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 |
|---|---|---|---|---|
| Electrical stimulation/unattended 97014 CPT 97014 | $70.40 | $88.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $211.20 | $264.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $75.20 | $94.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $75.20 | $94.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $75.20 | $94.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $500.80 | $626.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $699.20 | $874.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $19,847.20 | $24,809.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $19,847.20 | $24,809.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,578.40 | $1,973.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $1,393.60 | $1,742.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $204.80 | $256.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $194.40 | $243.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $152.80 | $191.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,212.80 | $1,516.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $183.20 | $229.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $380.00 | $475.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $648.00 | $810.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,026.40 | $1,283.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,707.20 | $2,134.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $110.40 | $138.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $181.60 | $227.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $232.80 | $291.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $319.20 | $399.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $427.20 | $534.00 | not published | 0 |
| Estradiol total CPT 82670 | $297.60 | $372.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $122.40 | $153.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $235.20 | $294.00 | not published | 0 |
| Euglobulin lysis CPT 85360 | $316.80 | $396.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $483.20 | $604.00 | not published | 0 |
| Event monitor CPT 93270 | $216.80 | $271.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $261.60 | $327.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $3,206.40 | $4,008.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $1,712.80 | $2,141.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,184.00 | $2,730.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $591.20 | $739.00 | not published | 0 |
| Excision of gum flap CPT 41821 | $2,084.00 | $2,605.00 | not published | 0 |
| Exercise tst brncspsm w/ecg CPT 94617 | $618.40 | $773.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $3,188.80 | $3,986.00 | not published | 0 |
| Explore wound abdomen 20102 CPT 20102 | $2,403.20 | $3,004.00 | not published | 0 |
| Explore woundchest 20101 CPT 20101 | $2,300.00 | $2,875.00 | not published | 0 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $613.60 | $767.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $613.60 | $767.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $44.00 | $55.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $976.00 | $1,220.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $604.80 | $756.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $363.20 | $454.00 | not published | 0 |
| Factor ix CPT 85250 | $200.00 | $250.00 | not published | 0 |
| Factor viii CPT 85240 | $220.80 | $276.00 | not published | 0 |
| Fancc gene CPT 81242 | $1,080.80 | $1,351.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $80.00 | $100.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $263.20 | $329.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $118.40 | $148.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $115.20 | $144.00 | not published | 0 |
| Fern test HCPCS Q0114 | $44.80 | $56.00 | not published | 0 |
| Ferritin CPT 82728 | $221.60 | $277.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,177.60 | $3,972.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $1,095.20 | $1,369.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $93.60 | $117.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $190.40 | $238.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $234.40 | $293.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $104.00 | $130.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $172.80 | $216.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $165.60 | $207.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $497.60 | $622.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $359.20 | $449.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,297.60 | $1,622.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $650.40 | $813.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $650.40 | $813.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $336.00 | $420.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $443.20 | $554.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $161.60 | $202.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $2,969.60 | $3,712.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $83.20 | $104.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,014.40 | $1,268.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $1,201.60 | $1,502.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $673.60 | $842.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $673.60 | $842.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $673.60 | $842.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,228.00 | $1,535.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $615.20 | $769.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,228.00 | $1,535.00 | not published | 0 |
| Fna bx w/mr gdn ea addl CPT 10012 | $615.20 | $769.00 | not published | 0 |
| Folic acid CPT 82746 | $186.40 | $233.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $2,644.00 | $3,305.00 | not published | 0 |
| Foot X-ray CPT 73630 | $772.00 | $965.00 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $340.80 | $426.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $201.60 | $252.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $214.40 | $268.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $144.00 | $180.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $90.40 | $113.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $360.00 | $450.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $667.20 | $834.00 | not published | 0 |
| G6pc gene CPT 81250 | $138.40 | $173.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,960.80 | $2,451.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $9.60 | $12.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $148.00 | $185.00 | not published | 0 |
| Galactose transferase test CPT 82776 | $52.00 | $65.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $329.60 | $412.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $148.00 | $185.00 | 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.