OSF Saint Paul Medical Center
1401 E 12Th Street, Mendota, IL · Osfhealthcare · · NPI 1609803113
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $290.40 | $363.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $224.80 | $281.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $171.20 | $214.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $816.00 | $1,020.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $217.60 | $272.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $88.00 | $110.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $89.60 | $112.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,210.40 | $2,763.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,149.60 | $2,687.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,660.00 | $2,075.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,221.60 | $5,277.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,533.60 | $4,417.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $3,238.40 | $4,048.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,296.80 | $1,621.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,175.20 | $1,469.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,115.20 | $1,394.00 | not published | 0 |
| Abl1 gene CPT 81170 | $1,323.20 | $1,654.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,952.80 | $2,441.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $191.20 | $239.00 | not published | 0 |
| Acetone qualitative CPT 82009 | $80.80 | $101.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $210.40 | $263.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $240.00 | $300.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $67.20 | $84.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $560.80 | $701.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $377.60 | $472.00 | not published | 0 |
| Adh-sendout CPT 84588 | $381.60 | $477.00 | not published | 0 |
| Admin ecg contrast agent CPT 93352 | $495.20 | $619.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $122.40 | $153.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $109.60 | $137.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $580.00 | $725.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $555.20 | $694.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $114.40 | $143.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $114.40 | $143.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $60.00 | $75.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $40.80 | $51.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $60.80 | $76.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $38.40 | $48.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $57.60 | $72.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $456.00 | $570.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $225.60 | $282.00 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $4,564.00 | $5,705.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $224.00 | $280.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $70.40 | $88.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $176.00 | $220.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $281.60 | $352.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $168.80 | $211.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $563.20 | $704.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $212.80 | $266.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $52.80 | $66.00 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $922.40 | $1,153.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $207.20 | $259.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $159.20 | $199.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $230.40 | $288.00 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $778.40 | $973.00 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $94.40 | $118.00 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $160.00 | $200.00 | not published | 0 |
| Ammonia CPT 82140 | $256.80 | $321.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $731.20 | $914.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $168.00 | $210.00 | not published | 0 |
| Amylase CPT 82150 | $270.40 | $338.00 | not published | 0 |
| Anabolic steroid 1 or 2 CPT 80327 | $220.00 | $275.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $642.40 | $803.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $439.20 | $549.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $51.20 | $64.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $225.60 | $282.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $3,207.20 | $4,009.00 | not published | 0 |
| Androstanediol CPT 82154 | $140.00 | $175.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $673.60 | $842.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $741.60 | $927.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $48.80 | $61.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $207.20 | $259.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $144.00 | $180.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $506.40 | $633.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $212.00 | $265.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $325.60 | $407.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $302.40 | $378.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $286.40 | $358.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $106.40 | $133.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $185.60 | $232.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $36.00 | $45.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $138.40 | $173.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $80.80 | $101.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $406.40 | $508.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $369.60 | $462.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $8,192.80 | $10,241.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $152.80 | $191.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $203.20 | $254.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $203.20 | $254.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $528.00 | $660.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $347.20 | $434.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $347.20 | $434.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $538.40 | $673.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $410.40 | $513.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $432.80 | $541.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $396.00 | $495.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,702.40 | $3,378.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $410.40 | $513.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $70.40 | $88.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $70.40 | $88.00 | not published | 0 |
| Appl multlay comprs arm/hand CPT 29584 | $337.60 | $422.00 | 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.