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 |
|---|---|---|---|---|
| Phosphorus CPT 84100 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $85.50 | $118.75 | $4.64 – $20.53 | 3 |
| Pinworm exam CPT 87172 | $63.36 | $88.00 | $10.60 – $88.00 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $12.05 | $16.74 | $1.80 – $7.80 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,499.92 | $4,861.00 | $241.69 – $1,815.84 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $971.28 | $1,349.00 | $168.50 – $1,815.84 | 4 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $3,172.32 | $4,406.00 | $355.03 – $1,815.84 | 4 |
| Platelet aggregation each agent teg CPT 85576 | $218.16 | $303.00 | $25.49 – $303.00 | 4 |
| Platelet automated CPT 85049 | $54.00 | $75.00 | $5.97 – $75.00 | 4 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,679.04 | $2,332.00 | $342.72 – $2,332.00 | 4 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $271.44 | $377.00 | $342.72 – $377.00 | 4 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $929.52 | $1,291.00 | $342.72 – $1,291.00 | 4 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $915.12 | $1,271.00 | $342.72 – $1,271.00 | 4 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,459.44 | $2,027.00 | $342.72 – $2,027.00 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $627.12 | $871.00 | $128.05 – $871.00 | 4 |
| #pnh-flow cytometry interp CPT 88187 | $198.72 | $276.00 | $33.06 – $276.00 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $303.84 | $422.00 | $28.34 – $422.00 | 4 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,697.28 | $6,524.00 | $980.83 – $6,524.00 | 4 |
| Potassium 24 hour urine CPT 84133 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $40.32 | $56.00 | $0.20 – $18.00 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $7,008.48 | $9,734.00 | $1,618.86 – $9,734.00 | 4 |
| Pr application of long arm splint CPT 29105 | $324.72 | $451.00 | $93.92 – $451.00 | 4 |
| Pr application splint static short arm CPT 29125 | $241.92 | $336.00 | $93.92 – $336.00 | 4 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,933.92 | $2,686.00 | $521.74 – $2,686.00 | 4 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Prealbumin CPT 84134 | $70.56 | $98.00 | $12.03 – $98.00 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.72 | $1.00 | $1.00 – $1.52 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.32 | $6.00 | $0.02 – $0.15 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $809.28 | $1,124.00 | $124.93 – $1,124.00 | 4 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $920.16 | $1,278.00 | $124.93 – $1,278.00 | 4 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $672.48 | $934.00 | $934.00 – $934.00 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $1,146.24 | $1,592.00 | $1,592.00 – $1,592.00 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | $1,146.24 | $1,592.00 | $1,592.00 – $1,592.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $337.68 | $469.00 | $71.47 – $469.00 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $216.00 | $300.00 | $105.15 – $300.00 | 4 |
| Pretreat rbc absorption reference CPT 86978 | $81.36 | $113.00 | $105.15 – $115.66 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | $216.00 | $300.00 | $105.15 – $300.00 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $99.36 | $138.00 | $105.15 – $138.00 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | $187.92 | $261.00 | $105.15 – $261.00 | 4 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,499.92 | $4,861.00 | $1,500.70 – $4,861.00 | 4 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,854.00 | $1,854.00 | $521.74 – $1,854.00 | 5 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $750.24 | $1,042.00 | $204.86 – $1,042.00 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $372.96 | $518.00 | $204.86 – $518.00 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $657.36 | $913.00 | $262.16 – $913.00 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $750.24 | $1,042.00 | $204.86 – $1,042.00 | 4 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $731.52 | $1,016.00 | $28.25 – $1,016.00 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | not published | 0 |
| Procalcitonin CPT 84145 | $120.24 | $167.00 | $13.28 – $167.00 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $25.06 | $34.80 | $4.16 – $22.05 | 3 |
| Progesterone CPT 84144 | $92.16 | $128.00 | $13.28 – $128.00 | 4 |
| Prolactin CPT 84146 | $128.16 | $178.00 | $13.28 – $178.00 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $3.28 | $4.55 | $0.15 – $1.82 | 3 |
| Protein c activity CPT 85303 | $100.80 | $140.00 | $4.46 – $140.00 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $135.36 | $188.00 | $5.44 – $95.00 | 4 |
| Protein s total CPT 85305 | $59.76 | $83.00 | $4.46 – $83.00 | 4 |
| Protein total 24 hour urine CPT 84156 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Protein total body fluid CPT 84157 | $102.96 | $143.00 | $5.44 – $143.00 | 4 |
| Protein total serum plasma whole blood CPT 84155 | $66.96 | $93.00 | $5.44 – $29.00 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $80.64 | $112.00 | $4.46 – $112.00 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $343.44 | $477.00 | $477.00 – $477.00 | 1 |
| Pr removal intrauterine device CPT 58301 | $657.36 | $913.00 | $262.16 – $913.00 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $750.24 | $1,042.00 | $473.71 – $1,042.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,917.44 | $4,052.00 | $1,236.22 – $4,052.00 | 4 |
| PSA (Prostate) Test CPT 84153 | $146.16 | $203.00 | $12.03 – $203.00 | 4 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $137.52 | $191.00 | $37.60 – $191.00 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $111.60 | $155.00 | $37.60 – $155.00 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $147.60 | $205.00 | $37.60 – $205.00 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $212.40 | $295.00 | $37.60 – $295.00 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $110.88 | $154.00 | $37.60 – $154.00 | 5 |
| Pten gene dup/delet variant CPT 81323 | $648.00 | $900.00 | $165.74 – $900.00 | 4 |
| Pten gene full sequence CPT 81321 | $1,296.00 | $1,800.00 | $659.86 – $1,800.00 | 4 |
| Pt evaluation low complexity patient/family CPT 97161 | $218.88 | $304.00 | $235.16 – $304.00 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $273.60 | $380.00 | $235.16 – $380.00 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $165.60 | $230.00 | $230.00 – $258.68 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $159.12 | $221.00 | $44.73 – $221.00 | 5 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $339.84 | $472.00 | $37.60 – $221.00 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $115.92 | $161.00 | $37.60 – $161.00 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $142.56 | $198.00 | $37.60 – $198.00 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $134.64 | $187.00 | $44.73 – $187.00 | 5 |
| Pulse ox single CPT 94760 | $96.48 | $134.00 | $134.00 – $134.00 | 1 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $680.40 | $945.00 | $945.00 – $945.00 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $241.92 | $336.00 | $93.21 – $336.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $750.24 | $1,042.00 | $204.86 – $1,042.00 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,301.04 | $1,807.00 | $947.95 – $1,807.00 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | $404.64 | $562.00 | $209.78 – $562.00 | 3 |
| Pyruvate CPT 84210 | $126.72 | $176.00 | $12.03 – $176.00 | 4 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,763.36 | $3,838.00 | $1,092.13 – $3,838.00 | 4 |
| Quest t3 uptake CPT 84479 | $31.68 | $44.00 | $13.28 – $44.00 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,175.90 | $1,633.20 | $461.92 – $1,721.15 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,164.40 | $4,395.00 | $1,092.13 – $4,395.00 | 4 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,164.40 | $4,395.00 | $1,092.13 – $4,395.00 | 4 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,164.40 | $4,395.00 | $1,092.13 – $4,395.00 | 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.