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 |
|---|---|---|---|---|
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $64.19 – $65.47 | 3 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $65.47 | 3 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $83.52 | 3 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $329.42 | 3 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $97.43 | 3 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $364.71 | 3 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $412.61 | 3 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $352.48 | 3 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $410.16 | 3 |
| Hla ii typing 1 loc hr CPT 81382 | $895.20 | $1,492.00 | $123.68 – $126.15 | 3 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $225.15 | 3 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $75.82 | 3 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $180.80 | 3 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $342.09 | 3 |
| Hla i typing complete lr CPT 81372 | $754.20 | $1,257.00 | $403.59 – $411.66 | 3 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $829.20 | $1,382.00 | $169.90 – $173.30 | 3 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $129.98 | 3 |
| Hla typing a b or c CPT 86813 | not published | not published | $58.00 – $59.16 | 3 |
| Hla typing dr/dq CPT 86816 | $394.20 | $657.00 | $30.17 – $30.77 | 3 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $37.26 | 3 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $111.68 | 3 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $190.21 – $194.01 | 3 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $8.40 | $14.00 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $11.40 | $19.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $175.85 – $236.02 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $691.20 | $1,152.00 | $93.64 – $236.02 | 3 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $99.51 – $236.02 | 3 |
| Homocysteine CPT 83090 | $111.60 | $186.00 | $17.92 – $18.28 | 3 |
| Homogenization tissue CPT 87176 | $60.00 | $100.00 | $5.88 – $6.00 | 3 |
| Homovanillic acid (hva) CPT 83150 | $244.80 | $408.00 | $22.41 – $22.86 | 3 |
| Ho post-op hip abduction HCPCS L1686 | $4,059.00 | $6,765.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $124.66 | 3 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $124.66 | 3 |
| Hpv combo assay ca screen HCPCS G0476 | $147.60 | $246.00 | $35.09 – $35.79 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $35.79 | 3 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $41.36 | 3 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.32 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $68.71 | 3 |
| H pylori (c-13) breath CPT 83013 | $165.00 | $275.00 | $67.36 – $68.71 | 3 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $8.02 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,303.95 – $1,330.03 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | $8,592.00 | $14,320.00 | $584.90 – $596.60 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | $6,975.00 | $11,625.00 | $584.90 – $596.60 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $20.45 | 3 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $280.33 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $874.20 | $1,457.00 | $137.00 – $139.74 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $363.60 | $606.00 | $20.81 – $21.23 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.72 – $1.75 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $194.40 | $324.00 | $50.18 – $51.18 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $412.80 | $688.00 | $227.94 – $232.50 | 3 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.03 – $0.03 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $18.26 | 3 |
| Hymenotomy CPT 56442 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $18.50 | 3 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $10.38 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $413.32 – $421.59 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $592.11 – $603.96 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $592.11 – $603.96 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $592.11 – $603.96 | 3 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.80 – $19.18 | 3 |
| Hysterosalpingography s&i CPT 74740 | $620.40 | $1,034.00 | $255.69 – $260.80 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,317.50 – $2,363.85 | 3 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,387.74 – $1,415.49 | 3 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $24.07 – $24.55 | 3 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $21.19 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $13.69 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $35.79 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $18.45 | 3 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $46.19 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,497.53 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $219.22 – $223.60 | 3 |
| Icatibant injection HCPCS J1744 | not published | not published | $316.93 – $316.93 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.39 – $236.02 | 3 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.03 – $40.83 | 3 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $63.22 – $64.48 | 3 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $30.99 – $31.61 | 3 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $559,781.08 – $570,976.70 | 3 |
| Identify sperm tissue CPT 89264 | not published | not published | $55.84 – $56.96 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Idh1 common variants CPT 81120 | $586.80 | $978.00 | $193.25 – $197.12 | 3 |
| Idh2 common variants CPT 81121 | $897.60 | $1,496.00 | $295.79 – $301.71 | 3 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | 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.