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 |
|---|---|---|---|---|
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $337.62 | 3 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $18.16 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $5.42 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Mnl appl strs jt radiography CPT 77071 | $117.60 | $196.00 | $93.26 – $95.12 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.65 – $22.08 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $142.58 – $145.43 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $628.80 | $1,048.00 | $37.73 – $38.48 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $11.57 | 3 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $668.44 | 3 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $145.52 | 3 |
| Mopath procedure level 1 CPT 81400 | $1,628.40 | $2,714.00 | $63.96 – $65.24 | 3 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $153.34 | 3 |
| Mopath procedure level 5 CPT 81404 | $3,457.20 | $5,762.00 | $274.83 – $280.33 | 3 |
| Mopath procedure level 6 CPT 81405 | $3,786.00 | $6,310.00 | $301.35 – $307.38 | 3 |
| Mopath procedure level 7 CPT 81406 | $9,609.00 | $16,015.00 | $282.88 – $288.54 | 3 |
| Mopath procedure level 8 CPT 81407 | $6,264.00 | $10,440.00 | $846.27 – $863.20 | 3 |
| Mopath procedure level 9 CPT 81408 | $5,603.40 | $9,339.00 | $2,000.00 – $2,040.00 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $182.57 – $186.22 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $372.00 | $620.00 | $384.12 – $391.80 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $283.20 | $472.00 | $182.57 – $186.22 | 3 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.54 – $667.63 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $399.88 – $407.88 | 3 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $920.24 – $938.65 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $182.57 – $186.22 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $182.57 – $186.22 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $153.34 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $20.45 | 3 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $308.67 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,239.00 | $7,065.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,239.00 | $7,065.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $373.86 – $381.34 | 3 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $255.69 – $260.80 | 3 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $373.86 – $381.34 | 3 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $6,359.40 | $10,599.00 | not published | 0 |
| MRA pelvis CPT 72198 | $4,239.00 | $7,065.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $373.86 – $381.34 | 3 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $255.69 – $260.80 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,601.80 | $6,003.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $373.86 – $381.34 | 3 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $255.69 – $260.80 | 3 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $255.69 – $260.80 | 3 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $255.69 – $260.80 | 3 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $255.69 – $260.80 | 3 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $373.86 – $381.34 | 3 |
| Mr elastography CPT 76391 | not published | not published | $255.69 – $260.80 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $187.96 – $191.72 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $585.55 – $597.26 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $187.96 – $191.72 | 3 |
| MRI breast c- unilateral CPT 77046 | $2,104.80 | $3,508.00 | $255.69 – $260.80 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,495.00 | $5,825.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $3,157.20 | $5,262.00 | $255.69 – $260.80 | 3 |
| MRI breast w IV cont bi CPT 77049 | $5,242.80 | $8,738.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $255.69 – $260.80 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $373.86 – $381.34 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $840.06 – $856.87 | 3 |
| MRI chest without contrast CPT 71550 | $2,575.20 | $4,292.00 | $255.69 – $260.80 | 3 |
| MRI chest without & w/contrast CPT 71552 | $4,258.20 | $7,097.00 | $373.86 – $381.34 | 3 |
| MRI chest w IV cont CPT 71551 | $3,087.00 | $5,145.00 | $840.06 – $856.87 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $255.69 – $260.80 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | $4,536.60 | $7,561.00 | $373.86 – $381.34 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,884.40 | $6,474.00 | $255.69 – $260.80 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,158.20 | $8,597.00 | $373.86 – $381.34 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,560.20 | $4,267.00 | $255.69 – $260.80 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,930.60 | $6,551.00 | $373.86 – $381.34 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,101.40 | $5,169.00 | $373.86 – $381.34 | 3 |
| MRI tmj CPT 70336 | $2,445.60 | $4,076.00 | $255.69 – $260.80 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,119.60 | $6,866.00 | $255.69 – $260.80 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,233.80 | $8,723.00 | $373.86 – $381.34 | 3 |
| MRI upper extremity w/dye CPT 73219 | $4,556.40 | $7,594.00 | $373.86 – $381.34 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $373.86 – $381.34 | 3 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $187.96 – $191.72 | 3 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $373.86 – $381.34 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $373.86 – $381.34 | 3 |
| Mr safety determination physician/other qhp CPT 76016 | $134.40 | $224.00 | $93.26 – $95.12 | 3 |
| Mr safety implant elec prepj CPT 76018 | $140.40 | $234.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $75.60 | $126.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $90.60 | $151.00 | $63.22 – $64.48 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $37.80 | $63.00 | $30.99 – $31.61 | 3 |
| Mr sfty med physics xm cstmz CPT 76017 | $369.60 | $616.00 | $255.69 – $260.80 | 3 |
| Mr spectroscopy CPT 76390 | not published | not published | $93.26 – $95.12 | 3 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $217.57 | 3 |
| Msh2 gene full seq CPT 81295 | $1,040.40 | $1,734.00 | $381.70 – $389.33 | 3 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $344.48 | 3 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $242.76 | 3 |
| Msh6 gene full seq CPT 81298 | $1,750.20 | $2,917.00 | $641.85 – $654.69 | 3 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $314.16 | 3 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Mthfr gene analy common variants CPT 81291 | $1,038.00 | $1,730.00 | $65.34 – $66.65 | 3 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $27.42 | 3 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $43.70 | 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.