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OSF Saint Clare Medical Center

530 Park Avenue East, Princeton, IL 61356 · (815) 875-2811

Critical Access HospitalsVoluntary non-profit - ChurchCMS rating 2/5Ottawa, IL metro

Price file

Prices published

File dated 2026-03-31

112 price rows for 33 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $176

$186
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $4,983

$4,498
cash
CT scan of the head, no contrast

CPT 70450 · metro median $2,006

$2,006
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,324

$2,350
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $52

$33
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $122

$122
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $223

$298
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $475

$578
cash
$427
cash
Family psychotherapy with the patient

CPT 90847 · metro median $97

$231
cash
Family psychotherapy without the patient

CPT 90846 · metro median $97

$175
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $66

$178
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $72

$135
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $191

$214
cash
Liver function panel

CPT 80076 · metro median $228

$235
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $4,465

$4,465
cash
$3,237
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $3,225

$3,225
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $196

$196
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $48

$158
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $849

$921
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 7 lines · metro median $29

$95
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $135

$135
cash
Psychotherapy, 45 minutes

CPT 90834 · metro median $89

$175
cash
Psychotherapy, 60 minutes

CPT 90837 · metro median $97

$231
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $312

$312
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $4,249

$4,249
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $967

$928
cash
TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $43

$192
cash
Transvaginal ultrasound

CPT 76830 · metro median $704

$353
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,013

$1,013
cash
Urinalysis with microscope

CPT 81001 · metro median $93

$110
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $542

$542
cash

Source files

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