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 |
|---|---|---|---|---|
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $3,124.20 | $5,207.00 | $255.69 – $260.80 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $511.80 | $853.00 | $112.03 – $114.27 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $519.00 | $865.00 | $112.03 – $114.27 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $18.91 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $32.58 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $44.85 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $131.40 | $219.00 | $26.49 – $27.02 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $131.40 | $219.00 | $27.05 – $27.59 | 3 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $20.67 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $996.56 – $1,016.49 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $996.56 – $1,016.49 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $18.41 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $28.84 | 3 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $47.28 | 3 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $24.56 | 3 |
| Screening Mammogram CPT 77067 | $413.40 | $689.00 | $92.07 – $93.91 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $186.00 | $310.00 | $19.31 – $19.70 | 3 |
| Screen pap by tech w md supv HCPCS P3000 | $88.20 | $147.00 | $18.54 – $18.91 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $77.16 – $78.70 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $93.60 | $156.00 | $2.70 – $2.75 | 3 |
| Select picture audiometry CPT 92583 | not published | not published | $63.22 – $64.48 | 3 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $30.99 – $31.61 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $6.63 | 3 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $12.29 | 3 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $8.78 | 3 |
| Sensorimotor examination CPT 92060 | not published | not published | $63.22 – $64.48 | 3 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.03 – $40.83 | 3 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $195.84 | 3 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $44.52 | 3 |
| Set radiation therapy field CPT 77280 | $1,358.40 | $2,264.00 | $144.03 – $146.92 | 3 |
| Set radiation therapy field CPT 77285 | $2,443.20 | $4,072.00 | $401.25 – $409.27 | 3 |
| Set radiation therapy field CPT 77290 | $2,512.20 | $4,187.00 | $401.25 – $409.27 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $18.34 | 3 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $8.15 | 3 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $197.12 | 3 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $435.63 – $444.34 | 3 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $435.63 – $444.34 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $435.63 – $444.34 | 3 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $435.63 – $444.34 | 3 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $215.00 – $219.30 | 3 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $215.00 – $219.30 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $24.48 – $24.97 | 3 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Shoe post-op mens m HCPCS L3260 | $1,143.00 | $1,905.00 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Shortening of thigh bone CPT 27465 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $6,254.40 | $10,424.00 | $373.86 – $381.34 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | $5,496.60 | $9,161.00 | $840.06 – $856.87 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $3,946.20 | $6,577.00 | $255.69 – $260.80 | 3 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Shoulder X-ray CPT 73030 | $531.60 | $886.00 | $93.26 – $95.12 | 3 |
| Shrinker prosth above knee HCPCS L8460 | $585.60 | $976.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $112.03 – $114.27 | 3 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $12.46 | 3 |
| Sialography s&i CPT 70390 | $840.60 | $1,401.00 | $255.69 – $260.80 | 3 |
| Sickling rbc CPT 85660 | $88.80 | $148.00 | $5.51 – $5.62 | 3 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $996.56 – $1,016.49 | 3 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $996.56 – $1,016.49 | 3 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $996.56 – $1,016.49 | 3 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $996.56 – $1,016.49 | 3 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $996.56 – $1,016.49 | 3 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $63.22 – $64.48 | 3 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,282.34 – $1,307.99 | 3 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $12,370.97 – $12,618.39 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $172.80 | $288.00 | not published | 0 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $112.03 – $114.27 | 3 |
| Single transfer toe-hand CPT 26553 | 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.