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 |
|---|---|---|---|---|
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $971.94 – $991.38 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $971.94 – $991.38 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $971.94 – $991.38 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esophagus motility study CPT 91010 | not published | not published | $399.88 – $407.88 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $399.88 – $407.88 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esoph imped function test CPT 91037 | not published | not published | $231.39 – $236.02 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $399.88 – $407.88 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $88.80 | $148.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $129.60 | $216.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $190.80 | $318.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $286.80 | $478.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $406.20 | $677.00 | not published | 0 |
| Estradiol total CPT 82670 | $228.60 | $381.00 | $27.94 – $28.50 | 3 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $22.13 | 3 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,942.69 – $2,942.69 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $518.63 – $529.00 | 3 |
| Ethylene glycol -sendout CPT 82693 | $178.80 | $298.00 | $14.90 – $15.20 | 3 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $105.58 – $107.69 | 3 |
| Euglobulin lysis CPT 85360 | $246.60 | $411.00 | $8.41 – $8.58 | 3 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $137.89 – $140.65 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $393.60 | $656.00 | $117.78 – $120.14 | 3 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $10.59 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $139.20 | $232.00 | $98.11 – $100.07 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $362.40 | $604.00 | $134.52 – $137.21 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $280.80 | $468.00 | $190.21 – $194.01 | 3 |
| Event monitor CPT 93270 | $190.80 | $318.00 | $39.99 – $40.79 | 3 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $399.88 – $407.88 | 3 |
| Evoked oa emissions ltd CPT 92587 | $196.20 | $327.00 | $231.39 – $236.02 | 3 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $472.80 | $788.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $781.20 | $1,302.00 | $231.39 – $236.02 | 3 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $231.39 – $236.02 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $326.55 – $333.09 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $543.00 | $905.00 | $758.85 – $774.02 | 3 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $443.40 | $739.00 | $758.85 – $774.02 | 3 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $758.85 – $774.02 | 3 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $973.20 | $1,622.00 | $758.85 – $774.02 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $997.20 | $1,662.00 | $1,769.88 – $1,805.28 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $435.63 – $444.34 | 3 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $758.85 – $774.02 | 3 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $3,112.75 – $3,175.00 | 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.