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 |
|---|---|---|---|---|
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $336.00 | $420.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $516.80 | $646.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $536.80 | $671.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $556.00 | $695.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $514.40 | $643.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $107.20 | $134.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $915.20 | $1,144.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $915.20 | $1,144.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $915.20 | $1,144.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $915.20 | $1,144.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $915.20 | $1,144.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.80 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $508.00 | $635.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $1,557.60 | $1,947.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,557.60 | $1,947.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $148.00 | $185.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $46.40 | $58.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $164.00 | $205.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $144.00 | $180.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $170.40 | $213.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,338.40 | $2,923.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $60.80 | $76.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $1,230.40 | $1,538.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $300.00 | $375.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.00 | $60.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $62.40 | $78.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $224.80 | $281.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $481.60 | $602.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $280.80 | $351.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $335.20 | $419.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $21.60 | $27.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $477.60 | $597.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $632.00 | $790.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $436.00 | $545.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $407.20 | $509.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $445.60 | $557.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $448.00 | $560.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $584.00 | $730.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $514.40 | $643.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,244.00 | $1,555.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $95.20 | $119.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $3,890.40 | $4,863.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $162.40 | $203.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,704.00 | $2,130.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $92.80 | $116.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $62.40 | $78.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $93.60 | $117.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $92.00 | $115.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $280.00 | $350.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $56.00 | $70.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $225.60 | $282.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $188.80 | $236.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $402.40 | $503.00 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $80.00 | $100.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $333.60 | $417.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $909.60 | $1,137.00 | not published | 0 |
| Hand X-ray CPT 73130 | $744.00 | $930.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $152.80 | $191.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $896.80 | $1,121.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $216.00 | $270.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $236.00 | $295.00 | not published | 0 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $1,648.80 | $2,061.00 | not published | 0 |
| Hc nm kidney imaging with flow CPT 78701 | $1,285.60 | $1,607.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,958.40 | $6,198.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $2,549.60 | $3,187.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $2,171.20 | $2,714.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $2,005.60 | $2,507.00 | not published | 0 |
| Heart infarct image CPT 78466 | $972.80 | $1,216.00 | not published | 0 |
| Hematocrit CPT 85014 | $82.40 | $103.00 | not published | 0 |
| Hemoglobin CPT 85018 | $82.40 | $103.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $89.60 | $112.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | not published | 0 |
| Heparin assay CPT 85520 | $636.00 | $795.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $186.40 | $233.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $75.20 | $94.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $152.00 | $190.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $140.00 | $175.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $202.40 | $253.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $1,960.80 | $2,451.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,724.00 | $2,155.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $4,903.20 | $6,129.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $75.20 | $94.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $75.20 | $94.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $175.20 | $219.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $72.00 | $90.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $700.80 | $876.00 | not published | 0 |
| Hip X-ray CPT 73502 | $373.60 | $467.00 | not published | 0 |
| Histamine CPT 83088 | $420.80 | $526.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $1,104.00 | $1,380.00 | not published | 0 |
| Home sleep test/type 3 porta HCPCS G0399 | $730.40 | $913.00 | not published | 0 |
| Homocysteine CPT 83090 | $194.40 | $243.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $64.00 | $80.00 | not published | 0 |
| Hpv combo assay ca screen HCPCS G0476 | $196.80 | $246.00 | 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.