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 |
|---|---|---|---|---|
| Gamma glutamyltransferase CPT 82977 | $159.20 | $199.00 | not published | 0 |
| Gastric emptying imag study CPT 78265 | $3,156.80 | $3,946.00 | not published | 0 |
| Gastroesophageal reflux study CPT 78262 | $1,088.00 | $1,360.00 | not published | 0 |
| Gated heart multiple CPT 78473 | $2,588.80 | $3,236.00 | not published | 0 |
| General health panel CPT 80050 | $671.20 | $839.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $9,084.00 | $11,355.00 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $164.80 | $206.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $765.60 | $957.00 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,404.00 | $3,005.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $166.40 | $208.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $184.80 | $231.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $160.00 | $200.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $194.40 | $243.00 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | $88.80 | $111.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,107.20 | $1,384.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,696.00 | $3,370.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $256.00 | $320.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $504.80 | $631.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $228.80 | $286.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $418.40 | $523.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $820.80 | $1,026.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $469.60 | $587.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,609.60 | $2,012.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,112.80 | $3,891.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $469.60 | $587.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,903.20 | $3,629.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $671.20 | $839.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $859.20 | $1,074.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $144.00 | $180.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $233.60 | $292.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $335.20 | $419.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $280.80 | $351.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $2,261.60 | $2,827.00 | not published | 0 |
| Ghs cutdown placement age 1 and over CPT 36425 | $335.20 | $419.00 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $180.80 | $226.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,008.00 | $1,260.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,162.40 | $1,453.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $316.00 | $395.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $965.60 | $1,207.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $404.00 | $505.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $370.40 | $463.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,596.00 | $1,995.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,708.80 | $2,136.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $1,360.80 | $1,701.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $244.80 | $306.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $1,459.20 | $1,824.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $1,227.20 | $1,534.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $261.60 | $327.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $309.60 | $387.00 | not published | 0 |
| Ghs hgb stability-thal CPT 83068 | $568.00 | $710.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $400.00 | $500.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $178.40 | $223.00 | not published | 0 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $751.20 | $939.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,857.60 | $3,572.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,871.20 | $2,339.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $972.00 | $1,215.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $564.80 | $706.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $321.60 | $402.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $408.80 | $511.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $1,117.60 | $1,397.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $168.80 | $211.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,393.60 | $1,742.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,092.00 | $2,615.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $236.80 | $296.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,261.60 | $1,577.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,393.60 | $1,742.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $335.20 | $419.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,016.80 | $1,271.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,215.20 | $1,519.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,539.20 | $1,924.00 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $200.00 | $250.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $322.40 | $403.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $74.40 | $93.00 | not published | 0 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $716.00 | $895.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $716.00 | $895.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $716.00 | $895.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $703.20 | $879.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $488.00 | $610.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $442.40 | $553.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $526.40 | $658.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $626.40 | $783.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $744.80 | $931.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $681.60 | $852.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $652.00 | $815.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $732.00 | $915.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $589.60 | $737.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,061.60 | $1,327.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $814.40 | $1,018.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $899.20 | $1,124.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,348.00 | $1,685.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,126.40 | $1,408.00 | not published | 0 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,539.20 | $1,924.00 | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,126.40 | $1,408.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $114.40 | $143.00 | not published | 0 |
| Ghs mbp CPT 83873 | $129.60 | $162.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $432.00 | $540.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $552.80 | $691.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $294.40 | $368.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $735.20 | $919.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,934.40 | $2,418.00 | 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.