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 |
|---|---|---|---|---|
| Brace ankle stablizing lg HCPCS L1902 | $225.60 | $282.00 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $3,660.80 | $4,576.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $4,564.00 | $5,705.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $410.40 | $513.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $1,846.40 | $2,308.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $410.40 | $513.00 | not published | 0 |
| Braf gene CPT 81210 | $834.40 | $1,043.00 | not published | 0 |
| Brain image w/flow 4 + views CPT 78606 | $1,280.80 | $1,601.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,392.80 | $4,241.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,966.40 | $3,708.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,733.60 | $3,417.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $3,823.20 | $4,779.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $2,956.80 | $3,696.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $2,808.80 | $3,511.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $225.60 | $282.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $6,561.60 | $8,202.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,796.80 | $4,746.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $880.00 | $1,100.00 | not published | 0 |
| Bronchial challenge CPT 94070 | $607.20 | $759.00 | not published | 0 |
| Bronch w/balloon occlusion CPT 31634 | $5,601.60 | $7,002.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $641.60 | $802.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $136.00 | $170.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $130.40 | $163.00 | not published | 0 |
| Buprenorphine and metabolite - sendout CPT 80348 | $171.20 | $214.00 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $2,388.00 | $2,985.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,447.20 | $1,809.00 | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $2,083.20 | $2,604.00 | not published | 0 |
| Bx pleura pq ndl CPT 32400 | $2,167.20 | $2,709.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $682.40 | $853.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $188.00 | $235.00 | not published | 0 |
| Cad breast MRI w/r&i HCPCS C8937 | $0.01 | $0.01 | not published | 0 |
| Cadd pump refill CPT 96521 | $557.60 | $697.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $145.60 | $182.00 | not published | 0 |
| Calcium ionized CPT 82330 | $160.00 | $200.00 | not published | 0 |
| Calcium total CPT 82310 | $142.40 | $178.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $187.20 | $234.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $631.20 | $789.00 | not published | 0 |
| Campylobacter antibody CPT 86625 | $285.60 | $357.00 | not published | 0 |
| Candida dna CPT 87480 | $55.20 | $69.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $65.60 | $82.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $212.00 | $265.00 | not published | 0 |
| Carbohydrate deficient transf - sendout CPT 82373 | $208.80 | $261.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $112.80 | $141.00 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $90.40 | $113.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $810.40 | $1,013.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,927.20 | $4,909.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $223.20 | $279.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $220.80 | $276.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $226.40 | $283.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $734.40 | $918.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $112.00 | $140.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $56.00 | $70.00 | not published | 0 |
| Carotene CPT 82380 | $172.00 | $215.00 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,397.60 | $1,747.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,324.80 | $12,906.00 | not published | 0 |
| Catheter insert artery CPT 36625 | $441.60 | $552.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $389.60 | $487.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $1,185.60 | $1,482.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $174.40 | $218.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $186.40 | $233.00 | not published | 0 |
| Cell cryopreserve/storage CPT 88240 | $911.20 | $1,139.00 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $528.80 | $661.00 | not published | 0 |
| Cell marker study CPT 88182 | $967.20 | $1,209.00 | not published | 0 |
| #cf-97variants CPT 81220 | $2,475.20 | $3,094.00 | not published | 0 |
| Cftr gene dup/delet variants CPT 81222 | $2,018.40 | $2,523.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $404.80 | $506.00 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $504.00 | $630.00 | not published | 0 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $756.00 | $945.00 | not published | 0 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $870.40 | $1,088.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $464.80 | $581.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $768.80 | $961.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $376.80 | $471.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,705.60 | $3,382.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $2,765.60 | $3,457.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,752.00 | $2,190.00 | not published | 0 |
| Chest X-ray CPT 71046 | $316.80 | $396.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $268.80 | $336.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $260.00 | $325.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $694.40 | $868.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $330.40 | $413.00 | not published | 0 |
| Chlamydia type CPT 87140 | $92.00 | $115.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $685.60 | $857.00 | not published | 0 |
| Chloride CPT 82435 | $100.00 | $125.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $118.40 | $148.00 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $3,207.20 | $4,009.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $878.40 | $1,098.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,206.40 | $4,008.00 | not published | 0 |
| Cholesterol CPT 82465 | $106.40 | $133.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $776.80 | $971.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $214.40 | $268.00 | not published | 0 |
| Cholinesterase CPT 82480 | $166.40 | $208.00 | not published | 0 |
| Chrom analysis CPT 88273 | $173.60 | $217.00 | not published | 0 |
| Chromatography CPT 83021 | $921.60 | $1,152.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $1,064.00 | $1,330.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $604.00 | $755.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $916.80 | $1,146.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $272.00 | $340.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $541.60 | $677.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $231.20 | $289.00 | not published | 0 |
| Clearance of airways CPT 31720 | $185.60 | $232.00 | 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.