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 |
|---|---|---|---|---|
| Rheumatoid factor quantitative CPT 86431 | $85.60 | $107.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $19,084.00 | $23,855.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,465.60 | $1,832.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $6,752.00 | $8,440.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $15,445.60 | $19,307.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $218.40 | $273.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $313.60 | $392.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $90.40 | $113.00 | not published | 0 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $90.40 | $113.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $30.40 | $38.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $20.00 | $25.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $136.80 | $171.00 | not published | 0 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,196.00 | $3,995.00 | not published | 0 |
| Salivary glnd img serial img CPT 78231 | $819.20 | $1,024.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $72.00 | $90.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $364.80 | $456.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $880.00 | $1,100.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $827.20 | $1,034.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,190.40 | $1,488.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,176.80 | $1,471.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $892.80 | $1,116.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,201.60 | $1,502.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $875.20 | $1,094.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $146.40 | $183.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $468.80 | $586.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $196.80 | $246.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $117.60 | $147.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $151.20 | $189.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,537.60 | $6,922.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $4,901.60 | $6,127.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $4,470.40 | $5,588.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $739.20 | $924.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $633.60 | $792.00 | not published | 0 |
| Sickling rbc CPT 85660 | $121.60 | $152.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,596.00 | $3,245.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,405.60 | $3,007.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $2,220.80 | $2,776.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,644.00 | $3,305.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $291.20 | $364.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $4,248.80 | $5,311.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $706.40 | $883.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $165.60 | $207.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $99.20 | $124.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $74.40 | $93.00 | not published | 0 |
| Smear gram stain CPT 87205 | $73.60 | $92.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $172.00 | $215.00 | not published | 0 |
| Smear wet mount CPT 87210 | $83.20 | $104.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $980.80 | $1,226.00 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $686.40 | $858.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $76.00 | $95.00 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $98.40 | $123.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $10,926.40 | $13,658.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $560.00 | $700.00 | not published | 0 |
| Spleen imaging CPT 78185 | $828.80 | $1,036.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $388.80 | $486.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $54.40 | $68.00 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $32.00 | $40.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $54.40 | $68.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $477.60 | $597.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $373.60 | $467.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $391.20 | $489.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $541.60 | $677.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $547.20 | $684.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $412.80 | $516.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $370.40 | $463.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $342.40 | $428.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $288.00 | $360.00 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $58.40 | $73.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $89.60 | $112.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $152.80 | $191.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $216.80 | $271.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $287.20 | $359.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $410.40 | $513.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $700.80 | $876.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $75.20 | $94.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $81.60 | $102.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $80.80 | $101.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $85.60 | $107.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $240.80 | $301.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $166.40 | $208.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $132.80 | $166.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $162.40 | $203.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $219.20 | $274.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,835.20 | $2,294.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,790.40 | $5,988.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $178.40 | $223.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $142.40 | $178.00 | not published | 0 |
| T cells total count CPT 86359 | $122.40 | $153.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $55.20 | $69.00 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $3,085.60 | $3,857.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $1,001.60 | $1,252.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $928.00 | $1,160.00 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $4,790.40 | $5,988.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $25.60 | $32.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $61.60 | $77.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $90.40 | $113.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $77.60 | $97.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,308.80 | $1,636.00 | not published | 0 |
| Thrombin time CPT 85670 | $112.80 | $141.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $118.40 | $148.00 | 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.