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 |
|---|---|---|---|---|
| X-ray knee 3 views (both sides) CPT 73562 | $443.52 | $616.00 | $69.68 – $616.00 | 4 |
| X-ray knee ap standing bilateral CPT 73565 | $194.40 | $270.00 | $69.68 – $270.00 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $229.68 | $319.00 | $69.68 – $319.00 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $917.28 | $1,274.00 | $69.68 – $1,274.00 | 4 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,139.76 | $1,583.00 | $69.68 – $1,583.00 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $953.28 | $1,324.00 | $69.68 – $1,324.00 | 4 |
| X-ray mandible ltd <4 views CPT 70100 | $687.60 | $955.00 | $69.68 – $275.00 | 4 |
| X-ray nasal bones complete > 3 views CPT 70160 | $440.64 | $612.00 | $34.84 – $612.00 | 4 |
| X-ray neck soft tissue CPT 70360 | $165.60 | $230.00 | $69.68 – $230.00 | 4 |
| X-ray nose to rectum for foreign body child CPT 76010 | $321.84 | $447.00 | $69.68 – $447.00 | 4 |
| X-ray of mammary ducts CPT 77054 | $835.92 | $1,161.00 | $146.85 – $1,161.00 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray pelvis complete > 3 views CPT 72190 | $788.40 | $1,095.00 | $69.68 – $1,095.00 | 4 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $771.12 | $1,071.00 | $146.85 – $1,071.00 | 4 |
| X-ray ribs 2 views left CPT 71100 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray ribs 3 views bilateral CPT 71110 | $719.28 | $999.00 | $69.68 – $999.00 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $612.72 | $851.00 | $69.68 – $851.00 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $719.28 | $999.00 | $69.68 – $999.00 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $583.92 | $811.00 | $69.68 – $811.00 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $483.84 | $672.00 | $69.68 – $672.00 | 4 |
| X-ray scapula complete (both sides) CPT 73010 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $290.16 | $403.00 | $69.68 – $403.00 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $719.28 | $999.00 | $69.68 – $999.00 | 4 |
| X-ray skull < 4 views CPT 70250 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $733.68 | $1,019.00 | $69.68 – $1,019.00 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $660.24 | $917.00 | $146.85 – $917.00 | 4 |
| X-ray small intestine follow-through study CPT 74248 | $1,002.96 | $1,393.00 | $146.85 – $1,393.00 | 4 |
| X-ray spine single view CPT 72020 | $190.08 | $264.00 | $69.68 – $264.00 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $583.92 | $811.00 | $69.68 – $811.00 | 4 |
| X-ray sternum > 2 views CPT 71120 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray surgical specimen CPT 76098 | $1,184.40 | $1,645.00 | $28.12 – $161.54 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $660.24 | $917.00 | $146.85 – $917.00 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $719.28 | $999.00 | $69.68 – $999.00 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $386.64 | $537.00 | $69.68 – $537.00 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $432.72 | $601.00 | $69.68 – $601.00 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $190.08 | $264.00 | $69.68 – $264.00 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $440.64 | $612.00 | $69.68 – $612.00 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $485.28 | $674.00 | $69.68 – $674.00 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $326.16 | $453.00 | $34.84 – $453.00 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $403.00 | $403.00 | $69.68 – $403.00 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $745.92 | $1,036.00 | $146.85 – $1,036.00 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $804.96 | $1,118.00 | $146.85 – $1,118.00 | 4 |
| X-ray wrist 2 views (both sides) CPT 73100 | $290.16 | $403.00 | $34.84 – $403.00 | 4 |
| Yersinia antibody CPT 86793 | $131.04 | $182.00 | $11.58 – $182.00 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | $334.08 | $464.00 | $43.13 – $464.00 | 4 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $81.22 | $112.80 | $15.10 – $112.80 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $603.58 | $838.30 | $8.38 – $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.