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 |
|---|---|---|---|---|
| Injection, fulvestrant HCPCS J9395 | not published | not published | $19.01 – $19.01 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $436.66 – $436.66 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $12.86 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $756.44 – $771.56 | 3 |
| Injection into brain canal CPT 61055 | not published | not published | $328.94 – $335.51 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $996.56 – $1,016.49 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $947.82 – $966.77 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.01 – $1.03 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $5.85 | 3 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $77.16 – $78.70 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.51 – $6.64 | 3 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $1.71 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $2,403.00 | $4,005.00 | $428.40 – $436.97 | 3 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.80 – $27.34 | 3 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.67 – $37.41 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $756.44 – $771.56 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $909.60 | $1,516.00 | $756.44 – $771.56 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,941.60 | $3,236.00 | $756.44 – $771.56 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,941.60 | $3,236.00 | $947.82 – $966.77 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,450.40 | $4,084.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,648.40 | $4,414.00 | $947.82 – $966.77 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,450.40 | $4,084.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,648.40 | $4,414.00 | $947.82 – $966.77 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,479.80 | $4,133.00 | $756.44 – $771.56 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,479.80 | $4,133.00 | $756.44 – $771.56 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.08 – $177.56 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $223.20 | $372.00 | $328.94 – $335.51 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $465.00 | $775.00 | $328.94 – $335.51 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $682.80 | $1,138.00 | $328.94 – $335.51 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $211.80 | $353.00 | $50.18 – $51.18 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $203.40 | $339.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $237.00 | $395.00 | $227.94 – $232.50 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $145.20 | $242.00 | $77.16 – $78.70 | 3 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Injection treatment of nerve CPT 64681 | not published | not published | $947.82 – $966.77 | 3 |
| Inject sacroiliac joint CPT 27096 | $1,846.80 | $3,078.00 | not published | 0 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.93 – $32.57 | 3 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.79 – $42.62 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.33 – $35.01 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $38.96 – $39.73 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.14 – $391.82 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $55.64 – $56.75 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,295.40 | $2,159.00 | $756.44 – $771.56 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,295.40 | $2,159.00 | $947.82 – $966.77 | 3 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.49 – $14.78 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $201.59 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.43 – $19.82 | 3 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $2,378,640.00 | 3 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $10.15 | 3 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.87 – $33.52 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.93 – $22.37 | 3 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.71 – $143.52 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.24 – $1.26 | 3 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $20.23 – $20.23 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.55 – $2.60 | 3 |
| Inj for mammo ductogram CPT 19030 | $373.20 | $622.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $0.04 | 3 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $524.18 – $534.66 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $9.04 – $27.65 | 3 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $42.50 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $120.98 – $123.40 | 3 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,840.68 – $2,897.49 | 3 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $5.03 – $5.03 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.88 – $3.95 | 3 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $67.81 – $69.17 | 3 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,691,450.00 – $3,765,279.00 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $59.91 – $61.11 | 3 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $37.86 – $38.62 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.02 – $57.14 | 3 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.52 – $1.55 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.44 – $5.55 | 3 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.68 – $79.23 | 3 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $24.29 – $24.29 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $7.11 – $7.11 | 1 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.35 – $0.35 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $495.54 – $505.46 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $947.82 – $966.77 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $215.00 – $219.30 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $215.00 – $219.30 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.95 – $13.21 | 3 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.53 – $50.52 | 3 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.97 – $2.01 | 3 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.66 – $2.71 | 3 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.56 – $1.60 | 3 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $32.19 – $32.83 | 3 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.34 – $1.36 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.30 – $22.74 | 3 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.96 – $7.10 | 3 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $13.99 – $13.99 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,245,381.39 – $3,310,289.02 | 3 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $327.72 – $334.27 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $23.86 | 3 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,070.09 – $3,131.49 | 3 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $50.19 – $51.19 | 3 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $120.67 – $123.08 | 3 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $64.78 – $66.07 | 3 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $810.90 | 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.