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 |
|---|---|---|---|---|
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $466.20 | $777.00 | $184.91 – $188.61 | 3 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $795.60 | $1,326.00 | $265.41 – $270.72 | 3 |
| Red blood cells washed each unit HCPCS P9022 | $507.00 | $845.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | not published | not published | $581.86 – $593.49 | 3 |
| Red cell mass single CPT 78120 | not published | not published | $428.40 – $436.97 | 3 |
| Red cell sequestration CPT 78140 | not published | not published | $428.40 – $436.97 | 3 |
| Red cell survival study CPT 78130 | not published | not published | $428.40 – $436.97 | 3 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $996.56 – $1,016.49 | 3 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $328.94 – $335.51 | 3 |
| Refill/maint pump/resvr syst CPT 96522 | $417.60 | $696.00 | $227.94 – $232.50 | 3 |
| Reinforce clavicle CPT 23490 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Reinforce hip bones CPT 27187 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Reinforce thigh CPT 27495 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Reinforce tibia CPT 27745 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Release finger contracture CPT 26525 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release knuckle contracture CPT 26520 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release muscles of hand CPT 26593 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of eye fluid CPT 67015 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Release of foot tendon CPT 28220 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of foot tendons CPT 28222 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of foot tendons CPT 28226 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of lower leg tendon CPT 27680 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of lower leg tendons CPT 27681 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of midfoot joint CPT 28260 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Release of shoulder ligament CPT 23415 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Release palm contracture CPT 26040 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Release palm contracture CPT 26121 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release palm contracture CPT 26123 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release palm & finger tendon CPT 26442 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Release thumb contracture CPT 26508 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Relieve bladder contracture CPT 52640 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Relocation of testis(es) CPT 54680 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Rem/biv cast full arm/leg CPT 29705 | $169.20 | $282.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $6.90 – $7.04 | 3 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $39.99 – $40.79 | 3 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $39.99 – $40.79 | 3 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $39.99 – $40.79 | 3 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $39.99 – $40.79 | 3 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $142.67 – $145.52 | 3 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $39.99 – $40.79 | 3 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $399.88 – $407.88 | 3 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $8.06 – $8.22 | 3 |
| Removable soft interface le HCPCS K0672 | not published | not published | $104.22 – $106.30 | 3 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Removal biliary drg cath CPT 47537 | not published | not published | $971.94 – $991.38 | 3 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $840.60 | $1,401.00 | $672.23 – $685.67 | 3 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $974.40 | $1,624.00 | $1,686.89 – $1,720.63 | 3 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Removal cerclage without anes CPT 59899 | not published | not published | $216.65 – $220.98 | 3 |
| Removal cerumen impacted (both sides) CPT 69210 | $199.80 | $333.00 | $63.22 – $64.48 | 3 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $261.00 | $435.00 | $215.00 – $219.30 | 3 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | not published | not published | $971.94 – $991.38 | 3 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Removal foreign body foot subcutaneous right CPT 28190 | $711.60 | $1,186.00 | $758.85 – $774.02 | 3 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Removal implant superficial separate procedure CPT 20670 | $2,038.20 | $3,397.00 | $1,769.88 – $1,805.28 | 3 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $7,115.73 – $7,258.04 | 3 |
| Removal of anal fissure CPT 46200 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Removal of anal tags CPT 46230 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Removal of ankle bone CPT 28130 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of ankle implant CPT 27704 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of bladder lesion CPT 51520 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Removal of bladder stone CPT 51050 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Removal of bone for graft CPT 20900 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Removal of bone for graft CPT 20902 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Removal of bone lesion CPT 23140 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of bone lesion CPT 23145 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of bone lesion CPT 23146 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Removal of breast lesion CPT 19120 | not published | not published | $4,195.85 – $4,279.77 | 3 |
| Removal of calcium deposits CPT 23000 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Removal of epididymis CPT 54860 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Removal of epididymis CPT 54861 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Removal of fascia for graft CPT 20920 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Removal of fascia for graft CPT 20922 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Removal of finger lesion CPT 26210 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Removal of finger tendon CPT 26180 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Removal of foot fascia CPT 28062 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of foot joint lining CPT 28070 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Removal of foot joint lining CPT 28072 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of foot lesion CPT 28080 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Removal of foot lesion CPT 28090 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Removal of foot lesion CPT 28104 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Removal of forearm lesion CPT 25120 | 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.