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 |
|---|---|---|---|---|
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $3,951.36 | $5,488.00 | $2,409.36 – $5,488.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $767.52 | $1,066.00 | $1,066.00 – $2,650.29 | 4 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $280.80 | $390.00 | $390.00 – $2,650.29 | 4 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $7,907.76 | $10,983.00 | $2,409.36 – $10,983.00 | 4 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $767.52 | $1,066.00 | $1,066.00 – $2,650.29 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $280.80 | $390.00 | $390.00 – $2,650.29 | 4 |
| Application finger splntstatic 29130 CPT 29130 | $241.92 | $336.00 | $93.92 – $336.00 | 4 |
| Application long leg splint 29505 CPT 29505 | $340.56 | $473.00 | $93.92 – $473.00 | 4 |
| Application lower leg splint 29515 CPT 29515 | $296.64 | $412.00 | $93.92 – $412.00 | 4 |
| Application multi layer compression below knee (both sides) CPT 29581 | $454.32 | $631.00 | $223.13 – $469.00 | 4 |
| Application of cylinder cast 29365 CPT 29365 | $573.84 | $797.00 | $223.13 – $797.00 | 4 |
| Application of forearm cast 29075 CPT 29075 | $498.96 | $693.00 | $223.13 – $693.00 | 4 |
| Application of long arm cast 29065 CPT 29065 | $498.96 | $693.00 | $223.13 – $693.00 | 4 |
| Application of long leg cast 29345 CPT 29345 | $498.96 | $693.00 | $223.13 – $693.00 | 4 |
| Application of paste boot 29580 CPT 29580 | $432.00 | $600.00 | $223.13 – $412.00 | 4 |
| Application short leg cast 29405 CPT 29405 | $498.96 | $693.00 | $223.13 – $693.00 | 4 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,435.84 | $4,772.00 | $2,409.36 – $4,772.00 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,435.84 | $4,772.00 | $2,409.36 – $4,772.00 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $85.68 | $119.00 | $37.60 – $119.00 | 5 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $106.56 | $148.00 | $37.60 – $148.00 | 5 |
| Apply forearm splintdynamic 29126 CPT 29126 | $411.84 | $572.00 | $93.92 – $572.00 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | $345.60 | $480.00 | $223.13 – $480.00 | 4 |
| Apply of finger splint 29131 CPT 29131 | $206.64 | $287.00 | $93.92 – $287.00 | 4 |
| Apply rigid leg cast 29445 CPT 29445 | $745.92 | $1,036.00 | $223.13 – $693.00 | 4 |
| Apply short leg castambul type 29425 CPT 29425 | $573.84 | $797.00 | $223.13 – $797.00 | 4 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $526.32 | $731.00 | $41.08 – $731.00 | 4 |
| Aquaporin-4 antibody cba each CPT 86052 | $460.08 | $639.00 | $11.58 – $639.00 | 4 |
| Aquaporin-4 antibody elisa CPT 86051 | $426.96 | $593.00 | $11.58 – $593.00 | 4 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,056.24 | $1,467.00 | $305.47 – $1,125.00 | 4 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,637.28 | $2,274.00 | $569.32 – $2,274.00 | 4 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,177.20 | $1,635.00 | $569.32 – $1,635.00 | 4 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $1,077.84 | $1,497.00 | $305.47 – $998.00 | 4 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,516.32 | $2,106.00 | $305.47 – $1,404.00 | 4 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $7,008.48 | $9,734.00 | $2,654.23 – $9,734.00 | 4 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $5,505.12 | $7,646.00 | $2,654.23 – $7,646.00 | 4 |
| Ascenda two piece catheter HCPCS C1772 | $317.95 | $441.60 | $441.60 – $441.60 | 1 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $554.40 | $770.00 | $305.47 – $770.00 | 4 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,335.60 | $1,855.00 | $1,236.22 – $1,855.00 | 4 |
| Assay alkaline phosphatase CPT 84078 | $62.64 | $87.00 | $5.44 – $87.00 | 4 |
| Assay of osteocalcin CPT 83937 | $176.40 | $245.00 | $35.20 – $245.00 | 4 |
| Assay of procainamide w/metab CPT 80192 | $40.32 | $56.00 | $12.21 – $56.00 | 4 |
| Assay of prostaglandin CPT 84150 | $357.84 | $497.00 | $35.20 – $497.00 | 4 |
| Assay of tyrosine CPT 84510 | $89.28 | $124.00 | $5.44 – $124.00 | 4 |
| Assay of urine sulfate CPT 84392 | $46.80 | $65.00 | $3.03 – $65.00 | 4 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $34.56 | $48.00 | $4.99 – $48.00 | 4 |
| Ast/sgot CPT 84450 | $81.36 | $113.00 | $5.44 – $113.00 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $167.49 | $232.62 | $154.95 – $9,645.95 | 6 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $0.58 | $0.81 | $0.17 – $0.55 | 3 |
| Autologous blood process CPT 86890 | $216.00 | $300.00 | $105.15 – $300.00 | 4 |
| Avul nail plate addl CPT 11732 | $203.76 | $283.00 | $82.43 – $283.00 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $596.00 | $596.00 | $82.43 – $596.00 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $49.82 | $69.20 | $3.37 – $44.00 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $11.57 | $16.07 | $3.68 – $16.07 | 3 |
| Baclofen eval charges CPT 97750 | $69.84 | $97.00 | $44.73 – $97.00 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $250.56 | $348.00 | $43.13 – $348.00 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | $43.92 | $61.00 | $43.13 – $61.00 | 4 |
| B cells total count CPT 86355 | $237.60 | $330.00 | $41.08 – $330.00 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $13.65 | $18.96 | $5.41 – $48.91 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $43.14 | $59.92 | $21.17 – $2,444.06 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $429.12 | $596.00 | $204.86 – $596.00 | 4 |
| Benign lesion paring 4+ CPT 11057 | $429.12 | $596.00 | $204.86 – $596.00 | 4 |
| #_benzodiazconfur CPT 80346 | $98.64 | $137.00 | $14.08 – $137.00 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $87.84 | $122.00 | $11.58 – $122.00 | 4 |
| Beta-2 microglobulin CPT 82232 | $60.48 | $84.00 | $13.28 – $84.00 | 4 |
| Beta-amyloid 1-40 CPT 82233 | $468.00 | $650.00 | $650.00 – $650.00 | 1 |
| Beta-amyloid 1-42 CPT 82234 | $468.00 | $650.00 | $650.00 – $650.00 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $38.05 | $52.85 | $11.40 – $52.85 | 3 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $218.20 | $303.05 | $39.34 – $1,320.05 | 6 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,029.68 | $2,819.00 | $1,587.76 – $2,819.00 | 4 |
| Bilateral n block inj occipital 64405 CPT 64405 | $637.92 | $886.00 | $495.01 – $886.00 | 4 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $643.68 | $894.00 | $495.01 – $886.00 | 4 |
| Bilicheck CPT 88720 | $40.32 | $56.00 | $5.97 – $56.00 | 4 |
| Bilirubin direct CPT 82248 | $70.56 | $98.00 | $5.44 – $98.00 | 4 |
| Bilirubin total CPT 82247 | $84.96 | $118.00 | $5.44 – $118.00 | 4 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,499.92 | $4,861.00 | $847.35 – $4,861.00 | 4 |
| Biopsy external ear 69100 CPT 69100 | $689.76 | $958.00 | $210.21 – $958.00 | 4 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $743.76 | $1,033.00 | $1,033.00 – $2,261.25 | 4 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $142.56 | $198.00 | $198.00 – $4,269.89 | 8 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,499.92 | $4,861.00 | $847.35 – $4,861.00 | 4 |
| Biopsy needle liver percutaneous CPT 47000 | $3,499.92 | $4,861.00 | $895.29 – $4,861.00 | 4 |
| Biopsy needle lymph node superficial CPT 38505 | $3,499.92 | $4,861.00 | $174.74 – $1,650.77 | 4 |
| Biopsy of prostate CPT 55700 | $4,425.12 | $6,146.00 | $2,112.44 – $6,146.00 | 4 |
| Biopsy skin incisional single lesion CPT 11106 | $1,933.92 | $2,686.00 | $521.74 – $2,686.00 | 4 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $525.60 | $730.00 | $106.93 – $730.00 | 4 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $8.75 | $12.15 | $12.15 – $12.15 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $463.45 | $643.68 | $21.18 – $21.18 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,923.12 | $2,671.00 | $1,587.76 – $2,671.00 | 4 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,923.12 | $2,671.00 | $1,587.76 – $2,671.00 | 4 |
| Block plantar digital nerve CPT 64455 | $1,624.32 | $2,256.00 | $495.01 – $2,256.00 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $61.92 | $86.00 | $4.46 – $86.00 | 4 |
| Blood Clotting (PTT) Test CPT 85730 | $102.96 | $143.00 | $4.46 – $61.00 | 4 |
| Blood Count (CBC) Test CPT 85025 | $122.40 | $170.00 | $5.97 – $7.77 | 4 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $108.72 | $151.00 | $5.97 – $6.57 | 4 |
| Blood Culture Test CPT 87040 | $398.88 | $554.00 | $10.60 – $554.00 | 4 |
| Blood draw capillary 36416 CPT 36416 | $27.36 | $38.00 | $3.39 – $38.00 | 4 |
| Blood gases o2 saturation direct measurement CPT 82805 | $231.12 | $321.00 | $68.53 – $321.00 | 4 |
| Blood gases ph venous CPT 82800 | $120.96 | $168.00 | $12.03 – $168.00 | 4 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $48.96 | $68.00 | $5.44 – $68.00 | 4 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $51.84 | $72.00 | $5.44 – $72.00 | 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.