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 |
|---|---|---|---|---|
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $12.22 | 3 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.02 – $17.36 | 3 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.22 – $61.43 | 3 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,394.80 | $10,658.00 | $1,532.36 – $1,563.01 | 3 |
| Pet CT whole body initial CPT 78816 | $6,991.80 | $11,653.00 | $1,532.36 – $1,563.01 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,095.00 | $11,825.00 | $1,532.36 – $1,563.01 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Pet image w/ct lmtd CPT 78814 | $5,480.40 | $9,134.00 | $1,532.36 – $1,563.01 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $428.40 – $436.97 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $88.80 | $148.00 | $21.04 – $21.46 | 3 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $132.00 | $220.00 | $29.14 – $29.72 | 3 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $46.20 | $77.00 | $10.56 – $10.77 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Ph body fluid CPT 83986 | $75.60 | $126.00 | $3.58 – $3.65 | 3 |
| Phencyclidine (pcp) CPT 83992 | $331.80 | $553.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $178.80 | $298.00 | $15.30 – $15.61 | 3 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $257.45 – $262.60 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $274.80 | $458.00 | $13.25 – $13.52 | 3 |
| Phlebotomy therapeutic CPT 99195 | $573.60 | $956.00 | $142.58 – $145.43 | 3 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Phosphorus CPT 84100 | $110.40 | $184.00 | $4.74 – $4.83 | 3 |
| Phosphorus 24 hour urine CPT 84105 | $120.00 | $200.00 | $5.78 – $5.90 | 3 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $63.22 – $64.48 | 3 |
| Photochemotherapy puva CPT 96912 | not published | not published | $63.22 – $64.48 | 3 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $435.63 – $444.34 | 3 |
| Photo patch test CPT 95052 | not published | not published | $63.22 – $64.48 | 3 |
| Photosensitivity tests CPT 95056 | not published | not published | $142.58 – $145.43 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $55.84 – $56.96 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $182.57 – $186.22 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $30.99 – $31.61 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $346.49 – $353.42 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $280.33 | 3 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $307.80 | $513.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $792.00 – $807.84 | 3 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pin service 60m per month HCPCS G0023 | $158.40 | $264.00 | not published | 0 |
| Pinworm exam CPT 87172 | $28.80 | $48.00 | $4.27 – $4.36 | 3 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $4.36 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $591.07 | 3 |
| Place breast cath for rad CPT 19297 | $17,440.80 | $29,068.00 | not published | 0 |
| Place breast rad tube/caths CPT 19298 | $19,261.20 | $32,102.00 | not published | 0 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,483.26 – $1,512.93 | 3 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Place endorectal app HCPCS C9725 | not published | not published | $996.56 – $1,016.49 | 3 |
| Place gastrostomy tube perc CPT 49440 | $2,391.60 | $3,986.00 | $2,056.34 – $2,097.46 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,201.20 | $2,002.00 | $1,769.88 – $1,805.28 | 3 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,238.40 | $2,064.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,238.40 | $2,064.00 | $758.85 – $774.02 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,063.40 | $3,439.00 | $2,240.09 – $2,284.90 | 3 |
| Placement of seton CPT 46020 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $6,720.00 | $11,200.00 | $12,370.97 – $12,618.39 | 3 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Place needles h&n for right CPT 41019 | $1,191.00 | $1,985.00 | not published | 0 |
| Place needles pelvic for right CPT 55920 | $1,137.60 | $1,896.00 | $5,360.72 – $5,467.93 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $20.62 | 3 |
| Place po breast cath for rad CPT 19296 | $21,847.80 | $36,413.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $841.20 | $1,402.00 | $1,483.26 – $1,512.93 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $139.20 | $232.00 | not published | 0 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $565.20 | $942.00 | $24.91 – $25.41 | 3 |
| Platelet automated CPT 85049 | $83.40 | $139.00 | $4.48 – $4.57 | 3 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $472.77 – $482.23 | 3 |
| Platelet pheresis each unit HCPCS P9034 | $1,582.20 | $2,637.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,439.40 | $2,399.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,437.60 | $2,396.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,242.60 | $2,071.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,198.80 | $1,998.00 | $511.59 – $521.82 | 3 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,259.40 | $2,099.00 | $680.61 – $694.22 | 3 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,582.20 | $2,637.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $428.40 – $436.97 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $297.19 | 3 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $758.85 – $774.02 | 3 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,238.40 | $2,064.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,238.40 | $2,064.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,238.40 | $2,064.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $32.74 – $33.40 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $1,185.00 | $1,975.00 | $399.88 – $407.88 | 3 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Plmt nephroureteral catheter CPT 50433 | $2,685.00 | $4,475.00 | $3,777.44 – $3,852.98 | 3 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Pm device progr eval dual CPT 93280 | not published | not published | $39.99 – $40.79 | 3 |
| Pm device progr eval multi CPT 93281 | not published | not published | $39.99 – $40.79 | 3 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $211.46 | 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.