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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $72.60 | $121.00 | $70.18 – $71.58 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $78.31 | 3 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,717.20 | $2,862.00 | $679.77 – $693.37 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,134.60 | $1,891.00 | $416.78 – $425.12 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $130.86 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $268.25 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $861.60 | $1,436.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $597.60 | $996.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $384.00 | $640.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $234.00 | $390.00 | $85.10 – $86.80 | 3 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $273.00 | $455.00 | $142.63 – $145.48 | 3 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $31.66 | 3 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $28.60 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $26.56 | 3 |
| Influenza dna amp prob addl CPT 87503 | $72.00 | $120.00 | $29.22 – $29.80 | 3 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $227.30 – $227.30 | 1 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $78.61 – $78.61 | 1 |
| Infuse radioactive materials CPT 77750 | $1,810.20 | $3,017.00 | $413.32 – $421.59 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $399.88 – $407.88 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $73.20 | $122.00 | $234.66 – $239.35 | 3 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $40.20 | 3 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $142.67 – $145.52 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $316.20 | $527.00 | $234.66 – $239.35 | 3 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $6.14 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.27 – $7.42 | 3 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.09 | 3 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $249.73 – $249.73 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $28.97 – $28.97 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,282.30 – $65,567.94 | 3 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $16.29 – $16.29 | 1 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.58 – $36.29 | 3 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $821.40 – $837.82 | 3 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $307.20 | 3 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $1.60 | 3 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.81 – $3.89 | 3 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.12 – $125.59 | 3 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $52.62 | 3 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $9.75 | 3 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $133.79 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.31 – $18.67 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $5.23 – $5.23 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $3.32 | 3 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $51.83 – $52.87 | 3 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.93 – $510.94 | 3 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $56.29 – $57.41 | 3 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.95 – $32.59 | 3 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $105.47 | 3 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $81.20 – $82.83 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.36 – $166.62 | 3 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,938,320.00 – $2,997,086.40 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $40.62 | 3 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $214.02 – $218.30 | 3 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.41 – $25.92 | 3 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $3.53 | 3 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $7.11 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $417.21 – $425.55 | 3 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,668.84 – $1,702.22 | 3 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $353.07 – $360.13 | 3 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.41 – $1.44 | 3 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $1.39 – $1.39 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $70.90 – $72.32 | 3 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $707.04 – $707.04 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $2.48 – $2.48 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $2.72 – $2.72 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.42 – $2.47 | 3 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.84 – $9.01 | 3 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.92 – $17.26 | 3 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $83.48 – $85.15 | 3 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $92.40 – $94.25 | 3 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $7.84 – $7.84 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $416.40 | $694.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $2,842.67 – $2,842.67 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $562.54 | 3 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.58 – $17.93 | 3 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.10 – $9.29 | 3 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.52 – $0.53 | 3 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $0.51 | 3 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.65 – $3.73 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.12 – $0.12 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.09 – $3.15 | 3 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,321,376.38 – $3,387,803.91 | 3 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.91 – $28.47 | 3 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $46.09 – $47.01 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $4.22 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $328.94 – $335.51 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.73 – $6.87 | 3 |
| Inj dx for sinogram CPT 20501 | $1,051.20 | $1,752.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,330.80 | $2,218.00 | $756.44 – $771.56 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $412.80 | $688.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $53.11 – $54.17 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $498.72 – $508.69 | 3 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.02 – $20.42 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $361.80 | $603.00 | $328.94 – $335.51 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $72.19 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $15.48 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $753.00 | $1,255.00 | $756.44 – $771.56 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $353.96 – $361.04 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | $418.80 | $698.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $1,231.20 | $2,052.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,167.00 | $1,945.00 | not published | 0 |
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.