OSF St Francis Hospital
3401 Ludington St, Escanaba, MI · Osfhealthcare · · NPI 1922058551
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 intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,657.60 | $2,072.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $2,137.60 | $2,672.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,111.20 | $2,639.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $339.20 | $424.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $86.40 | $108.00 | not published | 0 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $752.00 | $940.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $752.00 | $940.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $752.00 | $940.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $632.00 | $790.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $446.40 | $558.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $660.80 | $826.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $812.00 | $1,015.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,012.00 | $1,265.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,239.20 | $1,549.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,196.00 | $1,495.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,964.80 | $2,456.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,344.80 | $1,681.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,196.00 | $1,495.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $2,332.00 | $2,915.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $2,029.60 | $2,537.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $2,908.00 | $3,635.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $2,330.40 | $2,913.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $3,696.80 | $4,621.00 | not published | 0 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,230.40 | $2,788.00 | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $4,013.60 | $5,017.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $807.20 | $1,009.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $919.20 | $1,149.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $919.20 | $1,149.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $406.40 | $508.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $406.40 | $508.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $324.80 | $406.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $324.80 | $406.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $495.20 | $619.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,953.60 | $2,442.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,525.60 | $1,907.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $2,301.60 | $2,877.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,607.20 | $2,009.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $2,853.60 | $3,567.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $170.40 | $213.00 | not published | 0 |
| Ghs o2 uptake rest & indirect CPT 94690 | $459.20 | $574.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $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 | $152.00 | $190.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $170.40 | $213.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $852.80 | $1,066.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,824.80 | $3,531.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,258.40 | $1,573.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $348.80 | $436.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $1,311.20 | $1,639.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $974.40 | $1,218.00 | not published | 0 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,770.40 | $7,213.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.00 | $65.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $154.40 | $193.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $449.60 | $562.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $281.60 | $352.00 | 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 | $442.40 | $553.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $898.40 | $1,123.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $80.80 | $101.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $396.80 | $496.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $124.80 | $156.00 | 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 20.1 - 30.0 cm - 12017 CPT 12017 | $3,332.80 | $4,166.00 | 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 simple repair over 30 cm - 12018 CPT 12018 | $3,747.20 | $4,684.00 | not published | 0 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,091.20 | $1,364.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $382.40 | $478.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $217.60 | $272.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,320.00 | $4,150.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,689.60 | $3,362.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,196.00 | $1,495.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $1,941.60 | $2,427.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $215.20 | $269.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $4,535.20 | $5,669.00 | not published | 0 |
| Gi endoscopic ultrasound CPT 76975 | $744.80 | $931.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $179.20 | $224.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $118.40 | $148.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $83.20 | $104.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $72.80 | $91.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $119.20 | $149.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $235.20 | $294.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $86.40 | $108.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $243.20 | $304.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $537.60 | $672.00 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $170.40 | $213.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,920.00 | $2,400.00 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $118.40 | $148.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $222.40 | $278.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $406.40 | $508.00 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $766.40 | $958.00 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $94.40 | $118.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $382.40 | $478.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $907.20 | $1,134.00 | not published | 0 |
| G-tube reposition CPT 43761 | $2,052.00 | $2,565.00 | 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.