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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $2,938.80 | $4,898.00 | $187.96 – $191.72 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $2,311.80 | $3,853.00 | $187.96 – $191.72 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $2,035.80 | $3,393.00 | $112.03 – $114.27 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | $1,983.00 | $3,305.00 | $3,383.62 – $3,451.29 | 3 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,269.19 – $57,394.58 | 3 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.11 – $88.85 | 3 |
| Skin Biopsy CPT 11102 | $250.80 | $418.00 | $435.63 – $444.34 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $30.99 – $31.61 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $178.31 | 3 |
| Sleep study attended CPT 95807 | $3,004.20 | $5,007.00 | $358.90 – $407.88 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $3,400.20 | $5,667.00 | $791.95 – $938.65 | 3 |
| Sleep study unattended CPT 95806 | $729.00 | $1,215.00 | $87.32 – $236.02 | 3 |
| Sling pelv split sam med HCPCS L0621 | $307.80 | $513.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,240.09 – $2,284.90 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | $75.00 | $125.00 | $63.22 – $64.48 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $3,223.00 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $17.18 | 3 |
| Small bowel endoscopy CPT 44360 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44364 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44366 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44369 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44376 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44378 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy CPT 44382 | not published | not published | $971.94 – $991.38 | 3 |
| Small bowel endoscopy CPT 44384 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $971.94 – $991.38 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,056.34 – $2,097.46 | 3 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $119.40 | $199.00 | $5.39 – $5.50 | 3 |
| Smear gram stain CPT 87205 | $73.20 | $122.00 | $4.27 – $4.36 | 3 |
| Smear nasal eosinophil CPT 89190 | $83.40 | $139.00 | $5.79 – $5.91 | 3 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $49.20 | $82.00 | $5.99 – $6.11 | 3 |
| Smear wet mount CPT 87210 | $73.20 | $122.00 | $5.82 – $5.94 | 3 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $307.38 | 3 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $188.90 | 3 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $47.94 | 3 |
| Snrpn/ube3a gene CPT 81331 | $1,648.20 | $2,747.00 | $51.07 – $52.09 | 3 |
| Sodium 24 hour urine CPT 84300 | $102.60 | $171.00 | $5.06 – $5.16 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $102.00 | $170.00 | $4.81 – $4.91 | 3 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $93.26 – $95.12 | 3 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,372.22 | 3 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,219.75 | 3 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,354.28 | 3 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,067.28 | 3 |
| Somatosensory testing CPT 95927 | $781.20 | $1,302.00 | $231.39 – $236.02 | 3 |
| Somatropin injection HCPCS J2941 | not published | not published | $133.19 – $133.19 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,049.34 | 3 |
| So neo gsap dna mcrstl ins CPT 81457 | $8,194.80 | $13,658.00 | $896.87 – $914.81 | 3 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $68.19 – $68.19 | 1 |
| Special physics consult CPT 77370 | $1,452.60 | $2,421.00 | $144.03 – $146.92 | 3 |
| Special radiation dosimetry CPT 77331 | $358.80 | $598.00 | $144.03 – $146.92 | 3 |
| Special radiation treatment CPT 77470 | $4,299.60 | $7,166.00 | $592.11 – $603.96 | 3 |
| Special teletx port plan CPT 77321 | $1,606.80 | $2,678.00 | $401.25 – $409.27 | 3 |
| Specific gravity body fluid CPT 84315 | $45.00 | $75.00 | $3.28 – $3.35 | 3 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $6.00 | 3 |
| Speech audiometry complete CPT 92556 | $43.20 | $72.00 | $63.22 – $64.48 | 3 |
| Speech evaluation complex CPT 70371 | $988.20 | $1,647.00 | $255.69 – $260.80 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $63.22 – $64.48 | 3 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $10.88 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $19.98 | 3 |
| Sperm identification CPT 89257 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $55.84 – $56.96 | 3 |
| Sperm washing 58323 CPT 58323 | not published | not published | $216.65 – $220.98 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $476.40 | $794.00 | $756.44 – $771.56 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $231.39 – $236.02 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $553.80 | $923.00 | $399.88 – $407.88 | 3 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $137.89 – $140.65 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $428.40 – $436.97 | 3 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $85.20 | $142.00 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $1,143.00 | $1,905.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $585.60 | $976.00 | not published | 0 |
| Split blood or products CPT 86985 | not published | not published | $182.57 – $186.22 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $353.96 – $361.04 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $182.57 – $186.22 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $4,229.26 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $178.91 | 3 |
| Srs linear based CPT 77372 | $16,381.20 | $27,302.00 | not published | 0 |
| Srs multisource CPT 77371 | $34,026.60 | $56,711.00 | not published | 0 |
| Staggered spondaic word test CPT 92572 | not published | not published | $137.89 – $140.65 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $358.20 | $597.00 | $111.98 – $114.22 | 3 |
| Staph a dna amp probe CPT 87640 | $163.80 | $273.00 | $35.09 – $35.79 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $280.20 | $467.00 | $100.65 – $102.66 | 3 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $79.34 | 3 |
| Stenger test pure tone CPT 92565 | not published | not published | $63.22 – $64.48 | 3 |
| Stenger test speech CPT 92577 | not published | not published | $399.88 – $407.88 | 3 |
| Stereotactic radiation trmt CPT 77432 | $3,505.80 | $5,843.00 | not published | 0 |
| Sternal debridement CPT 21627 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| St evaluate speech sound production CPT 92522 | $293.40 | $489.00 | $114.30 – $116.59 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $406.20 | $677.00 | $218.13 – $222.49 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $410.40 | $684.00 | $94.22 – $96.10 | 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.