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 |
|---|---|---|---|---|
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $659.40 | $1,099.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,348.00 | $5,580.00 | $2,211.05 – $2,255.27 | 3 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,071.00 | $1,785.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $659.40 | $1,099.00 | not published | 0 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $174.14 – $177.62 | 3 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Application clubfoot cast CPT 29450 | not published | not published | $174.14 – $177.62 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $81.00 | $135.00 | $142.58 – $145.43 | 3 |
| Application halo femoral CPT 20663 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Application halo pelvic CPT 20662 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Application long leg splint 29505 CPT 29505 | $155.40 | $259.00 | $174.14 – $177.62 | 3 |
| Application lower leg splint 29515 CPT 29515 | $155.40 | $259.00 | $174.14 – $177.62 | 3 |
| Application multi layer compression below knee (both sides) CPT 29581 | $373.80 | $623.00 | $174.14 – $177.62 | 3 |
| Application of forearm cast 29075 CPT 29075 | $260.40 | $434.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $260.40 | $434.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $403.80 | $673.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $307.80 | $513.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $448.80 | $748.00 | $174.14 – $177.62 | 3 |
| Application short leg cast 29405 CPT 29405 | $297.00 | $495.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,068.20 | $3,447.00 | $792.00 – $807.84 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,068.20 | $3,447.00 | $792.00 – $807.84 | 3 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $307.80 | $513.00 | not published | 0 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $52.80 | $88.00 | $6.06 – $6.18 | 3 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $52.80 | $88.00 | $11.72 – $11.95 | 3 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $40.03 – $40.83 | 3 |
| Appl multlay comprs arm/hand CPT 29584 | $417.00 | $695.00 | $174.14 – $177.62 | 3 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $174.14 – $177.62 | 3 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $142.58 – $145.43 | 3 |
| Apply halo w/removal cranial CPT 20661 | $1,182.60 | $1,971.00 | $1,723.15 – $1,757.62 | 3 |
| Apply hand/wrist cast 29085 CPT 29085 | $184.80 | $308.00 | $174.14 – $177.62 | 3 |
| Apply interstit radiat compl CPT 77778 | $4,429.20 | $7,382.00 | not published | 0 |
| Apply intrcav radiat compl CPT 77763 | $2,682.60 | $4,471.00 | not published | 0 |
| Apply intrcav radiat interm CPT 77762 | $2,113.80 | $3,523.00 | $592.11 – $603.96 | 3 |
| Apply intrcav radiat simple CPT 77761 | $1,197.60 | $1,996.00 | $592.11 – $603.96 | 3 |
| Apply of finger splint 29131 CPT 29131 | $119.40 | $199.00 | $63.22 – $64.48 | 3 |
| Apply rem fixation device CPT 20660 | $1,008.00 | $1,680.00 | $1,723.15 – $1,757.62 | 3 |
| Apply rigid leg cast 29445 CPT 29445 | $663.60 | $1,106.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | $487.80 | $813.00 | not published | 0 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $35.74 – $36.45 | 3 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.69 – $1.73 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | $236.40 | $394.00 | $35.09 – $35.79 | 3 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $730.20 | $1,217.00 | $37.73 – $38.48 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $12.29 | 3 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $11.76 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $108.00 | $180.00 | $37.72 – $38.47 | 3 |
| Aquatic exercise - group charge CPT 97150 | $55.80 | $93.00 | $17.73 – $18.08 | 3 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.82 – $1.85 | 3 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $3.94 – $3.94 | 1 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $1.01 – $1.03 | 3 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $139.74 | 3 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $307.38 | 3 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $188.90 | 3 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.32 – $3.38 | 3 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $15.96 – $15.96 | 1 |
| Arterial blood draw/perc 36620 CPT 36620 | $148.20 | $247.00 | not published | 0 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $5,361.60 | $8,936.00 | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays chest CPT 75756 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lung CPT 75741 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lung CPT 75746 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Artery x-rays lungs CPT 75743 | $1,983.00 | $3,305.00 | $3,383.62 – $3,451.29 | 3 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd ant toral/xoral c1-c2 CPT 22548 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd hip jt sbtrchc osteot CPT 27286 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd lat xtrcvtry tq lmbr CPT 22533 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd lat xtrcvtry tq thrc CPT 22532 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd pst dfrm 13+ vrt sgm CPT 22804 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd pst dfrm<6 vrt sgm CPT 22800 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd pst dfrm 7-12 vrt sgm CPT 22802 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd pst tq atlas-axis CPT 22595 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd pst tq craniocervical CPT 22590 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $465.00 | $775.00 | $328.94 – $335.51 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,200.20 | $3,667.00 | $756.44 – $771.56 | 3 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,200.20 | $3,667.00 | $328.94 – $335.51 | 3 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $465.00 | $775.00 | $328.94 – $335.51 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $465.00 | $775.00 | $328.94 – $335.51 | 3 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $2,200.20 | $3,667.00 | $328.94 – $335.51 | 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.