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 |
|---|---|---|---|---|
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,552.91 – $14,401.00 | 2 |
| Gi protein loss CPT 78282 | not published | not published | $428.40 – $428.40 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $971.94 – $3,952.00 | 2 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $996.56 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $971.94 – $3,952.00 | 2 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $3,952.00 | 2 |
| Gjb2 gene full sequence CPT 81252 | $849.10 | $1,213.00 | $101.12 – $101.12 | 2 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $61.52 | 2 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $35.00 | 2 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.69 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $40.03 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,429.45 – $5,690.00 | 2 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,429.45 – $5,690.00 | 2 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,473.11 – $5,690.00 | 2 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,473.11 – $5,690.00 | 2 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $117.84 – $117.84 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $164.86 | 2 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $135.00 – $143.25 | 2 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $14.29 | 2 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $46.07 | 2 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $50.50 | 2 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $17.77 | 2 |
| Glucose 1 hr post dose CPT 82950 | $67.90 | $97.00 | $4.75 – $4.75 | 2 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.05 | 2 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $41.30 | $59.00 | $3.28 – $3.28 | 2 |
| Glucose blood quantitative CPT 82947 | $53.20 | $76.00 | $3.93 – $3.93 | 2 |
| Glucose body fluid CPT 82945 | $53.20 | $76.00 | $3.93 – $3.93 | 2 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $63.22 – $63.22 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $191.10 | $273.00 | $12.87 – $12.87 | 2 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $51.80 | $74.00 | $3.92 – $3.92 | 2 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.38 – $0.38 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $11.63 | 2 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $147.70 | $211.00 | $18.58 – $18.58 | 2 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $148.41 | 2 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $271.60 | $388.00 | $18.52 – $18.52 | 2 |
| Gonioscopy CPT 92020 | not published | not published | $142.58 – $142.58 | 1 |
| Goniotomy CPT 65820 | not published | not published | $4,429.45 – $5,690.00 | 2 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $777.50 – $777.50 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $63.00 | $90.00 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $472.50 | $675.00 | not published | 0 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $520.80 | $744.00 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.15 – $0.15 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,625.00 | $3,750.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,775.89 – $14,401.00 | 2 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $264.33 – $1,757.00 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.23 – $12.23 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $15.74 | 2 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $66.70 | 2 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $129.33 | 2 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $75.60 | 2 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $14,401.00 – $14,401.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,056.34 – $5,690.00 | 2 |
| G-tube reposition CPT 43761 | not published | not published | $267.74 – $1,757.00 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $8,372.70 | $11,961.00 | $758.85 – $2,636.00 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,662.71 – $3,952.00 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,195.85 – $5,690.00 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $4.95 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $792.00 – $1,757.00 | 2 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $435.63 – $1,757.00 | 2 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $435.63 – $1,757.00 | 2 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $53.16 – $53.16 | 1 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,584.02 – $2,584.02 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,284.91 – $3,284.91 | 1 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,953.92 – $3,953.92 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $3.94 – $3.94 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.73 – $0.73 | 1 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $264.89 – $264.89 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $118.11 – $118.11 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,363.43 – $2,363.43 | 1 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,323.42 – $2,323.42 | 1 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $998.28 – $998.28 | 1 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,387.98 – $2,387.98 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $3,952.00 – $7,775.89 | 2 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Hand X-ray CPT 73130 | $400.40 | $572.00 | $93.26 – $93.26 | 1 |
| Haptoglobin quantitative CPT 83010 | $143.50 | $205.00 | $12.58 – $12.58 | 2 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $269.43 – $269.43 | 1 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $153.82 – $153.82 | 1 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $147.02 – $147.02 | 1 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,668.97 – $3,952.00 | 2 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,547.76 – $5,690.00 | 2 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $472.77 – $1,757.00 | 2 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $142.58 – $142.58 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $142.58 – $142.58 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $600.00 | 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.