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 |
|---|---|---|---|---|
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $5.60 | $7.00 | not published | 0 |
| Iron CPT 83540 | $79.20 | $99.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $107.20 | $134.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $90.40 | $113.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $142.40 | $178.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $192.00 | $240.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $164.80 | $206.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $475.20 | $594.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,092.00 | $1,365.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $93.60 | $117.00 | not published | 0 |
| Kidney imaging morphology CPT 78700 | $1,085.60 | $1,357.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,508.00 | $1,885.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,188.80 | $1,486.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $5,974.40 | $7,468.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $5,297.60 | $6,622.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $4,620.00 | $5,775.00 | not published | 0 |
| Knee X-ray CPT 73564 | $797.60 | $997.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $127.20 | $159.00 | not published | 0 |
| Lactic acid CPT 83605 | $132.00 | $165.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $148.00 | $185.00 | not published | 0 |
| Lead capillary CPT 83655 | $92.00 | $115.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,190.40 | $1,488.00 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $170.40 | $213.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $136.00 | $170.00 | not published | 0 |
| Lipase CPT 83690 | $294.40 | $368.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $85.60 | $107.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $89.60 | $112.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $107.20 | $134.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $816.00 | $1,020.00 | not published | 0 |
| Liver Function Test CPT 80076 | $235.20 | $294.00 | not published | 0 |
| Liver imag w/vasclr flow CPT 78202 | $1,005.60 | $1,257.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,062.40 | $1,328.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,460.00 | $4,325.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,572.00 | $3,215.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,420.00 | $3,025.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,408.80 | $5,511.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,513.60 | $4,392.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,236.80 | $4,046.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $471.20 | $589.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $371.20 | $464.00 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $48.00 | $60.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $338.40 | $423.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $954.40 | $1,193.00 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,365.60 | $1,707.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $99.20 | $124.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $137.60 | $172.00 | not published | 0 |
| Magnesium CPT 83735 | $125.60 | $157.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $136.00 | $170.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $136.00 | $170.00 | not published | 0 |
| Mastoids complete CPT 70130 | $716.80 | $896.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $94.40 | $118.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $118.40 | $148.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $132.00 | $165.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $926.40 | $1,158.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $208.80 | $261.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $133.60 | $167.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $128.80 | $161.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $96.80 | $121.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $156.00 | $195.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $60.00 | $75.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,458.40 | $1,823.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $648.00 | $810.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $1,760.00 | $2,200.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $259.20 | $324.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $174.40 | $218.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $59.20 | $74.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $385.60 | $482.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $45.60 | $57.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $355.20 | $444.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $843.20 | $1,054.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $470.40 | $588.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $67.20 | $84.00 | not published | 0 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $37.60 | $47.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $225.60 | $282.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $142.40 | $178.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $128.80 | $161.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $243.20 | $304.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $207.20 | $259.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $100.80 | $126.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $29.60 | $37.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $712.00 | $890.00 | not published | 0 |
| Mayo chromium CPT 82495 | $296.80 | $371.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $58.40 | $73.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $1,044.00 | $1,305.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $268.00 | $335.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $65.60 | $82.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $141.60 | $177.00 | not published | 0 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $132.00 | $165.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $68.00 | $85.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $932.00 | $1,165.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $68.80 | $86.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $102.40 | $128.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $140.00 | $175.00 | not published | 0 |
| Mayo estrone CPT 82679 | $288.00 | $360.00 | not published | 0 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $23.20 | $29.00 | not published | 0 |
| Mayo everolimus therapeutic drug level CPT 80169 | $173.60 | $217.00 | not published | 0 |
| Mayo factor ii CPT 85210 | $261.60 | $327.00 | not published | 0 |
| Mayo factor v CPT 85220 | $273.60 | $342.00 | not published | 0 |
| Mayo factor vii CPT 85230 | $157.60 | $197.00 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $272.00 | $340.00 | 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.