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 |
|---|---|---|---|---|
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $460.80 | $768.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $499.20 | $832.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $475.80 | $793.00 | $435.63 – $444.34 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $440.40 | $734.00 | $792.00 – $807.84 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $525.00 | $875.00 | $435.63 – $444.34 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $624.00 | $1,040.00 | $792.00 – $807.84 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $688.80 | $1,148.00 | $435.63 – $444.34 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $780.00 | $1,300.00 | $792.00 – $807.84 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $862.80 | $1,438.00 | $435.63 – $444.34 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,141.20 | $1,902.00 | $2,211.05 – $2,255.27 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $862.80 | $1,438.00 | $435.63 – $444.34 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $8.77 | 3 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $17.54 | 3 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $389.40 | $649.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $389.40 | $649.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $389.40 | $649.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $336.60 | $561.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $336.60 | $561.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $453.00 | $755.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $317.40 | $529.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.60 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $385.80 | $643.00 | $792.00 – $807.84 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,707.00 | $2,845.00 | $947.82 – $966.77 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,375.80 | $2,293.00 | $756.44 – $771.56 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | $1,135.20 | $1,892.00 | $947.82 – $966.77 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $921.00 | $1,535.00 | $947.82 – $966.77 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | $1,295.40 | $2,159.00 | $947.82 – $966.77 | 3 |
| Ghs nerve block interscaline CPT 64510 | $2,002.20 | $3,337.00 | $947.82 – $966.77 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,002.20 | $3,337.00 | $947.82 – $966.77 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | $690.60 | $1,151.00 | $756.44 – $771.56 | 3 |
| Ghs nerve block suprascapular CPT 64418 | $921.00 | $1,535.00 | $756.44 – $771.56 | 3 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $9.97 | 3 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $63.22 – $64.48 | 3 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | $897.60 | $1,496.00 | $672.23 – $685.67 | 3 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Ghs optokenetic CPT 92544 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs oscillating trac CPT 92545 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $83.40 | $139.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.16 – $7.30 | 3 |
| Ghs ot group caregiver training CPT 97552 | $34.80 | $58.00 | $9.58 – $9.77 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | $123.00 | $205.00 | $41.42 – $42.25 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $108.00 | $180.00 | $62.36 – $63.61 | 3 |
| Ghs ot work hardening-additional hours CPT 97546 | $127.80 | $213.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $708.28 – $722.45 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,480.40 | $4,134.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,450.40 | $4,084.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $280.80 | $468.00 | $253.81 – $258.89 | 3 |
| Ghs phenylketonurid CPT 84030 | $279.00 | $465.00 | $5.50 – $5.61 | 3 |
| Ghs picc line insert < 5 CPT 36568 | $978.60 | $1,631.00 | $1,686.89 – $1,720.63 | 3 |
| Ghs plngl fx pm cl CPT 26725 | $243.00 | $405.00 | $264.33 – $269.62 | 3 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $4.40 | 3 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,303.20 | $7,172.00 | $920.24 – $938.65 | 3 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $142.58 – $145.43 | 3 |
| Ghs ppd (tb intradermal) CPT 86580 | $49.80 | $83.00 | $30.99 – $31.61 | 3 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $102.00 | $170.00 | $9.66 – $9.85 | 3 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $5.72 | 3 |
| Ghs protoporphyrins fract CPT 84202 | $311.40 | $519.00 | $14.35 – $14.64 | 3 |
| Ghs pr without cont pulse ox CPT 94625 | $448.20 | $747.00 | $63.22 – $64.48 | 3 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $12.50 | 3 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $361.20 | $602.00 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $14.89 | 3 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $353.96 – $361.04 | 3 |
| Ghs removal intranasal foreign body CPT 30300 | $115.20 | $192.00 | $142.58 – $145.43 | 3 |
| Ghs removal pharyngeal foreign body CPT 42809 | $251.40 | $419.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $16.21 | 3 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $4.40 | 3 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $14.19 | 3 |
| Ghs sedimentation rate CPT 85651 | $78.00 | $130.00 | $4.27 – $4.36 | 3 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $12.56 | 3 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $10.04 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $173.40 | $289.00 | $7.48 – $7.63 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $421.20 | $702.00 | $435.63 – $444.34 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $557.40 | $929.00 | $435.63 – $444.34 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $384.60 | $641.00 | $435.63 – $444.34 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $348.60 | $581.00 | $435.63 – $444.34 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $358.80 | $598.00 | $215.00 – $219.30 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $393.60 | $656.00 | $215.00 – $219.30 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $395.40 | $659.00 | $215.00 – $219.30 | 3 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $514.80 | $858.00 | $215.00 – $219.30 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $461.40 | $769.00 | $215.00 – $219.30 | 3 |
| Ghs sleep study unattended CPT 95800 | $654.60 | $1,091.00 | $139.41 – $236.02 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | $781.20 | $1,302.00 | $231.39 – $236.02 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,558.20 | $2,597.00 | $920.24 – $938.65 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $183.00 | $305.00 | $48.59 – $49.56 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $465.00 | $775.00 | $328.94 – $335.51 | 3 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $142.58 – $145.43 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $286.80 | $478.00 | $104.56 – $106.65 | 3 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $40.03 – $40.83 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | $101.40 | $169.00 | $142.58 – $145.43 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $72.74 – $74.19 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $227.94 – $232.50 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $388.80 | $648.00 | $792.00 – $807.84 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $435.63 – $444.34 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $933.00 | $1,555.00 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | $192.60 | $321.00 | $7.30 – $7.45 | 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.