Hshs St Elizabeth's Hospital

One St Elizabeth Boulevard, O Fallon, IL 62269 · (618) 234-2120

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5St. Louis, MO-IL metro Website ↗

Price file

Prices published

File dated 2026-03-24

1,780 price rows for 54 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $67

$279

cash

$6 to $388

44 negotiated rates

$388

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,063

$4,084

cash

$263 to $5,672

44 negotiated rates

$5,672

list

CT scan of the head, no contrast

CPT 70450 · metro median $858

$1,578

cash

$102 to $2,192

44 negotiated rates

$2,192

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,373

$1,932

cash

$187 to $2,683

44 negotiated rates

$2,683

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $74

$192

cash

$30 to $267

44 negotiated rates

$267

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $35

$107

cash

$4 to $148

44 negotiated rates

$148

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $73

$266

cash

$6 to $370

44 negotiated rates

$370

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $358

$549

cash

$41 to $763

44 negotiated rates

$763

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $184

$264

cash

$103 to $596

47 negotiated rates

$367

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $111

$192

cash

$30 to $266

44 negotiated rates

$266

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

—

list

Left heart catheterization

CPT 93452 · metro median $5,276

$7,407

cash

$2,091 to $10,288

44 negotiated rates

$10,288

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $46

$184

cash

$6 to $256

44 negotiated rates

$256

list

Liver function panel

CPT 80076 · metro median $64

$172

cash

$6 to $239

44 negotiated rates

$239

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $2,359

$4,820

cash

$353 to $6,695

44 negotiated rates

$6,695

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,358

$3,449

cash

$209 to $4,790

44 negotiated rates

$4,790

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,429

$2,339

cash

$204 to $3,248

44 negotiated rates

$3,248

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,481

$2,107

cash

$204 to $2,926

44 negotiated rates

$2,926

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,598

$4,156

cash

$662 to $5,772

44 negotiated rates

$5,772

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $135

$181

cash

$71 to $392

47 negotiated rates

$252

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $184

$310

cash

$121 to $554

47 negotiated rates

$431

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $218

$405

cash

$157 to $625

47 negotiated rates

$562

list

PSA test (prostate)

CPT 84153 · metro median $66

$212

cash

$8 to $294

44 negotiated rates

$294

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $26

$78

cash

$3 to $109

44 negotiated rates

$109

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $91

$145

cash

$28 to $201

44 negotiated rates

$201

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $520

$1,074

cash

$87 to $1,491

44 negotiated rates

$1,491

list

Prostate biopsy

CPT 55700 · metro median $2,869

$4,063

cash

$1,476 to $5,643

26 negotiated rates

$5,643

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $16

$57

cash

$3 to $79

44 negotiated rates

$79

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $183

$498

cash

$41 to $692

44 negotiated rates

$692

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,949

$4,452

cash

$685 to $6,184

44 negotiated rates

$6,184

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,565

$3,670

cash

$662 to $5,097

44 negotiated rates

$5,097

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,744

$2,832

cash

$662 to $3,933

44 negotiated rates

$3,933

list

TSH test (thyroid)

CPT 84443 · metro median $26

$140

cash

$9 to $194

44 negotiated rates

$194

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

—

list

Transvaginal ultrasound

CPT 76830 · metro median $458

$879

cash

$95 to $1,221

44 negotiated rates

$1,221

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $636

$1,027

cash

$111 to $1,427

44 negotiated rates

$1,427

list

Upper endoscopy (EGD)

CPT 43235

—

cash

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

—

list

Urinalysis with microscope

CPT 81001 · metro median $19

$158

cash

$2 to $219

44 negotiated rates

$219

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $358

$870

cash

$49 to $1,208

44 negotiated rates

$1,208

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.hshs.org/getmedia/99caf2d8-ca1e-425f-b068-6205c57f9aeb/370663567_st-elizabeths-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Elizabeth's Hospital · parsed · tall v3.0.0 · file dated 2026-03-24 · 5.6 MB · 1780 price rows read · read Nov 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered