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 |
|---|---|---|---|---|
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $2,384.40 | 3 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $5,131.82 | 3 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $2,764.15 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $264.00 | $440.00 | $16.38 – $16.71 | 3 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $3.75 | 3 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $920.24 – $938.65 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $574.20 | $957.00 | $996.56 – $1,016.49 | 3 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,803.00 | $3,005.00 | $3,112.75 – $3,175.00 | 3 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $61.80 | $103.00 | $9.81 – $10.01 | 3 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $139.20 | $232.00 | $17.11 – $17.45 | 3 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $104.31 | 3 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $142.58 – $145.43 | 3 |
| Ghs antibodies (torch) igm CPT 86694 | $148.20 | $247.00 | $14.39 – $14.68 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $309.60 | $516.00 | $137.89 – $140.65 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $4.92 | 3 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $921.00 | $1,535.00 | $756.44 – $771.56 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,983.00 | $3,305.00 | $3,383.62 – $3,451.29 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $390.00 | $650.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $984.00 | $1,640.00 | $353.96 – $361.04 | 3 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $353.96 – $361.04 | 3 |
| Ghs chemo IV push, ea addtl CPT 96411 | $285.60 | $476.00 | $77.16 – $78.70 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $57.60 | $96.00 | $35.09 – $35.79 | 3 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $151.20 | $252.00 | $264.33 – $269.62 | 3 |
| Ghs closed reduction ankle dislocation CPT 27840 | $360.00 | $600.00 | $264.33 – $269.62 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $264.33 – $269.62 | 3 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,768.20 | $2,947.00 | $1,723.15 – $1,757.62 | 3 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,260.80 | $3,768.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $360.00 | $600.00 | $264.33 – $269.62 | 3 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,854.00 | $3,090.00 | $1,723.15 – $1,757.62 | 3 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,854.00 | $3,090.00 | $1,723.15 – $1,757.62 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $288.00 | $480.00 | $264.33 – $269.62 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $243.00 | $405.00 | $264.33 – $269.62 | 3 |
| Ghs community re-entry 15 minutes CPT 97537 | $108.00 | $180.00 | $32.69 – $33.34 | 3 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $360.00 | $600.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $156.00 | $260.00 | $142.58 – $145.43 | 3 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $251.40 | $419.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $187.20 | $312.00 | $142.58 – $145.43 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $267.60 | $446.00 | $253.81 – $258.89 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | $251.40 | $419.00 | not published | 0 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $142.58 – $145.43 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $187.20 | $312.00 | $15.21 – $15.51 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $771.60 | $1,286.00 | $264.33 – $269.62 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $661.20 | $1,102.00 | $971.94 – $991.38 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $240.60 | $401.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $756.44 – $771.56 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $776.40 | $1,294.00 | $231.39 – $236.02 | 3 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $435.63 – $444.34 | 3 |
| Ghs excision ingrown nail CPT 11765 | $254.40 | $424.00 | $435.63 – $444.34 | 3 |
| Ghs eye exam CPT 92002 | not published | not published | $142.67 – $145.52 | 3 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $274.80 | $458.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $4.95 | 3 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,368.60 | $2,281.00 | $1,769.88 – $1,805.28 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,422.20 | $4,037.00 | $3,112.75 – $3,175.00 | 3 |
| Ghs fb removal - incisional CPT 10121 | $1,316.40 | $2,194.00 | $1,769.88 – $1,805.28 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $7.12 | 3 |
| Ghs fish cytogen CPT 88271 | $1,084.20 | $1,807.00 | $21.42 – $21.85 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $955.20 | $1,592.00 | $51.19 – $52.21 | 3 |
| Ghs flow volume loop CPT 94375 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | $196.20 | $327.00 | $231.39 – $236.02 | 3 |
| Ghs hcv amplificaiton CPT 87521 | $247.80 | $413.00 | $35.09 – $35.79 | 3 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $23.43 | 3 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $15.80 | 3 |
| Ghs hgb stability-thal CPT 83068 | $434.40 | $724.00 | $9.47 – $9.66 | 3 |
| Ghs histoplasma antigen CPT 87385 | $308.40 | $514.00 | $13.25 – $13.52 | 3 |
| Ghs HIV antibody CPT 86703 | $60.00 | $100.00 | $13.71 – $13.98 | 3 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $108.26 | 3 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,397.40 | $2,329.00 | $1,282.34 – $1,307.99 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $860.40 | $1,434.00 | $758.85 – $774.02 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $443.40 | $739.00 | $758.85 – $774.02 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $30.52 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $246.60 | $411.00 | not published | 0 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $312.60 | $521.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $855.00 | $1,425.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $870.60 | $1,451.00 | $12.87 – $13.13 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $126.00 | $210.00 | $215.00 – $219.30 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,473.80 | $4,123.00 | $947.82 – $966.77 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,747.80 | $2,913.00 | $947.82 – $966.77 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $469.20 | $782.00 | $328.94 – $335.51 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $647.40 | $1,079.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,295.40 | $2,159.00 | $947.82 – $966.77 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $251.40 | $419.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $558.00 | $930.00 | $435.63 – $444.34 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $642.00 | $1,070.00 | $792.00 – $807.84 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,141.20 | $1,902.00 | $2,211.05 – $2,255.27 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $581.40 | $969.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $69.60 | $116.00 | $50.18 – $51.18 | 3 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $520.20 | $867.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $520.20 | $867.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $520.20 | $867.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $307.80 | $513.00 | $353.96 – $361.04 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $251.40 | $419.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $316.80 | $528.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $322.80 | $538.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $354.00 | $590.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $439.20 | $732.00 | $435.63 – $444.34 | 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.