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 tx distal phalangeal fx with manipulation CPT 26755 | $255.00 | $425.00 | $264.33 – $269.62 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $264.33 – $269.62 | 3 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $24.79 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $308.40 | $514.00 | $14.71 – $15.00 | 3 |
| Ghs vaginal delivery only CPT 59409 | $3,267.00 | $5,445.00 | $3,468.96 – $3,538.34 | 3 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $399.88 – $407.88 | 3 |
| Ghs windowing of cast CPT 29730 | not published | not published | $174.14 – $177.62 | 3 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $13.88 | 3 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $15.01 | 3 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $255.69 – $260.80 | 3 |
| Gi inhouse confirmation CPT 87045 | $213.00 | $355.00 | $9.44 – $9.63 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $428.40 – $436.97 | 3 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $971.94 – $991.38 | 3 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $1,016.49 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $971.94 – $991.38 | 3 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $991.38 | 3 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $103.14 | 3 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $62.75 | 3 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $35.70 | 3 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.77 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.99 – $31.61 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $40.83 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $149.26 | 3 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $135.00 – $137.70 | 3 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $14.58 | 3 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $46.99 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $51.51 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $18.13 | 3 |
| Glucose 1 hr post dose CPT 82950 | $119.40 | $199.00 | $4.75 – $4.84 | 3 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.17 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $31.20 | $52.00 | $3.28 – $3.35 | 3 |
| Glucose blood quantitative CPT 82947 | $78.00 | $130.00 | $3.93 – $4.01 | 3 |
| Glucose body fluid CPT 82945 | $119.40 | $199.00 | $3.93 – $4.01 | 3 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $63.22 – $64.48 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $222.60 | $371.00 | $12.87 – $13.13 | 3 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $102.60 | $171.00 | $3.92 – $4.00 | 3 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $1.17 – $1.17 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $11.51 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $214.20 | $357.00 | $18.58 – $18.95 | 3 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $151.38 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $355.20 | $592.00 | $18.52 – $18.89 | 3 |
| Gonioscopy CPT 92020 | not published | not published | $142.58 – $145.43 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $1,998.73 – $1,998.73 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $129.00 | $215.00 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $89.40 | $149.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $168.00 | $280.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $301.80 | $503.00 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $569.40 | $949.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $70.80 | $118.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $284.40 | $474.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Great toe with reduction 28495 CPT 28495 | $349.20 | $582.00 | $264.33 – $269.62 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.23 – $12.47 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $30.99 – $31.61 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $16.05 | 3 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $68.03 | 3 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $131.92 | 3 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $77.11 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| G-tube reposition CPT 43761 | $760.80 | $1,268.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,478.40 | $2,464.00 | $2,240.09 – $2,284.90 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,038.00 | $1,730.00 | $758.85 – $774.02 | 3 |
| Guid loc target vol rad tx CPT 77387 | $391.80 | $653.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $792.00 – $807.84 | 3 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $435.63 – $444.34 | 3 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $435.63 – $444.34 | 3 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Hand X-ray CPT 73130 | $500.40 | $834.00 | $93.26 – $95.12 | 3 |
| Haptoglobin quantitative CPT 83010 | $184.80 | $308.00 | $12.58 – $12.83 | 3 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $472.77 – $482.23 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | $534.60 | $891.00 | $142.58 – $145.43 | 3 |
| Hast w/oxygen titrate CPT 94453 | $691.20 | $1,152.00 | $142.58 – $145.43 | 3 |
| Hba1/hba2 full gene sequence CPT 81259 | $949.20 | $1,582.00 | $600.00 – $612.00 | 3 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $946.80 | $1,578.00 | $202.40 – $206.45 | 3 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $382.76 | 3 |
| Hbb full gene sequence CPT 81364 | $949.20 | $1,582.00 | $324.58 – $331.07 | 3 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $178.31 | 3 |
| Hbb gene dup/del variants CPT 81363 | $885.60 | $1,476.00 | $202.40 – $206.45 | 3 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $382.76 | 3 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $9.90 | 3 |
| Hbot, full body chamber, 30m HCPCS G0277 | $849.60 | $1,416.00 | $147.46 – $150.41 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $620.40 | $1,034.00 | $187.96 – $191.72 | 3 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $15.60 | 3 |
| Hcg qualitative CPT 84703 | $133.20 | $222.00 | $7.52 – $7.67 | 3 |
| Hcg quantitative CPT 84702 | $373.20 | $622.00 | $15.05 – $15.35 | 3 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $792.00 – $807.84 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $792.00 – $807.84 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $581.86 – $593.49 | 3 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $428.40 – $436.97 | 3 |
| Hc nm kidney imaging with flow CPT 78701 | $1,399.20 | $2,332.00 | $428.40 – $436.97 | 3 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $581.86 – $593.49 | 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.