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 |
|---|---|---|---|---|
| Cytopath smear other source CPT 88162 | $159.20 | $199.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $124.00 | $155.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86808 | $967.20 | $1,209.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $100.00 | $125.00 | not published | 0 |
| Dch validity tests CPT 81002 | $30.40 | $38.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $9,057.60 | $11,322.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $514.40 | $643.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $214.40 | $268.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $524.80 | $656.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $87.20 | $109.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $872.80 | $1,091.00 | not published | 0 |
| Decalcification CPT 88311 | $67.20 | $84.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $676.80 | $846.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,671.20 | $3,339.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $84.80 | $106.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $428.80 | $536.00 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $304.80 | $381.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,881.60 | $7,352.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,652.80 | $3,316.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,708.00 | $4,635.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,114.40 | $6,393.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $122.40 | $153.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $219.20 | $274.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $442.40 | $553.00 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $248.00 | $310.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $240.80 | $301.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $416.00 | $520.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $79.20 | $99.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $190.40 | $238.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $288.00 | $360.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $316.00 | $395.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $475.20 | $594.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $396.00 | $495.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $4.00 | $5.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $220.80 | $276.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $145.60 | $182.00 | not published | 0 |
| Disaccharidases CPT 82657 | $1,657.60 | $2,072.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $217.60 | $272.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $55.20 | $69.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $130.40 | $163.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $55.20 | $69.00 | not published | 0 |
| Doppler echo complete CPT 93320 | $698.40 | $873.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $288.80 | $361.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $1,984.80 | $2,481.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $564.80 | $706.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,008.80 | $1,261.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $591.20 | $739.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $324.00 | $405.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,143.20 | $2,679.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $2,196.00 | $2,745.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,606.40 | $5,758.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $154.40 | $193.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,150.40 | $3,938.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $5,283.20 | $6,604.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $832.00 | $1,040.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $424.00 | $530.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $452.80 | $566.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $327.20 | $409.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $580.80 | $726.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $424.80 | $531.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,360.80 | $1,701.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,360.80 | $1,701.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $248.80 | $311.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $228.80 | $286.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $132.00 | $165.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $521.60 | $652.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $189.60 | $237.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $156.80 | $196.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $278.40 | $348.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $907.20 | $1,134.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $264.80 | $331.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $1,518.40 | $1,898.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,397.60 | $1,747.00 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $525.60 | $657.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $244.80 | $306.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $316.00 | $395.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $187.20 | $234.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $613.60 | $767.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $216.80 | $271.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $360.80 | $451.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,160.00 | $3,950.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $525.60 | $657.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $2,012.80 | $2,516.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $543.20 | $679.00 | not published | 0 |
| Echo stress CPT 93350 | $3,070.40 | $3,838.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $2,012.80 | $2,516.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $1,886.40 | $2,358.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,456.80 | $3,071.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $51.20 | $64.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,044.00 | $1,305.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,075.20 | $1,344.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,044.00 | $1,305.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,075.20 | $1,344.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $75.20 | $94.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $2,317.60 | $2,897.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $51.20 | $64.00 | not published | 0 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $551.20 | $689.00 | not published | 0 |
| Elect analysis of infusion pump 62367 CPT 62367 | $551.20 | $689.00 | 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.