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 |
|---|---|---|---|---|
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $215.00 – $1,757.00 | 2 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,974.45 – $5,690.00 | 2 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,547.76 – $5,690.00 | 2 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $435.63 – $1,757.00 | 2 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,974.45 – $5,690.00 | 2 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $30.03 | 2 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $43.67 | 2 |
| Determine refractive state CPT 92015 | $14.70 | $21.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $622.30 | $889.00 | $137.89 – $137.89 | 1 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $108.87 – $108.87 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $275.80 | $394.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $400.40 | $572.00 | $93.26 – $93.26 | 1 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $92.55 – $98.66 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.01 – $0.01 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.11 – $0.11 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $203.79 – $204.54 | 2 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $161.88 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $49.74 – $58.01 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.31 – $1.31 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.75 – $1.75 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $2.94 – $2.94 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $287.00 | $410.00 | $22.23 – $22.23 | 2 |
| Diabetes (HbA1c) Test CPT 83036 | $79.10 | $113.00 | $9.71 – $9.71 | 2 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.78 – $15.78 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,907.37 – $3,952.00 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,478.50 – $14,401.00 | 2 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $478.72 – $1,757.00 | 2 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,282.34 – $3,952.00 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $294.00 | $420.00 | $142.58 – $1,757.00 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $213.90 – $1,757.00 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $213.90 – $1,757.00 | 2 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $548.10 | $783.00 | $111.97 – $111.97 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $439.60 | $628.00 | $88.75 – $88.75 | 1 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $93.26 – $93.26 | 1 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $447.15 – $447.15 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.82 – $7.82 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.07 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.69 – $6.69 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.33 – $11.33 | 1 |
| Diffusing capacity CPT 94729 | $238.00 | $340.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $1,295.00 | $1,850.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $9.57 – $9.57 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,166.99 – $5,166.99 | 2 |
| Digoxin total therapeutic drug level CPT 80162 | $147.70 | $211.00 | $13.28 – $13.28 | 2 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $57.08 – $57.08 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dilate esophagus CPT 43453 | not published | not published | $2,056.34 – $3,952.00 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $971.94 – $3,952.00 | 2 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $478.72 – $1,757.00 | 2 |
| Dilate urethra stricture CPT 53600 | not published | not published | $267.74 – $1,757.00 | 2 |
| Dilate urethra stricture CPT 53601 | not published | not published | $142.58 – $1,757.00 | 2 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,777.44 – $3,952.00 | 2 |
| Dilate urethra stricture CPT 53621 | not published | not published | $267.74 – $1,757.00 | 2 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $137.89 – $1,757.00 | 2 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,282.34 – $3,952.00 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,282.34 – $3,952.00 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $577.95 – $1,757.00 | 2 |
| Dilation of urethra CPT 53661 | not published | not published | $142.58 – $1,757.00 | 2 |
| Dilation of urethra CPT 53665 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Dilation of vagina CPT 57400 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,662.71 – $3,952.00 | 2 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $747.24 – $2,636.00 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,777.44 – $5,690.00 | 2 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,777.44 – $8,442.00 | 2 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.03 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.92 – $0.92 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.98 – $749.23 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.71 – $0.71 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $8.41 – $8.41 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.03 – $40.03 | 1 |
| Disability dlco CPT 94727 | $739.20 | $1,056.00 | $231.39 – $231.39 | 1 |
| Disaccharidases CPT 82657 | $351.40 | $502.00 | $22.17 – $22.17 | 2 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Disarticulation shoulder CPT 23920 | not published | not published | $13,758.17 – $14,951.00 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $2,092.58 – $2,092.58 | 1 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $79.41 – $79.41 | 1 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $263.80 – $263.80 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,757.00 – $1,907.37 | 2 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,963.01 – $14,951.00 | 2 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,343.80 – $14,401.00 | 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.