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 |
|---|---|---|---|---|
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $435.63 – $1,757.00 | 2 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $435.63 – $1,757.00 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $8.60 | 2 |
| Ghs mbp CPT 83873 | $114.80 | $164.00 | $17.20 – $17.20 | 2 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $347.20 | $496.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $469.00 | $670.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $457.80 | $654.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $63.00 | $90.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $355.60 | $508.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,397.20 | $1,996.00 | $792.00 – $1,757.00 | 2 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $947.82 – $2,636.00 | 2 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,580.60 | $2,258.00 | $756.44 – $2,636.00 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $947.82 – $2,636.00 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | $1,869.70 | $2,671.00 | $947.82 – $2,636.00 | 2 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $947.82 – $2,636.00 | 2 |
| Ghs nerve block interscaline CPT 64510 | $1,869.70 | $2,671.00 | $947.82 – $2,636.00 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,869.70 | $2,671.00 | $947.82 – $2,636.00 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $756.44 – $2,636.00 | 2 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $756.44 – $2,636.00 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $478.72 – $1,757.00 | 2 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $9.77 | 2 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $137.89 – $137.89 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $63.22 – $63.22 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $50.18 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $672.23 – $2,636.00 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,686.89 – $2,636.00 | 2 |
| Ghs optokenetic CPT 92544 | not published | not published | $137.89 – $137.89 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $231.39 – $231.39 | 1 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.16 – $7.16 | 1 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.58 – $9.58 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $192.50 | $275.00 | $41.42 – $41.42 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $228.90 | $327.00 | $62.36 – $62.36 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | $135.10 | $193.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $1,493.10 | $2,133.00 | $708.28 – $2,636.00 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $191.80 | $274.00 | $1,757.00 – $1,757.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $175.00 | $250.00 | $1,757.00 – $1,757.00 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $529.90 | $757.00 | $253.81 – $1,757.00 | 2 |
| Ghs phenylketonurid CPT 84030 | $125.30 | $179.00 | $5.50 – $5.50 | 2 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,686.89 – $2,636.00 | 2 |
| Ghs plngl fx pm cl CPT 26725 | $547.40 | $782.00 | $264.33 – $1,757.00 | 2 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $4.31 | 2 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $920.24 – $920.24 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $142.58 – $142.58 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $16.10 | $23.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $9.66 | 2 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $5.61 | 2 |
| Ghs protoporphyrins fract CPT 84202 | $231.00 | $330.00 | $14.35 – $14.35 | 2 |
| Ghs pr without cont pulse ox CPT 94625 | $124.60 | $178.00 | $63.22 – $63.22 | 1 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $12.25 | 2 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $293.30 | $419.00 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $14.60 | 2 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $353.96 – $1,757.00 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $294.00 | $420.00 | $142.58 – $1,757.00 | 2 |
| Ghs removal pharyngeal foreign body CPT 42809 | $910.70 | $1,301.00 | $478.72 – $1,757.00 | 2 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,723.15 – $3,952.00 | 2 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $15.89 | 2 |
| Ghs reticulocyte count CPT 85044 | $36.40 | $52.00 | $4.31 – $4.31 | 2 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $13.91 | 2 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $4.27 | 2 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $12.31 | 2 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $9.84 | 2 |
| Ghs sensitivity (per antimicro) CPT 87184 | $94.50 | $135.00 | $7.48 – $7.48 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,003.10 | $1,433.00 | $435.63 – $1,757.00 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $435.63 – $1,757.00 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,003.10 | $1,433.00 | $435.63 – $1,757.00 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $911.40 | $1,302.00 | $435.63 – $1,757.00 | 2 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $499.10 | $713.00 | $215.00 – $1,757.00 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $453.60 | $648.00 | $215.00 – $1,757.00 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $499.10 | $713.00 | $215.00 – $1,757.00 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $453.60 | $648.00 | $215.00 – $1,757.00 | 2 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $215.00 – $1,757.00 | 2 |
| Ghs sleep study unattended CPT 95800 | $843.50 | $1,205.00 | $231.39 – $231.39 | 1 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $231.39 – $231.39 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $920.24 – $920.24 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $268.10 | $383.00 | $48.59 – $48.59 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $328.94 – $1,757.00 | 2 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $142.58 – $142.58 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $464.80 | $664.00 | $104.56 – $104.56 | 1 |
| Ghs st - eval for alt comm CPT 92567 | $60.20 | $86.00 | $40.03 – $40.03 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | $294.00 | $420.00 | $142.58 – $1,757.00 | 2 |
| Ghs st - re-eval for alt comm CPT 92597 | $364.00 | $520.00 | $72.74 – $72.74 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $50.18 – $50.18 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $227.94 – $227.94 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,397.20 | $1,996.00 | $792.00 – $1,757.00 | 2 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,092.00 | $1,560.00 | $435.63 – $1,757.00 | 2 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $3,380.30 | $4,829.00 | $1,662.71 – $3,952.00 | 2 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $7.30 | 2 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $547.40 | $782.00 | $264.33 – $1,757.00 | 2 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $264.33 – $1,757.00 | 2 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $24.30 | 2 |
| Ghs urine, porphyrins quant CPT 84120 | $168.00 | $240.00 | $14.71 – $14.71 | 2 |
| Ghs vaginal delivery only CPT 59409 | $3,811.50 | $5,445.00 | $3,468.96 – $5,690.00 | 2 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $399.88 – $399.88 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $174.14 – $1,757.00 | 2 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $13.61 | 2 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $14.72 | 2 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $255.69 – $255.69 | 1 |
| Gi inhouse confirmation CPT 87045 | $114.10 | $163.00 | $9.44 – $9.44 | 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.