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 |
|---|---|---|---|---|
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,832.40 | $3,054.00 | $264.33 – $269.62 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $262.20 | $437.00 | $264.33 – $269.62 | 3 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,043.00 | $3,405.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,832.40 | $3,054.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $360.00 | $600.00 | $264.33 – $269.62 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $360.00 | $600.00 | $264.33 – $269.62 | 3 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $264.33 – $269.62 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $264.33 – $269.62 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $163.20 | $272.00 | $264.33 – $269.62 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $558.00 | $930.00 | $264.33 – $269.62 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $553.20 | $922.00 | $264.33 – $269.62 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,945.20 | $3,242.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,974.60 | $3,291.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $151.20 | $252.00 | $264.33 – $269.62 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $198.00 | $330.00 | $264.33 – $269.62 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $360.00 | $600.00 | $264.33 – $269.62 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $550.80 | $918.00 | $264.33 – $269.62 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $622.80 | $1,038.00 | $264.33 – $269.62 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $646.20 | $1,077.00 | $264.33 – $269.62 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $643.80 | $1,073.00 | $264.33 – $269.62 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $264.33 – $269.62 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $694.80 | $1,158.00 | $264.33 – $269.62 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $608.40 | $1,014.00 | $264.33 – $269.62 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $264.33 – $269.62 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $667.80 | $1,113.00 | $264.33 – $269.62 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,757.40 | $2,929.00 | $1,723.15 – $1,757.62 | 3 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $264.33 – $269.62 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Cltx mndblr fx w/mnpj CPT 21451 | $1,783.20 | $2,972.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $3,859.80 | $6,433.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | not published | not published | $264.33 – $269.62 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,965.60 | $3,276.00 | $1,723.15 – $1,757.62 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $264.33 – $269.62 | 3 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| C motor evoked lwr limbs CPT 95929 | $340.80 | $568.00 | $399.88 – $407.88 | 3 |
| C motor evoked uppr limbs CPT 95928 | $613.20 | $1,022.00 | $920.24 – $938.65 | 3 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,558.20 | $2,597.00 | $920.24 – $938.65 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $63.22 – $64.48 | 3 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $63.22 – $64.48 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $14.35 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $8.98 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $382.20 | $637.00 | $19.56 – $19.95 | 3 |
| Cmv pcr-sendout CPT 87496 | $363.60 | $606.00 | $35.09 – $35.79 | 3 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $139.74 | 3 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $171.49 – $174.92 | 3 |
| Co2 monitor per day CPT 94681 | not published | not published | $399.88 – $407.88 | 3 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.64 – $2.69 | 3 |
| Coagulation time activated teg CPT 85347 | $104.40 | $174.00 | $4.28 – $4.37 | 3 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $4.78 | 3 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $4.58 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $33,111.00 | $55,185.00 | not published | 0 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $137.89 – $140.65 | 3 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $137.89 – $140.65 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $8.23 | 3 |
| Cold agglutinin titer CPT 86157 | $34.20 | $57.00 | $8.06 – $8.22 | 3 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $78.35 – $79.92 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $307.80 | $513.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $85.20 | $142.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $85.20 | $142.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $142.58 – $145.43 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $142.58 – $145.43 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $25.80 | $43.00 | $9.34 – $9.53 | 3 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $231.39 – $236.02 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $996.56 – $1,016.49 | 3 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $996.56 – $1,016.49 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $996.56 – $1,016.49 | 3 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $996.56 – $1,016.49 | 3 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,282.34 – $1,307.99 | 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.