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 |
|---|---|---|---|---|
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $45.00 | $1.09 – $45.00 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.06 | $0.09 | $0.09 – $0.17 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $623.18 | $865.53 | $120.30 – $865.53 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $2,304.00 | $3,200.00 | $361.61 – $3,200.00 | 4 |
| Specific gravity body fluid CPT 84315 | $44.64 | $62.00 | $5.44 – $62.00 | 4 |
| Sperm identification CPT 89257 | $685.44 | $952.00 | $120.83 – $952.00 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $822.24 | $1,142.00 | $128.05 – $1,142.00 | 4 |
| Staph a dna amp probe CPT 87640 | $177.84 | $247.00 | $43.13 – $247.00 | 4 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $369.30 | $512.91 | $268.83 – $268.83 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $408.24 | $567.00 | $282.66 – $567.00 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $232.56 | $323.00 | $146.85 – $323.00 | 4 |
| St evaluation swallow function CPT 92610 | $441.36 | $613.00 | $282.66 – $339.00 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $208.80 | $290.00 | $93.92 – $290.00 | 4 |
| Strapping of hand or finger CPT 29280 | $208.80 | $290.00 | $93.92 – $290.00 | 4 |
| Strapping of knee CPT 29530 | $278.64 | $387.00 | $93.92 – $387.00 | 4 |
| Strapping of toes 29550 CPT 29550 | $208.80 | $290.00 | $93.92 – $290.00 | 4 |
| Strep a dna quant CPT 87652 | $75.60 | $105.00 | $43.13 – $105.00 | 4 |
| Strep b dna amp probe CPT 87653 | $495.36 | $688.00 | $43.13 – $688.00 | 4 |
| Stress test pulmonary CPT 94618 | $478.80 | $665.00 | $71.47 – $665.00 | 4 |
| St treatment speech individual CPT 92507 | $205.92 | $286.00 | $282.66 – $310.92 | 4 |
| St treatment swallow dysfunction/oral CPT 92526 | $679.68 | $944.00 | $44.73 – $210.00 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $6.70 | $9.30 | $2.56 – $6.00 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $187.92 | $261.00 | $14.08 – $261.00 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $38.02 | $52.80 | $52.80 – $312.68 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $46.08 | $64.00 | $64.00 – $64.00 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $106.56 | $148.00 | $40.01 – $148.00 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $225.36 | $313.00 | $40.01 – $313.00 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $274.32 | $381.00 | $40.01 – $381.00 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $339.84 | $472.00 | $35.73 – $44.01 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $723.60 | $1,005.00 | $163.25 – $207.44 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,043.28 | $1,449.00 | $163.25 – $1,449.00 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $254.16 | $353.00 | $10.60 – $83.00 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $43.20 | $60.00 | $10.60 – $60.00 | 4 |
| Susceptibility mic per plate CPT 87186 | $822.24 | $1,142.00 | $10.60 – $221.00 | 4 |
| Suscept studies macrobroth dilution ea CPT 87188 | $120.24 | $167.00 | $10.60 – $167.00 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | $98.61 | $136.96 | $12.47 – $256.91 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $51.84 | $72.00 | $11.58 – $72.00 | 4 |
| T3 (triiodothyronine) free CPT 84481 | $92.16 | $128.00 | $13.28 – $128.00 | 4 |
| T3 (triiodothyronine) total CPT 84480 | $92.16 | $128.00 | $13.28 – $128.00 | 4 |
| T4 (thyroxine) free CPT 84439 | $112.32 | $156.00 | $13.28 – $156.00 | 4 |
| T4 (thyroxine) total CPT 84436 | $77.76 | $108.00 | $13.28 – $108.00 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $189.36 | $263.00 | $12.21 – $263.00 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $30.87 | $42.88 | $23.50 – $4,860.08 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,984.40 | $4,145.00 | $659.86 – $4,145.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,382.00 | $1,919.45 | $0.41 – $1,199.35 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $260.64 | $362.00 | $41.08 – $362.00 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $18.72 | $26.00 | $16.50 – $26.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $188.64 | $262.00 | $41.08 – $262.00 | 4 |
| T cells total count CPT 86359 | $188.64 | $262.00 | $41.08 – $262.00 | 4 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $36,342.72 | $50,476.00 | $366.65 – $50,476.00 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | $82.08 | $114.00 | $17.47 – $114.00 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $573.51 | $796.54 | $308.50 – $6,050.93 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $68.11 | $94.60 | $4.08 – $19.20 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $1,052.64 | $1,462.00 | $102.83 – $1,462.00 | 4 |
| Test urine urobilinogen CPT 84578 | $27.36 | $38.00 | $5.44 – $38.00 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,255.04 | $3,132.00 | $2,344.40 – $3,132.00 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $167.76 | $233.00 | $12.21 – $233.00 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | $63.36 | $88.00 | $42.42 – $88.00 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $79.20 | $110.00 | $110.00 – $226.62 | 4 |
| Ther/proph/diag inj ia CPT 96373 | $455.04 | $632.00 | $57.48 – $632.00 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $17.21 | $23.90 | $2.99 – $23.90 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,229.04 | $1,707.00 | $1,236.22 – $1,707.00 | 4 |
| Thrombin time CPT 85670 | $34.56 | $48.00 | $4.46 – $48.00 | 4 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $95.76 | $133.00 | $4.46 – $133.00 | 4 |
| Thyroglobulin antibody CPT 86800 | $97.92 | $136.00 | $11.58 – $136.00 | 4 |
| Thyroid imaging CPT 78013 | $867.60 | $1,205.00 | $455.98 – $1,205.00 | 4 |
| Thyroid (TSH) Test CPT 84443 | $138.96 | $193.00 | $13.28 – $193.00 | 4 |
| Thyroid Ultrasound CPT 76536 | $743.04 | $1,032.00 | $67.81 – $1,032.00 | 4 |
| Thyroxine binding globulin (tbg) CPT 84442 | $33.84 | $47.00 | $13.28 – $47.00 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $41.76 | $58.00 | $10.60 – $58.00 | 4 |
| Tissue transglutaminase iga CPT 86364 | $95.76 | $133.00 | $11.58 – $92.00 | 4 |
| Tixagev and cilgav inj HCPCS M0220 | $325.44 | $452.00 | $57.48 – $452.00 | 4 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $12.96 | $18.00 | $3.42 – $18.00 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $101.52 | $141.00 | $12.21 – $141.00 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $22.95 | $31.87 | $9.26 – $1,320.05 | 6 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $84.96 | $118.00 | $15.55 – $65.18 | 4 |
| Tomosynthesis breast screen bilateral CPT 77063 | $105.12 | $146.00 | $19.36 – $32.59 | 5 |
| Total Hip Replacement CPT 27130 | not published | not published | not published | 0 |
| Total Knee Replacement CPT 27447 | not published | not published | not published | 0 |
| Total tau CPT 84394 | $511.20 | $710.00 | $710.00 – $710.00 | 1 |
| Toxoplasma antibody igg CPT 86777 | $98.64 | $137.00 | $11.58 – $137.00 | 4 |
| Toxoplasma antibody igm CPT 86778 | $98.64 | $137.00 | $11.58 – $137.00 | 4 |
| Tp53 gene full gene sequence CPT 81351 | $1,386.00 | $1,925.00 | $659.86 – $1,925.00 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,349.28 | $1,874.00 | $165.74 – $1,874.00 | 4 |
| Tpmt gene com vrnts CPT 81335 | $723.60 | $1,005.00 | $165.74 – $1,005.00 | 4 |
| Transabdom amnioinfus w/us CPT 59070 | $657.36 | $913.00 | $715.91 – $913.00 | 4 |
| Transferrin CPT 84466 | $123.84 | $172.00 | $12.03 – $172.00 | 4 |
| Transfusion blood/blood component(s) CPT 36430 | $1,512.72 | $2,101.00 | $501.07 – $2,101.00 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $157.46 | $218.69 | $84.88 – $1,721.15 | 6 |
| Treat clavicle dislocation 23545 CPT 23545 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Treat finger fracture each CPT 26727 | $7,008.48 | $9,734.00 | $6,545.75 – $9,734.00 | 4 |
| Treat fracture of radius CPT 25505 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Treat fracture of radius CPT 25520 | $4,217.04 | $5,857.00 | $570.75 – $5,857.00 | 4 |
| Treat fracture of ulna CPT 25535 | $1,601.28 | $2,224.00 | $570.75 – $2,224.00 | 4 |
| Treat kneecap fracture CPT 27524 | not published | not published | not published | 0 |
| Treat knee fracture 27530 CPT 27530 | $642.24 | $892.00 | $570.75 – $892.00 | 4 |
| Treat knuckle dislocation CPT 26705 | $3,456.72 | $4,801.00 | $1,197.64 – $4,801.00 | 4 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $15,430.32 | $21,431.00 | $6,545.75 – $21,431.00 | 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.