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 |
|---|---|---|---|---|
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.37 | $1.90 | $0.12 – $0.60 | 3 |
| Natriuretic peptide CPT 83880 | $241.92 | $336.00 | $28.34 – $336.00 | 4 |
| Natural killer cells total count CPT 86357 | $190.08 | $264.00 | $41.08 – $264.00 | 4 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $178.56 | $248.00 | $37.60 – $248.00 | 4 |
| Ndl insj without njx 3+ musc CPT 20561 | $178.56 | $248.00 | $37.60 – $248.00 | 4 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,060.72 | $4,251.00 | $377.20 – $4,251.00 | 5 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,878.56 | $3,998.00 | $377.20 – $3,998.00 | 5 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,339.28 | $3,249.00 | $132.42 – $3,249.00 | 5 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,074.48 | $5,659.00 | $505.16 – $5,659.00 | 5 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,561.12 | $4,946.00 | $505.16 – $4,946.00 | 5 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,922.48 | $4,059.00 | $149.70 – $4,059.00 | 5 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,803.76 | $5,283.00 | $610.14 – $5,283.00 | 5 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,080.88 | $4,279.00 | $610.14 – $4,279.00 | 5 |
| Neg pres wound ther drsg set HCPCS A6550 | $84.96 | $118.00 | $118.00 – $118.00 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $1.30 | $1.80 | $1.80 – $2.33 | 3 |
| Nerve conduction 7-8 studies CPT 95910 | $956.16 | $1,328.00 | $164.50 – $1,328.00 | 4 |
| Nerve conduction studies 13+ CPT 95913 | $1,550.16 | $2,153.00 | $164.50 – $2,153.00 | 4 |
| Nerve conduction studies 3-4 CPT 95908 | $672.48 | $934.00 | $164.50 – $934.00 | 4 |
| Nerve conduction studies 5-6 CPT 95909 | $730.80 | $1,015.00 | $164.50 – $1,015.00 | 4 |
| Nerve conduction studies 9-10 CPT 95911 | $1,149.12 | $1,596.00 | $164.50 – $1,596.00 | 4 |
| New Patient Office Visit (level 2) CPT 99202 | $335.52 | $466.00 | $73.25 – $73.25 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $424.80 | $590.00 | $115.84 – $115.84 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $567.36 | $788.00 | $173.49 – $173.49 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $705.60 | $980.00 | $229.84 – $229.84 | 1 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $1.40 | $1.95 | $0.12 – $132.33 | 6 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $7.78 | $10.80 | $2.51 – $10.80 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $57.59 | $79.99 | $55.39 – $6,050.93 | 6 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,671.84 | $2,322.00 | $947.95 – $2,322.00 | 4 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,267.20 | $1,760.00 | $455.98 – $1,760.00 | 4 |
| Nm imaging bone/joint whole body CPT 78306 | $1,339.20 | $1,860.00 | $455.98 – $1,860.00 | 4 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,103.76 | $1,533.00 | $455.98 – $1,533.00 | 4 |
| Nm imaging gastric emptying study CPT 78264 | $900.00 | $1,250.00 | $455.98 – $1,250.00 | 4 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,103.76 | $1,533.00 | $1,092.13 – $1,533.00 | 4 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,026.80 | $2,815.00 | $455.98 – $2,815.00 | 4 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,407.60 | $1,955.00 | $455.98 – $1,955.00 | 4 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,436.64 | $6,162.00 | $1,092.13 – $6,162.00 | 4 |
| Nushield 1 square cm HCPCS Q4160 | $511.92 | $711.00 | $209.78 – $711.00 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,253.52 | $1,741.00 | $1,741.00 – $1,741.00 | 1 |
| Observation per hour HCPCS G0378 | $129.60 | $180.00 | $128.00 – $128.00 | 1 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $237.79 | $330.26 | $97.88 – $29,310.34 | 6 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.38 | $47.75 | $1.09 – $47.75 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $796.33 | $1,106.01 | $328.63 – $6,050.93 | 6 |
| Oncoprotein dcp CPT 83951 | $283.68 | $394.00 | $28.34 – $394.00 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.24 | $4.50 | $0.15 – $1.13 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | not published | 0 |
| Opioids & opiate analogs 3/4 CPT 80363 | $54.00 | $75.00 | $14.08 – $75.00 | 4 |
| Oral aprepitant HCPCS J8501 | $19.79 | $27.49 | $4.57 – $27.49 | 3 |
| Organic acids total quant ea spec CPT 83918 | $123.84 | $172.00 | $12.39 – $172.00 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $53.93 | $74.90 | $10.54 – $57.60 | 3 |
| Osmolality blood CPT 83930 | $74.88 | $104.00 | $5.44 – $104.00 | 4 |
| Osmolality urine CPT 83935 | $88.56 | $123.00 | $5.44 – $123.00 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | $255.60 | $355.00 | $257.62 – $355.00 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $280.80 | $390.00 | $257.62 – $390.00 | 5 |
| Oth resp proc, group HCPCS G0239 | $95.76 | $133.00 | $42.42 – $133.00 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $63.36 | $88.00 | $42.42 – $88.00 | 4 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $144.00 | $200.00 | $44.73 – $200.00 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $150.48 | $209.00 | $44.73 – $209.00 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $159.84 | $222.00 | $222.00 – $283.38 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $149.76 | $208.00 | $44.73 – $208.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $108.00 | $150.00 | $44.73 – $150.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $156.24 | $217.00 | $44.73 – $217.00 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $149.76 | $208.00 | $44.73 – $208.00 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $108.00 | $150.00 | $44.73 – $150.00 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $131.76 | $183.00 | $37.60 – $183.00 | 5 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $10.09 | $14.02 | $0.94 – $14.02 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.36 | $4.67 | $0.08 – $0.85 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $12.96 | $18.00 | $4.44 – $8.65 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.36 | $1.89 | $0.17 – $1.89 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $36.12 | $50.17 | $13.50 – $1,721.15 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $320.26 | $444.80 | $286.56 – $4,860.08 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $24.48 | $34.00 | $14.34 – $14.40 | 3 |
| Parathormone (pth) intact CPT 83970 | $79.20 | $110.00 | $35.20 – $110.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $1,069.92 | $1,486.00 | $1,092.13 – $1,486.00 | 4 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,176.48 | $1,634.00 | $455.98 – $1,634.00 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $429.12 | $596.00 | $204.86 – $596.00 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $1,848.38 | $2,567.20 | $202.69 – $2,567.20 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $601.20 | $835.00 | $163.14 – $1,721.15 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,567.52 | $3,566.00 | $377.20 – $3,566.00 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,167.92 | $3,011.00 | $377.20 – $3,011.00 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,985.76 | $2,758.00 | $132.42 – $2,758.00 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,841.92 | $5,336.00 | $505.16 – $5,336.00 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $3,337.20 | $4,635.00 | $505.16 – $4,635.00 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $2,986.56 | $4,148.00 | $299.41 – $4,148.00 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $945.36 | $1,313.00 | $72.45 – $229.86 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $767.52 | $1,066.00 | $135.63 – $1,066.00 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $102.28 | $142.05 | $98.55 – $9,645.95 | 6 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $251.73 | $349.62 | $5.92 – $1,721.15 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $106.29 | $147.62 | $52.75 – $147.62 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $7.28 | $10.11 | $1.29 – $10.11 | 3 |
| Penile injection CPT 54235 | $655.92 | $911.00 | $106.93 – $911.00 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $339.44 | $471.45 | $66.35 – $471.45 | 3 |
| Peripheral vascular rehab CPT 93668 | $136.80 | $190.00 | $190.00 – $226.23 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $28.23 | $39.21 | $28.07 – $4,860.08 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $12,541.82 | $17,419.20 | $150.00 – $150.00 | 1 |
| Ph body fluid CPT 83986 | $7.92 | $11.00 | $5.44 – $11.00 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $66.96 | $93.00 | $12.21 – $93.00 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.03 | $0.04 | $0.01 – $0.02 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $3.24 | $4.50 | $0.99 – $4.50 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $167.76 | $233.00 | $12.21 – $233.00 | 4 |
| Phlebotomy therapeutic CPT 99195 | $256.32 | $356.00 | $93.21 – $356.00 | 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.