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 |
|---|---|---|---|---|
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $56.16 | $78.00 | $12.03 – $78.00 | 4 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $22.32 | $31.00 | $11.58 – $31.00 | 4 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $180.00 | $250.00 | $11.58 – $250.00 | 4 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $34.56 | $48.00 | $4.46 – $48.00 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $128.88 | $179.00 | $12.21 – $179.00 | 4 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $20.88 | $29.00 | $12.21 – $29.00 | 4 |
| Mayo proinsulin CPT 84206 | $133.20 | $185.00 | $13.28 – $185.00 | 4 |
| Mayo psaft prostate specific antigen free CPT 84154 | $106.56 | $148.00 | $12.03 – $148.00 | 4 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $984.24 | $1,367.00 | $12.03 – $189.00 | 4 |
| Mayo receptor assay transferrin soluble CPT 84238 | $234.00 | $325.00 | $28.34 – $325.00 | 4 |
| Mayo renin CPT 84244 | $115.20 | $160.00 | $13.28 – $160.00 | 4 |
| Mayo repu protein electrophoresis urine CPT 84166 | $82.80 | $115.00 | $12.03 – $115.00 | 4 |
| Mayo selenium CPT 84255 | $44.64 | $62.00 | $12.39 – $62.00 | 4 |
| Mayo serotonin CPT 84260 | $43.92 | $61.00 | $35.20 – $61.00 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $106.56 | $148.00 | $11.58 – $148.00 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $69.12 | $96.00 | $12.21 – $96.00 | 4 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $119.52 | $166.00 | $166.00 – $166.00 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $141.84 | $197.00 | $11.58 – $197.00 | 4 |
| Mayo tau phosphorylated 217 each CPT 84393 | $324.00 | $450.00 | $450.00 – $450.00 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $915.84 | $1,272.00 | $165.74 – $1,272.00 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $71.28 | $99.00 | $13.28 – $99.00 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $196.56 | $273.00 | $13.28 – $137.00 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $314.64 | $437.00 | $12.03 – $437.00 | 4 |
| Mayo thyroglobulin CPT 84432 | $83.52 | $116.00 | $13.28 – $116.00 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $39.60 | $55.00 | $11.58 – $55.00 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $125.28 | $174.00 | $11.58 – $174.00 | 4 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $111.60 | $155.00 | $14.08 – $155.00 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $138.96 | $193.00 | $11.58 – $193.00 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $108.00 | $150.00 | $12.21 – $150.00 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $266.40 | $370.00 | $35.20 – $370.00 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $184.32 | $256.00 | $12.03 – $256.00 | 4 |
| Mayo vitamin k CPT 84597 | $46.80 | $65.00 | $12.03 – $65.00 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $180.00 | $250.00 | $12.21 – $250.00 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $930.96 | $1,293.00 | $106.93 – $1,293.00 | 4 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $310.32 | $431.00 | $209.78 – $343.00 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $132.62 | $184.20 | $52.62 – $2,444.06 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $10.06 | $13.97 | $0.63 – $2.28 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $181.44 | $252.00 | $8.46 – $10.00 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $219.60 | $305.00 | $9.09 – $10.56 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $16.20 | $22.50 | $10.00 – $16.19 | 3 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $68.29 | $94.85 | $35.24 – $94.85 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.32 | $6.00 | $0.23 – $6.00 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.85 | $1.18 | $0.20 – $0.98 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $2.79 | $3.88 | $0.43 – $0.82 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.96 | $18.00 | $1.78 – $18.00 | 3 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $2.59 | $3.60 | $0.20 – $3.60 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $1.31 | $1.82 | $0.05 – $1.82 | 3 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $6.47 | $8.98 | $0.41 – $2.55 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $6.48 | $9.00 | $0.23 – $1.80 | 3 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $1.04 | $1.44 | $0.30 – $1.44 | 3 |
| Mlh1 gene CPT 81288 | $720.72 | $1,001.00 | $165.74 – $1,001.00 | 4 |
| Mnl appl strs jt radiography CPT 77071 | $383.04 | $532.00 | $532.00 – $532.00 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $514.80 | $715.00 | $46.87 – $715.00 | 4 |
| Mopath procedure level 3 CPT 81402 | $255.60 | $355.00 | $165.74 – $355.00 | 4 |
| Mopath procedure level 7 CPT 81406 | $2,718.00 | $3,775.00 | $165.74 – $3,775.00 | 4 |
| Mopath procedure level 9 CPT 81408 | $2,473.20 | $3,435.00 | $2,344.40 – $3,435.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $72.54 | $100.75 | $5.02 – $18.00 | 3 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $12.96 | $18.00 | $11.17 – $18.00 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $619.92 | $861.00 | $163.25 – $861.00 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $507.60 | $705.00 | $73.78 – $179.57 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $717.12 | $996.00 | $163.25 – $996.00 | 4 |
| MRA w/cont, abd HCPCS C8900 | $3,305.52 | $4,591.00 | $610.14 – $4,591.00 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | $872.64 | $1,212.00 | $610.14 – $1,212.00 | 5 |
| MRA without cont, abd HCPCS C8901 | $3,129.84 | $4,347.00 | $610.14 – $4,347.00 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,711.60 | $5,155.00 | $610.14 – $5,155.00 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,672.00 | $5,100.00 | $610.14 – $5,100.00 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,990.88 | $4,154.00 | $610.14 – $4,154.00 | 5 |
| MRI breast c- unilateral CPT 77046 | $553.68 | $769.00 | $146.90 – $769.00 | 5 |
| MRI breast without cont bi CPT 77047 | $2,674.80 | $3,715.00 | $146.24 – $2,862.00 | 5 |
| MRI chest without contrast CPT 71550 | $3,006.00 | $4,175.00 | $299.41 – $4,175.00 | 5 |
| MRI chest without & w/contrast CPT 71552 | $3,417.12 | $4,746.00 | $505.16 – $4,746.00 | 5 |
| MRI chest w IV cont CPT 71551 | $3,203.28 | $4,449.00 | $505.16 – $4,449.00 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | $3,472.56 | $4,823.00 | $505.16 – $4,823.00 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,992.32 | $4,156.00 | $299.41 – $4,156.00 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,008.24 | $5,567.00 | $505.16 – $5,567.00 | 5 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,113.28 | $4,324.00 | $299.41 – $4,324.00 | 5 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,803.76 | $5,283.00 | $505.16 – $5,283.00 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,626.64 | $5,037.00 | $505.16 – $5,037.00 | 5 |
| MRI tmj CPT 70336 | $3,006.00 | $4,175.00 | $299.41 – $4,175.00 | 4 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,006.00 | $4,175.00 | $299.41 – $4,175.00 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,672.00 | $5,100.00 | $505.16 – $5,100.00 | 5 |
| MRI upper extremity w/dye CPT 73219 | $3,180.24 | $4,417.00 | $505.16 – $4,417.00 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,672.00 | $5,100.00 | $505.16 – $5,100.00 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,674.80 | $3,715.00 | $505.16 – $3,715.00 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | $190.08 | $264.00 | $264.00 – $264.00 | 1 |
| Mr safety implant elec prepj CPT 76018 | $198.00 | $275.00 | $275.00 – $275.00 | 1 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $87.84 | $122.00 | $122.00 – $122.00 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $128.16 | $178.00 | $178.00 – $178.00 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $52.56 | $73.00 | $73.00 – $73.00 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | $522.00 | $725.00 | $725.00 – $725.00 | 1 |
| Msh6 gene dup/delete variant CPT 81300 | $447.84 | $622.00 | $165.74 – $622.00 | 4 |
| Msh6 gene full seq CPT 81298 | $808.56 | $1,123.00 | $659.86 – $1,123.00 | 4 |
| Mthfr gene analy common variants CPT 81291 | $108.00 | $150.00 | $46.87 – $150.00 | 4 |
| Mucopolysaccharides CPT 83864 | $296.64 | $412.00 | $28.34 – $412.00 | 4 |
| Multiple sleep latency test CPT 95805 | $2,440.08 | $3,389.00 | $980.83 – $3,389.00 | 4 |
| Mumps antibody igg CPT 86735 | $141.12 | $196.00 | $11.58 – $196.00 | 4 |
| Mycoplasma antibody igm CPT 86738 | $22.32 | $31.00 | $11.58 – $31.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $88.56 | $123.00 | $12.03 – $53.00 | 4 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $15.41 | $21.40 | $5.69 – $21.40 | 3 |
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.