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 |
|---|---|---|---|---|
| Sinus CT scan (without contrast) CPT 70486 | $1,764.00 | $2,205.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,644.00 | $3,305.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $271.20 | $339.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $5,449.60 | $6,812.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $862.40 | $1,078.00 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $410.40 | $513.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $104.00 | $130.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $65.60 | $82.00 | not published | 0 |
| Smear gram stain CPT 87205 | $75.20 | $94.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $96.00 | $120.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $158.40 | $198.00 | not published | 0 |
| Smear wet mount CPT 87210 | $98.40 | $123.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $131.20 | $164.00 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $118.40 | $148.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $10,926.40 | $13,658.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $100.00 | $125.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $124.00 | $155.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,474.40 | $1,843.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $467.20 | $584.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $113.60 | $142.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $1,524.00 | $1,905.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $780.80 | $976.00 | not published | 0 |
| Sputum specimen collection CPT 89220 | $58.40 | $73.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $477.60 | $597.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $373.60 | $467.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $391.20 | $489.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $541.60 | $677.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $547.20 | $684.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $412.80 | $516.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $132.80 | $166.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $568.80 | $711.00 | not published | 0 |
| Stress tte complete CPT 93351 | $3,598.40 | $4,498.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $342.40 | $428.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $288.00 | $360.00 | not published | 0 |
| Sugars single quant CPT 84378 | $408.00 | $510.00 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $225.60 | $282.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $280.80 | $351.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $206.40 | $258.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $252.80 | $316.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $500.80 | $626.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $588.80 | $736.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,353.60 | $1,692.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $112.80 | $141.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $55.20 | $69.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $80.80 | $101.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $92.00 | $115.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $314.40 | $393.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $185.60 | $232.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $132.80 | $166.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $133.60 | $167.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $346.40 | $433.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $5,959.20 | $7,449.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,790.40 | $5,988.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $3,642.40 | $4,553.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $148.00 | $185.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $271.20 | $339.00 | not published | 0 |
| T cells total count CPT 86359 | $171.20 | $214.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $58.40 | $73.00 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $2,642.40 | $3,303.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $1,602.40 | $2,003.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,000.80 | $1,251.00 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $9,375.20 | $11,719.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $173.60 | $217.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $100.00 | $125.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $51.20 | $64.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $51.20 | $64.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $200.00 | $250.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,718.40 | $4,648.00 | not published | 0 |
| Thrombin time CPT 85670 | $161.60 | $202.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $231.20 | $289.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $163.20 | $204.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $1,165.60 | $1,457.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $192.00 | $240.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $1,092.00 | $1,365.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $1,259.20 | $1,574.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $168.80 | $211.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $1,740.00 | $2,175.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $4,223.20 | $5,279.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $96.80 | $121.00 | not published | 0 |
| Tixagev and cilgav inj HCPCS M0220 | $128.00 | $160.00 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $165.60 | $207.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $131.20 | $164.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $119.20 | $149.00 | not published | 0 |
| Total tau CPT 84394 | $444.00 | $555.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $144.00 | $180.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $184.80 | $231.00 | not published | 0 |
| Tp53 gene full gene sequence CPT 81351 | $829.60 | $1,037.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,241.60 | $1,552.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $1,292.00 | $1,615.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $5,220.80 | $6,526.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $4,653.60 | $5,817.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $15,550.40 | $19,438.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $9,609.60 | $12,012.00 | not published | 0 |
| Transferrin CPT 84466 | $162.40 | $203.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,341.60 | $1,677.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,344.00 | $1,680.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $1,340.00 | $1,675.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $2,061.60 | $2,577.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $907.20 | $1,134.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $2,144.80 | $2,681.00 | 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.