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 |
|---|---|---|---|---|
| Pmp22 gene dup/delet CPT 81324 | $2,166.00 | $3,610.00 | $758.36 – $773.53 | 3 |
| Pmp22 gene full sequence CPT 81325 | $2,166.00 | $3,610.00 | $769.58 – $784.97 | 3 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $47.53 | 3 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $39.99 – $40.79 | 3 |
| Pms2 gene dup/delet variants CPT 81319 | $555.00 | $925.00 | $203.50 – $207.57 | 3 |
| Pms2 gene full seq analysis CPT 81317 | $1,122.00 | $1,870.00 | $676.50 – $690.03 | 3 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $337.62 | 3 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $672.23 – $685.67 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $304.80 | $508.00 | $26.07 – $26.59 | 3 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $137.23 – $139.97 | 3 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $920.24 – $938.65 | 3 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $713.23 – $938.65 | 3 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,804.00 | $6,340.00 | $828.87 – $938.65 | 3 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $10.72 | 3 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $65,961.87 – $65,961.87 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $25.50 | 3 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $399.88 – $407.88 | 3 |
| Potassium 24 hour urine CPT 84133 | $125.40 | $209.00 | $4.73 – $4.82 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $5.95 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $120.00 | $200.00 | $4.76 – $4.86 | 3 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $139.74 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | $922.80 | $1,538.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $11,121.60 | $18,536.00 | $7,775.89 – $7,931.41 | 3 |
| Pq thr inj ext pse CPT 36002 | $367.80 | $613.00 | $672.23 – $685.67 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $392.72 – $400.57 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,044.20 | $3,407.00 | $3,506.34 – $3,576.46 | 3 |
| Pr application of long arm splint CPT 29105 | $288.60 | $481.00 | $174.14 – $177.62 | 3 |
| Pr application splint static short arm CPT 29125 | $116.40 | $194.00 | $142.58 – $145.43 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.03 – $40.83 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $513.60 | $856.00 | $435.63 – $444.34 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $64.80 | $108.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $294.60 | $491.00 | $215.00 – $219.30 | 3 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $291.00 | $485.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $291.00 | $485.00 | not published | 0 |
| Prealbumin CPT 84134 | $85.80 | $143.00 | $14.59 – $14.88 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | $166.80 | $278.00 | $15.05 – $15.35 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $814.80 | $1,358.00 | $112.03 – $114.27 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $814.80 | $1,358.00 | $112.03 – $114.27 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $236.02 | 3 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $407.88 | 3 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $407.88 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $56.96 | 3 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $938.65 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $435.63 – $444.34 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $792.00 – $807.84 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $140.65 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $182.57 – $186.22 | 3 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $63.22 – $64.48 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $165.60 | $276.00 | $182.57 – $186.22 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $114.60 | $191.00 | $63.22 – $64.48 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $208.80 | $348.00 | $182.57 – $186.22 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $231.00 | $385.00 | $190.21 – $194.01 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $145.52 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $451.20 | $752.00 | $435.63 – $444.34 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.99 – $40.79 | 3 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $741.00 | $1,235.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $535.20 | $892.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $334.20 | $557.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $348.60 | $581.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $281.40 | $469.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $219.60 | $366.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,669.20 | $17,782.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $158.40 | $264.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $411.00 | $685.00 | $435.63 – $444.34 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $487.80 | $813.00 | $215.00 – $219.30 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $253.80 | $423.00 | $326.55 – $333.09 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $378.00 | $630.00 | $435.63 – $444.34 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $142.67 – $145.52 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $142.67 – $145.52 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $389.40 | $649.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $214.81 – $219.11 | 3 |
| Procalcitonin CPT 84145 | $431.40 | $719.00 | $27.22 – $27.76 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $996.56 – $1,016.49 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Progesterone CPT 84144 | $297.60 | $496.00 | $20.86 – $21.28 | 3 |
| Prolactin CPT 84146 | $181.80 | $303.00 | $19.38 – $19.77 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $78.00 | $130.00 | not published | 0 |
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.