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 |
|---|---|---|---|---|
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,569.00 | $3,670.00 | $187.96 – $187.96 | 1 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,118.20 | $3,026.00 | $187.96 – $187.96 | 1 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,265.60 | $1,808.00 | $112.03 – $112.03 | 1 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $529.90 | $757.00 | $253.81 – $1,757.00 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,669.00 | $6,670.00 | $373.86 – $373.86 | 1 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,249.70 | $6,071.00 | $373.86 – $373.86 | 1 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| CT thoracic spine w/contrast CPT 72129 | $2,330.30 | $3,329.00 | $187.96 – $187.96 | 1 |
| CT thoracic spine without contrast CPT 72128 | $1,265.60 | $1,808.00 | $112.03 – $112.03 | 1 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $205.80 | $294.00 | $112.03 – $112.03 | 1 |
| CT t-spine w /wo contrast CPT 72130 | $2,729.30 | $3,899.00 | $187.96 – $187.96 | 1 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,023.00 | $2,890.00 | $373.86 – $373.86 | 1 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,265.60 | $1,808.00 | $112.03 – $112.03 | 1 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $187.96 – $187.96 | 1 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,201.78 – $1,201.78 | 1 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $182.57 – $182.57 | 1 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $182.57 | 1 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $71.40 | $102.00 | $8.08 – $8.08 | 2 |
| Culture afb any source CPT 87116 | $151.20 | $216.00 | $10.80 – $10.80 | 2 |
| Culture anaerobic additional method definitive id each CPT 87076 | $97.30 | $139.00 | $8.08 – $8.08 | 2 |
| Culture anaerobic except blood CPT 87075 | $114.10 | $163.00 | $9.47 – $9.47 | 2 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $9.66 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $81.20 | $116.00 | $9.44 – $9.44 | 2 |
| Culture body fluid CPT 87070 | $128.10 | $183.00 | $8.62 – $8.62 | 2 |
| Culture fungi definitive id mold CPT 87107 | $135.80 | $194.00 | $10.32 – $10.32 | 2 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $10.32 – $10.32 | 2 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $8.41 – $8.41 | 2 |
| Culture fungi skin/hair/nail CPT 87101 | $108.50 | $155.00 | $7.71 – $7.71 | 2 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.61 – $14.61 | 2 |
| Culture mycoplasma any source CPT 87109 | $142.10 | $203.00 | $15.39 – $15.39 | 2 |
| Culture of specimen by kit CPT 87084 | not published | not published | $27.07 – $27.07 | 2 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $9.89 | 2 |
| Culture screening strep group a CPT 87081 | $66.50 | $95.00 | $6.63 – $6.63 | 2 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.74 – $7.74 | 2 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $7.74 | 2 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $12.52 | 2 |
| Culture typing immunologic CPT 87147 | $65.10 | $93.00 | $5.18 – $5.18 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,222.90 | $1,747.00 | $218.06 – $218.06 | 2 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $479.50 | $685.00 | $35.09 – $35.09 | 2 |
| Culture urine each isolate CPT 87088 | not published | not published | $8.09 – $8.09 | 2 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $19.56 | 2 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,068.27 – $3,952.00 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,547.76 – $5,690.00 | 2 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,619.74 – $1,619.74 | 1 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,619.74 – $1,619.74 | 1 |
| Custom glove for term device HCPCS L6895 | not published | not published | $822.33 – $822.33 | 1 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,411.90 – $1,411.90 | 1 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $770.11 – $770.11 | 1 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,850.21 – $1,850.21 | 1 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,377.12 – $1,377.12 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,686.89 – $2,636.00 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $14.32 | 2 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.64 – $0.64 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $95.20 | $136.00 | $12.95 – $12.95 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.59 – $0.77 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.82 – $1.82 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $73.68 – $73.68 | 1 |
| Cyclosporine 2 hour CPT 80158 | $167.30 | $239.00 | $18.05 – $18.05 | 2 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.53 – $0.53 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.81 – $1.81 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $291.36 | 2 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $174.81 | 2 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $450.91 | 2 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $174.81 | 2 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $174.81 | 2 |
| Cystatin c CPT 82610 | $120.40 | $172.00 | $18.52 – $18.52 | 2 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $499.00 | 2 |
| Cystine urine quantitative CPT 82131 | $327.60 | $468.00 | $22.98 – $22.98 | 2 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,624.70 | $2,321.00 | $373.86 – $373.86 | 1 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $10,144.44 – $14,951.00 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,690.00 – $10,144.44 | 2 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $5,690.00 – $10,144.44 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $747.24 – $2,636.00 | 2 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $8,442.00 – $8,442.00 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $5,690.00 – $10,144.44 | 2 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,240.09 – $3,952.00 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,240.09 – $2,636.00 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $747.24 – $3,952.00 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,690.00 – $5,745.80 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,240.09 – $3,952.00 | 2 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,777.44 – $5,690.00 | 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.