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 |
|---|---|---|---|---|
| Radphm lcl tumor plr sgl day CPT 78800 | $2,234.88 | $3,104.00 | $1,092.13 – $3,104.00 | 4 |
| Rapid Strep Test CPT 87880 | $259.92 | $361.00 | $10.60 – $361.00 | 4 |
| Rbc count only automated CPT 85041 | $7.92 | $11.00 | $5.97 – $11.00 | 4 |
| Reconstruct finger joint CPT 26545 | $7,564.32 | $10,506.00 | $2,669.65 – $10,506.00 | 4 |
| Reconstruction knee CPT 27427 | $15,430.32 | $21,431.00 | $9,096.35 – $21,431.00 | 4 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $862.56 | $1,198.00 | $155.41 – $1,198.00 | 4 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $907.92 | $1,261.00 | $155.41 – $1,261.00 | 4 |
| Reduce testis torsion CPT 54600 | $7,449.84 | $10,347.00 | $2,936.17 – $10,347.00 | 4 |
| Refill/maint pump/resvr syst CPT 96522 | $586.08 | $814.00 | $57.48 – $814.00 | 4 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $222.70 | $309.31 | $4.42 – $24.00 | 3 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $20.72 | $28.78 | $11.39 – $620.18 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,335.60 | $1,855.00 | $914.63 – $1,855.00 | 4 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $128.16 | $178.00 | $178.00 – $178.00 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $428.40 | $595.00 | $300.00 – $595.00 | 5 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,519.92 | $2,111.00 | $521.74 – $2,111.00 | 4 |
| Removal of calcium deposits CPT 23000 | not published | not published | not published | 0 |
| Removal of hydrocele CPT 55500 | not published | not published | not published | 0 |
| Removal of implant deep CPT 20680 | not published | not published | not published | 0 |
| Removal of kneecap bursa CPT 27340 | $7,008.48 | $9,734.00 | $3,881.72 – $9,734.00 | 4 |
| Removal of testis CPT 54520 | not published | not published | not published | 0 |
| Removal sutr and stapl no anes CPT 15854 | $0.72 | $1.00 | $1.00 – $1.00 | 1 |
| Removal sutr or stapl no anes CPT 15853 | $0.72 | $1.00 | $1.00 – $1.00 | 1 |
| Remove epididymis lesion CPT 54840 | not published | not published | not published | 0 |
| Remove femur lesion/bursa CPT 27062 | $7,008.48 | $9,734.00 | $5,158.40 – $9,734.00 | 4 |
| Renal function panel CPT 80069 | $198.72 | $276.00 | $9.09 – $276.00 | 4 |
| Repair biceps tendon CPT 23430 | $15,430.32 | $21,431.00 | $5,825.12 – $21,431.00 | 4 |
| Repair blood vessel dir upper extr CPT 35206 | $6,798.24 | $9,442.00 | $2,599.07 – $9,442.00 | 4 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,321.92 | $1,836.00 | $521.74 – $1,836.00 | 4 |
| Repair dental ellis ii fx CPT 41899 | $501.84 | $697.00 | $697.00 – $1,633.13 | 4 |
| Repair eyelid wound CPT 67935 | $5,039.28 | $6,999.00 | $1,641.14 – $6,999.00 | 4 |
| Repair finger tendon CPT 26433 | $1,239.84 | $1,722.00 | $652.22 – $1,780.75 | 8 |
| Repair of circumcision CPT 54163 | not published | not published | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $2,025.36 | $2,813.00 | $482.71 – $2,813.00 | 4 |
| Replace g/c tube perc CPT 49450 | $2,025.36 | $2,813.00 | $482.71 – $2,813.00 | 4 |
| Replace g-j tube perc CPT 49452 | $2,025.36 | $2,813.00 | $482.71 – $2,813.00 | 4 |
| Resp virus 6-11 targets CPT 87632 | $950.40 | $1,320.00 | $205.22 – $1,320.00 | 4 |
| Resuscitation cardiopulmonary CPT 92950 | $856.08 | $1,189.00 | $872.12 – $1,189.00 | 4 |
| Reticulocyte direct measurement automated CPT 85046 | $67.68 | $94.00 | $5.97 – $94.00 | 4 |
| Revise/replace knee joint CPT 27486 | not published | not published | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $236.88 | $329.00 | $11.58 – $329.00 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $39.20 | $54.45 | $7.97 – $132.33 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $262.90 | $365.14 | $49.75 – $2,444.06 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,499.92 | $4,861.00 | $2,220.53 – $4,861.00 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,757.33 | $6,607.40 | $18.23 – $6,607.40 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $1.04 | $1.44 | $0.08 – $0.24 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,502.72 | $3,476.00 | $1,092.13 – $3,476.00 | 4 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,355.20 | $4,660.00 | $1,361.51 – $4,660.00 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | not published | 0 |
| Rsv assay w/optic CPT 87807 | $495.36 | $688.00 | $10.60 – $688.00 | 4 |
| Rubella antibody igg CPT 86762 | $145.44 | $202.00 | $11.58 – $202.00 | 4 |
| Rubeola antibody igg CPT 86765 | $136.08 | $189.00 | $11.58 – $189.00 | 4 |
| Russell viper venom diluted CPT 85613 | $45.36 | $63.00 | $4.46 – $63.00 | 4 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $61.94 | $86.03 | $61.02 – $1,260.55 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | $88.56 | $123.00 | $10.60 – $37.79 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,324.08 | $1,839.00 | $208.96 – $1,839.00 | 4 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $2,389.68 | $3,319.00 | $208.96 – $1,183.00 | 4 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,191.60 | $1,655.00 | $208.96 – $1,655.00 | 4 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $252.00 | $350.00 | $135.63 – $350.00 | 4 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $613.44 | $852.00 | $135.63 – $852.00 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $789.84 | $1,097.00 | $135.63 – $1,097.00 | 4 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,180.80 | $1,640.00 | $208.96 – $1,640.00 | 4 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $640.08 | $889.00 | $135.63 – $889.00 | 4 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $599.04 | $832.00 | $135.63 – $832.00 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | not published | 0 |
| Screening Mammogram CPT 77067 | $460.08 | $639.00 | $29.63 – $210.65 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $200.88 | $279.00 | $11.58 – $279.00 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,847.04 | $6,732.00 | $18.21 – $18.21 | 1 |
| Sc ther infusion reset pump CPT 96371 | $203.76 | $283.00 | $283.00 – $402.08 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $66.24 | $92.00 | $5.97 – $92.00 | 4 |
| Serpina1 gene CPT 81332 | $565.20 | $785.00 | $46.87 – $785.00 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | $15,430.32 | $21,431.00 | $6,694.03 – $21,431.00 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $15,430.32 | $21,431.00 | $6,694.03 – $21,431.00 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,219.20 | $5,860.00 | $505.16 – $5,860.00 | 5 |
| Shoulder MRI (with contrast) CPT 73222 | $3,487.68 | $4,844.00 | $505.16 – $4,844.00 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | $2,957.76 | $4,108.00 | $299.41 – $4,108.00 | 5 |
| Shoulder X-ray CPT 73030 | $496.08 | $689.00 | $69.68 – $689.00 | 4 |
| Sickling rbc CPT 85660 | $7.20 | $10.00 | $5.97 – $10.00 | 4 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $472.21 | $655.85 | $120.30 – $626.25 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,041.20 | $2,835.00 | $377.20 – $2,835.00 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,987.20 | $2,760.00 | $377.20 – $2,760.00 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $1,719.36 | $2,388.00 | $132.42 – $2,388.00 | 5 |
| Skin Biopsy CPT 11102 | $1,933.92 | $2,686.00 | $521.74 – $2,686.00 | 4 |
| Sleep Study (Polysomnography) CPT 95810 | $4,026.24 | $5,592.00 | $490.42 – $5,592.00 | 4 |
| Sleep study unattended CPT 95806 | $1,259.28 | $1,749.00 | $188.38 – $1,749.00 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $74.88 | $104.00 | $10.60 – $104.00 | 4 |
| Smear gram stain CPT 87205 | $124.56 | $173.00 | $10.60 – $116.00 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $23.04 | $32.00 | $10.60 – $32.00 | 4 |
| Sodium 24 hour urine CPT 84300 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $32.40 | $45.00 | $3.28 – $45.00 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $32.40 | $45.00 | $2.13 – $45.00 | 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.