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 |
|---|---|---|---|---|
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial hip replacement CPT 27125 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of penis CPT 54120 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Partial removal of radius CPT 25151 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of radius CPT 25230 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of rib CPT 21600 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of toe CPT 28160 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $55.84 – $56.96 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $231.39 – $236.02 | 3 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $260.15 | 3 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $892.68 – $892.68 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $336.10 | 3 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $215.00 – $219.30 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $137.89 – $140.65 | 3 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $137.89 – $140.65 | 3 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,424.06 – $28,992.54 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $127.38 – $129.93 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $135.98 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $138.61 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $161.42 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $81.09 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $114.38 | 3 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,824.52 – $3,901.01 | 3 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $227.87 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,910.60 | $4,851.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,324.40 | $3,874.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,881.00 | $3,135.00 | $112.03 – $114.27 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,281.00 | $7,135.00 | $373.86 – $381.34 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $2,931.60 | $4,886.00 | $373.86 – $381.34 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $2,685.60 | $4,476.00 | $255.69 – $260.80 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $967.80 | $1,613.00 | $112.03 – $114.27 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $669.00 | $1,115.00 | $112.03 – $114.27 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $61.25 – $62.48 | 3 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.04 – $4.12 | 3 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $19.91 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $31.46 – $32.09 | 3 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $128.47 – $128.47 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $112.03 – $114.27 | 3 |
| Penile vascular study CPT 93981 | not published | not published | $112.03 – $114.27 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Penis study CPT 54240 | not published | not published | $231.39 – $236.02 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,626.33 – $2,678.85 | 3 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $11,391.13 – $11,618.95 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,993.80 | $3,323.00 | $1,686.89 – $1,720.63 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Peripheral vascular rehab CPT 93668 | $134.40 | $224.00 | $63.22 – $64.48 | 3 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $585.55 – $597.26 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $428.40 – $436.97 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $1,238.40 | $2,064.00 | $758.85 – $774.02 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $1,238.40 | $2,064.00 | $758.85 – $774.02 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $10,144.44 – $10,347.33 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $10,144.44 – $10,347.33 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $186.00 | $310.00 | not published | 0 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,506.34 – $3,576.46 | 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.