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 |
|---|---|---|---|---|
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $140.00 | $175.00 | not published | 0 |
| Ovulation tests CPT 84830 | $257.60 | $322.00 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $318.40 | $398.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,177.60 | $1,472.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,113.60 | $2,642.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,105.60 | $2,632.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,739.20 | $2,174.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,047.20 | $5,059.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $3,337.60 | $4,172.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,000.80 | $3,751.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,092.00 | $1,365.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $547.20 | $684.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,181.60 | $2,727.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $256.00 | $320.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $10,512.80 | $13,141.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $122.40 | $153.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $181.60 | $227.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $63.20 | $79.00 | not published | 0 |
| Ph body fluid CPT 83986 | $224.80 | $281.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $416.00 | $520.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $211.20 | $264.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $194.40 | $243.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $231.20 | $289.00 | not published | 0 |
| Phosphorus CPT 84100 | $173.60 | $217.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $173.60 | $217.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $168.80 | $211.00 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $410.40 | $513.00 | not published | 0 |
| Pin service 60m per month HCPCS G0023 | $179.20 | $224.00 | not published | 0 |
| Pinworm exam CPT 87172 | $49.60 | $62.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,039.20 | $3,799.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,328.80 | $2,911.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,674.40 | $3,343.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,609.60 | $12,012.00 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $248.00 | $310.00 | not published | 0 |
| Platelet automated CPT 85049 | $82.40 | $103.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,912.80 | $2,391.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,744.80 | $2,181.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,406.40 | $1,758.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,068.00 | $2,585.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,782.40 | $2,228.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $339.20 | $424.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $2,901.60 | $3,627.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $9,119.20 | $11,399.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $1,621.60 | $2,027.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | $712.80 | $891.00 | not published | 0 |
| Pms2 gene full seq analysis CPT 81317 | $1,276.00 | $1,595.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $73.60 | $92.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $252.80 | $316.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,572.80 | $6,966.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $131.20 | $164.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $118.40 | $148.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $526.40 | $658.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $338.40 | $423.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $152.80 | $191.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $385.60 | $482.00 | not published | 0 |
| Prealbumin CPT 84134 | $190.40 | $238.00 | not published | 0 |
| Pr ecg 12 lead report only CPT 93010 | $60.00 | $75.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $848.80 | $1,061.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,060.00 | $1,325.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $144.00 | $180.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $154.40 | $193.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $144.00 | $180.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $120.00 | $150.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $286.40 | $358.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,358.40 | $1,698.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $708.00 | $885.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $334.40 | $418.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $320.80 | $401.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $230.40 | $288.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $1,156.80 | $1,446.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $14,601.60 | $18,252.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $179.20 | $224.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $535.20 | $669.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $290.40 | $363.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $634.40 | $793.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $504.00 | $630.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $392.00 | $490.00 | not published | 0 |
| Procalcitonin CPT 84145 | $298.40 | $373.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,266.40 | $1,583.00 | not published | 0 |
| Progesterone CPT 84144 | $448.00 | $560.00 | not published | 0 |
| Prolactin CPT 84146 | $247.20 | $309.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $100.80 | $126.00 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $225.60 | $282.00 | not published | 0 |
| Protein c activity CPT 85303 | $381.60 | $477.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $193.60 | $242.00 | not published | 0 |
| Protein s total CPT 85305 | $488.00 | $610.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $155.20 | $194.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $128.80 | $161.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $97.60 | $122.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $231.20 | $289.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $206.40 | $258.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $332.80 | $416.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $569.60 | $712.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $380.00 | $475.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $380.00 | $475.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $380.00 | $475.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $391.20 | $489.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,348.00 | $1,685.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $200.80 | $251.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $135.20 | $169.00 | 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.