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 |
|---|---|---|---|---|
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $186.60 | $311.00 | $14.39 – $14.68 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $234.60 | $391.00 | $16.85 – $17.19 | 3 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $13.69 | 3 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,808.61 – $1,844.78 | 3 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $30.63 | 3 |
| Cyto/molecular report CPT 88291 | $156.60 | $261.00 | not published | 0 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $25.88 | 3 |
| Cytopath c/v automated CPT 88147 | not published | not published | $50.56 – $51.57 | 3 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $27.64 – $28.19 | 3 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.54 – $18.91 | 3 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $14.94 | 3 |
| Cytopath c/v manual CPT 88150 | not published | not published | $18.54 – $18.91 | 3 |
| Cytopath c/v redo CPT 88153 | not published | not published | $24.03 – $24.51 | 3 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $23.50 | 3 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $30.99 – $31.61 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $165.00 | $275.00 | $55.84 – $56.96 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $105.00 | $175.00 | $26.61 – $27.14 | 3 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $20.26 – $20.67 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $30.60 | $51.00 | $40.03 – $40.83 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $155.40 | $259.00 | $40.03 – $40.83 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $88.80 | $148.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $108.00 | $180.00 | $182.57 – $186.22 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $581.40 | $969.00 | $55.84 – $56.96 | 3 |
| Cytopath smear other source CPT 88160 | $155.40 | $259.00 | $30.99 – $31.61 | 3 |
| Cytopath smear other source CPT 88162 | $124.20 | $207.00 | $55.84 – $56.96 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $125.40 | $209.00 | $30.99 – $31.61 | 3 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.54 – $18.91 | 3 |
| Cytopath tbs c/v manual CPT 88164 | $88.20 | $147.00 | $18.54 – $18.91 | 3 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $42.22 – $43.06 | 3 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.54 – $18.91 | 3 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $80.22 | 3 |
| Cytotoxic antibody screening CPT 86808 | $855.00 | $1,425.00 | $29.68 – $30.27 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $182.57 – $186.22 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $337.67 – $344.42 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.00 – $15.30 | 3 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.13 – $0.13 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.03 – $56.13 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $3.13 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $3.13 | 3 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $10.95 | 3 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $11.53 | 3 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $261.20 – $266.42 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $53.79 – $53.79 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $215.00 – $219.30 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $5.14 | 3 |
| Dch pulmonary stress test CPT 94621 | $706.80 | $1,178.00 | $399.88 – $407.88 | 3 |
| Dch validity tests CPT 81002 | $37.80 | $63.00 | $3.48 – $3.55 | 3 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $12.29 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $385.80 | $643.00 | $435.63 – $444.34 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $171.60 | $286.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,092.20 | $3,487.00 | $1,769.88 – $1,805.28 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $342.00 | $570.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,932.00 | $3,220.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $464.40 | $774.00 | $435.63 – $444.34 | 3 |
| Debride nail1-5 11720 CPT 11720 | $181.80 | $303.00 | $63.22 – $64.48 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $126.60 | $211.00 | $63.22 – $64.48 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $679.20 | $1,132.00 | $758.85 – $774.02 | 3 |
| Debride skin bone at fx site CPT 11012 | $1,803.00 | $3,005.00 | $3,112.75 – $3,175.00 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $256.20 | $427.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $215.00 – $219.30 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $638.40 | $1,064.00 | $758.85 – $774.02 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $778.80 | $1,298.00 | $792.00 – $807.84 | 3 |
| Decalcification CPT 88311 | $38.40 | $64.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $840.60 | $1,401.00 | $353.96 – $361.04 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.46 – $4.55 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Delivery of placenta 59414 CPT 59414 | $3,671.40 | $6,119.00 | $3,468.96 – $3,538.34 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $142.67 – $145.52 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $63.60 | $106.00 | $234.66 – $239.35 | 3 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,506.34 – $3,576.46 | 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.