OSF Saint Elizabeth Medical Center
1100 East Norris Drive, Ottawa, IL · Osfhealthcare · · NPI 1588713440
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $198.60 | $331.00 | $29.28 – $29.87 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $155.40 | $259.00 | $22.81 – $23.27 | 3 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $13.06 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $126.00 | $210.00 | $142.67 – $145.52 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $36.64 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | $421.20 | $702.00 | $142.58 – $145.43 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $840.06 – $856.87 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $840.06 – $856.87 | 3 |
| 2nd order venous cath CPT 36012 | $1,323.00 | $2,205.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $137.89 – $140.65 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $137.89 – $140.65 | 3 |
| 3-d radiotherapy plan CPT 77295 | $6,102.60 | $10,171.00 | $1,483.26 – $1,512.93 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $1,648.20 | $2,747.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $163.20 | $272.00 | $11.15 – $11.37 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $99.60 | $166.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.72 – $45.61 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $12.25 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $5,272.80 | $8,788.00 | $3,383.62 – $3,451.29 | 3 |
| Abd/low ext cath 1st CPT 36245 | $2,375.40 | $3,959.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,060.00 | $5,100.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,606.40 | $4,344.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,139.00 | $3,565.00 | $112.03 – $114.27 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,239.00 | $7,065.00 | $373.86 – $381.34 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $3,446.40 | $5,744.00 | $373.86 – $381.34 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,784.60 | $4,641.00 | $255.69 – $260.80 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,701.00 | $2,835.00 | $971.94 – $991.38 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $765.00 | $1,275.00 | $112.03 – $114.27 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $890.40 | $1,484.00 | $112.03 – $114.27 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,115.73 – $7,258.04 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $687.00 | $1,145.00 | $971.94 – $991.38 | 3 |
| Abl1 gene CPT 81170 | $1,165.20 | $1,942.00 | $300.00 – $306.00 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $137.89 – $140.65 | 3 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $971.94 – $991.38 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $264.33 – $269.62 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $472.77 – $482.23 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $264.33 – $269.62 | 3 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $232.80 | $388.00 | $328.94 – $335.51 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $10,144.44 – $10,347.33 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $9.08 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $326.55 – $333.09 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $219.30 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,710.00 | $2,850.00 | $1,769.88 – $1,805.28 | 3 |
| Acetaminophen level CPT 80143 | $290.40 | $484.00 | $18.64 – $19.01 | 3 |
| Acetone qualitative CPT 82009 | $30.60 | $51.00 | $4.52 – $4.61 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $157.80 | $263.00 | $12.05 – $12.29 | 3 |
| Acetylcholinesterase assay CPT 82013 | $295.20 | $492.00 | $12.29 – $12.54 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $399.88 – $407.88 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $215.00 – $219.30 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $181.55 – $185.18 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $136.48 – $139.21 | 3 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $190.21 – $194.01 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $142.67 – $145.52 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $18.60 | $31.00 | $12.87 – $13.13 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $137.89 – $140.65 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $40.03 – $40.83 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $88.70 | 3 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $79.83 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $63.22 – $64.48 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $40.83 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.99 – $31.61 | 3 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.99 – $31.61 | 3 |
| Acute hepatitis panel CPT 80074 | $392.40 | $654.00 | $47.63 – $48.58 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| #acylcarnitineprfl CPT 82017 | $244.20 | $407.00 | $16.87 – $17.21 | 3 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $16.82 | 3 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $190.21 – $194.01 | 3 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $177.62 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.22 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $43.80 | $73.00 | $12.87 – $13.13 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.20 | 3 |
| Adh-sendout CPT 84588 | $297.00 | $495.00 | $33.94 – $34.62 | 3 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $971.94 – $991.38 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,790.40 | $2,984.00 | $2,211.05 – $2,255.27 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $285.60 | $476.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $285.60 | $476.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $850.20 | $1,417.00 | $353.96 – $361.04 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $478.80 | $798.00 | $353.96 – $361.04 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $165.60 | $276.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $165.60 | $276.00 | $77.16 – $78.70 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $49.20 | $82.00 | $77.16 – $78.70 | 3 |
| Administration immunization each additional vaccine CPT 90472 | $27.60 | $46.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $77.16 – $78.70 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $45.00 | $75.00 | $50.18 – $51.18 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | $52.80 | $88.00 | $50.18 – $51.18 | 3 |
| Administration vaccine pneumococcal HCPCS G0009 | $59.40 | $99.00 | $50.18 – $51.18 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.20 – $43.04 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Aep hearing status deter i&r CPT 92651 | $459.00 | $765.00 | $231.39 – $236.02 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | $481.20 | $802.00 | $231.39 – $236.02 | 3 |
| Aep thrshld est mlt freq i&r CPT 92652 | $481.20 | $802.00 | $231.39 – $236.02 | 3 |
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.