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 |
|---|---|---|---|---|
| Revise radius or ulna CPT 25370 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revise radius & ulna CPT 25365 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revise radius & ulna CPT 25375 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Revise/remove sling repair CPT 57287 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Revise/replace knee joint CPT 27486 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revise/replace knee joint CPT 27487 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revise thumb tendon CPT 26490 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revise thumb tendon CPT 26496 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Revise ureter CPT 50727 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revise wrist joint CPT 25332 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of amputation CPT 24935 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of ankle joint CPT 27700 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Revision of big toe CPT 28310 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of bladder neck CPT 52500 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of calf tendon CPT 27687 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of cervix CPT 57720 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Revision of cervix CPT 59320 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Revision of collar bone CPT 23480 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of collar bone CPT 23485 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of cranial nerve CPT 64716 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of foot CPT 28116 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of foot and ankle CPT 28262 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of foot bones CPT 28737 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of foot tendon CPT 28238 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Revision of hip bone CPT 27147 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of hip bones CPT 27156 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of hip tendon CPT 27097 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of iris CPT 66761 | $1,336.20 | $2,227.00 | $589.39 – $601.18 | 3 |
| Revision of iris CPT 66762 | not published | not published | $589.39 – $601.18 | 3 |
| Revision of knee joint CPT 27440 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of knee joint CPT 27441 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of knee joint CPT 27442 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of knee joint CPT 27443 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of knee joint CPT 27446 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of neck muscle CPT 21725 | not published | not published | $758.85 – $774.02 | 3 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of pelvis CPT 27158 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of penis CPT 54300 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of penis CPT 54304 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of penis CPT 54420 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of penis CPT 54435 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of radius CPT 25350 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of radius CPT 25355 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Revision of testis CPT 54660 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of toe CPT 28312 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Revision tips CPT 37183 | not published | not published | $6,099.19 – $6,221.17 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $18,789.56 – $19,165.36 | 3 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.79 – $11.00 | 3 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $150.00 | $250.00 | $6.14 – $6.26 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $114.60 | $191.00 | $5.67 – $5.78 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $34.26 – $34.94 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.60 – $14.89 | 3 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.80 – $11.01 | 3 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.16 – $75.64 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.28 – $37.01 | 3 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.28 – $31.90 | 3 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $20.66 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.69 – $13.96 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,775.89 – $7,931.41 | 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.