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 |
|---|---|---|---|---|
| Revasc lithotr-ather tib/per HCPCS C9774 | $27,184.80 | $33,981.00 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $27,619.20 | $34,524.00 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $15,886.40 | $19,858.00 | not published | 0 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $27,184.80 | $33,981.00 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $27,184.80 | $33,981.00 | not published | 0 |
| Revision of circulation CPT 37140 | $1,936.80 | $2,421.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $108.80 | $136.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $111.20 | $139.00 | not published | 0 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $141.60 | $177.00 | not published | 0 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $521.60 | $652.00 | not published | 0 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $670.40 | $838.00 | not published | 0 |
| Rib X-ray (3 views, both sides) CPT 71110 | $645.60 | $807.00 | not published | 0 |
| Right ventric recording CPT 93603 | $2,487.20 | $3,109.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,920.00 | $4,900.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $5,570.40 | $6,963.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $41,453.60 | $51,817.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $33,988.80 | $42,486.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $20,338.40 | $25,423.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $7,474.40 | $9,343.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $7,196.00 | $8,995.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,461.60 | $20,577.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,600.00 | $14,500.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,638.40 | $3,298.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $5,476.80 | $6,846.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $5,062.40 | $6,328.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,768.80 | $2,211.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $4,489.60 | $5,612.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $6,735.20 | $8,419.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $4,610.40 | $5,763.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $332.80 | $416.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $313.60 | $392.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $90.40 | $113.00 | not published | 0 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $90.40 | $113.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $253.60 | $317.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $158.40 | $198.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $324.00 | $405.00 | not published | 0 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,328.80 | $4,161.00 | not published | 0 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $441.60 | $552.00 | not published | 0 |
| Salivary gland function exam CPT 78232 | $1,528.00 | $1,910.00 | not published | 0 |
| Salivary glnd img serial img CPT 78231 | $1,576.00 | $1,970.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $78.40 | $98.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $399.20 | $499.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,037.60 | $2,547.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $931.20 | $1,164.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,672.00 | $2,090.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $2,663.20 | $3,329.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $2,572.80 | $3,216.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $2,800.80 | $3,501.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $206.40 | $258.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $206.40 | $258.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $468.80 | $586.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $212.80 | $266.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $136.80 | $171.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $49.60 | $62.00 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $1,265.60 | $1,582.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,914.40 | $7,393.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $102.40 | $128.00 | not published | 0 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $140.00 | $175.00 | not published | 0 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $183.20 | $229.00 | not published | 0 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $548.00 | $685.00 | not published | 0 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $851.20 | $1,064.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $8,665.60 | $10,832.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $6,834.40 | $8,543.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $6,362.40 | $7,953.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $883.20 | $1,104.00 | not published | 0 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $651.20 | $814.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,427.20 | $1,784.00 | not published | 0 |
| Sickling rbc CPT 85660 | $114.40 | $143.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,131.20 | $2,664.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,823.20 | $2,279.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,777.60 | $2,222.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,537.60 | $3,172.00 | not published | 0 |
| Sinus X-ray (complete) CPT 70220 | $645.60 | $807.00 | not published | 0 |
| Sinus X-ray (limited) CPT 70210 | $503.20 | $629.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $426.40 | $533.00 | not published | 0 |
| Skull X-ray (1 to 3 views) CPT 70250 | $479.20 | $599.00 | not published | 0 |
| Skull X-ray (complete) CPT 70260 | $736.00 | $920.00 | not published | 0 |
| Sleep study attended CPT 95807 | $2,531.20 | $3,164.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $5,018.40 | $6,273.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $619.20 | $774.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $165.60 | $207.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $83.20 | $104.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $108.80 | $136.00 | not published | 0 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $992.80 | $1,241.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $108.80 | $136.00 | not published | 0 |
| Smear gram stain CPT 87205 | $116.80 | $146.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $132.80 | $166.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $118.40 | $148.00 | not published | 0 |
| Smear wet mount CPT 87210 | $108.00 | $135.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $2,457.60 | $3,072.00 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $686.40 | $858.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $108.80 | $136.00 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $84.00 | $105.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $11,032.00 | $13,790.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $60.80 | $76.00 | not published | 0 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $541.60 | $677.00 | not published | 0 |
| Speech Therapy Session (one-on-one) CPT 92507 | $342.40 | $428.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,192.00 | $2,740.00 | not published | 0 |
| Spine X-ray (single view, one level) CPT 72020 | $366.40 | $458.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $388.80 | $486.00 | 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.