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 |
|---|---|---|---|---|
| Cllr miami j sm HCPCS L0174 | $410.40 | $513.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,126.40 | $2,658.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,344.00 | $1,680.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,077.60 | $2,597.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $524.00 | $655.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,344.00 | $1,680.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $507.20 | $634.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,377.60 | $1,722.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $123.20 | $154.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $200.00 | $250.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $504.00 | $630.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,307.20 | $1,634.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $469.60 | $587.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $329.60 | $412.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $804.00 | $1,005.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $968.80 | $1,211.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $567.20 | $709.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $673.60 | $842.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $928.00 | $1,160.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $639.20 | $799.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $290.40 | $363.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,126.40 | $2,658.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,887.20 | $2,359.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $1,577.60 | $1,972.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $341.60 | $427.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $608.00 | $760.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $942.40 | $1,178.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,424.00 | $1,780.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $762.40 | $953.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,301.60 | $1,627.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $494.40 | $618.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $639.20 | $799.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $1,035.20 | $1,294.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $981.60 | $1,227.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,284.80 | $1,606.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,450.40 | $1,813.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $214.40 | $268.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $332.80 | $416.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $2,389.60 | $2,987.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $852.80 | $1,066.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,241.60 | $2,802.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $469.60 | $587.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $469.60 | $587.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $643.20 | $804.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $728.80 | $911.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $722.40 | $903.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,162.40 | $2,703.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,222.40 | $2,778.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,504.80 | $3,131.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $201.60 | $252.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $408.00 | $510.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $469.60 | $587.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,344.00 | $1,680.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $718.40 | $898.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $1,095.20 | $1,369.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $844.00 | $1,055.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $839.20 | $1,049.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $907.20 | $1,134.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $794.40 | $993.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $871.20 | $1,089.00 | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,084.00 | $2,605.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,360.00 | $5,450.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,219.20 | $2,774.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,061.60 | $2,577.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $499.20 | $624.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $288.80 | $361.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $133.60 | $167.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $44,148.00 | $55,185.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $129.60 | $162.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $410.40 | $513.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $113.60 | $142.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $113.60 | $142.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $34.40 | $43.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $144.00 | $180.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $429.60 | $537.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $144.00 | $180.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $144.00 | $180.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $453.60 | $567.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $584.00 | $730.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $684.00 | $855.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $635.20 | $794.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $768.80 | $961.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $857.60 | $1,072.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $670.40 | $838.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $840.80 | $1,051.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $348.80 | $436.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $229.60 | $287.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $527.20 | $659.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $358.40 | $448.00 | not published | 0 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,550.40 | $3,188.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $260.00 | $325.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $277.60 | $347.00 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $699.20 | $874.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $448.00 | $560.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $260.00 | $325.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $962.40 | $1,203.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $180.80 | $226.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $1,643.20 | $2,054.00 | 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.