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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,886.40 | $4,858.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,571.20 | $4,464.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $471.20 | $589.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $371.20 | $464.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $462.40 | $578.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $278.40 | $348.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,283.20 | $1,604.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,689.60 | $2,112.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $108.00 | $135.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $177.60 | $222.00 | not published | 0 |
| Magnesium CPT 83735 | $162.40 | $203.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $136.00 | $170.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $136.00 | $170.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $4,476.80 | $5,596.00 | not published | 0 |
| Mastoids complete CPT 70130 | $1,271.20 | $1,589.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $330.40 | $413.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $364.00 | $455.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $187.20 | $234.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $987.20 | $1,234.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $244.00 | $305.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $172.00 | $215.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $181.60 | $227.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $217.60 | $272.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $259.20 | $324.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $136.80 | $171.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $62.40 | $78.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $184.80 | $231.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,076.00 | $1,345.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $828.00 | $1,035.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,969.60 | $2,462.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $4,965.60 | $6,207.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $403.20 | $504.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $204.00 | $255.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $368.80 | $461.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $122.40 | $153.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $613.60 | $767.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $47.20 | $59.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $917.60 | $1,147.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $313.60 | $392.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $397.60 | $497.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $477.60 | $597.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $116.00 | $145.00 | not published | 0 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $38.40 | $48.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $472.80 | $591.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $490.40 | $613.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $343.20 | $429.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $216.80 | $271.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $456.80 | $571.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $337.60 | $422.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $185.60 | $232.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $488.00 | $610.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $506.40 | $633.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $172.00 | $215.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $152.00 | $190.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $716.00 | $895.00 | not published | 0 |
| Mayo chromium CPT 82495 | $409.60 | $512.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $331.20 | $414.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $152.80 | $191.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $1,093.60 | $1,367.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $478.40 | $598.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $44.00 | $55.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $147.20 | $184.00 | not published | 0 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $356.00 | $445.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $189.60 | $237.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,100.80 | $1,376.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $224.00 | $280.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $248.80 | $311.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $156.80 | $196.00 | not published | 0 |
| Mayo estriol CPT 82677 | $171.20 | $214.00 | not published | 0 |
| Mayo estrone CPT 82679 | $382.40 | $478.00 | not published | 0 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $274.40 | $343.00 | not published | 0 |
| Mayo everolimus therapeutic drug level CPT 80169 | $749.60 | $937.00 | not published | 0 |
| Mayo factor ii CPT 85210 | $200.00 | $250.00 | not published | 0 |
| Mayo factor v CPT 85220 | $200.00 | $250.00 | not published | 0 |
| Mayo factor vii CPT 85230 | $200.00 | $250.00 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $409.60 | $512.00 | not published | 0 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $216.80 | $271.00 | not published | 0 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $188.00 | $235.00 | not published | 0 |
| Mayo factor x CPT 85260 | $562.40 | $703.00 | not published | 0 |
| Mayo factor xi CPT 85270 | $229.60 | $287.00 | not published | 0 |
| Mayo fat/lipids feces quantitative CPT 82710 | $422.40 | $528.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $240.80 | $301.00 | not published | 0 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $784.00 | $980.00 | not published | 0 |
| Mayo ffspg allergen clam igg CPT 86001 | $58.40 | $73.00 | not published | 0 |
| Mayo fibrinogen antigen CPT 85385 | $428.00 | $535.00 | not published | 0 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $278.40 | $348.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $7,648.00 | $9,560.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $165.60 | $207.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $70.40 | $88.00 | not published | 0 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $194.40 | $243.00 | not published | 0 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $190.40 | $238.00 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $145.60 | $182.00 | not published | 0 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $140.80 | $176.00 | not published | 0 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $268.00 | $335.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,757.60 | $2,197.00 | not published | 0 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $108.00 | $135.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $172.00 | $215.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $315.20 | $394.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $137.60 | $172.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $161.60 | $202.00 | 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.