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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | $40.32 | $56.00 | $12.21 – $56.00 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $241.92 | $336.00 | $210.21 – $336.00 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $441.36 | $613.00 | $10.60 – $613.00 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | $322.56 | $448.00 | $10.60 – $448.00 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $750.24 | $1,042.00 | $226.16 – $1,042.00 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $863.28 | $1,199.00 | $226.16 – $1,199.00 | 4 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $429.12 | $596.00 | $226.16 – $596.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $372.96 | $518.00 | $226.16 – $518.00 | 4 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $429.12 | $596.00 | $226.16 – $596.00 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $278.64 | $387.00 | $93.92 – $387.00 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | $149.04 | $207.00 | $207.00 – $310.92 | 4 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $162.72 | $226.00 | $226.00 – $629.88 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $455.04 | $632.00 | $365.53 – $632.00 | 4 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $518.40 | $720.00 | $570.75 – $720.00 | 4 |
| Gi inhouse confirmation CPT 87045 | $47.52 | $66.00 | $10.60 – $66.00 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,025.36 | $2,813.00 | $482.71 – $2,813.00 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $967.68 | $1,344.00 | $143.73 – $1,344.00 | 6 |
| Glucose 1 hr post dose CPT 82950 | $92.16 | $128.00 | $5.44 – $128.00 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $25.92 | $36.00 | $5.44 – $36.00 | 4 |
| Glucose blood quantitative CPT 82947 | $71.28 | $99.00 | $5.44 – $99.00 | 4 |
| Glucose body fluid CPT 82945 | $70.56 | $98.00 | $5.44 – $98.00 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $143.28 | $199.00 | $12.03 – $199.00 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $51.84 | $72.00 | $5.44 – $72.00 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $15.84 | $22.00 | $0.63 – $6.00 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $137.59 | $191.10 | $19.19 – $1,721.15 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $177.12 | $246.00 | $13.28 – $153.00 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $182.16 | $253.00 | $13.28 – $166.00 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,884.40 | $5,395.00 | $1,200.04 – $4,947.68 | 6 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $76.32 | $106.00 | $106.00 – $209.78 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $172.80 | $240.00 | $209.78 – $240.00 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $8,608.31 | $11,955.99 | $11,955.99 – $11,955.99 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $102.96 | $143.00 | $143.00 – $209.78 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $324.00 | $450.00 | $209.78 – $450.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $190.80 | $265.00 | $209.78 – $265.00 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $7,115.04 | $9,882.00 | $123.35 – $123.35 | 1 |
| Gstrst open wo constj tube CPT 43830 | $4,097.52 | $5,691.00 | $4,030.80 – $5,691.00 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $302.05 | $419.52 | $18.20 – $18.20 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $210.79 | $292.77 | $9.45 – $9.45 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.96 | $18.00 | $1.20 – $18.00 | 3 |
| Hand X-ray CPT 73130 | $354.24 | $492.00 | $69.68 – $492.00 | 4 |
| Haptoglobin quantitative CPT 83010 | $133.20 | $185.00 | $12.03 – $98.00 | 4 |
| Hcg quantitative CPT 84702 | $192.24 | $267.00 | $13.28 – $267.00 | 4 |
| Hc nm kidney imaging with flow CPT 78701 | $1,281.60 | $1,780.00 | $455.98 – $1,780.00 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $2,790.00 | $3,875.00 | $377.20 – $3,875.00 | 5 |
| Head CT scan (with contrast) CPT 70460 | $2,424.24 | $3,367.00 | $377.20 – $3,367.00 | 5 |
| Head CT scan (without contrast) CPT 70450 | $1,914.48 | $2,659.00 | $377.20 – $2,659.00 | 5 |
| Heart image spect CPT 78494 | $1,088.64 | $1,512.00 | $455.98 – $1,512.00 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $331.92 | $461.00 | $11.58 – $461.00 | 4 |
| Hematocrit CPT 85014 | $28.80 | $40.00 | $2.37 – $6.57 | 4 |
| Hemoglobin CPT 85018 | $28.80 | $40.00 | $2.37 – $6.57 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $174.24 | $242.00 | $5.44 – $242.00 | 4 |
| Hemolysins/agglutinins auto CPT 86940 | $82.80 | $115.00 | $4.46 – $115.00 | 4 |
| Heparin assay CPT 85520 | $123.84 | $172.00 | $4.46 – $172.00 | 4 |
| Heparin bolus from bag HCPCS J1644 | $2.88 | $4.00 | $0.30 – $3.60 | 3 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.09 | $0.12 | $0.03 – $0.10 | 3 |
| Hepatitis a antibody igm CPT 86709 | $129.60 | $180.00 | $11.58 – $122.00 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $185.76 | $258.00 | $11.58 – $258.00 | 4 |
| Hepatitis b core antibody total CPT 86704 | $141.84 | $197.00 | $11.58 – $82.00 | 4 |
| Hepatitis b surface antibody CPT 86706 | $234.00 | $325.00 | $11.58 – $182.00 | 4 |
| Hepatitis c antibody CPT 86803 | $185.76 | $258.00 | $11.58 – $258.00 | 4 |
| Hepatobiliary system imaging CPT 78226 | $1,249.20 | $1,735.00 | $455.98 – $1,735.00 | 4 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $43.92 | $61.00 | $11.58 – $61.00 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $43.92 | $61.00 | $11.58 – $61.00 | 4 |
| Herpes simplex virus isolation CPT 87255 | $42.48 | $59.00 | $43.13 – $59.00 | 4 |
| Heterophile antibodies screening CPT 86308 | $259.92 | $361.00 | $11.58 – $361.00 | 4 |
| Hhv-6 dna quant CPT 87533 | $576.00 | $800.00 | $43.13 – $800.00 | 4 |
| Hip arthro w/femoroplasty CPT 29914 | $15,430.32 | $21,431.00 | $6,694.03 – $21,431.00 | 4 |
| Hip X-ray CPT 73502 | $583.92 | $811.00 | $69.68 – $811.00 | 4 |
| Histamine CPT 83088 | $218.16 | $303.00 | $28.34 – $303.00 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | $620.64 | $862.00 | $46.87 – $862.00 | 4 |
| Hla i low res one antigen equiv ea CPT 81374 | $343.44 | $477.00 | $46.87 – $477.00 | 4 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $559.44 | $777.00 | $165.74 – $777.00 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.56 | $2.17 | $0.36 – $2.17 | 3 |
| Homocysteine CPT 83090 | $101.52 | $141.00 | $13.28 – $141.00 | 4 |
| Homogenization tissue CPT 87176 | $82.08 | $114.00 | $10.60 – $114.00 | 4 |
| Hpv types 16 & 18 only CPT 87625 | $200.16 | $278.00 | $40.55 – $47.44 | 4 |
| H pylori (c-13) breath CPT 83013 | $137.52 | $191.00 | $68.53 – $191.00 | 4 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,480.32 | $2,056.00 | $659.86 – $2,056.00 | 4 |
| Human epididymis protein 4 (he4) CPT 86305 | $439.20 | $610.00 | $11.58 – $610.00 | 4 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $10.89 | $15.12 | $2.82 – $15.12 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $58.90 | $81.80 | $7.24 – $67.20 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $223.92 | $311.00 | $311.00 – $629.88 | 4 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $413.28 | $574.00 | $365.53 – $574.00 | 4 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $113.04 | $157.00 | $157.00 – $157.00 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $63.07 | $87.60 | $36.40 – $87.60 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $3.24 | $4.50 | $0.23 – $1.80 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $58.25 | $80.90 | $21.45 – $77.43 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | $680.40 | $945.00 | $945.00 – $945.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $833.04 | $1,157.00 | $146.85 – $1,157.00 | 4 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $99.36 | $138.00 | $43.13 – $131.00 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $7,561.44 | $10,502.00 | $1,735.68 – $10,502.00 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | $442.08 | $614.00 | $165.74 – $614.00 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $268.56 | $373.00 | $40.01 – $68.50 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $671.04 | $932.00 | $163.25 – $932.00 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $298.08 | $414.00 | $78.42 – $179.57 | 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.