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 |
|---|---|---|---|---|
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $227.94 – $232.50 | 3 |
| Proph rta dtchmnt pc CPT 67145 | $1,336.20 | $2,227.00 | $589.39 – $601.18 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | $3,534.00 | $5,890.00 | $384.12 – $391.80 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Prosthetic sock multi ply bk HCPCS L8420 | $169.20 | $282.00 | not published | 0 |
| Protein c activity CPT 85303 | $148.20 | $247.00 | $13.84 – $14.12 | 3 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.05 – $15.35 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $247.80 | $413.00 | $10.74 – $10.95 | 3 |
| Protein s total CPT 85305 | $245.40 | $409.00 | $11.61 – $11.84 | 3 |
| Protein total 24 hour urine CPT 84156 | $124.20 | $207.00 | $3.67 – $3.74 | 3 |
| Protein total body fluid CPT 84157 | $172.20 | $287.00 | $4.00 – $4.08 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $102.60 | $171.00 | $3.67 – $3.74 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.05 – $2.09 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $171.60 | $286.00 | $3.94 – $4.02 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $592.11 – $603.96 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $9.93 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $142.67 – $145.52 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $6,099.19 – $6,221.17 | 3 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Pr removal drug delivery implant CPT 11982 | $718.20 | $1,197.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $157.80 | $263.00 | $142.58 – $145.43 | 3 |
| Pr removal intrauterine device CPT 58301 | $249.60 | $416.00 | $326.55 – $333.09 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $403.80 | $673.00 | $435.63 – $444.34 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $334.80 | $558.00 | $215.00 – $219.30 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $334.80 | $558.00 | $215.00 – $219.30 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $334.80 | $558.00 | $215.00 – $219.30 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $345.00 | $575.00 | $215.00 – $219.30 | 3 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $78.00 | $130.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $472.77 – $482.23 | 3 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $988.80 | $1,648.00 | $1,686.89 – $1,720.63 | 3 |
| PSA (Prostate) Test CPT 84153 | $169.80 | $283.00 | $18.39 – $18.76 | 3 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $30.99 – $31.61 | 3 |
| Psychoanalysis CPT 90845 | not published | not published | $190.21 – $194.01 | 3 |
| Psychophysiological therapy CPT 90875 | $204.60 | $341.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $189.60 | $316.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $186.60 | $311.00 | $190.21 – $194.01 | 3 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $232.80 | $388.00 | $190.21 – $194.01 | 3 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $257.40 | $429.00 | $190.21 – $194.01 | 3 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $231.39 – $236.02 | 3 |
| Psycl/nrpsyc tech 1st CPT 96138 | $251.40 | $419.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $142.58 – $145.43 | 3 |
| Psytx complex interactive CPT 90785 | $77.40 | $129.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $41.40 | $69.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $62.40 | $104.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $83.40 | $139.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.40 | $144.00 | $15.18 – $15.48 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $86.40 | $144.00 | $18.35 – $18.72 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $80.40 | $134.00 | $13.94 – $14.22 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $80.40 | $134.00 | $14.22 – $14.50 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $306.00 | 3 |
| Pten gene full sequence CPT 81321 | $3,959.40 | $6,599.00 | $600.00 – $612.00 | 3 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $47.53 | 3 |
| Pt evaluation high complexity patient/family CPT 97163 | $278.40 | $464.00 | $94.04 – $95.92 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $231.60 | $386.00 | $98.89 – $100.87 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $247.20 | $412.00 | $99.73 – $101.72 | 3 |
| Pt-focused hlth risk assmt CPT 96160 | $29.40 | $49.00 | not published | 0 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $26.25 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $160.80 | $268.00 | $68.90 – $70.28 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $118.20 | $197.00 | $30.03 – $30.63 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $12.58 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $105.00 | $175.00 | $28.06 – $28.62 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.54 – $31.15 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $108.00 | $180.00 | $31.68 – $32.31 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,517.79 | 3 |
| Pulmonary vent imaging CPT 78579 | $1,102.20 | $1,837.00 | $428.40 – $436.97 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $539.40 | $899.00 | $137.89 – $140.65 | 3 |
| Pulse ox multiple CPT 94761 | $120.60 | $201.00 | not published | 0 |
| Pulse ox single CPT 94760 | $42.00 | $70.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $756.44 – $771.56 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $139.20 | $232.00 | $142.58 – $145.43 | 3 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $727.80 | $1,213.00 | $435.63 – $444.34 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $438.00 | $730.00 | $756.44 – $771.56 | 3 |
| Puraply 1 sq cm HCPCS Q4195 | $301.80 | $503.00 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $301.80 | $503.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $756.44 – $771.56 | 3 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $756.44 – $771.56 | 3 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $20,627.40 | $34,379.00 | 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.