OSF Saint Clare Medical Center
530 Park Avenue East, Princeton, IL · Osfhealthcare · · NPI 1093308439
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 |
|---|---|---|---|---|
| MRI chest w IV cont CPT 71551 | $3,204.80 | $4,006.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $5,237.60 | $6,547.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,994.40 | $6,243.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,428.00 | $6,785.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,988.80 | $3,736.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,291.20 | $5,364.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,344.80 | $4,181.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,235.20 | $5,294.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,642.40 | $7,053.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $4,652.80 | $5,816.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $152.00 | $190.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $159.20 | $199.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $85.60 | $107.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $102.40 | $128.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $43.20 | $54.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $419.20 | $524.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $429.60 | $537.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $148.00 | $185.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $66.40 | $83.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $66.40 | $83.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $854.40 | $1,068.00 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $272.00 | $340.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $240.80 | $301.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $126.40 | $158.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $40.00 | $50.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $40.00 | $50.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,460.00 | $4,325.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,412.00 | $3,015.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,408.80 | $5,511.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,704.00 | $4,630.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,224.80 | $4,031.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,555.20 | $4,444.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,380.00 | $4,225.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,274.40 | $4,093.00 | not published | 0 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $648.00 | $810.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,763.20 | $2,204.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,748.80 | $2,186.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,688.80 | $2,111.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,499.20 | $1,874.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,499.20 | $1,874.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,912.80 | $2,391.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,592.80 | $1,991.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,277.60 | $1,597.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $342.40 | $428.00 | not published | 0 |
| Non-card vasc flow imaging CPT 78445 | $676.00 | $845.00 | not published | 0 |
| Noonan spectrum disorders CPT 81442 | $4,772.80 | $5,966.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,117.60 | $3,897.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $1,569.60 | $1,962.00 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $515.20 | $644.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $785.60 | $982.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $432.00 | $540.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $303.20 | $379.00 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $218.40 | $273.00 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $353.60 | $442.00 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $528.80 | $661.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $210.40 | $263.00 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $235.20 | $294.00 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $197.60 | $247.00 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $272.80 | $341.00 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $718.40 | $898.00 | not published | 0 |
| Osmolality blood CPT 83930 | $98.40 | $123.00 | not published | 0 |
| Osmolality urine CPT 83935 | $99.20 | $124.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $371.20 | $464.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $308.80 | $386.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $329.60 | $412.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $47.20 | $59.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $61.60 | $77.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $144.00 | $180.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.00 | $175.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $140.00 | $175.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $214.40 | $268.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $144.00 | $180.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $334.40 | $418.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $140.00 | $175.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $144.00 | $180.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $140.00 | $175.00 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $220.00 | $275.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $260.80 | $326.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,916.00 | $3,645.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,350.40 | $2,938.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,052.80 | $2,566.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,120.00 | $5,150.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $3,547.20 | $4,434.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,557.60 | $4,447.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,060.80 | $1,326.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $584.80 | $731.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,168.80 | $2,711.00 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,988.80 | $7,486.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $6,069.60 | $7,587.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,382.40 | $6,728.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $5,676.00 | $7,095.00 | not published | 0 |
| Ph body fluid CPT 83986 | $25.60 | $32.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $172.00 | $215.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $147.20 | $184.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $188.80 | $236.00 | not published | 0 |
| Phosphorus CPT 84100 | $81.60 | $102.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $27.20 | $34.00 | not published | 0 |
| Pin service 60m per month HCPCS G0023 | $179.20 | $224.00 | not published | 0 |
| Pinworm exam CPT 87172 | $73.60 | $92.00 | not published | 0 |
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.