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 |
|---|---|---|---|---|
| MRA without cont, lwr ext HCPCS C8913 | $4,249.00 | $6,070.00 | $255.69 – $255.69 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $255.69 – $255.69 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,334.10 | $4,763.00 | $373.86 – $373.86 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $6,668.20 | $9,526.00 | $373.86 – $373.86 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $3,334.10 | $4,763.00 | $373.86 – $373.86 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,876.30 | $4,109.00 | $373.86 – $373.86 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $373.86 – $373.86 | 1 |
| Mr elastography CPT 76391 | not published | not published | $255.69 – $255.69 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,940.72 – $16,639.00 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $187.96 – $187.96 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $585.55 – $585.55 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $187.96 – $187.96 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $255.69 – $255.69 | 1 |
| MRI breast without cont bi CPT 77047 | $4,090.10 | $5,843.00 | $255.69 – $255.69 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $255.69 – $255.69 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $373.86 – $373.86 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $840.06 – $840.06 | 1 |
| MRI chest without contrast CPT 71550 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| MRI chest without & w/contrast CPT 71552 | $4,249.70 | $6,071.00 | $373.86 – $373.86 | 1 |
| MRI chest w IV cont CPT 71551 | $3,829.00 | $5,470.00 | $840.06 – $840.06 | 1 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,399.89 – $1,399.89 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $255.69 – $255.69 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $4,249.70 | $6,071.00 | $373.86 – $373.86 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,674.60 | $6,678.00 | $373.86 – $373.86 | 1 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,674.60 | $6,678.00 | $373.86 – $373.86 | 1 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,876.30 | $4,109.00 | $373.86 – $373.86 | 1 |
| MRI tmj CPT 70336 | not published | not published | $255.69 – $255.69 | 1 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,876.30 | $4,109.00 | $255.69 – $255.69 | 1 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,674.60 | $6,678.00 | $373.86 – $373.86 | 1 |
| MRI upper extremity w/dye CPT 73219 | $4,249.70 | $6,071.00 | $373.86 – $373.86 | 1 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $373.86 – $373.86 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $187.96 – $187.96 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | $5,685.40 | $8,122.00 | $373.86 – $373.86 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $3,686.20 | $5,266.00 | $373.86 – $373.86 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $93.26 – $93.26 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $63.22 – $63.22 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $255.69 – $255.69 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $93.26 – $93.26 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $213.30 | 2 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $381.70 | 2 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $337.73 | 2 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $238.00 | 2 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $641.85 | 2 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $308.00 | 2 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,775.89 – $14,951.00 | 2 |
| Mthfr gene analy common variants CPT 81291 | $716.10 | $1,023.00 | $65.34 – $65.34 | 2 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $26.88 | 2 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $42.84 | 2 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $5.86 | 2 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $28.50 | 2 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $15.00 | 2 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $4,801.96 – $4,801.96 | 1 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $955.08 – $955.08 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $712.97 – $712.97 | 1 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $801.96 – $801.96 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $190.21 – $190.21 | 1 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $137.89 – $137.89 | 1 |
| Multiple sleep latency test CPT 95805 | $2,860.20 | $4,086.00 | $920.24 – $920.24 | 1 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,883.70 – $3,883.70 | 1 |
| Mumps antibody igg CPT 86735 | $144.20 | $206.00 | $13.05 – $13.05 | 2 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,211.05 – $3,952.00 | 2 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $231.39 – $231.39 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $137.89 – $137.89 | 1 |
| Muscle test larynx CPT 95865 | not published | not published | $142.58 – $142.58 | 1 |
| Muscle test one fiber CPT 95872 | not published | not published | $231.39 – $231.39 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $7,775.89 – $14,401.00 | 2 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,775.89 – $14,401.00 | 2 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,797.52 – $8,442.00 | 2 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,775.89 – $8,442.00 | 2 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $48.24 | 2 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $20.05 | 2 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $42.84 | 2 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.15 – $0.15 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.32 – $0.32 | 1 |
| Mycoplasma antibody igm CPT 86738 | $124.60 | $178.00 | $13.24 – $13.24 | 2 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $175.40 | 2 |
| Myelogphy 2/> spine regions CPT 72270 | $3,594.50 | $5,135.00 | $840.06 – $840.06 | 1 |
| Myelography l-s spine CPT 72265 | $3,594.50 | $5,135.00 | $840.06 – $840.06 | 1 |
| Myelography neck spine CPT 72240 | $3,594.50 | $5,135.00 | $840.06 – $840.06 | 1 |
| Myelography thoracic spine CPT 72255 | $3,594.50 | $5,135.00 | $840.06 – $840.06 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $840.06 – $2,636.00 | 2 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $840.06 – $2,636.00 | 2 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $840.06 – $2,636.00 | 2 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $840.06 – $2,636.00 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $192.50 | $275.00 | $11.53 – $11.53 | 2 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $1,757.00 – $1,757.00 | 1 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $8,442.00 – $8,442.00 | 1 |
| Myomectomy abdom method CPT 58140 | not published | not published | $8,442.00 – $8,442.00 | 1 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,468.96 – $5,690.00 | 2 |
| Myringoplasty CPT 69620 | not published | not published | $3,552.91 – $5,690.00 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.06 – $0.06 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $3.45 – $3.45 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.07 – $0.07 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.24 – $4.25 | 2 |
| Narcosynthesis CPT 90865 | not published | not published | $190.21 – $190.21 | 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.