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 |
|---|---|---|---|---|
| Debridement bone <= 20 sq cm CPT 11044 | $2,281.60 | $2,852.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $510.40 | $638.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,369.60 | $1,712.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $539.20 | $674.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $83.20 | $104.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $146.40 | $183.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $850.40 | $1,063.00 | not published | 0 |
| Decalcification CPT 88311 | $81.60 | $102.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $516.00 | $645.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $2,671.20 | $3,339.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $116.00 | $145.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $172.00 | $215.00 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $273.60 | $342.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,918.40 | $4,898.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,307.20 | $1,634.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $223.20 | $279.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,307.20 | $1,634.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,918.40 | $4,898.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $219.20 | $274.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $442.40 | $553.00 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $248.00 | $310.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $162.40 | $203.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $79.20 | $99.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $577.60 | $722.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $458.40 | $573.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $335.20 | $419.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $171.20 | $214.00 | not published | 0 |
| Disaccharidases CPT 82657 | $776.00 | $970.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $43.20 | $54.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $102.40 | $128.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $106.40 | $133.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $789.60 | $987.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $538.40 | $673.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $1,864.80 | $2,331.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $591.20 | $739.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,004.80 | $1,256.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $591.20 | $739.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $308.80 | $386.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,063.20 | $2,579.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $4,420.80 | $5,526.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $534.40 | $668.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $372.00 | $465.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $555.20 | $694.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $493.60 | $617.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $422.40 | $528.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,360.80 | $1,701.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,977.60 | $2,472.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $190.40 | $238.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $140.00 | $175.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $354.40 | $443.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $870.40 | $1,088.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $196.80 | $246.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $753.60 | $942.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $898.40 | $1,123.00 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $297.60 | $372.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $271.20 | $339.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $327.20 | $409.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $613.60 | $767.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $613.60 | $767.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $216.80 | $271.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $360.80 | $451.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,319.20 | $2,899.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $572.00 | $715.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,100.80 | $1,376.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $384.00 | $480.00 | not published | 0 |
| Echo stress CPT 93350 | $1,602.40 | $2,003.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $114.40 | $143.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $966.40 | $1,208.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $49.60 | $62.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $70.40 | $88.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $140.00 | $175.00 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $1,032.00 | $1,290.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $500.80 | $626.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,180.00 | $6,475.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $700.80 | $876.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,607.20 | $25,759.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $20,607.20 | $25,759.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,169.60 | $1,462.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $67.20 | $84.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $50.40 | $63.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $50.40 | $63.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,136.80 | $1,421.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $183.20 | $229.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $380.00 | $475.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $648.00 | $810.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,026.40 | $1,283.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,707.20 | $2,134.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $110.40 | $138.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $118.40 | $148.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $199.20 | $249.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $301.60 | $377.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $427.20 | $534.00 | not published | 0 |
| Estradiol total CPT 82670 | $212.80 | $266.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $483.20 | $604.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $244.00 | $305.00 | not published | 0 |
| Event monitor CPT 93270 | $216.80 | $271.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $261.60 | $327.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $2,929.60 | $3,662.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $1,564.80 | $1,956.00 | 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.