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 |
|---|---|---|---|---|
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $758.85 – $774.02 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $14,604.60 | $24,341.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $969.00 | $1,615.00 | $672.23 – $685.67 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $5,167.80 | $8,613.00 | $8,868.06 – $9,045.42 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,746.49 – $3,821.42 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $11,820.60 | $19,701.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,868.06 – $9,045.42 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,020.80 | $3,368.00 | $758.85 – $774.02 | 3 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $4.24 – $4.24 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.80 – $31.41 | 3 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $11.11 – $11.33 | 3 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.19 – $12.43 | 3 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $18.59 | 3 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $215.00 – $219.30 | 3 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.40 – $23.86 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,497.60 | $2,496.00 | $428.40 – $436.97 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,133.20 | $5,222.00 | $1,387.37 – $1,415.12 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,700.40 | $7,834.00 | $1,532.36 – $1,563.01 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Rpl tun cvc wo subq port CPT 36581 | $3,697.80 | $6,163.00 | $3,383.62 – $3,451.29 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,937.47 – $7,076.22 | 3 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $63.22 – $64.48 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,836.82 – $3,913.56 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $10,144.44 – $10,347.33 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Rsv assay w/optic CPT 87807 | $294.60 | $491.00 | $13.10 – $13.36 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $235.20 | $392.00 | $142.67 – $145.52 | 3 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $39.99 – $40.79 | 3 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $67.80 | $113.00 | $39.99 – $40.79 | 3 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $67.80 | $113.00 | $39.99 – $40.79 | 3 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.93 – $26.45 | 3 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $26.41 – $26.94 | 3 |
| Rubella antibody igg CPT 86762 | $208.20 | $347.00 | $14.39 – $14.68 | 3 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $62.02 | 3 |
| Rubeola antibody igg CPT 86765 | $81.60 | $136.00 | $12.88 – $13.14 | 3 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $336.10 | 3 |
| Russell viper venom diluted CPT 85613 | $224.40 | $374.00 | $9.58 – $9.77 | 3 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,400.00 | $4,000.00 | $917.08 – $935.42 | 3 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $36.80 – $37.53 | 3 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.54 – $40.33 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $428.40 – $436.97 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $428.40 – $436.97 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $428.40 – $436.97 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $13.45 | 3 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Same day nb discharge 99463 CPT 99463 | $205.80 | $343.00 | $142.67 – $145.52 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $61.89 – $63.13 | 3 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $52.46 | 3 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $439.79 – $439.79 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $54.60 | $91.00 | $35.33 – $36.04 | 3 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $276.00 | $460.00 | $70.29 – $71.70 | 3 |
| Sbrt management CPT 77435 | $2,082.00 | $3,470.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $198.00 | $330.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $114.00 | $190.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $153.00 | $255.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $67.80 | $113.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,637.00 | $4,395.00 | $255.69 – $260.80 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,485.00 | $2,475.00 | $112.03 – $114.27 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $811.20 | $1,352.00 | $255.69 – $260.80 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $712.80 | $1,188.00 | $112.03 – $114.27 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,107.60 | $1,846.00 | $112.03 – $114.27 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $904.20 | $1,507.00 | $112.03 – $114.27 | 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.