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 |
|---|---|---|---|---|
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $601.92 | $836.00 | $71.47 – $836.00 | 4 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $180.00 | $250.00 | $71.47 – $250.00 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $439.20 | $610.00 | $71.47 – $531.00 | 4 |
| Treatment of ankle fracture 27786 CPT 27786 | $645.12 | $896.00 | $570.75 – $896.00 | 4 |
| Treatment of fibula fracture 27780 CPT 27780 | $1,742.40 | $2,420.00 | $570.75 – $2,420.00 | 4 |
| Treatment of heel fracture 28400 CPT 28400 | $1,370.88 | $1,904.00 | $570.75 – $1,904.00 | 4 |
| Treatment of toe fracture 28510 CPT 28510 | $652.32 | $906.00 | $570.75 – $906.00 | 4 |
| Treat metacarpal fracture CPT 26608 | $7,008.48 | $9,734.00 | $6,545.75 – $9,734.00 | 4 |
| Treat thigh fracture CPT 27240 | $3,007.44 | $4,177.00 | $570.75 – $4,177.00 | 4 |
| Treponema pallidum antibody CPT 86780 | $96.48 | $134.00 | $11.58 – $134.00 | 4 |
| Trg gene rearrangement anal CPT 81342 | $888.48 | $1,234.00 | $165.74 – $1,234.00 | 4 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $8.09 | $11.23 | $1.22 – $9.71 | 3 |
| Trichomonas assay w/optic CPT 87808 | $169.20 | $235.00 | $10.60 – $235.00 | 4 |
| Triglycerides CPT 84478 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Trim nondyst nails CPT 11719 | $133.20 | $185.00 | $82.43 – $185.00 | 4 |
| Troponin quantitative CPT 84484 | $216.72 | $301.00 | $12.03 – $301.00 | 4 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $7,564.32 | $10,506.00 | $6,545.75 – $10,506.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $1,166.40 | $1,620.00 | $570.75 – $1,620.00 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | $295.20 | $410.00 | $165.74 – $410.00 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $815.76 | $1,133.00 | $135.63 – $1,133.00 | 4 |
| Ultrasound breast complete CPT 76641 | $910.80 | $1,265.00 | $67.16 – $149.19 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $836.64 | $1,162.00 | $52.27 – $149.19 | 4 |
| Ultrasound chest CPT 76604 | $852.48 | $1,184.00 | $135.63 – $1,184.00 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $398.16 | $553.00 | $124.93 – $553.00 | 4 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,135.44 | $1,577.00 | $135.63 – $1,577.00 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $945.36 | $1,313.00 | $124.93 – $1,313.00 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $159.84 | $222.00 | $139.46 – $222.00 | 4 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $201.60 | $280.00 | $29.11 – $153.40 | 4 |
| Ultrasound guide intraoperative CPT 76998 | $544.32 | $756.00 | $139.46 – $756.00 | 4 |
| Ultrasound joint complete left CPT 76881 | $647.28 | $899.00 | $135.63 – $899.00 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $465.84 | $647.00 | $135.63 – $647.00 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,211.04 | $1,682.00 | $124.93 – $1,682.00 | 4 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $381.60 | $530.00 | $124.93 – $530.00 | 4 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,018.08 | $1,414.00 | $124.93 – $1,414.00 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $601.20 | $835.00 | $124.93 – $835.00 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $544.32 | $756.00 | $124.93 – $756.00 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $398.16 | $553.00 | $124.93 – $553.00 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | $945.36 | $1,313.00 | $135.63 – $1,313.00 | 4 |
| Ultrasound retroperitoneal limited CPT 76775 | $902.16 | $1,253.00 | $135.63 – $1,253.00 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $945.36 | $1,313.00 | $135.63 – $1,313.00 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | $745.20 | $1,035.00 | $124.93 – $1,035.00 | 4 |
| Ultrasound transvaginal non obstetric CPT 76830 | $714.24 | $992.00 | $67.81 – $992.00 | 4 |
| Unlisted hematology&coagj px CPT 85999 | $52.56 | $73.00 | $5.97 – $73.00 | 4 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $340.56 | $473.00 | $93.92 – $473.00 | 4 |
| Unlisted transfusion med px CPT 86999 | $67.68 | $94.00 | $4.46 – $94.00 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,185.36 | $5,813.00 | $505.16 – $5,813.00 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,700.08 | $5,139.00 | $505.16 – $5,139.00 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,098.16 | $4,303.00 | $149.70 – $4,303.00 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | not published | 0 |
| Urea nitrogen CPT 84520 | $95.04 | $132.00 | $3.95 – $5.98 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $550.80 | $765.00 | $146.85 – $765.00 | 4 |
| Urethrocystography void s&i CPT 74455 | $749.52 | $1,041.00 | $146.85 – $1,041.00 | 4 |
| Uric acid blood CPT 84550 | $120.96 | $168.00 | $5.44 – $168.00 | 4 |
| Uric acid urine CPT 84560 | $64.80 | $90.00 | $5.44 – $90.00 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $39.60 | $55.00 | $3.03 – $55.00 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $82.80 | $115.00 | $3.03 – $3.33 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $31.68 | $44.00 | $3.03 – $44.00 | 4 |
| Urine Culture Test CPT 87086 | $104.40 | $145.00 | $10.60 – $145.00 | 4 |
| Urine pregnancy test CPT 81025 | $126.00 | $175.00 | $3.03 – $8.61 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $100.69 | $139.85 | $26.38 – $139.85 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $71.75 | $99.65 | $26.38 – $99.65 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $337.39 | $468.60 | $26.38 – $468.60 | 6 |
| Vaccine rabies im CPT 90675 | $1,502.03 | $2,086.15 | $139.64 – $2,086.15 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $167.18 | $232.20 | $26.38 – $232.20 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $174.24 | $242.00 | $12.21 – $242.00 | 4 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $0.74 | $1.03 | $0.05 – $0.38 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $209.52 | $291.00 | $12.21 – $291.00 | 4 |
| Varicella zoster antibody igg CPT 86787 | $109.44 | $152.00 | $11.58 – $152.00 | 4 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $18.17 | $25.23 | $0.87 – $25.23 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $107.83 | $149.76 | $35.26 – $6,050.93 | 6 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $258.48 | $359.00 | $93.21 – $359.00 | 4 |
| Vitamin b-12 CPT 82607 | $70.56 | $98.00 | $13.28 – $98.00 | 4 |
| Vitamin D Test CPT 82306 | $210.96 | $293.00 | $28.34 – $293.00 | 4 |
| Volume measurement urine timed CPT 81050 | $23.04 | $32.00 | $3.03 – $32.00 | 4 |
| Warde 1003990 aldosterone CPT 82088 | $211.68 | $294.00 | $35.20 – $294.00 | 4 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $38.16 | $53.00 | $28.34 – $53.00 | 4 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $38.88 | $54.00 | $13.28 – $54.00 | 4 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $56.16 | $78.00 | $13.28 – $78.00 | 4 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $38.88 | $54.00 | $13.28 – $54.00 | 4 |
| Warde 1015200 kappa light chain free CPT 83521 | $173.52 | $241.00 | $12.03 – $241.00 | 4 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $22.32 | $31.00 | $5.44 – $31.00 | 4 |
| Warde 3008005 oligoclonal bands CPT 83916 | $185.04 | $257.00 | $28.34 – $257.00 | 4 |
| Warde 3016000 west nile virus antibody CPT 86788 | $38.16 | $53.00 | $11.58 – $53.00 | 4 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $38.16 | $53.00 | $11.58 – $53.00 | 4 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $174.24 | $242.00 | $11.58 – $242.00 | 4 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $84.96 | $118.00 | $10.60 – $118.00 | 4 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $74.16 | $103.00 | $10.60 – $103.00 | 4 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $317.52 | $441.00 | $165.74 – $441.00 | 4 |
| Warde 3400852 arsenic CPT 82175 | $20.88 | $29.00 | $12.39 – $29.00 | 4 |
| Warde 3708165 mercury urine CPT 83825 | $44.64 | $62.00 | $12.39 – $62.00 | 4 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $131.76 | $183.00 | $11.58 – $183.00 | 4 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $20.88 | $29.00 | $11.58 – $29.00 | 4 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $237.60 | $330.00 | $5.44 – $12.00 | 4 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $207.36 | $288.00 | $35.20 – $288.00 | 4 |
| Warde aldolase CPT 82085 | $50.40 | $70.00 | $5.44 – $70.00 | 4 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $289.44 | $402.00 | $12.03 – $402.00 | 4 |
| Warde analysis gene hfe common variants CPT 81256 | $281.52 | $391.00 | $46.87 – $391.00 | 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.