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 |
|---|---|---|---|---|
| Disarticulation shoulder CPT 23920 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Discography cerv/thor spine CPT 72285 | $5,983.80 | $9,973.00 | $2,092.58 – $2,134.43 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $284.58 | 3 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $280.33 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $139.74 | 3 |
| Dna antibody native/double stranded CPT 86225 | $61.80 | $103.00 | $13.74 – $14.01 | 3 |
| Dna gardnerella CPT 87510 | $52.20 | $87.00 | $20.05 – $20.45 | 3 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $23.20 | 3 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $27.42 | 3 |
| Dna trichomonas CPT 87660 | $52.20 | $87.00 | $20.05 – $20.45 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $51.62 | 3 |
| Doppler echo complete CPT 93320 | $247.80 | $413.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $432.00 | $720.00 | $231.39 – $236.02 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $453.00 | $755.00 | $142.58 – $145.43 | 3 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.08 – $252.02 | 3 |
| Double transfer toe-hand CPT 26554 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $73.30 | 3 |
| Dpyd gene common variants CPT 81232 | $1,547.40 | $2,579.00 | $174.81 – $178.31 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $443.40 | $739.00 | $758.85 – $774.02 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $758.85 – $774.02 | 3 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $443.40 | $739.00 | $758.85 – $774.02 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drainage mouth roof lesion CPT 42000 | $284.40 | $474.00 | $253.81 – $258.89 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drainage of eye CPT 65800 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Drainage of eye CPT 65810 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Drainage of eye CPT 65815 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Drainage of kidney lesion CPT 50390 | $1,619.40 | $2,699.00 | $758.85 – $774.02 | 3 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $253.81 – $258.89 | 3 |
| Drainage of mouth lesion CPT 41008 | $3,940.80 | $6,568.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $253.81 – $258.89 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $747.24 – $762.18 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $920.24 – $938.65 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $81.00 | $135.00 | $142.58 – $145.43 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,795.80 | $2,993.00 | $1,769.88 – $1,805.28 | 3 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $756.44 – $771.56 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $321.00 | $535.00 | $215.00 – $219.30 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drain shoulder lesion CPT 23030 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,803.00 | $3,005.00 | $3,112.75 – $3,175.00 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $346.80 | $578.00 | $215.00 – $219.30 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $250.20 | $417.00 | $215.00 – $219.30 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $444.60 | $741.00 | $435.63 – $444.34 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $792.00 – $807.84 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $388.80 | $648.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $758.85 – $774.02 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $58.20 | $97.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $39.34 | 3 |
| Drug assay posaconazole CPT 80187 | $151.80 | $253.00 | $27.11 – $27.65 | 3 |
| Drug assay rufinamide CPT 80210 | $101.40 | $169.00 | $27.11 – $27.65 | 3 |
| Drug assay vedolizumab CPT 80280 | $347.40 | $579.00 | $38.57 – $39.34 | 3 |
| Drug assay voriconazole CPT 80285 | $126.60 | $211.00 | $27.11 – $27.65 | 3 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $19.01 | 3 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $12.85 | 3 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $27.65 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $202.71 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $116.72 | 3 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $251.86 | 3 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $159.72 | 3 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $63.38 | 3 |
| Drug test prsmv instrmnt CPT 80306 | $316.80 | $528.00 | $17.14 – $17.48 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $660.00 | $1,100.00 | $62.14 – $63.38 | 3 |
| Drvvt confirm - quest CPT 85597 | $202.80 | $338.00 | $17.98 – $18.34 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $435.63 – $444.34 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $435.63 – $444.34 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $792.00 – $807.84 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $792.00 – $807.84 | 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.