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 |
|---|---|---|---|---|
| Blood typing patient serum CPT 86904 | not published | not published | $63.22 – $64.48 | 3 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $366.00 | $610.00 | $384.12 – $391.80 | 3 |
| Blood typing rh (d) CPT 86901 | $86.40 | $144.00 | $40.03 – $40.83 | 3 |
| Blood typing rh phenotype complete reference CPT 86906 | $144.00 | $240.00 | $40.03 – $40.83 | 3 |
| Blood volume CPT 78122 | not published | not published | $581.86 – $593.49 | 3 |
| Bone biopsy open superficial CPT 20240 | $3,525.00 | $5,875.00 | $3,112.75 – $3,175.00 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $540.00 | $900.00 | $112.03 – $114.27 | 3 |
| Bone imaging multiple areas CPT 78305 | $1,298.40 | $2,164.00 | $428.40 – $436.97 | 3 |
| Bone/joint imaging ltd area CPT 78300 | $976.20 | $1,627.00 | $428.40 – $436.97 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $987.00 | $1,645.00 | $1,769.88 – $1,805.28 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,020.60 | $1,701.00 | $1,769.88 – $1,805.28 | 3 |
| Bone marrow imaging body CPT 78104 | not published | not published | $428.40 – $436.97 | 3 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $428.40 – $436.97 | 3 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $428.40 – $436.97 | 3 |
| Bone marrow interpretation CPT 85097 | $531.00 | $885.00 | not published | 0 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Bone survey-lead poisoning CPT 77074 | $371.40 | $619.00 | $112.03 – $114.27 | 3 |
| Boot j walker l HCPCS L4386 | $585.60 | $976.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,143.00 | $1,905.00 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $13.65 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $462.60 | $771.00 | $17.03 – $17.37 | 3 |
| Borrelia miyamotoi amp prb CPT 87478 | $34.20 | $57.00 | $35.09 – $35.79 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $3.50 | 3 |
| Bowel imaging CPT 78290 | $2,671.20 | $4,452.00 | $428.40 – $436.97 | 3 |
| Brace afo lg left 6607 HCPCS L1930 | $1,838.40 | $3,064.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $1,143.00 | $1,905.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $307.80 | $513.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $169.20 | $282.00 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $2,745.60 | $4,576.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $3,423.00 | $5,705.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $307.80 | $513.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $1,384.80 | $2,308.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $307.80 | $513.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,112.75 – $3,175.00 | 3 |
| Brach/thor cath 1st CPT 36215 | $2,375.40 | $3,959.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,215.20 | $3,692.00 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $1,358.40 | $2,264.00 | $401.25 – $409.27 | 3 |
| Brachytx isodose intermed CPT 77317 | $915.60 | $1,526.00 | $401.25 – $409.27 | 3 |
| Brachytx isodose plan simple CPT 77316 | $1,039.80 | $1,733.00 | $401.25 – $409.27 | 3 |
| Braf gene CPT 81210 | $637.20 | $1,062.00 | $175.40 – $178.91 | 3 |
| Brain flow imaging only CPT 78610 | $1,509.00 | $2,515.00 | $581.86 – $593.49 | 3 |
| Brain image < 4 views CPT 78600 | not published | not published | $428.40 – $436.97 | 3 |
| Brain image 4+ views CPT 78605 | not published | not published | $581.86 – $593.49 | 3 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $428.40 – $436.97 | 3 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $581.86 – $593.49 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,085.40 | $6,809.00 | $373.86 – $381.34 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,824.80 | $4,708.00 | $373.86 – $381.34 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,464.20 | $4,107.00 | $255.69 – $260.80 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $4,508.40 | $7,514.00 | $373.86 – $381.34 | 3 |
| Brain MRI (with contrast) CPT 70552 | $4,125.00 | $6,875.00 | $373.86 – $381.34 | 3 |
| Brain MRI (without contrast) CPT 70551 | $3,373.80 | $5,623.00 | $255.69 – $260.80 | 3 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $169.20 | $282.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $477.36 | 3 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $595.91 | 3 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $382.76 | 3 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $307.38 | 3 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $288.54 | 3 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $188.82 | 3 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $382.76 | 3 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $288.54 | 3 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $448.80 | 3 |
| Brcassure comprehensive panel-sendout CPT 81162 | $5,228.40 | $8,714.00 | $1,824.88 – $1,861.38 | 3 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,994.40 | $8,324.00 | $1,769.88 – $1,805.28 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $654.00 | $1,090.00 | $758.85 – $774.02 | 3 |
| Breast reduction CPT 19318 | not published | not published | $7,115.73 – $7,258.04 | 3 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $231.39 – $236.02 | 3 |
| Breathing response hypoxia CPT 94450 | not published | not published | $137.89 – $140.65 | 3 |
| Breath recording infant CPT 94772 | not published | not published | $399.88 – $407.88 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $96.30 | 3 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $11.28 | 3 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $268.73 – $274.10 | 3 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $489,290.60 – $499,076.41 | 3 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $10.87 – $11.09 | 3 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $23.39 – $23.86 | 3 |
| Brief comunicaj tech-bsd svc CPT 98016 | $19.20 | $32.00 | not published | 0 |
| Bronchial allergy tests CPT 95070 | not published | not published | $399.88 – $407.88 | 3 |
| Bronchial challenge CPT 94070 | $706.80 | $1,178.00 | $399.88 – $407.88 | 3 |
| Bronch w/balloon occlusion CPT 31634 | $3,916.80 | $6,528.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $472.20 | $787.00 | not published | 0 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $178.91 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $1.67 – $1.67 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $93.60 | $156.00 | $55.84 – $56.96 | 3 |
| Bundled special stain group 2 CPT 88313 | $93.60 | $156.00 | $142.58 – $145.43 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $114.60 | $191.00 | not published | 0 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,996.56 – $2,036.49 | 3 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,996.56 – $2,036.49 | 3 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.68 – $0.69 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $7,775.89 – $7,931.41 | 3 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,723.15 – $1,757.62 | 3 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Bx bone trocar/ndl deep CPT 20225 | $1,368.60 | $2,281.00 | $1,769.88 – $1,805.28 | 3 |
| Bx breast 1st lesion mr imag CPT 19085 | $5,197.80 | $8,663.00 | $1,769.88 – $1,805.28 | 3 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,994.40 | $8,324.00 | $1,769.88 – $1,805.28 | 3 |
| Bx breast add lesion mr imag CPT 19086 | $5,197.80 | $8,663.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $5,197.80 | $8,663.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $5,197.80 | $8,663.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,769.88 – $1,805.28 | 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.