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 |
|---|---|---|---|---|
| MRI breast c- unilateral CPT 77046 | $2,772.00 | $3,465.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $4,828.00 | $6,035.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $4,158.40 | $5,198.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $7,242.40 | $9,053.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $3,140.80 | $3,926.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $4,121.60 | $5,152.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $3,533.60 | $4,417.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $4,849.60 | $6,062.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,767.20 | $5,959.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,399.20 | $6,749.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,361.60 | $2,952.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,114.40 | $3,893.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,648.80 | $3,311.00 | not published | 0 |
| MRI tmj CPT 70336 | $2,309.60 | $2,887.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,204.80 | $5,256.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,565.60 | $6,957.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $4,712.00 | $5,890.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $152.00 | $190.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $159.20 | $199.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $85.60 | $107.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $102.40 | $128.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $43.20 | $54.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $419.20 | $524.00 | not published | 0 |
| Msh2 gene full seq CPT 81295 | $1,336.80 | $1,671.00 | not published | 0 |
| Msh6 gene full seq CPT 81298 | $2,247.20 | $2,809.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $732.80 | $916.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $978.40 | $1,223.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $3,221.60 | $4,027.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $233.60 | $292.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $153.60 | $192.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,158.40 | $1,448.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $4,194.40 | $5,243.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $495.20 | $619.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $208.80 | $261.00 | not published | 0 |
| N block inj hypogas plxs CPT 64517 | $1,393.60 | $1,742.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $40.00 | $50.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $40.00 | $50.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $410.40 | $513.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,573.60 | $3,217.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,363.20 | $2,954.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,398.40 | $5,498.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,337.60 | $4,172.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,301.60 | $4,127.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,381.60 | $4,227.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,966.40 | $3,708.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,706.40 | $3,383.00 | not published | 0 |
| Nerve conduction studies 1-2 CPT 95907 | $415.20 | $519.00 | not published | 0 |
| Nerve conduction studies 3-4 CPT 95908 | $831.20 | $1,039.00 | not published | 0 |
| Neurolysis celiac plexus CPT 64680 | $1,393.60 | $1,742.00 | not published | 0 |
| Neurolysis trigeminal nerve CPT 64600 | $1,393.60 | $1,742.00 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $237.60 | $297.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $345.60 | $432.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $437.60 | $547.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $546.40 | $683.00 | not published | 0 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $646.40 | $808.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62324 | $1,393.60 | $1,742.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $1,393.60 | $1,742.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,393.60 | $1,742.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,393.60 | $1,742.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,970.40 | $2,463.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,537.60 | $1,922.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,860.00 | $2,325.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,344.00 | $1,680.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,456.80 | $1,821.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,464.80 | $1,831.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,404.00 | $1,755.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,775.20 | $2,219.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,278.40 | $1,598.00 | not published | 0 |
| Non-card vasc flow imaging CPT 78445 | $662.40 | $828.00 | not published | 0 |
| Noonan spectrum disorders CPT 81442 | $4,999.20 | $6,249.00 | not published | 0 |
| Npm1 gene CPT 81310 | $1,158.40 | $1,448.00 | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $724.80 | $906.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,462.40 | $5,578.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $1,569.60 | $1,962.00 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $763.20 | $954.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $625.60 | $782.00 | not published | 0 |
| Off/op cnsltj new/est low 30 CPT 99243 | $513.60 | $642.00 | not published | 0 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $663.20 | $829.00 | not published | 0 |
| Off/op consltj new/est hi 55 CPT 99245 | $847.20 | $1,059.00 | not published | 0 |
| Off/op consltj new/est sf 20 CPT 99242 | $384.00 | $480.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $472.80 | $591.00 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $780.80 | $976.00 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $113.60 | $142.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $98.40 | $123.00 | not published | 0 |
| Osmolality blood CPT 83930 | $149.60 | $187.00 | not published | 0 |
| Osmolality urine CPT 83935 | $156.00 | $195.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $371.20 | $464.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $308.80 | $386.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $329.60 | $412.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $63.20 | $79.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $69.60 | $87.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $144.00 | $180.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.00 | $175.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $140.00 | $175.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $214.40 | $268.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $144.00 | $180.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $144.00 | $180.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $144.00 | $180.00 | 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.