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 |
|---|---|---|---|---|
| Control nosebleed pack+caut 30905 CPT 30905 | $961.60 | $1,202.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $531.20 | $664.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $470.40 | $588.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $520.00 | $650.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $1,679.20 | $2,099.00 | not published | 0 |
| Coombs direct CPT 86880 | $95.20 | $119.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $144.00 | $180.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $185.60 | $232.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $1,811.20 | $2,264.00 | not published | 0 |
| Cortisol total am CPT 82533 | $433.60 | $542.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $272.80 | $341.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $57.60 | $72.00 | not published | 0 |
| C-peptide CPT 84681 | $223.20 | $279.00 | not published | 0 |
| C-reactive protein CPT 86140 | $118.40 | $148.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $386.40 | $483.00 | not published | 0 |
| C-reactive protein, quantitative CPT 86406 | $145.60 | $182.00 | not published | 0 |
| Creatine kinase CPT 82550 | $145.60 | $182.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $63.20 | $79.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $176.00 | $220.00 | not published | 0 |
| Creatinine CPT 82565 | $110.40 | $138.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $49.60 | $62.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $180.80 | $226.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $990.40 | $1,238.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $2,350.40 | $2,938.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $572.00 | $715.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $44.00 | $55.00 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $189.60 | $237.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $136.00 | $170.00 | not published | 0 |
| Csf shunt reprogram 62252 CPT 62252 | $404.80 | $506.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $2,099.20 | $2,624.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,420.80 | $3,026.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,967.20 | $3,709.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $5,426.40 | $6,783.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $4,360.00 | $5,450.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,699.20 | $7,124.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,716.00 | $4,645.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $4,348.00 | $5,435.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $3,622.40 | $4,528.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,388.80 | $1,736.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,934.40 | $2,418.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,343.20 | $1,679.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $156.00 | $195.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $1,405.60 | $1,757.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,444.80 | $4,306.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,825.60 | $3,532.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,270.40 | $4,088.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,848.00 | $2,310.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,584.80 | $1,981.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,981.60 | $2,477.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,456.00 | $3,070.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,924.00 | $2,405.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,702.40 | $2,128.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $388.80 | $486.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,385.60 | $7,982.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,717.60 | $7,147.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,614.40 | $5,768.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $3,068.80 | $3,836.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $2,315.20 | $2,894.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $235.20 | $294.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,247.20 | $4,059.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,858.40 | $3,573.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $72.00 | $90.00 | not published | 0 |
| Culture afb any source CPT 87116 | $218.40 | $273.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $234.40 | $293.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $171.20 | $214.00 | not published | 0 |
| Culture bacteria anaerobic CPT 87073 | $452.00 | $565.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $201.60 | $252.00 | not published | 0 |
| Culture body fluid CPT 87070 | $171.20 | $214.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $132.00 | $165.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $156.00 | $195.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $245.60 | $307.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $331.20 | $414.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $175.20 | $219.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $154.40 | $193.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $109.60 | $137.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $823.20 | $1,029.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $158.40 | $198.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $75.20 | $94.00 | not published | 0 |
| Cv stress test/supervision only 93016 CPT 93016 | $75.20 | $94.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $203.20 | $254.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $211.20 | $264.00 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $1,986.40 | $2,483.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $1,224.80 | $1,531.00 | not published | 0 |
| Cystatin c CPT 82610 | $145.60 | $182.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $4,062.40 | $5,078.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $658.40 | $823.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $690.40 | $863.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,857.60 | $3,572.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $684.80 | $856.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $6,670.40 | $8,338.00 | not published | 0 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,697.60 | $2,122.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $248.80 | $311.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $151.20 | $189.00 | not published | 0 |
| Cytomegalovirus dfa CPT 87271 | $258.40 | $323.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $165.60 | $207.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $181.60 | $227.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $206.40 | $258.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $144.00 | $180.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $780.80 | $976.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $206.40 | $258.00 | 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.