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 |
|---|---|---|---|---|
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,080.88 | $4,279.00 | $537.33 – $4,279.00 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $454.32 | $631.00 | $537.33 – $631.00 | 4 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $671.04 | $932.00 | $537.33 – $932.00 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $197.28 | $274.00 | $268.67 – $295.53 | 4 |
| Echo exam uterus 76831- CPT 76831 | $758.16 | $1,053.00 | $208.96 – $1,053.00 | 4 |
| Echo guide for amniocentesis CPT 76946 | $1,231.92 | $1,711.00 | $139.46 – $1,711.00 | 4 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $696.96 | $968.00 | $411.15 – $968.00 | 4 |
| Eeg recording awake and asleep CPT 95819 | $696.96 | $968.00 | $411.15 – $968.00 | 4 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $235.44 | $327.00 | $43.13 – $327.00 | 4 |
| Electrical stimulation/unattended 97014 CPT 97014 | $87.84 | $122.00 | $37.60 – $122.00 | 5 |
| Electrolyte panel CPT 80051 | $140.40 | $195.00 | $9.09 – $195.00 | 4 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $5.40 | $7.50 | $0.87 – $3.37 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $4,605.12 | $6,396.00 | $2,409.36 – $6,396.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $2,302.56 | $3,198.00 | $2,409.36 – $3,198.00 | 4 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $4,605.12 | $6,396.00 | $2,409.36 – $6,396.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $2,302.56 | $3,198.00 | $2,409.36 – $3,198.00 | 4 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $614.88 | $854.00 | $854.00 – $1,042.75 | 4 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $4.75 | $6.60 | $4.95 – $6.60 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $5.18 | $7.19 | $2.28 – $4.01 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $5.04 | $7.00 | $1.83 – $7.00 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $38.12 | $52.95 | $12.49 – $256.91 | 6 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $92.37 | $128.29 | $12.77 – $158.11 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $120.24 | $167.00 | $11.58 – $167.00 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $82.08 | $114.00 | $11.58 – $114.00 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $82.08 | $114.00 | $11.58 – $114.00 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $202.31 | $280.98 | $15.11 – $240.00 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $246.24 | $342.00 | $342.00 – $342.00 | 1 |
| ER Visit (level 2) CPT 99282 | $429.84 | $597.00 | $597.00 – $597.00 | 1 |
| ER Visit (level 3) CPT 99283 | $629.28 | $874.00 | $874.00 – $874.00 | 1 |
| ER Visit (level 4) CPT 99284 | $849.60 | $1,180.00 | $1,180.00 – $1,180.00 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $1,707.12 | $2,371.00 | $2,155.00 – $2,155.00 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $5.44 | $7.56 | $0.35 – $7.56 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $478.08 | $664.00 | $257.00 – $257.00 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $244.08 | $339.00 | $57.50 – $57.50 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $285.84 | $397.00 | $93.54 – $93.54 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $446.40 | $620.00 | $620.00 – $620.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $519.12 | $721.00 | $465.00 – $465.00 | 1 |
| Estradiol total CPT 82670 | $117.36 | $163.00 | $13.28 – $163.00 | 4 |
| Estrogens total-sendout CPT 82672 | $38.16 | $53.00 | $13.28 – $53.00 | 4 |
| Ethylene glycol -sendout CPT 82693 | $190.80 | $265.00 | $12.39 – $265.00 | 4 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $9.84 | $13.67 | $1.72 – $11.50 | 3 |
| Euflexxa inj per dose HCPCS J7323 | $1,246.36 | $1,731.05 | $143.73 – $1,731.05 | 6 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $191.52 | $266.00 | $68.53 – $266.00 | 4 |
| Event monitor CPT 93270 | $743.04 | $1,032.00 | $51.77 – $1,032.00 | 4 |
| Evok oa screening qual CPT 92558 | $128.16 | $178.00 | $37.87 – $178.00 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,519.92 | $2,111.00 | $521.74 – $2,111.00 | 4 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,734.48 | $2,409.00 | $521.74 – $2,409.00 | 4 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,591.20 | $2,210.00 | $521.74 – $2,210.00 | 4 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | not published | 0 |
| Excision olecranon bursa CPT 24105 | not published | not published | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | not published | 0 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,519.92 | $2,111.00 | $1,500.70 – $2,111.00 | 4 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $3,499.92 | $4,861.00 | $2,218.22 – $4,861.00 | 4 |
| External chromosome analysis 20-25 cells CPT 88264 | $750.24 | $1,042.00 | $165.74 – $1,042.00 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $665.28 | $924.00 | $183.39 – $924.00 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $118.08 | $164.00 | $11.58 – $164.00 | 4 |
| Factor ix CPT 85250 | $150.48 | $209.00 | $25.49 – $209.00 | 4 |
| Factor viii CPT 85240 | $172.08 | $239.00 | $4.46 – $239.00 | 4 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.17 | $0.23 | $0.02 – $0.23 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $20.88 | $29.00 | $5.44 – $29.00 | 4 |
| Fatty acids nonesterified CPT 82725 | $129.60 | $180.00 | $12.03 – $180.00 | 4 |
| #fecal-sodium CPT 84302 | $38.16 | $53.00 | $5.44 – $53.00 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $12.96 | $18.00 | $1.96 – $18.00 | 3 |
| Ferritin CPT 82728 | $167.76 | $233.00 | $12.03 – $233.00 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $16.18 | $22.47 | $0.59 – $256.91 | 6 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $945.36 | $1,313.00 | $124.93 – $1,313.00 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,852.56 | $2,573.00 | $659.86 – $2,573.00 | 4 |
| Fetal fibronectin CPT 82731 | $320.40 | $445.00 | $68.53 – $445.00 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $162.72 | $226.00 | $5.97 – $226.00 | 4 |
| Fetal non stress test CPT 59025 | $1,066.32 | $1,481.00 | $240.15 – $612.00 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $120.96 | $168.00 | $4.46 – $168.00 | 4 |
| Fibrin degradation products CPT 85362 | $133.92 | $186.00 | $4.46 – $186.00 | 4 |
| Fibrinogen activity CPT 85384 | $158.40 | $220.00 | $4.46 – $217.00 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $169.20 | $235.00 | $4.46 – $235.00 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,517.15 | $2,107.15 | $0.58 – $2,107.15 | 6 |
| Fine needle asp without image guide 10021 CPT 10021 | $863.28 | $1,199.00 | $104.23 – $932.08 | 4 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $522.00 | $725.00 | $146.85 – $725.00 | 4 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $270.00 | $375.00 | $33.06 – $375.00 | 4 |
| Flow cytometry marker each additional CPT 88185 | $103.68 | $144.00 | $33.06 – $144.00 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $393.84 | $547.00 | $183.39 – $547.00 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | $112.32 | $156.00 | $33.06 – $156.00 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $65.52 | $91.00 | $7.39 – $91.00 | 3 |
| Fluorescent antibody titer dna CPT 86256 | $229.68 | $319.00 | $11.58 – $319.00 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $403.20 | $560.00 | $250.84 – $560.00 | 4 |
| Fluoroguide needle placement CPT 77002 | $458.64 | $637.00 | $250.84 – $637.00 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $962.64 | $1,337.00 | $146.85 – $1,337.00 | 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.