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 |
|---|---|---|---|---|
| Chest CT scan (with contrast) CPT 71260 | $2,463.12 | $3,421.00 | $377.20 – $3,421.00 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $2,013.12 | $2,796.00 | $132.42 – $2,796.00 | 5 |
| Chest X-ray CPT 71046 | $352.08 | $489.00 | $23.49 – $76.65 | 4 |
| Chest X-ray (single view) CPT 71045 | $289.44 | $402.00 | $17.53 – $76.65 | 4 |
| Chg pr pul rehab for copd patients CPT 94626 | $128.16 | $178.00 | $42.42 – $178.00 | 4 |
| Chlamydia culture CPT 87110 | $159.84 | $222.00 | $10.60 – $222.00 | 4 |
| Chlamydia type CPT 87140 | $86.40 | $120.00 | $10.60 – $120.00 | 4 |
| Chloride CPT 82435 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Chloride 24 hour urine CPT 82436 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $114.41 | $158.90 | $39.22 – $158.90 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $716.40 | $995.00 | $995.00 – $1,359.85 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $983.52 | $1,366.00 | $250.84 – $1,366.00 | 4 |
| Cholesterol CPT 82465 | $95.04 | $132.00 | $5.44 – $132.00 | 4 |
| Cholesterol body fluid CPT 84999 | $19.44 | $27.00 | $12.03 – $27.00 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $120.96 | $168.00 | $9.09 – $168.00 | 4 |
| Chromatography CPT 83021 | $136.80 | $190.00 | $5.97 – $190.00 | 4 |
| Chromosome analysis 15-20 cell count CPT 88262 | $864.00 | $1,200.00 | $46.87 – $1,200.00 | 4 |
| Circum 28 days or older CPT 54161 | not published | not published | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $1,253.52 | $1,741.00 | $1,741.00 – $2,690.09 | 4 |
| Circumcision (newborn) CPT 54150 | $4,425.12 | $6,146.00 | $2,445.53 – $6,146.00 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $22.16 | $30.78 | $3.48 – $30.03 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $21.84 | $30.33 | $3.15 – $30.33 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $7,008.48 | $9,734.00 | $570.75 – $9,734.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $640.08 | $889.00 | $570.75 – $889.00 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,456.72 | $4,801.00 | $1,197.64 – $4,801.00 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $1,333.44 | $1,852.00 | $570.75 – $1,852.00 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $509.04 | $707.00 | $210.21 – $707.00 | 4 |
| Clot factor viii reltd antgn CPT 85244 | $198.00 | $275.00 | $25.49 – $275.00 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | $31.68 | $44.00 | $4.46 – $44.00 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | $218.16 | $303.00 | $4.46 – $303.00 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $450.72 | $626.00 | $570.75 – $627.82 | 4 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $596.16 | $828.00 | $570.75 – $828.00 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,254.24 | $1,742.00 | $570.75 – $1,742.00 | 4 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $1,053.36 | $1,463.00 | $570.75 – $1,463.00 | 4 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,211.04 | $1,682.00 | $570.75 – $1,682.00 | 4 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | $1,599.12 | $2,221.00 | $570.75 – $2,221.00 | 4 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $771.12 | $1,071.00 | $570.75 – $1,071.00 | 4 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $776.00 | $776.00 | $570.75 – $776.00 | 5 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,006.00 | $4,175.00 | $570.75 – $4,175.00 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $561.60 | $780.00 | $570.75 – $780.00 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,526.40 | $2,120.00 | $570.75 – $2,120.00 | 4 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $2,154.96 | $2,993.00 | $570.75 – $2,993.00 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $551.52 | $766.00 | $570.75 – $766.00 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,105.20 | $1,535.00 | $570.75 – $1,535.00 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $767.52 | $1,066.00 | $570.75 – $1,066.00 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $568.80 | $790.00 | $570.75 – $790.00 | 4 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $1,833.84 | $2,547.00 | $570.75 – $2,547.00 | 4 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $699.84 | $972.00 | $570.75 – $972.00 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $1,474.56 | $2,048.00 | $570.75 – $2,048.00 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,746.08 | $3,814.00 | $570.75 – $3,814.00 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,456.72 | $4,801.00 | $1,197.64 – $4,801.00 | 4 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $518.40 | $720.00 | $210.21 – $720.00 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $803.52 | $1,116.00 | $570.75 – $1,116.00 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $655.92 | $911.00 | $570.75 – $911.00 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $1,724.40 | $2,395.00 | $570.75 – $2,395.00 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,728.00 | $2,400.00 | $570.75 – $2,400.00 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $1,648.80 | $2,290.00 | $570.75 – $2,290.00 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $3,847.68 | $5,344.00 | $570.75 – $5,344.00 | 4 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $1,873.44 | $2,602.00 | $570.75 – $2,602.00 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $169.20 | $235.00 | $10.60 – $235.00 | 4 |
| Cmv pcr-sendout CPT 87496 | $112.32 | $156.00 | $43.13 – $156.00 | 4 |
| Cold agglutinin titer CPT 86157 | $64.80 | $90.00 | $11.58 – $90.00 | 4 |
| Collagen based wound filler HCPCS A6010 | $46.08 | $64.00 | $64.00 – $64.00 | 1 |
| Collagen dressing <=16 sq in HCPCS A6021 | $17.28 | $24.00 | $24.00 – $24.00 | 1 |
| Collar cerv patriot adlt HCPCS L0150 | $103.68 | $144.00 | $144.00 – $144.00 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $253.44 | $352.00 | $93.21 – $352.00 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $254.88 | $354.00 | $93.21 – $354.00 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $23.04 | $32.00 | $3.39 – $9.09 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | not published | 0 |
| Colonoscopy w/resection CPT 45390 | not published | not published | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $216.00 | $300.00 | $163.07 – $300.00 | 4 |
| Compatibility test each unit immediate spin technique CPT 86920 | $187.92 | $261.00 | $163.07 – $261.00 | 4 |
| Complement antigen each component c3 CPT 86160 | $50.40 | $70.00 | $11.58 – $70.00 | 4 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,321.92 | $1,836.00 | $521.74 – $1,836.00 | 4 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,321.92 | $1,836.00 | $521.74 – $1,836.00 | 4 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,321.92 | $1,836.00 | $521.74 – $1,836.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $863.28 | $1,199.00 | $521.74 – $1,199.00 | 4 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,321.92 | $1,836.00 | $521.74 – $1,836.00 | 4 |
| Composite drsg <= 16 sq in HCPCS A6203 | $7.92 | $11.00 | $11.00 – $11.00 | 1 |
| Concentration infection agents any type CPT 87015 | $28.08 | $39.00 | $10.60 – $39.00 | 4 |
| Condylomata destruction 56420 CPT 56420 | $482.40 | $670.00 | $262.16 – $670.00 | 4 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $153.36 | $213.00 | $25.14 – $114.00 | 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.