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 |
|---|---|---|---|---|
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $77.33 | $107.40 | $3.20 – $24.08 | 3 |
| Folic acid CPT 82746 | $73.44 | $102.00 | $12.03 – $102.00 | 4 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.30 | $1.80 | $0.08 – $1.80 | 3 |
| Foot X-ray CPT 73630 | $446.40 | $620.00 | $69.68 – $620.00 | 4 |
| Forensic cytopathology CPT 88125 | $104.40 | $145.00 | $33.06 – $145.00 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $6.93 | $9.63 | $0.18 – $9.63 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $7.78 | $10.80 | $2.21 – $10.80 | 3 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $153.36 | $213.00 | $155.41 – $213.00 | 4 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $182.16 | $253.00 | $155.41 – $253.00 | 4 |
| Fresh frozen plasma thawing ea un CPT 86927 | $370.08 | $514.00 | $105.15 – $514.00 | 4 |
| Fructosamine glycated protein CPT 82985 | $22.32 | $31.00 | $12.03 – $31.00 | 4 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.65 | $0.90 | $0.03 – $0.45 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1.35 | $1.88 | $0.17 – $1.88 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $50.40 | $70.00 | $5.44 – $70.00 | 4 |
| Gammaglobulin ige CPT 82785 | $140.40 | $195.00 | $12.03 – $146.00 | 4 |
| Gamma glutamyltransferase CPT 82977 | $120.96 | $168.00 | $5.44 – $168.00 | 4 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $108.72 | $151.00 | $151.00 – $151.00 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $104.26 | $144.80 | $5.92 – $53.49 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $65.52 | $91.00 | $3.58 – $22.29 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $167.76 | $233.00 | $12.21 – $233.00 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,905.92 | $4,036.00 | $482.71 – $4,036.00 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $1,969.20 | $2,735.00 | $1,784.61 – $2,735.00 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,181.92 | $8,586.00 | $1,260.19 – $8,586.00 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $117.36 | $163.00 | $12.03 – $163.00 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | $110.88 | $154.00 | $11.58 – $154.00 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $425.52 | $591.00 | $106.93 – $591.00 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $661.68 | $919.00 | $482.71 – $919.00 | 4 |
| Ghs chemo >8 hrs CPT 96416 | $2,733.84 | $3,797.00 | $572.62 – $3,797.00 | 4 |
| Ghs chemo infusion >8 hrs CPT 96425 | $1,025.28 | $1,424.00 | $572.62 – $1,424.00 | 4 |
| Ghs chemo IV push, ea addtl CPT 96411 | $330.48 | $459.00 | $57.48 – $459.00 | 4 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $207.36 | $288.00 | $43.13 – $211.00 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Ghs closed reduction ankle dislocation CPT 27840 | $539.28 | $749.00 | $570.75 – $749.00 | 4 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,456.72 | $4,801.00 | $570.75 – $4,801.00 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $861.84 | $1,197.00 | $93.48 – $1,197.00 | 4 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $278.64 | $387.00 | $46.74 – $387.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $861.84 | $1,197.00 | $93.48 – $1,197.00 | 4 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $281.52 | $391.00 | $93.48 – $391.00 | 4 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $53.28 | $74.00 | $11.58 – $74.00 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $518.40 | $720.00 | $285.37 – $720.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $863.28 | $1,199.00 | $82.43 – $1,199.00 | 4 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $561.60 | $780.00 | $358.49 – $780.00 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | $6,181.92 | $8,586.00 | $2,220.53 – $8,586.00 | 4 |
| Ghs fb removal - incisional CPT 10121 | $3,499.92 | $4,861.00 | $1,500.70 – $4,861.00 | 4 |
| Ghs fb removal - non-incisional CPT 20520 | $3,499.92 | $4,861.00 | $2,220.53 – $4,861.00 | 4 |
| Ghs fish cytogen CPT 88271 | $83.52 | $116.00 | $46.87 – $116.00 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $156.96 | $218.00 | $46.87 – $218.00 | 4 |
| Ghs gastric intub aspiration lavage CPT 43753 | $672.48 | $934.00 | $934.00 – $934.00 | 1 |
| Ghs histoplasma antigen CPT 87385 | $255.60 | $355.00 | $10.60 – $355.00 | 4 |
| Ghs HIV antibody CPT 86703 | $337.68 | $469.00 | $11.58 – $469.00 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,864.88 | $3,979.00 | $1,784.61 – $3,979.00 | 4 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,629.36 | $2,263.00 | $1,331.13 – $2,263.00 | 4 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,519.92 | $2,111.00 | $204.86 – $2,111.00 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $525.60 | $730.00 | $730.00 – $1,963.07 | 4 |
| Ghs inhibitor screen CPT 85335 | $263.52 | $366.00 | $4.46 – $366.00 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $429.12 | $596.00 | $226.16 – $596.00 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | $637.92 | $886.00 | $305.47 – $886.00 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $740.88 | $1,029.00 | $947.95 – $1,042.75 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,923.12 | $2,671.00 | $947.95 – $2,671.00 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $861.84 | $1,197.00 | $305.47 – $1,197.00 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $34.56 | $48.00 | $48.00 – $102.53 | 4 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $562.32 | $781.00 | $106.93 – $781.00 | 4 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $973.44 | $1,352.00 | $365.53 – $1,352.00 | 4 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $744.48 | $1,034.00 | $365.53 – $1,034.00 | 4 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $861.84 | $1,197.00 | $210.21 – $1,197.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $750.24 | $1,042.00 | $473.71 – $1,042.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $863.28 | $1,199.00 | $473.71 – $1,199.00 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $863.28 | $1,199.00 | $473.71 – $1,199.00 | 4 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $750.24 | $1,042.00 | $473.71 – $1,042.00 | 4 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $863.28 | $1,199.00 | $473.71 – $1,199.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $750.24 | $1,042.00 | $473.71 – $1,042.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,321.92 | $1,836.00 | $473.71 – $1,836.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $820.80 | $1,140.00 | $473.71 – $1,140.00 | 4 |
| Ghs mbp CPT 83873 | $177.84 | $247.00 | $12.03 – $247.00 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $731.52 | $1,016.00 | $28.25 – $1,016.00 | 4 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $754.56 | $1,048.00 | $28.25 – $1,048.00 | 4 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $754.56 | $1,048.00 | $28.25 – $200.00 | 4 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $192.24 | $267.00 | $28.25 – $267.00 | 4 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $169.92 | $236.00 | $28.25 – $200.00 | 4 |
| Ghs musc test done w/n test comp CPT 95886 | $530.64 | $737.00 | $164.50 – $737.00 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,321.92 | $1,836.00 | $82.43 – $1,836.00 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $1,923.12 | $2,671.00 | $495.01 – $2,671.00 | 4 |
| Ghs nerve block brachial plexus CPT 64415 | $1,923.12 | $2,671.00 | $1,587.76 – $2,671.00 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,867.68 | $2,594.00 | $495.01 – $2,594.00 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | $861.84 | $1,197.00 | $482.71 – $1,197.00 | 4 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $63.36 | $88.00 | $37.60 – $88.00 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | $164.88 | $229.00 | $44.73 – $229.00 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $496.80 | $690.00 | $690.00 – $1,042.75 | 4 |
| Ghs phenylketonurid CPT 84030 | $133.20 | $185.00 | $5.44 – $185.00 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $3,355.20 | $4,660.00 | $1,361.51 – $4,660.00 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $907.92 | $1,261.00 | $570.75 – $1,261.00 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $38.88 | $54.00 | $5.44 – $54.00 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $141.12 | $196.00 | $42.42 – $196.00 | 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.