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 |
|---|---|---|---|---|
| St evaluation swallow function CPT 92610 | $309.60 | $516.00 | $56.75 – $57.88 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $182.57 – $186.22 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $182.57 – $186.22 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $99.60 | $166.00 | $174.14 – $177.62 | 3 |
| Strapping of chest CPT 29200 | not published | not published | $174.14 – $177.62 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | $87.60 | $146.00 | $63.22 – $64.48 | 3 |
| Strapping of hand or finger CPT 29280 | $85.80 | $143.00 | $63.22 – $64.48 | 3 |
| Strapping of hip CPT 29520 | not published | not published | $142.58 – $145.43 | 3 |
| Strapping of knee CPT 29530 | $87.60 | $146.00 | $142.58 – $145.43 | 3 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $63.22 – $64.48 | 3 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $17.15 | 3 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $20.45 | 3 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $42.60 | 3 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $12.98 | 3 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $35.79 | 3 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $12.91 | 3 |
| Stress test pulmonary CPT 94618 | $221.40 | $369.00 | $142.58 – $145.43 | 3 |
| Stress tte complete CPT 93351 | $2,716.80 | $4,528.00 | $585.55 – $597.26 | 3 |
| Str markers spec anal addl CPT 81266 | $480.00 | $800.00 | $304.81 – $310.91 | 3 |
| Str markers specimen anal CPT 81265 | $1,079.40 | $1,799.00 | $233.07 – $237.73 | 3 |
| St treatment speech individual CPT 92507 | $256.80 | $428.00 | $73.52 – $74.99 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | $216.00 | $360.00 | $80.96 – $82.58 | 3 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $756.44 – $771.56 | 3 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $215.00 – $219.30 | 3 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $792.00 – $807.84 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $11.76 | 3 |
| Sugars single quant CPT 84378 | $271.80 | $453.00 | $11.53 – $11.76 | 3 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $50.18 – $51.18 | 3 |
| Supply of digital device HCPCS G0552 | not published | not published | $142.67 – $145.52 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $169.20 | $282.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $41,173.43 – $41,996.90 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $971.94 – $991.38 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $216.60 | $361.00 | $30.99 – $31.61 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $248.40 | $414.00 | $40.03 – $40.83 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $264.60 | $441.00 | $55.84 – $56.96 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $331.80 | $553.00 | $55.84 – $56.96 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $421.80 | $703.00 | $384.12 – $391.80 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,044.60 | $1,741.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $94.80 | $158.00 | $4.75 – $4.84 | 3 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $74.40 | $124.00 | $4.75 – $4.84 | 3 |
| Susceptibility mic per plate CPT 87186 | $70.80 | $118.00 | $8.65 – $8.82 | 3 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $6.77 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $113.40 | $189.00 | $55.84 – $56.96 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,092.58 – $2,134.43 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Synch audio-only est high 40 CPT 98015 | $160.20 | $267.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $73.20 | $122.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $108.60 | $181.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $40.20 | $67.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $196.20 | $327.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $94.80 | $158.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $150.00 | $250.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $54.60 | $91.00 | not published | 0 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.03 – $40.83 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.96 – $7.10 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $78.00 | $130.00 | $4.40 – $4.49 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $75.00 | $125.00 | $16.94 – $17.28 | 3 |
| T3 (triiodothyronine) total CPT 84480 | $63.60 | $106.00 | $14.18 – $14.46 | 3 |
| T4 (thyroxine) free CPT 84439 | $117.00 | $195.00 | $9.02 – $9.20 | 3 |
| T4 (thyroxine) total CPT 84436 | $231.60 | $386.00 | $6.87 – $7.01 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $259.96 – $265.16 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $63.00 | $105.00 | $13.73 – $14.00 | 3 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.17 – $14.45 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $75.42 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $74.88 – $76.37 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $5,242.80 | $8,738.00 | $759.53 – $774.72 | 3 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,592.80 | $5,988.00 | $2,919.60 – $2,977.99 | 3 |
| Target gsa panel organ neop CPT 81445 | $3,203.40 | $5,339.00 | $597.91 – $609.87 | 3 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.72 – $1,599.07 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $792.00 – $807.84 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.25 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $139.74 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $93.26 – $95.12 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $93.26 – $95.12 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $102.00 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $163.20 | $272.00 | $61.98 – $63.22 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,203.89 – $2,203.89 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $775.52 – $791.03 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $952.81 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $2,184.37 – $2,184.37 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $335.17 | 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.