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 |
|---|---|---|---|---|
| Liver elastography 91200 CPT 91200 | not published | not published | $137.89 – $137.89 | 1 |
| Liver Function Test CPT 80076 | $124.60 | $178.00 | $8.17 – $8.17 | 2 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Liver imaging CPT 78201 | not published | not published | $581.86 – $581.86 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $1,789.90 | $2,557.00 | $581.86 – $581.86 | 1 |
| Liver/spleen imag static only CPT 78215 | $1,336.30 | $1,909.00 | $428.40 – $428.40 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,336.30 | $1,909.00 | $428.40 – $428.40 | 1 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,547.76 – $5,690.00 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,506.34 – $8,442.00 | 2 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,495.85 – $3,495.85 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.04 – $1.04 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.22 – $221.49 | 2 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $165.21 – $165.21 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.41 – $1.41 | 1 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.40 – $51.40 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $95.79 – $95.79 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $231.39 – $231.39 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,319.40 | $4,742.00 | $187.96 – $187.96 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,743.30 | $3,919.00 | $373.86 – $373.86 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,265.60 | $1,808.00 | $112.03 – $112.03 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,674.60 | $6,678.00 | $373.86 – $373.86 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,068.40 | $5,812.00 | $373.86 – $373.86 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $532.00 | $760.00 | $112.03 – $112.03 | 1 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,343.80 – $14,401.00 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $215.00 – $215.00 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $11,391.13 – $14,951.00 | 2 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $11,391.13 – $14,951.00 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $11,391.13 – $14,951.00 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $11,391.13 – $14,951.00 | 2 |
| Lso corset front HCPCS L0972 | not published | not published | $119.54 – $119.54 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.32 – $55.32 | 1 |
| Lso full corset HCPCS L0976 | not published | not published | $183.75 – $183.75 | 1 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $199.05 – $199.05 | 1 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,620.91 – $1,620.91 | 1 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $783.31 – $783.31 | 1 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.80 – $106.80 | 1 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,228.02 – $1,228.02 | 1 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,666.22 – $1,666.22 | 1 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $352.41 – $352.41 | 1 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $189.11 – $189.11 | 1 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,285.97 – $1,285.97 | 1 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,592.13 – $1,592.13 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $21.99 | 2 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $96.23 – $96.23 | 1 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $111.77 – $111.77 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,092.58 – $2,092.58 | 1 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $108.96 – $108.96 | 1 |
| Lumbar sling HCPCS L1090 | not published | not published | $123.66 – $123.66 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $14,951.00 – $18,789.56 | 2 |
| Lumizyme injection HCPCS J0221 | not published | not published | $207.39 – $207.51 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $63.22 – $63.22 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $739.20 | $1,056.00 | $231.39 – $231.39 | 1 |
| Lung perfusion imaging CPT 78580 | $1,336.30 | $1,909.00 | $428.40 – $428.40 | 1 |
| Lung transplant double CPT 32853 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $210.78 – $212.10 | 2 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.75 – $42.77 | 2 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $628.84 – $628.84 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $30.99 – $1,757.00 | 2 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $347.73 – $347.73 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $20.05 | 2 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,758.76 – $14,951.00 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $1,789.90 | $2,557.00 | $581.86 – $581.86 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $36.56 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $49.03 | 2 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $189.51 | 2 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $47.59 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,383.62 – $3,383.62 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,383.62 – $3,383.62 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $577.95 – $1,757.00 | 2 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,240.09 – $5,690.00 | 2 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.10 – $15.10 | 1 |
| Macroscopic exam arthropod CPT 87168 | $58.80 | $84.00 | $4.27 – $4.27 | 2 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $4.31 | 2 |
| Magnesium CPT 83735 | $76.30 | $109.00 | $6.70 – $6.70 | 2 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.41 – $0.41 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $255.69 – $255.69 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $13.19 | 2 |
| Male sling procedure CPT 53440 | not published | not published | $14,138.35 – $16,639.00 | 2 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,723.15 – $1,757.00 | 2 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,723.15 – $3,952.00 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $135.10 | $193.00 | $142.58 – $142.58 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $135.10 | $193.00 | $142.58 – $142.58 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,723.15 – $3,952.00 | 2 |
| Manipulation of spine CPT 22505 | not published | not published | $1,723.15 – $3,952.00 | 2 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $264.33 – $1,757.00 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $90.70 – $90.70 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.07 | 2 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $53.27 – $53.75 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $278.40 – $278.40 | 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.