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 |
|---|---|---|---|---|
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $142.67 – $145.52 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.54 – $6.67 | 3 |
| Foot X-ray CPT 73630 | $500.40 | $834.00 | $93.26 – $95.12 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $55.84 – $56.96 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $301.80 | $503.00 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $42.42 – $42.42 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $29.07 | 3 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $93.26 – $95.12 | 3 |
| _fragile x methylation-sendout CPT 81244 | $543.60 | $906.00 | $44.89 – $45.79 | 3 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Frenectomy 41115 CPT 41115 | $1,386.60 | $2,311.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $159.00 | $265.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $145.20 | $242.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $40.03 – $40.83 | 3 |
| Frozen blood prep CPT 86930 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen blood thaw CPT 86931 | not published | not published | $182.57 – $186.22 | 3 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $12.33 | 3 |
| Fructosamine glycated protein CPT 82985 | $120.60 | $201.00 | $16.76 – $17.10 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $1,517.12 | 3 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $70.91 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $275.40 | $459.00 | $153.50 – $156.57 | 3 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $56.65 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | $496.20 | $827.00 | $54.30 – $55.39 | 3 |
| Full field erg w/i&r CPT 92273 | not published | not published | $231.39 – $236.02 | 3 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $255.69 – $260.80 | 3 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,875.00 | $3,125.00 | $2,211.05 – $2,255.27 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $142.58 – $145.43 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of big toe joint CPT 28755 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Fusion of foot bones CPT 28730 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Fusion of foot bones CPT 28735 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of knee CPT 27580 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Fusion of toes CPT 28280 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $280.33 | 3 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $139.74 | 3 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $280.33 | 3 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $188.90 | 3 |
| G6pc gene CPT 81250 | $122.40 | $204.00 | $58.49 – $59.66 | 3 |
| G6pd full gene sequence CPT 81249 | $1,470.60 | $2,451.00 | $600.00 – $612.00 | 3 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $178.31 | 3 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $382.76 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $50.62 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $12.60 | $21.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $279.60 | $466.00 | $21.07 – $21.49 | 3 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $21.91 | 3 |
| Galactose transferase test CPT 82776 | $34.80 | $58.00 | $11.74 – $11.97 | 3 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $45.14 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $3.68 | 3 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $370.77 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $561.13 | 3 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $478.52 – $488.09 | 3 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $369.75 | 3 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $163.49 | 3 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.95 – $49.93 | 3 |
| Gammaglobulin iga CPT 82784 | $219.00 | $365.00 | $9.30 – $9.49 | 3 |
| Gammaglobulin ige CPT 82785 | $144.00 | $240.00 | $16.46 – $16.79 | 3 |
| Gamma glutamyltransferase CPT 82977 | $105.00 | $175.00 | $7.20 – $7.34 | 3 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $65.94 | 3 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.73 – $50.72 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $35.79 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $42.60 | 3 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $6.84 | 3 |
| Gastric emptying imag study CPT 78265 | $2,430.60 | $4,051.00 | $428.40 – $436.97 | 3 |
| Gastric emptying imag study CPT 78266 | $4,859.40 | $8,099.00 | $581.86 – $593.49 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $399.88 – $407.88 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $428.40 – $436.97 | 3 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $18.04 | 3 |
| Gastroesophageal reflux study CPT 78262 | $1,666.20 | $2,777.00 | $428.40 – $436.97 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $399.88 – $407.88 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $971.94 – $991.38 | 3 |
| Gated heart multiple CPT 78473 | $3,232.20 | $5,387.00 | $428.40 – $436.97 | 3 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $48.20 | 3 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $537.32 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $240.16 – $244.97 | 3 |
| General health panel CPT 80050 | $576.60 | $961.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $7,077.60 | $11,796.00 | $2,448.56 – $2,497.53 | 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.