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 |
|---|---|---|---|---|
| Unlisted px med radj physics CPT 77399 | not published | not published | $144.03 – $146.92 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $264.33 – $269.62 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,473.11 – $2,522.57 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $971.94 – $991.38 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $144.03 – $146.92 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $253.81 – $258.89 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $55.84 – $56.96 | 3 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $428.40 – $436.97 | 3 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $215.00 – $219.30 | 3 |
| Unlisted surgical path px CPT 88399 | not published | not published | $55.84 – $56.96 | 3 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $30.99 – $31.61 | 3 |
| Unlisted ultrasound procedure CPT 76999 | $410.40 | $684.00 | $93.26 – $95.12 | 3 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $672.23 – $685.67 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $428.40 – $436.97 | 3 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $735.47 – $750.18 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,239.00 | $7,065.00 | $373.86 – $381.34 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,531.60 | $5,886.00 | $373.86 – $381.34 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,982.60 | $4,971.00 | $255.69 – $260.80 | 3 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $796.80 | $1,328.00 | $971.94 – $991.38 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $796.80 | $1,328.00 | $971.94 – $991.38 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $971.94 – $991.38 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,478.50 – $6,608.07 | 3 |
| Urea nitrogen CPT 84520 | $125.40 | $209.00 | $3.95 – $4.03 | 3 |
| Urea nitrogen 24 hour urine CPT 84540 | $125.40 | $209.00 | $5.56 – $5.67 | 3 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $7.34 | 3 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $5.23 | 3 |
| Ureteral reflux study CPT 78740 | $834.60 | $1,391.00 | $428.40 – $436.97 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,745.80 – $5,860.72 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $690.60 | $1,151.00 | $255.69 – $260.80 | 3 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,777.44 – $3,852.98 | 3 |
| Urethrocystography void s&i CPT 74455 | $710.40 | $1,184.00 | $255.69 – $260.80 | 3 |
| Uric acid blood CPT 84550 | $110.40 | $184.00 | $4.52 – $4.61 | 3 |
| Uric acid urine CPT 84560 | $123.60 | $206.00 | $5.08 – $5.18 | 3 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.79 | 3 |
| Urinalysis microscopic only CPT 81015 | $82.20 | $137.00 | $3.05 – $3.11 | 3 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $85.80 | $143.00 | $2.17 – $2.21 | 3 |
| Urinalysis (with microscopy) CPT 81001 | $81.00 | $135.00 | $3.17 – $3.23 | 3 |
| Urinalysis (without microscopy) CPT 81003 | $58.20 | $97.00 | $2.25 – $2.30 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $64.48 | 3 |
| Urine Culture Test CPT 87086 | $68.40 | $114.00 | $8.07 – $8.23 | 3 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $145.43 | 3 |
| Urine pregnancy test CPT 81025 | $114.00 | $190.00 | $8.61 – $8.78 | 3 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $30.58 | 3 |
| Urography, antegrade CPT 74425 | not published | not published | $373.86 – $381.34 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $187.96 – $191.72 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $112.03 – $114.27 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $11.86 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $429.28 – $429.28 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,758.17 – $14,033.33 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $440.09 – $440.09 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $400.37 – $400.37 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $424.45 – $424.45 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $238.99 – $238.99 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $178.46 – $178.46 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $204.60 – $204.60 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $191.61 – $191.61 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $483.40 – $483.40 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $86.23 – $86.23 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $227.30 – $227.30 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $227.30 – $227.30 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $59.52 – $59.52 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $60.85 – $60.85 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $100.32 – $100.32 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $29.75 – $29.75 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $363.38 – $363.38 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $702.37 – $702.37 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $710.99 – $710.99 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $851.88 – $851.88 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $315.22 – $321.52 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 3 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $3,481.20 | $5,802.00 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,946.52 – $8,105.45 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vaginal bx CPT 58999 | $410.40 | $684.00 | $216.65 – $220.98 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,360.72 – $5,467.93 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,468.96 – $3,538.34 | 3 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $1,714.19 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $192.60 | $321.00 | $13.54 – $13.81 | 3 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,270.52 – $1,295.93 | 3 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $6,099.19 – $6,221.17 | 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.