OSF Saint Elizabeth Mdl Ctr

925 West Street, Peru, IL 61354 · (815) 433-3100

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Ottawa, IL metro Part of OSF Healthcare System · 6 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

532 price rows for 58 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $176

$140

cash

$8 to $9

3 negotiated rates

$233

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,983

$4,983

cash

$374 to $381

3 negotiated rates

$8,305

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,006

$2,046

cash

$112 to $114

3 negotiated rates

$3,410

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,324

$2,324

cash

$188 to $192

3 negotiated rates

$3,874

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,473 to $2,523

3 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,629 to $16,302

10 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $52

$52

cash

$35 to $36

3 negotiated rates

$87

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$997 to $1,016

3 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,282 to $1,308

3 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,282 to $1,308

3 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $122

$92

cash

$8 to $8

3 negotiated rates

$153

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $223

$223

cash

$11 to $11

3 negotiated rates

$372

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $475

$360

cash

—

$600

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 5 lines · metro median $379

$195

cash

—

$325

list

Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $97

$97

cash

$190 to $194

3 negotiated rates

$162

list

Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $97

$97

cash

$190 to $194

3 negotiated rates

$162

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,479 to $6,608

3 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $66

$52

cash

$35 to $36

3 negotiated rates

$87

list

Group psychotherapy

CPT 90853 · lowest of 8 lines · metro median $72

$72

cash

—

$120

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,348 to $32,795

10 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,203 to $13,255

10 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,872 to $21,094

10 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,837 to $3,914

3 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,506 to $3,576

3 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $1,305

$1,305

cash

$589 to $601

3 negotiated rates

$2,175

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $191

$161

cash

$13 to $14

3 negotiated rates

$268

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $228

$110

cash

$8 to $8

3 negotiated rates

$184

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $4,465

$4,508

cash

$374 to $381

3 negotiated rates

$7,514

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$256 to $261

3 negotiated rates

—

list

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

CPT 72148 · lowest of 2 lines · metro median $3,237

$2,998

cash

$256 to $261

3 negotiated rates

$4,996

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $3,225

$3,187

cash

$256 to $261

3 negotiated rates

$5,312

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$19,425 to $41,507

10 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$948 to $967

3 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $169

$169

cash

—

$281

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $262

$262

cash

—

$437

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $331

$331

cash

—

$551

list

PSA test (prostate)

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

$134

cash

$18 to $19

3 negotiated rates

$223

list

Partial thromboplastin time (blood clotting test)

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

$36

cash

$6 to $6

3 negotiated rates

$60

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$30 to $30

3 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $849

$815

cash

$112 to $114

3 negotiated rates

$1,358

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$11,391 to $11,619

3 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 9 lines · metro median $29

$22

cash

$4 to $4

3 negotiated rates

$36

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $135

$94

cash

$190 to $194

3 negotiated rates

$157

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $89

$89

cash

$190 to $194

3 negotiated rates

$149

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $97

$97

cash

$190 to $194

3 negotiated rates

$162

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,196 to $4,280

3 negotiated rates

—

list

Screening mammogram (both breasts)

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

$275

cash

—

$459

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $4,249

$3,221

cash

$792 to $939

4 negotiated rates

$5,368

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,107

$1,277

cash

$948 to $967

3 negotiated rates

$2,128

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $967

$1,793

cash

$756 to $772

3 negotiated rates

$2,988

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $43

$31

cash

$17 to $17

3 negotiated rates

$52

list

Transvaginal ultrasound

CPT 76830 · metro median $704

$704

cash

$112 to $114

3 negotiated rates

$1,174

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,013

$765

cash

$112 to $114

3 negotiated rates

$1,275

list

Upper endoscopy (EGD)

CPT 43235 · metro median $797

$797

cash

$972 to $991

3 negotiated rates

$1,328

list

Upper endoscopy with biopsy

CPT 43239 · metro median $797

$797

cash

$972 to $991

3 negotiated rates

$1,328

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $93

$49

cash

$3 to $3

3 negotiated rates

$81

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,365 to $11,463

10 negotiated rates

—

list

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

CPT 72110 · metro median $542

$478

cash

$112 to $114

3 negotiated rates

$797

list

Source files

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

https://osf-p-001.sitecorecontenthub.cloud/api/public/content/362604009_osf-saint-elizabeth-medical-center_standardcharges.json
OSF Saint Elizabeth Medical Center · parsed · json v3.0.0 · file dated 2026-03-31 · 17.1 MB · 532 price rows read · read Nov 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json
OSF Saint James John W Albrecht Medical Center · unmatched · json v3.0.0 · file dated 2026-03-31 · 17.5 MB · read Oct 2026
https://osf-p-001.sitecorecontenthub.cloud/api/public/content/261579585_osf-healthcare-divine-mercy-continuing-care-hospital_standardcharges.json
OSF Healthcare Divine Mercy Continuing Care Hospital · unmatched · json v3.0.0 · file dated 2026-03-31 · 6.8 MB · read Oct 2026