $537.91 – $537.91 | 1 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $114.53 – $114.53 | 1 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $241.17 – $241.17 | 1 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $146.92 – $146.92 | 1 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,399.13 – $4,399.13 | 1 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $162.67 – $162.67 | 1 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $222.10 – $222.10 | 1 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $199.65 – $199.65 | 1 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,809.06 – $1,809.06 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $70.70 | $101.00 | $7.78 – $7.78 | 2 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $53.08 – $53.08 | 2 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $21.23 | 2 |
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.