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 |
|---|---|---|---|---|
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $273.60 | $380.00 | $40.69 – $114.00 | 4 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $188.64 | $262.00 | $103.63 – $262.00 | 4 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $369.36 | $513.00 | $103.63 – $513.00 | 4 |
| Contrast x-ray of hip CPT 73525 | $893.52 | $1,241.00 | $146.85 – $1,241.00 | 4 |
| Contrast x-ray of knee joint CPT 73580 | $815.76 | $1,133.00 | $146.85 – $1,133.00 | 4 |
| Contrast x-ray of wrist CPT 73115 | $937.44 | $1,302.00 | $146.85 – $1,302.00 | 4 |
| Control nosebleed pack+caut 30905 CPT 30905 | $278.64 | $387.00 | $210.21 – $387.00 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | $278.64 | $387.00 | $210.21 – $387.00 | 4 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $241.92 | $336.00 | $210.21 – $336.00 | 4 |
| Coombs direct CPT 86880 | $95.04 | $132.00 | $4.46 – $132.00 | 4 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $187.92 | $261.00 | $4.46 – $261.00 | 4 |
| Coombs indirect titer reference CPT 86886 | $216.00 | $300.00 | $4.46 – $300.00 | 4 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | not published | 0 |
| Cortisol total am CPT 82533 | $101.52 | $141.00 | $13.28 – $141.00 | 4 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $368.35 | $511.60 | $34.07 – $511.60 | 3 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $71.28 | $99.00 | $11.58 – $99.00 | 4 |
| C-peptide CPT 84681 | $71.28 | $99.00 | $12.03 – $99.00 | 4 |
| C-reactive protein CPT 86140 | $144.72 | $201.00 | $11.58 – $201.00 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $64.80 | $90.00 | $11.58 – $90.00 | 4 |
| Creatine kinase CPT 82550 | $145.44 | $202.00 | $5.44 – $202.00 | 4 |
| Creatine kinase isoenzymes CPT 82552 | $44.64 | $62.00 | $12.03 – $62.00 | 4 |
| Creatine kinase mb CPT 82553 | $203.04 | $282.00 | $12.03 – $282.00 | 4 |
| Creatinine CPT 82565 | $95.04 | $132.00 | $5.12 – $5.98 | 4 |
| Creatinine 24 hour urine CPT 82570 | $123.84 | $172.00 | $5.44 – $172.00 | 4 |
| Creatinine clearance urine CPT 82575 | $208.80 | $290.00 | $5.44 – $290.00 | 4 |
| #creutz-prot.,western blot CPT 84182 | $201.60 | $280.00 | $41.08 – $280.00 | 4 |
| Critical care 30-74 minutes CPT 99291 | $1,993.68 | $2,769.00 | $2,769.00 – $2,769.00 | 1 |
| Critical care each additional 30 minutes CPT 99292 | $650.16 | $903.00 | $903.00 – $903.00 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $137.52 | $191.00 | $191.00 – $376.99 | 4 |
| Cryptococcus abs qn - sendout CPT 86641 | $217.44 | $302.00 | $11.58 – $302.00 | 4 |
| Cryptosporidium antigen CPT 87272 | $37.44 | $52.00 | $10.60 – $52.00 | 4 |
| Crystal identification light microscopy CPT 89060 | $74.88 | $104.00 | $4.99 – $104.00 | 4 |
| CT 3d report other modality w/workstation CPT 76377 | $530.64 | $737.00 | $737.00 – $737.00 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,802.96 | $3,893.00 | $460.88 – $3,893.00 | 5 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,089.52 | $4,291.00 | $460.88 – $4,291.00 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,792.08 | $2,489.00 | $460.88 – $2,489.00 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $2,715.12 | $3,771.00 | $460.88 – $3,771.00 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,049.36 | $7,013.00 | $460.88 – $7,013.00 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,060.72 | $4,251.00 | $460.88 – $4,251.00 | 5 |
| CT Angiogram of the Head CPT 70496 | $2,608.56 | $3,623.00 | $460.88 – $3,623.00 | 5 |
| CT angio pelvis CPT 72191 | $2,643.12 | $3,671.00 | $460.88 – $3,671.00 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,445.12 | $3,396.00 | $460.88 – $3,396.00 | 5 |
| CT guidance for needle placement CPT 77012 | $1,875.60 | $2,605.00 | $102.21 – $2,605.00 | 5 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,760.40 | $2,445.00 | $250.84 – $2,445.00 | 4 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,170.80 | $3,015.00 | $377.20 – $3,015.00 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,893.60 | $2,630.00 | $132.42 – $2,630.00 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,912.48 | $5,434.00 | $377.20 – $5,434.00 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $2,570.40 | $3,570.00 | $377.20 – $3,570.00 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $2,121.84 | $2,947.00 | $132.42 – $2,947.00 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,336.48 | $4,634.00 | $377.20 – $4,634.00 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,898.00 | $4,025.00 | $377.20 – $4,025.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,754.72 | $3,826.00 | $377.20 – $3,826.00 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,188.80 | $3,040.00 | $132.42 – $3,040.00 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $501.84 | $697.00 | $210.21 – $697.00 | 4 |
| CT scan for therapy guide CPT 77014 | $1,378.08 | $1,914.00 | $102.21 – $545.00 | 5 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,049.36 | $7,013.00 | $377.20 – $7,013.00 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,990.32 | $6,931.00 | $188.60 – $6,931.00 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,098.24 | $5,692.00 | $377.20 – $5,692.00 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $2,316.24 | $3,217.00 | $377.20 – $3,217.00 | 5 |
| CT thoracic spine without contrast CPT 72128 | $1,895.76 | $2,633.00 | $132.42 – $2,633.00 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $385.92 | $536.00 | $132.42 – $536.00 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,654.64 | $3,687.00 | $377.20 – $3,687.00 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,645.28 | $3,674.00 | $377.20 – $3,674.00 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,070.72 | $2,876.00 | $132.42 – $2,876.00 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,994.48 | $4,159.00 | $377.20 – $4,159.00 | 5 |
| Culture aerobic additional method definitive id each CPT 87077 | $120.24 | $167.00 | $10.60 – $77.00 | 4 |
| Culture afb any source CPT 87116 | $158.40 | $220.00 | $10.60 – $220.00 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $138.96 | $193.00 | $10.60 – $67.00 | 4 |
| Culture anaerobic except blood CPT 87075 | $493.20 | $685.00 | $10.60 – $685.00 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | $26.64 | $37.00 | $10.60 – $37.00 | 4 |
| Culture body fluid CPT 87070 | $12.96 | $18.00 | $10.60 – $18.00 | 4 |
| Culture fungi definitive id mold CPT 87107 | $130.32 | $181.00 | $10.60 – $181.00 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $69.12 | $96.00 | $10.60 – $96.00 | 4 |
| Culture fungi other (except blood) CPT 87102 | $174.24 | $242.00 | $10.60 – $242.00 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $174.24 | $242.00 | $10.60 – $242.00 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $190.80 | $265.00 | $10.60 – $265.00 | 4 |
| Culture mycoplasma any source CPT 87109 | $67.68 | $94.00 | $10.60 – $94.00 | 4 |
| Culture screening strep group a CPT 87081 | $233.28 | $324.00 | $10.60 – $324.00 | 4 |
| Culture typing immunologic CPT 87147 | $38.16 | $53.00 | $10.60 – $53.00 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $205.22 – $1,018.00 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $456.48 | $634.00 | $43.13 – $263.00 | 4 |
| Culture urine each isolate CPT 87088 | $74.88 | $104.00 | $10.60 – $104.00 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $12.96 | $18.00 | $1.06 – $18.00 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $136.08 | $189.00 | $11.58 – $189.00 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $7.96 | $11.06 | $0.97 – $5.65 | 3 |
| Cyclosporine 2 hour CPT 80158 | $70.56 | $98.00 | $12.21 – $98.00 | 4 |
| Cyp2c19 gene com variants CPT 81225 | $803.52 | $1,116.00 | $165.74 – $1,116.00 | 4 |
| Cystatin c CPT 82610 | $73.44 | $102.00 | $12.03 – $102.00 | 4 |
| Cystine urine quantitative CPT 82131 | $38.88 | $54.00 | $12.03 – $54.00 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $771.12 | $1,071.00 | $146.85 – $1,071.00 | 4 |
| Cystoscopy and treatment CPT 52214 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52224 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52235 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52240 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52310 | not published | not published | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $5,706.00 | $7,925.00 | $1,932.08 – $7,925.00 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | not published | 0 |
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.