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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, single level CPT 64420 | $1,451.20 | $1,814.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,483.20 | $1,854.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,084.80 | $1,356.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $1,393.60 | $1,742.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $1,393.60 | $1,742.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,393.60 | $1,742.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,107.20 | $1,384.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $1,107.20 | $1,384.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $179.20 | $224.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $752.00 | $940.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $46.40 | $58.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $164.00 | $205.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $144.00 | $180.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $170.40 | $213.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $549.60 | $687.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,212.00 | $2,765.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,630.40 | $2,038.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $584.00 | $730.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $435.20 | $544.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $1,580.00 | $1,975.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $201.60 | $252.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.00 | $60.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $136.80 | $171.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $100.00 | $125.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $260.00 | $325.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $481.60 | $602.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $131.20 | $164.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $308.00 | $385.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $320.00 | $400.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,344.00 | $1,680.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $156.80 | $196.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $317.60 | $397.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $118.40 | $148.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $477.60 | $597.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $632.00 | $790.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $436.00 | $545.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $453.60 | $567.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $407.20 | $509.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $445.60 | $557.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $448.00 | $560.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $584.00 | $730.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $603.20 | $754.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $939.20 | $1,174.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $382.40 | $478.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $536.00 | $670.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $638.40 | $798.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,187.20 | $1,484.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $897.60 | $1,122.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $292.80 | $366.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $3,208.00 | $4,010.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $140.00 | $175.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $224.80 | $281.00 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $172.00 | $215.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $121.60 | $152.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $48.00 | $60.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $100.00 | $125.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $125.60 | $157.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $193.60 | $242.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $74.40 | $93.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $266.40 | $333.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $535.20 | $669.00 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $172.00 | $215.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $402.40 | $503.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $379.20 | $474.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $456.00 | $570.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,894.40 | $3,618.00 | not published | 0 |
| Hand X-ray CPT 73130 | $671.20 | $839.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $288.80 | $361.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,241.60 | $1,552.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,076.00 | $1,345.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $1,241.60 | $1,552.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $1,158.40 | $1,448.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $97.60 | $122.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $200.00 | $250.00 | not published | 0 |
| Hc nm kidney imaging with flow CPT 78701 | $1,858.40 | $2,323.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $2,198.40 | $2,748.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,980.80 | $2,476.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,640.00 | $2,050.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $214.40 | $268.00 | not published | 0 |
| Hematocrit CPT 85014 | $97.60 | $122.00 | not published | 0 |
| Hemoglobin CPT 85018 | $52.00 | $65.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $441.60 | $552.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $93.60 | $117.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $69.60 | $87.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $142.40 | $178.00 | not published | 0 |
| Heparin assay CPT 85520 | $634.40 | $793.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $326.40 | $408.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $160.00 | $200.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $266.40 | $333.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $152.00 | $190.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $224.00 | $280.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $1,960.80 | $2,451.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,628.00 | $2,035.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $4,903.20 | $6,129.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $156.00 | $195.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $156.00 | $195.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $122.40 | $153.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $700.80 | $876.00 | not published | 0 |
| Hip X-ray CPT 73502 | $629.60 | $787.00 | not published | 0 |
| Histamine CPT 83088 | $480.00 | $600.00 | 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.