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 |
|---|---|---|---|---|
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $48.96 | $68.00 | $5.44 – $68.00 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $38.16 | $53.00 | $5.97 – $53.00 | 4 |
| Blood typing abo CPT 86900 | $141.12 | $196.00 | $4.46 – $196.00 | 4 |
| Blood typing ag donor ea ag CPT 86902 | $453.60 | $630.00 | $4.46 – $630.00 | 4 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $453.60 | $630.00 | $4.46 – $547.00 | 4 |
| Blood typing rh (d) CPT 86901 | $72.00 | $100.00 | $4.46 – $100.00 | 4 |
| Blood typing rh phenotype complete reference CPT 86906 | $81.36 | $113.00 | $4.46 – $113.00 | 4 |
| Bone biopsy open superficial CPT 20240 | $6,181.92 | $8,586.00 | $2,220.53 – $8,586.00 | 4 |
| Bone Density Scan (DEXA) CPT 77080 | $331.20 | $460.00 | $97.84 – $460.00 | 4 |
| Bone imaging multiple areas CPT 78305 | $1,267.20 | $1,760.00 | $455.98 – $1,760.00 | 4 |
| Bone/joint imaging ltd area CPT 78300 | $1,267.20 | $1,760.00 | $455.98 – $1,760.00 | 4 |
| Bone marrow;aspiration only 38220 CPT 38220 | $660.24 | $917.00 | $917.00 – $2,261.25 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $743.76 | $1,033.00 | $1,033.00 – $2,261.25 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $132.48 | $184.00 | $11.58 – $184.00 | 4 |
| Borrelia miyamotoi amp prb CPT 87478 | $99.36 | $138.00 | $43.13 – $138.00 | 4 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $140.37 | $194.96 | $4.42 – $399.93 | 6 |
| Bowel imaging CPT 78290 | $912.24 | $1,267.00 | $455.98 – $1,267.00 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | $142.56 | $198.00 | $198.00 – $198.00 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $59.76 | $83.00 | $83.00 – $83.00 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,232.88 | $5,879.00 | $610.14 – $5,879.00 | 5 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,228.48 | $4,484.00 | $610.14 – $4,484.00 | 5 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,926.08 | $4,064.00 | $610.14 – $4,064.00 | 5 |
| Brain MRI (with and without contrast) CPT 70553 | $4,044.24 | $5,617.00 | $505.16 – $5,617.00 | 5 |
| Brain MRI (with contrast) CPT 70552 | $3,553.92 | $4,936.00 | $505.16 – $4,936.00 | 5 |
| Brain MRI (without contrast) CPT 70551 | $3,088.08 | $4,289.00 | $299.41 – $4,289.00 | 5 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $735.84 | $1,022.00 | $361.61 – $1,022.00 | 4 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $1,075.68 | $1,494.00 | $361.61 – $1,494.00 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,949.92 | $5,486.00 | $2,344.40 – $5,486.00 | 4 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,359.52 | $4,666.00 | $484.55 – $1,815.84 | 4 |
| Breast punct aspir cyst, bil CPT 19000 | $1,519.92 | $2,111.00 | $99.72 – $932.08 | 4 |
| Bronchial allergy tests CPT 95070 | $1,146.24 | $1,592.00 | $57.57 – $1,592.00 | 4 |
| Bronchial challenge CPT 94070 | $672.48 | $934.00 | $128.05 – $934.00 | 4 |
| Br punct aspir ea add, l CPT 19001 | $601.20 | $835.00 | $26.88 – $932.08 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $6.48 | $9.00 | $0.59 – $9.00 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $104.40 | $145.00 | $40.01 – $145.00 | 4 |
| Bundled special stain group 2 CPT 88313 | $141.12 | $196.00 | $40.01 – $196.00 | 4 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $0.65 | $0.90 | $0.02 – $0.08 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $39.20 | $54.45 | $9.14 – $54.45 | 3 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $779.76 | $1,083.00 | $364.04 – $1,815.84 | 4 |
| Bx liver with other CPT 47001 | not published | not published | not published | 0 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $201.60 | $280.00 | $280.00 – $573.91 | 4 |
| Bx skin punch ea sep/ addl les CPT 11105 | $224.64 | $312.00 | $312.00 – $573.91 | 4 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $213.12 | $296.00 | $296.00 – $573.91 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | $172.80 | $240.00 | $11.58 – $240.00 | 4 |
| Cad breast MRI w/r&i HCPCS C8937 | $66.24 | $92.00 | $92.00 – $92.00 | 1 |
| Cadd pump refill CPT 96521 | $586.08 | $814.00 | $57.48 – $814.00 | 4 |
| Calcium 24 hour urine CPT 82340 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $0.07 | $0.10 | $0.05 – $0.10 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.35 | $0.48 | $0.05 – $0.48 | 3 |
| Calcium ionized CPT 82330 | $90.00 | $125.00 | $12.03 – $125.00 | 4 |
| Calcium total CPT 82310 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Calprotectin fecal CPT 83993 | $105.84 | $147.00 | $12.03 – $147.00 | 4 |
| Candida dna CPT 87480 | $42.48 | $59.00 | $10.60 – $59.00 | 4 |
| Carbamazepine total therapeutic drug level CPT 80156 | $181.44 | $252.00 | $12.21 – $252.00 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $105.84 | $147.00 | $12.03 – $147.00 | 4 |
| Carbon dioxide CPT 82374 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $40.87 | $56.77 | $4.83 – $56.77 | 3 |
| Carboxyhemoglobin quantitative CPT 82375 | $174.24 | $242.00 | $12.03 – $242.00 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $82.80 | $115.00 | $12.03 – $115.00 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,489.12 | $4,846.00 | $1,092.13 – $4,846.00 | 4 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $262.80 | $365.00 | $193.64 – $365.00 | 4 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $246.96 | $343.00 | $193.64 – $343.00 | 4 |
| Cardiolipin antibody iga CPT 86147 | $123.12 | $171.00 | $11.58 – $39.00 | 4 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,594.08 | $2,214.00 | $768.93 – $2,214.00 | 4 |
| Carotene CPT 82380 | $38.88 | $54.00 | $5.44 – $54.00 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,227.60 | $1,705.00 | $208.96 – $1,705.00 | 4 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $3,418.56 | $4,748.00 | $1,222.86 – $4,748.00 | 4 |
| Cataract Surgery CPT 66984 | not published | not published | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $583.20 | $810.00 | $9.45 – $9.45 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $111.60 | $155.00 | $3.39 – $155.00 | 4 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $818.64 | $1,137.00 | $732.00 – $732.00 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $168.48 | $234.00 | $1.89 – $1.89 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $150.48 | $209.00 | $209.00 – $447.07 | 4 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $69.84 | $97.00 | $4.84 – $4.84 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $372.96 | $518.00 | $204.86 – $518.00 | 4 |
| Cdna analysis for variants CPT 81403 | $321.84 | $447.00 | $165.74 – $447.00 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $6.48 | $9.00 | $1.37 – $9.00 | 3 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $9.86 | $13.70 | $1.44 – $5.76 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $24.19 | $33.60 | $7.82 – $28.80 | 3 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $65.52 | $91.00 | $2.43 – $11.46 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $33.08 | $45.95 | $0.76 – $2.25 | 3 |
| Cell count body fluid CPT 89050 | $96.48 | $134.00 | $4.99 – $134.00 | 4 |
| Cell count w differential body fluid CPT 89051 | $230.40 | $320.00 | $4.99 – $320.00 | 4 |
| Cell function assay w/stim CPT 86352 | $552.24 | $767.00 | $41.08 – $767.00 | 4 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $51.05 | $70.90 | $47.34 – $6,050.93 | 6 |
| #cf-97variants CPT 81220 | $1,100.88 | $1,529.00 | $361.61 – $847.00 | 4 |
| Change cystostomy tube simple CPT 51705 | $630.72 | $876.00 | $106.93 – $876.00 | 4 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,108.80 | $1,540.00 | $572.62 – $1,540.00 | 4 |
| Chemo extend IV infus w/pump HCPCS G0498 | $820.80 | $1,140.00 | $572.62 – $1,140.00 | 4 |
| Chemo ia infuse each addl hr CPT 96423 | $344.16 | $478.00 | $478.00 – $629.88 | 4 |
| Chemo ia infusion up to 1 hr CPT 96422 | $716.40 | $995.00 | $365.53 – $995.00 | 4 |
| Chemo ia push tecnique CPT 96420 | $716.40 | $995.00 | $57.48 – $995.00 | 4 |
| Chemo intralesional over 7 CPT 96406 | $511.20 | $710.00 | $57.48 – $710.00 | 4 |
| Chemo intralesional up to 7 96405 CPT 96405 | $548.64 | $762.00 | $57.48 – $762.00 | 4 |
| Chemotx admn pertl cav impl CPT 96446 | $716.40 | $995.00 | $365.53 – $995.00 | 4 |
| Chest 2 vws w oblique CPT 71048 | $370.08 | $514.00 | $69.68 – $514.00 | 4 |
| Chest apical lordotic proj CPT 71047 | $336.24 | $467.00 | $69.68 – $467.00 | 4 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,917.44 | $4,052.00 | $377.20 – $4,052.00 | 5 |
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.