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 |
|---|---|---|---|---|
| X-ray eye detection foreign body (both sides) CPT 70030 | $352.80 | $441.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $479.20 | $599.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $512.00 | $640.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $503.20 | $629.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $439.20 | $549.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $570.40 | $713.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $644.80 | $806.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $508.80 | $636.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $505.60 | $632.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $444.80 | $556.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $640.00 | $800.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $275.20 | $344.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $549.60 | $687.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $206.40 | $258.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $499.20 | $624.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $571.20 | $714.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $360.00 | $450.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $298.40 | $373.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $471.20 | $589.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $542.40 | $678.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $612.80 | $766.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $477.60 | $597.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $353.60 | $442.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $379.20 | $474.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $327.20 | $409.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $113.60 | $142.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $344.00 | $430.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $404.80 | $506.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $791.20 | $989.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $383.20 | $479.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $499.20 | $624.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $464.00 | $580.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $448.80 | $561.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $392.80 | $491.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $373.60 | $467.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $596.80 | $746.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $542.40 | $678.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $454.40 | $568.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $364.80 | $456.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $581.60 | $727.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $766.40 | $958.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $721.60 | $902.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $580.80 | $726.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $366.40 | $458.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $321.60 | $402.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $360.00 | $450.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $460.80 | $576.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $596.80 | $746.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $465.60 | $582.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $459.20 | $574.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $527.20 | $659.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $224.00 | $280.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $295.20 | $369.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $341.60 | $427.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $634.40 | $793.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $372.00 | $465.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $891.20 | $1,114.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $900.80 | $1,126.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $379.20 | $474.00 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $388.00 | $485.00 | 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.