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 |
|---|---|---|---|---|
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $53.08 | 2 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $10.62 | 2 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $33.94 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $70.00 | $100.00 | $5.78 – $5.78 | 2 |
| Albumin serum plasma or whole blood CPT 82040 | $62.30 | $89.00 | $4.95 – $4.95 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.20 – $0.20 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.26 – $0.26 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.07 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $260.40 | $372.00 | $17.27 – $17.27 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $190.21 – $190.21 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $125.50 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,440.42 – $2,447.10 | 2 |
| Alkaline phosphatase CPT 84075 | $61.60 | $88.00 | $5.18 – $5.18 | 2 |
| Allergen alpha lactalbumin ige CPT 86008 | $152.60 | $218.00 | $17.93 – $17.93 | 2 |
| Allergen egg white ige CPT 86003 | $51.80 | $74.00 | $5.22 – $5.22 | 2 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $7.97 | 2 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $50.18 – $50.18 | 1 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $50.18 – $50.18 | 1 |
| Allergy Skin Testing CPT 95004 | not published | not published | $920.24 – $920.24 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $920.24 – $920.24 | 1 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,758.17 – $14,951.00 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $40.03 – $40.03 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.14 – $5.37 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $64.41 | 2 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $17.00 | 2 |
| Alpha-fetoprotein tumor marker CPT 82105 | $177.80 | $254.00 | $16.77 – $16.77 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $93.83 – $95.09 | 2 |
| Alt/sgpt CPT 84460 | $65.80 | $94.00 | $5.30 – $5.30 | 2 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.49 – $4.61 | 2 |
| Aluminum - quest CPT 82108 | not published | not published | $25.48 – $25.48 | 2 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,552.91 – $3,952.00 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $142.58 – $142.58 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.62 – $0.62 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $5.99 | 2 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $13.87 | 2 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $14.18 | 2 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $19.61 | 2 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.59 – $1.59 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.77 – $1.79 | 2 |
| Aminolevulinic acid delta CPT 82135 | $221.20 | $316.00 | $16.45 – $16.45 | 2 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $389.83 – $390.02 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $10.41 – $10.41 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.53 – $2.53 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.41 – $0.41 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.56 – $22.63 | 2 |
| Ammonia CPT 82140 | $110.60 | $158.00 | $14.57 – $14.57 | 2 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $987.01 – $2,636.00 | 2 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $326.55 – $1,757.00 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $9.35 | 2 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,506.34 – $3,952.00 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $43.29 – $43.29 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $20.72 – $22.81 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.59 – $0.59 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.33 – $1.33 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $262.99 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,723.15 – $5,690.00 | 2 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,506.34 – $16,639.00 | 2 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,506.34 – $16,639.00 | 2 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,506.34 – $16,639.00 | 2 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $13,758.17 – $14,951.00 | 2 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $5,690.00 – $7,775.89 | 2 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $7,775.89 – $16,639.00 | 2 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,775.89 – $8,442.00 | 2 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputation of forearm CPT 25900 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Amputation of forearm CPT 25905 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Amputation of forearm CPT 25915 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Amputation of hand CPT 25927 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Amputation of leg at hip CPT 27290 | not published | not published | $16,639.00 – $18,789.56 | 2 |
| Amputation of leg at hip CPT 27295 | not published | not published | $16,639.00 – $18,789.56 | 2 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputation of lower leg CPT 27881 | not published | not published | $3,506.34 – $14,951.00 | 2 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Amputation of upper arm CPT 24900 | not published | not published | $13,758.17 – $14,951.00 | 2 |
| Amputation of upper arm CPT 24920 | not published | not published | $13,758.17 – $14,951.00 | 2 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,506.34 – $5,690.00 | 2 |
| Amylase CPT 82150 | $108.50 | $155.00 | $6.48 – $6.48 | 2 |
| Ana ds-dna CPT 86226 | not published | not published | $12.11 – $12.11 | 2 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $137.89 – $1,757.00 | 2 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $267.74 – $1,757.00 | 2 |
| Analysis gene f2 20210g>a variant CPT 81240 | $586.60 | $838.00 | $65.69 – $65.69 | 2 |
| Analysis gene f5 leiden variant CPT 81241 | $527.10 | $753.00 | $73.37 – $73.37 | 2 |
| Analysis nerve CPT 88356 | not published | not published | $55.84 – $55.84 | 1 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $39.99 – $39.99 | 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.