HSHS St. Francis Hospital
1215 FRANCISCAN DRIVE, LITCHFIELD, IL · Hshs · · NPI 1326057076
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $48.24 | $67.00 | $13.28 – $67.00 | 4 |
| 17-hydroxypregnenolone CPT 84143 | $165.60 | $230.00 | $13.28 – $230.00 | 4 |
| 17-ketosteroids CPT 83586 | $38.88 | $54.00 | $13.28 – $54.00 | 4 |
| 3d recon without postprocess indpndt CPT 76376 | $1,019.52 | $1,416.00 | $1,416.00 – $1,416.00 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $54.72 | $76.00 | $12.03 – $76.00 | 4 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $214.27 | $297.60 | $73.87 – $2,444.06 | 6 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $84.24 | $117.00 | $11.58 – $117.00 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,930.40 | $4,070.00 | $377.20 – $4,070.00 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,635.92 | $3,661.00 | $377.20 – $3,661.00 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,062.80 | $2,865.00 | $132.42 – $2,865.00 | 4 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,759.84 | $5,222.00 | $505.16 – $5,222.00 | 5 |
| Abdominal MRI (with contrast) CPT 74182 | $3,337.20 | $4,635.00 | $505.16 – $4,635.00 | 5 |
| Abdominal MRI (without contrast) CPT 74181 | $3,098.16 | $4,303.00 | $299.41 – $4,303.00 | 5 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,761.12 | $2,446.00 | $895.29 – $2,446.00 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,254.24 | $1,742.00 | $208.96 – $1,742.00 | 4 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,131.84 | $1,572.00 | $135.63 – $1,572.00 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $637.92 | $886.00 | $495.01 – $886.00 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $1.28 | $1.78 | $0.10 – $1.78 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $131.76 | $183.00 | $11.58 – $183.00 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $6.34 | $8.80 | $0.61 – $8.80 | 3 |
| Acute hepatitis panel CPT 80074 | $194.40 | $270.00 | $9.09 – $270.00 | 4 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.46 | $0.64 | $0.20 – $0.64 | 3 |
| #acylcarnitineprfl CPT 82017 | $127.44 | $177.00 | $12.03 – $177.00 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.31 | $8.77 | $0.87 – $5.00 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $43.92 | $61.00 | $11.58 – $61.00 | 4 |
| Adh-sendout CPT 84588 | $118.08 | $164.00 | $35.20 – $164.00 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $12.96 | $18.00 | $4.50 – $4.50 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $344.16 | $478.00 | $478.00 – $629.88 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $344.16 | $478.00 | $365.53 – $478.00 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $716.40 | $995.00 | $365.53 – $995.00 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $716.40 | $995.00 | $57.48 – $995.00 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $269.28 | $374.00 | $57.48 – $374.00 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $260.64 | $362.00 | $57.48 – $362.00 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $133.92 | $186.00 | $48.21 – $186.00 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $36.72 | $51.00 | $48.21 – $53.03 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.36 | $138.00 | $48.21 – $138.00 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $90.72 | $126.00 | $48.21 – $126.00 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $99.36 | $138.00 | $48.21 – $138.00 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $69.07 | $95.93 | $69.61 – $4,860.08 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | $342.72 | $476.00 | $10.60 – $476.00 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | $122.40 | $170.00 | $10.60 – $170.00 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $499.68 | $694.00 | $205.22 – $305.00 | 4 |
| After cataract laser surgery CPT 66821 | $1,606.32 | $2,231.00 | $706.11 – $2,231.00 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $76.32 | $106.00 | $5.44 – $54.00 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $198.43 | $275.60 | $87.58 – $170.95 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $112.32 | $156.00 | $3.03 – $156.00 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $99.36 | $138.00 | $5.44 – $138.00 | 4 |
| Alginate drsg wound filler HCPCS A6199 | $46.80 | $65.00 | $65.00 – $65.00 | 1 |
| Alkaline phosphatase CPT 84075 | $69.84 | $97.00 | $5.44 – $97.00 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | $84.96 | $118.00 | $11.58 – $118.00 | 4 |
| Allergen egg white ige CPT 86003 | $33.84 | $47.00 | $11.58 – $15.00 | 4 |
| Allergy injections; 2 or more 95117 CPT 95117 | $99.36 | $138.00 | $31.10 – $138.00 | 4 |
| Allergy injection; single 95115 CPT 95115 | $99.36 | $138.00 | $31.10 – $138.00 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $424.80 | $590.00 | $209.78 – $590.00 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $424.80 | $590.00 | $209.78 – $590.00 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $20.71 | $28.77 | $8.86 – $1,721.15 | 6 |
| Alpha-fetoprotein tumor marker CPT 82105 | $89.28 | $124.00 | $12.03 – $124.00 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $319.97 | $444.40 | $120.30 – $444.40 | 6 |
| Alt/sgpt CPT 84460 | $81.36 | $113.00 | $5.44 – $113.00 | 4 |
| Aluminum - quest CPT 82108 | $42.48 | $59.00 | $12.39 – $59.00 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | $238.32 | $331.00 | $70.22 – $331.00 | 4 |
| Amino acids quant 2-5 CPT 82136 | $238.32 | $331.00 | $12.03 – $331.00 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $69.12 | $96.00 | $17.18 – $30.90 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $13.30 | $18.47 | $4.17 – $18.47 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $3.05 | $4.23 | $0.68 – $2.00 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $42.48 | $59.00 | $14.08 – $59.00 | 4 |
| Ammonia CPT 82140 | $174.24 | $242.00 | $12.03 – $242.00 | 4 |
| Amphetamine confirm urine -sendout CPT 80324 | $44.64 | $62.00 | $14.08 – $62.00 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $12.96 | $18.00 | $0.97 – $15.80 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $27.58 | $38.30 | $2.19 – $18.30 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $378.72 | $526.00 | $526.00 – $526.00 | 1 |
| Amylase CPT 82150 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Anabolic steroid 1 or 2 CPT 80327 | $42.48 | $59.00 | $14.08 – $59.00 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $509.04 | $707.00 | $46.87 – $707.00 | 4 |
| Analysis gene f5 leiden variant CPT 81241 | $509.04 | $707.00 | $46.87 – $707.00 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $235.44 | $327.00 | $43.13 – $327.00 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $87.84 | $122.00 | $11.58 – $122.00 | 4 |
| An fluoro guide for cvp CPT 77001 | $463.68 | $644.00 | $250.84 – $644.00 | 4 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $32.40 | $45.00 | $45.00 – $45.00 | 1 |
| Ankle X-ray CPT 73610 | $446.40 | $620.00 | $69.68 – $620.00 | 4 |
| Anora (draw only) CPT 99001 | $42.48 | $59.00 | $3.39 – $28.00 | 4 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $95.04 | $132.00 | $11.58 – $132.00 | 4 |
| Antibody elution rbc reference CPT 86860 | $216.00 | $300.00 | $163.07 – $300.00 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $60.48 | $84.00 | $11.58 – $84.00 | 4 |
| Antibody id rbc panel CPT 86870 | $393.84 | $547.00 | $163.07 – $547.00 | 4 |
| Antibody influenza virus CPT 86710 | $40.32 | $56.00 | $11.58 – $56.00 | 4 |
| Antibody screen rbc CPT 86850 | $82.80 | $115.00 | $4.46 – $115.00 | 4 |
| Antibody tetanus CPT 86774 | $43.92 | $61.00 | $11.58 – $61.00 | 4 |
| Antiepileptics nos 4-6 CPT 80340 | $79.92 | $111.00 | $14.08 – $111.00 | 4 |
| Anti mog serum - sendout CPT 86362 | $900.00 | $1,250.00 | $11.58 – $1,250.00 | 4 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $92.16 | $128.00 | $11.58 – $128.00 | 4 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $92.16 | $128.00 | $11.58 – $128.00 | 4 |
| Antinuclear antibodies CPT 86038 | $181.44 | $252.00 | $11.58 – $252.00 | 4 |
| Antinuclear antibodies titer CPT 86039 | $57.60 | $80.00 | $11.58 – $80.00 | 4 |
| Antiphosphatidylserine antibody CPT 86148 | $54.72 | $76.00 | $11.58 – $76.00 | 4 |
| Antipsychotics nos 1-3 CPT 80342 | $167.76 | $233.00 | $14.08 – $233.00 | 4 |
| Antistreptolysin o titer CPT 86060 | $144.72 | $201.00 | $11.58 – $201.00 | 4 |
| Antithrombin iii activity CPT 85300 | $60.48 | $84.00 | $4.46 – $84.00 | 4 |
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.