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 |
|---|---|---|---|---|
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,506.34 – $3,952.00 | 2 |
| Drng of eyelid abscess 67700 CPT 67700 | $682.50 | $975.00 | $340.14 – $1,757.00 | 2 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,769.88 – $3,952.00 | 2 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $758.85 – $2,636.00 | 2 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $577.95 – $1,757.00 | 2 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,506.34 – $3,952.00 | 2 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,506.34 – $3,952.00 | 2 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,282.34 – $3,952.00 | 2 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,552.91 – $5,690.00 | 2 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,769.88 – $3,952.00 | 2 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $8,442.00 – $8,442.00 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,662.71 – $3,952.00 | 2 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $577.95 – $1,757.00 | 2 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.35 – $1.35 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $7.18 – $7.18 | 1 |
| Drop lock knee HCPCS L2182 | not published | not published | $140.43 – $140.43 | 1 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $36.42 – $36.42 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Drug assay caffeine CPT 80155 | $133.70 | $191.00 | $38.57 – $38.57 | 2 |
| Drug assay posaconazole CPT 80187 | $179.90 | $257.00 | $27.11 – $27.11 | 2 |
| Drug assay rufinamide CPT 80210 | $166.60 | $238.00 | $27.11 – $27.11 | 2 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $38.57 | 2 |
| Drug assay voriconazole CPT 80285 | $184.10 | $263.00 | $27.11 – $27.11 | 2 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $18.64 | 2 |
| Drug of abuse screen urine CPT 80305 | $400.40 | $572.00 | $12.60 – $12.60 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $27.11 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $198.74 | 2 |
| Drug test def 1-7 classes HCPCS G0480 | $245.00 | $350.00 | $114.43 – $114.43 | 2 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $246.92 | 2 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $156.59 | 2 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $62.14 | 2 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $17.14 | 2 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $400.40 | $572.00 | $62.14 – $62.14 | 2 |
| Drvvt confirm - quest CPT 85597 | $220.50 | $315.00 | $17.98 – $17.98 | 2 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $4,212.96 – $8,442.00 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,092.58 – $5,690.00 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $435.63 – $1,757.00 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $435.63 – $1,757.00 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $792.00 – $1,757.00 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $792.00 – $1,757.00 | 2 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $589.39 – $2,636.00 | 2 |
| Ductogram sgl duct CPT 77053 | not published | not published | $255.69 – $255.69 | 1 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $399.88 – $1,757.00 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $255.69 – $255.69 | 1 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $112.03 – $112.03 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $112.03 – $112.03 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $231.39 – $231.39 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $255.69 – $255.69 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.15 – $86.27 | 2 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $112.03 – $112.03 | 1 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $137.89 – $137.89 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,907.37 – $3,952.00 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,907.37 – $3,952.00 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,907.37 – $3,952.00 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $971.94 – $3,952.00 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $971.94 – $3,952.00 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $231.39 – $1,757.00 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $1,757.00 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $419.13 – $1,757.00 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,907.37 – $3,952.00 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $267.74 – $3,952.00 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $231.39 – $231.39 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $577.95 – $1,757.00 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,662.71 – $3,952.00 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,952.00 – $6,343.80 | 2 |
| Ear irrigation 69209 CPT 69209 | $135.80 | $194.00 | $63.22 – $1,757.00 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $40.03 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $578.75 – $579.75 | 2 |
| Ecg 12 lead tracing only CPT 93005 | $149.80 | $214.00 | $63.22 – $63.22 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $63.22 – $63.22 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $324.80 | $464.00 | $142.58 – $142.58 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $149.80 | $214.00 | $63.22 – $63.22 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $108.50 | $155.00 | $40.03 – $40.03 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $98.70 | $141.00 | $40.03 – $40.03 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,151.50 | $1,645.00 | $585.55 – $585.55 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $646.80 | $924.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,151.50 | $1,645.00 | $840.06 – $840.06 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $255.69 – $255.69 | 1 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $558.60 | $798.00 | $373.86 – $373.86 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $112.03 – $112.03 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $112.03 – $112.03 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $93.26 – $93.26 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $585.55 – $585.55 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $255.69 – $255.69 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $112.03 – $112.03 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $112.03 – $112.03 | 1 |
| Echo exam uterus 76831- CPT 76831 | $1,861.30 | $2,659.00 | $255.69 – $255.69 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $112.03 – $112.03 | 1 |
| Echo guide for amniocentesis CPT 76946 | $216.30 | $309.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | not published | not published | $231.39 – $231.39 | 1 |
| Echo stress CPT 93350 | not published | not published | $585.55 – $585.55 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $585.55 – $585.55 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,151.50 | $1,645.00 | $585.55 – $585.55 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $585.55 – $585.55 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $585.55 – $585.55 | 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.