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 |
|---|---|---|---|---|
| Treat humerus fracture CPT 24535 | $2,061.60 | $2,577.00 | not published | 0 |
| Treat knee dislocation CPT 27552 | $1,344.00 | $1,680.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $398.40 | $498.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $148.00 | $185.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $116.00 | $145.00 | not published | 0 |
| Treatment of ankle fracture 27786 CPT 27786 | $1,166.40 | $1,458.00 | not published | 0 |
| Treatment of fibula fracture 27780 CPT 27780 | $1,166.40 | $1,458.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,344.00 | $1,680.00 | not published | 0 |
| Treatment of toe fracture 28510 CPT 28510 | $376.00 | $470.00 | not published | 0 |
| Treat sternum fracture CPT 21820 | $556.00 | $695.00 | not published | 0 |
| Treat thigh fracture CPT 27238 | $2,077.60 | $2,597.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $2,144.80 | $2,681.00 | not published | 0 |
| Treat wrist dislocation CPT 25675 | $334.40 | $418.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $176.00 | $220.00 | not published | 0 |
| Triglycerides CPT 84478 | $131.20 | $164.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,654.40 | $5,818.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,728.00 | $3,410.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,728.00 | $3,410.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,728.00 | $3,410.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $176.00 | $220.00 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $19,847.20 | $24,809.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $469.60 | $587.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $639.20 | $799.00 | not published | 0 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $585.60 | $732.00 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $122.40 | $153.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $666.40 | $833.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $796.80 | $996.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,200.80 | $1,501.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $612.80 | $766.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,083.20 | $1,354.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $797.60 | $997.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $268.00 | $335.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,302.40 | $1,628.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $459.20 | $574.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $489.60 | $612.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $676.80 | $846.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $967.20 | $1,209.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $503.20 | $629.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $279.20 | $349.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,060.00 | $1,325.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $871.20 | $1,089.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $275.20 | $344.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $924.80 | $1,156.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $969.60 | $1,212.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $1,092.00 | $1,365.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $832.00 | $1,040.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $279.20 | $349.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $924.80 | $1,156.00 | not published | 0 |
| Ultraviolet therapy CPT 97028 | $36.80 | $46.00 | not published | 0 |
| Unlisted cytogenetic study CPT 88299 | $2,134.40 | $2,668.00 | not published | 0 |
| Unlisted maaa CPT 81599 | $431.20 | $539.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $2,256.80 | $2,821.00 | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $133.60 | $167.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $559.20 | $699.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,398.40 | $5,498.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,702.40 | $4,628.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,401.60 | $4,252.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $100.00 | $125.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $136.00 | $170.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $628.00 | $785.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $720.00 | $900.00 | not published | 0 |
| Uric acid blood CPT 84550 | $97.60 | $122.00 | not published | 0 |
| Uric acid urine CPT 84560 | $141.60 | $177.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $66.40 | $83.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $92.80 | $116.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $69.60 | $87.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $77.60 | $97.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $144.00 | $180.00 | not published | 0 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $4,641.60 | $5,802.00 | not published | 0 |
| Vaginal bx CPT 58999 | $719.20 | $899.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $228.80 | $286.00 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $162.40 | $203.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $308.80 | $386.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,644.00 | $3,305.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,644.00 | $3,305.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $30.40 | $38.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,580.80 | $3,226.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,304.80 | $1,631.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $9,609.60 | $12,012.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $1,020.00 | $1,275.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,258.40 | $1,573.00 | not published | 0 |
| Vest large holster HCPCS Q0498 | $2,451.20 | $3,064.00 | not published | 0 |
| Vital capacity test CPT 94150 | $126.40 | $158.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $119.20 | $149.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $144.80 | $181.00 | not published | 0 |
| Volume measurement urine timed CPT 81050 | $53.60 | $67.00 | not published | 0 |
| Warde 1003990 aldosterone CPT 82088 | $318.40 | $398.00 | not published | 0 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $615.20 | $769.00 | not published | 0 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $246.40 | $308.00 | not published | 0 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $293.60 | $367.00 | not published | 0 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $182.40 | $228.00 | not published | 0 |
| Warde 1015200 kappa light chain free CPT 83521 | $150.40 | $188.00 | not published | 0 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $381.60 | $477.00 | not published | 0 |
| Warde 3008005 oligoclonal bands CPT 83916 | $292.80 | $366.00 | not published | 0 |
| Warde 3016000 west nile virus antibody CPT 86788 | $448.00 | $560.00 | not published | 0 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $384.00 | $480.00 | not published | 0 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $240.00 | $300.00 | not published | 0 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $130.40 | $163.00 | not published | 0 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $131.20 | $164.00 | not published | 0 |
| Warde 3400852 arsenic CPT 82175 | $831.20 | $1,039.00 | 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.