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 |
|---|---|---|---|---|
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,747.80 | $2,913.00 | $137.00 – $139.74 | 3 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $804.00 | $1,340.00 | $185.20 – $188.90 | 3 |
| Mayo muramidase CPT 85549 | $121.20 | $202.00 | $18.75 – $19.12 | 3 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $709.20 | $1,182.00 | $18.40 – $18.77 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $177.60 | $296.00 | $18.05 – $18.41 | 3 |
| Mayo myoglobin CPT 83874 | $49.20 | $82.00 | $12.92 – $13.18 | 3 |
| Mayo nickel CPT 83885 | $607.80 | $1,013.00 | $24.51 – $25.00 | 3 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $146.40 | $244.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $21.60 | $36.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $336.00 | $560.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $214.80 | $358.00 | $21.21 – $21.63 | 3 |
| Mayo organic acids qualitative each specimen CPT 83919 | $423.00 | $705.00 | $16.45 – $16.78 | 3 |
| Mayo oxalate 24 hour urine CPT 83945 | $113.40 | $189.00 | $14.45 – $14.74 | 3 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $227.40 | $379.00 | $11.53 – $11.76 | 3 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $147.00 | $245.00 | $15.03 – $15.33 | 3 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $1,528.80 | $2,548.00 | $12.05 – $12.29 | 3 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $361.80 | $603.00 | $35.09 – $35.79 | 3 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $318.00 | $530.00 | $17.98 – $18.34 | 3 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $220.20 | $367.00 | $13.76 – $14.04 | 3 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $177.60 | $296.00 | $8.44 – $8.61 | 3 |
| Mayo pregnenolone CPT 84140 | $183.60 | $306.00 | $20.67 – $21.08 | 3 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $183.60 | $306.00 | $16.59 – $16.92 | 3 |
| Mayo proinsulin CPT 84206 | $286.80 | $478.00 | $26.69 – $27.22 | 3 |
| Mayo psaft prostate specific antigen free CPT 84154 | $141.00 | $235.00 | $18.39 – $18.76 | 3 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $3,079.80 | $5,133.00 | $18.40 – $18.77 | 3 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $216.00 | $360.00 | $13.36 – $13.63 | 3 |
| Mayo receptor assay transferrin soluble CPT 84238 | $135.60 | $226.00 | $36.57 – $37.30 | 3 |
| Mayo renin CPT 84244 | $83.40 | $139.00 | $21.99 – $22.43 | 3 |
| Mayo repu protein electrophoresis urine CPT 84166 | $223.80 | $373.00 | $17.83 – $18.19 | 3 |
| Mayo selenium CPT 84255 | $265.80 | $443.00 | $25.53 – $26.04 | 3 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $15.81 | 3 |
| Mayo serotonin CPT 84260 | $165.00 | $275.00 | $30.98 – $31.60 | 3 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $297.00 | $495.00 | $19.35 – $19.74 | 3 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $80.40 | $134.00 | $13.73 – $14.00 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $108.60 | $181.00 | $92.03 – $93.87 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $102.60 | $171.00 | $4.27 – $4.36 | 3 |
| Mayo tau phosphorylated 217 each CPT 84393 | $1,050.60 | $1,751.00 | $128.92 – $131.50 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $825.00 | $1,375.00 | $208.92 – $213.10 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $195.00 | $325.00 | $25.47 – $25.98 | 3 |
| Mayo tgrp testosterone total CPT 84403 | $177.60 | $296.00 | $25.81 – $26.33 | 3 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $295.20 | $492.00 | $22.17 – $22.61 | 3 |
| Mayo thyroglobulin CPT 84432 | $127.20 | $212.00 | $16.06 – $16.38 | 3 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $178.20 | $297.00 | $10.18 – $10.38 | 3 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $567.00 | $945.00 | $12.39 – $12.64 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $88.80 | $148.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $172.20 | $287.00 | $51.28 – $52.31 | 3 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $100.20 | $167.00 | $14.16 – $14.44 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $160.20 | $267.00 | $13.54 – $13.81 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $126.60 | $211.00 | $35.33 – $36.04 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $346.20 | $577.00 | $20.24 – $20.64 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $371.40 | $619.00 | $17.06 – $17.40 | 3 |
| Mayo vitamin k CPT 84597 | $241.20 | $402.00 | $13.72 – $13.99 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $162.60 | $271.00 | $13.25 – $13.52 | 3 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $40.10 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $399.88 – $407.88 | 3 |
| Measure kidney pressure CPT 50396 | not published | not published | $747.24 – $762.18 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $303.00 | $505.00 | $63.22 – $64.48 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $137.89 – $140.65 | 3 |
| #mec-opiates CPT 80356 | $105.60 | $176.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,190.40 | $1,984.00 | $150.00 – $153.00 | 3 |
| Mecp2 gene full seq CPT 81302 | $1,814.40 | $3,024.00 | $527.87 – $538.43 | 3 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $122.40 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Medical testimony CPT 99075 | $346.20 | $577.00 | not published | 0 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $399.88 – $407.88 | 3 |
| Meg evoked single CPT 95966 | not published | not published | $920.24 – $938.65 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $920.24 – $938.65 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,302.00 | $2,170.00 | not published | 0 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.82 – $32.46 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $176.40 | $294.00 | $8.46 – $8.63 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $234.00 | $390.00 | $10.56 – $10.77 | 3 |
| Metabolic panel ionized ca CPT 80047 | $70.20 | $117.00 | $13.73 – $14.00 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $120.00 | $200.00 | $38.57 – $39.34 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $37.20 | $62.00 | $10.29 – $10.49 | 3 |
| Methylphenidate CPT 80360 | $318.60 | $531.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.33 – $0.33 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.71 – $0.71 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $92.98 | 3 |
| Mgmt promoter methylation analysis CPT 81287 | $1,105.20 | $1,842.00 | $124.64 – $127.13 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.35 | 3 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $40.97 | 3 |
| Microdissection manual CPT 88381 | $934.80 | $1,558.00 | not published | 0 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $22.93 | 3 |
| Microsatellite instability CPT 81301 | $953.40 | $1,589.00 | $348.56 – $355.53 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $137.89 – $140.65 | 3 |
| Middle cerebral artery echo CPT 76821 | $446.40 | $744.00 | $112.03 – $114.27 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.66 – $2.72 | 3 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.13 – $72.55 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,390.48 | 3 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $28.46 – $29.03 | 3 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $323.17 – $329.63 | 3 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $38.61 – $39.39 | 3 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $196.17 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $206.45 | 3 |
| Mlh1 gene full seq CPT 81292 | $1,840.80 | $3,068.00 | $675.40 – $688.91 | 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.