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 |
|---|---|---|---|---|
| Apply hand/wrist cast 29085 CPT 29085 | $246.40 | $308.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $276.80 | $346.00 | not published | 0 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $936.80 | $1,171.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $144.00 | $180.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $52.80 | $66.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $244.80 | $306.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,833.60 | $4,792.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $5,750.40 | $7,188.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $2,644.00 | $3,305.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $504.00 | $630.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,107.20 | $1,384.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $636.80 | $796.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $416.80 | $521.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $756.00 | $945.00 | not published | 0 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $756.00 | $945.00 | not published | 0 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $415.20 | $519.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,376.00 | $1,720.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,297.60 | $1,622.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $431.20 | $539.00 | not published | 0 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,310.40 | $1,638.00 | not published | 0 |
| Assay neurflmnt light chain CPT 83884 | $2,408.80 | $3,011.00 | not published | 0 |
| Assay of breath ethanol CPT 82075 | $45.60 | $57.00 | not published | 0 |
| Assay of endocrine hormone CPT 84235 | $312.80 | $391.00 | not published | 0 |
| Assay of glutathione CPT 82978 | $163.20 | $204.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $95.20 | $119.00 | not published | 0 |
| Assay of leflunomide CPT 80193 | $497.60 | $622.00 | not published | 0 |
| Assay of procainamide w/metab CPT 80192 | $131.20 | $164.00 | not published | 0 |
| Assay of prostaglandin CPT 84150 | $132.00 | $165.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $192.80 | $241.00 | not published | 0 |
| Assay of tyrosine CPT 84510 | $124.00 | $155.00 | not published | 0 |
| Assay of urine sulfate CPT 84392 | $104.00 | $130.00 | not published | 0 |
| Assay phosphohexose enzymes CPT 84087 | $113.60 | $142.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $400.00 | $500.00 | not published | 0 |
| Assistive tech assessment, ot CPT 97755 | $120.80 | $151.00 | not published | 0 |
| Ast/sgot CPT 84450 | $118.40 | $148.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $149.60 | $187.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $224.80 | $281.00 | not published | 0 |
| Baclofen eval charges CPT 97750 | $141.60 | $177.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $96.80 | $121.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $1,050.40 | $1,313.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $172.00 | $215.00 | not published | 0 |
| B cells total count CPT 86355 | $643.20 | $804.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $320.80 | $401.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $535.20 | $669.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $580.00 | $725.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $444.00 | $555.00 | not published | 0 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $82.40 | $103.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $56.80 | $71.00 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,092.00 | $2,615.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $756.00 | $945.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,156.80 | $1,446.00 | not published | 0 |
| Bilicheck CPT 88720 | $80.80 | $101.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $107.20 | $134.00 | not published | 0 |
| Bilirubin total CPT 82247 | $159.20 | $199.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,426.40 | $1,783.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,358.40 | $1,698.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,366.40 | $2,958.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,094.40 | $1,368.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $1,426.40 | $1,783.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $1,669.60 | $2,087.00 | not published | 0 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,584.00 | $1,980.00 | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,092.00 | $2,615.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $527.20 | $659.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $52.00 | $65.00 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $340.00 | $425.00 | not published | 0 |
| Bld prd mix CPT 86965 | $144.00 | $180.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $504.00 | $630.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $100.80 | $126.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $120.00 | $150.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $130.40 | $163.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $73.60 | $92.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $228.00 | $285.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $34.40 | $43.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $356.80 | $446.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $120.80 | $151.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $117.60 | $147.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $90.40 | $113.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $146.40 | $183.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $88.80 | $111.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $90.40 | $113.00 | not published | 0 |
| Blood typing abo CPT 86900 | $108.00 | $135.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $476.00 | $595.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $476.00 | $595.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $69.60 | $87.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $118.40 | $148.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $441.60 | $552.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,701.60 | $2,127.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $1,048.80 | $1,311.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,359.20 | $1,699.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $950.40 | $1,188.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $699.20 | $874.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $666.40 | $833.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $780.80 | $976.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,524.00 | $1,905.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $536.80 | $671.00 | not published | 0 |
| Borrelia miyamotoi amp prb CPT 87478 | $47.20 | $59.00 | not published | 0 |
| Bowel imaging CPT 78290 | $3,672.80 | $4,591.00 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $2,451.20 | $3,064.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $1,524.00 | $1,905.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $410.40 | $513.00 | 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.