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 |
|---|---|---|---|---|
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $66.18 | 3 |
| Assay of prostaglandin CPT 84150 | $96.00 | $160.00 | $41.77 – $42.61 | 3 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $18.76 | 3 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $11.86 | 3 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $9.63 | 3 |
| Assay of salicylate CPT 80179 | $253.80 | $423.00 | $18.64 – $19.01 | 3 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $17.69 | 3 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $13.71 | 3 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $25.71 | 3 |
| Assay of somatostatin CPT 84307 | $687.60 | $1,146.00 | $18.28 – $18.65 | 3 |
| Assay of thiocyanate CPT 84430 | $171.60 | $286.00 | $11.63 – $11.86 | 3 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $10.29 | 3 |
| Assay of tyrosine CPT 84510 | $127.80 | $213.00 | $10.63 – $10.84 | 3 |
| Assay of urine sulfate CPT 84392 | $65.40 | $109.00 | $5.49 – $5.60 | 3 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $9.74 | 3 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $6.17 | 3 |
| Assay phosphatidylglycerol CPT 84081 | $229.80 | $383.00 | $16.52 – $16.85 | 3 |
| Assay phosphohexose enzymes CPT 84087 | $85.80 | $143.00 | $10.73 – $10.94 | 3 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $9.63 | 3 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $20.13 | 3 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $300.00 | $500.00 | $94.91 – $96.81 | 3 |
| Assess cyst contrast inject CPT 49424 | $1,028.40 | $1,714.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $4.36 | 3 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $137.89 – $140.65 | 3 |
| Assistive tech assessment, ot CPT 97755 | $90.60 | $151.00 | $36.48 – $37.21 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $182.57 – $186.22 | 3 |
| Ast/sgot CPT 84450 | $140.40 | $234.00 | $5.18 – $5.28 | 3 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $690.03 | 3 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $246.74 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $94.00 – $95.88 | 3 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $139.74 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $16.22 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $139.74 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $137.89 – $140.65 | 3 |
| Audiometry air + bone CPT 92553 | not published | not published | $137.89 – $140.65 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $137.89 – $140.65 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $7,129.20 | $11,882.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $10,415.40 | $17,359.00 | $7,775.89 – $7,931.41 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $857.46 | 3 |
| Autologous blood process CPT 86890 | not published | not published | $182.57 – $186.22 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $6.60 | 3 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $142.58 – $145.43 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $137.89 – $140.65 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $142.58 – $145.43 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $105.54 – $107.66 | 3 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Avul nail plate addl CPT 11732 | $87.60 | $146.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $259.20 | $432.00 | $215.00 – $219.30 | 3 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $55.65 – $56.76 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $531,849.12 – $542,486.10 | 3 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $259.85 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $178.05 – $181.61 | 3 |
| Baclofen eval charges CPT 97750 | $106.20 | $177.00 | $34.36 – $35.05 | 3 |
| Bacterial meningitis antigen CPT 86403 | $208.20 | $347.00 | $11.54 – $11.77 | 3 |
| Bacterial vaginosis pcr CPT 87801 | $802.80 | $1,338.00 | $70.20 – $71.60 | 3 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $15.32 | 3 |
| #bac vag cand-c. albicans naa CPT 87481 | $129.00 | $215.00 | $35.09 – $35.79 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $35.79 | 3 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $43.70 | 3 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $231.39 – $236.02 | 3 |
| Basiliximab HCPCS J0480 | not published | not published | $4,812.31 – $4,908.56 | 3 |
| B cells total count CPT 86355 | $553.80 | $923.00 | $37.73 – $38.48 | 3 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $96.89 | 3 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.89 – $3.97 | 3 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $57.19 – $58.33 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.16 – $2.20 | 3 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $14.22 | 3 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $13.16 | 3 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.74 – $32.37 | 3 |
| Benign lesion paring 2-4 CPT 11056 | $208.20 | $347.00 | $215.00 – $219.30 | 3 |
| Benign lesion paring 4+ CPT 11057 | $266.40 | $444.00 | $215.00 – $219.30 | 3 |
| #_benzodiazconfur CPT 80346 | $202.20 | $337.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $461.40 | $769.00 | $25.45 – $25.96 | 3 |
| Beta-2 microglobulin CPT 82232 | $385.80 | $643.00 | $16.18 – $16.50 | 3 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $131.50 | 3 |
| Beta-amyloid 1-42 CPT 82234 | $333.00 | $555.00 | $128.92 – $131.50 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.36 – $75.84 | 3 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.74 – $24.21 | 3 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.85 – $26.37 | 3 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.86 – $1.90 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $61.80 | $103.00 | $37.86 – $38.62 | 3 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $42.60 | $71.00 | $22.02 – $22.46 | 3 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $17.21 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,095.00 | $1,825.00 | $947.82 – $966.77 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,310.40 | $2,184.00 | $328.94 – $335.51 | 3 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $921.00 | $1,535.00 | $328.94 – $335.51 | 3 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $27.11 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $6,937.47 – $7,076.22 | 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.