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PricedCare

OSF Saint Luke Medical Center

1051 West South Street, Kewanee, IL 61443 · (309) 853-3361

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5Davenport, IA-IL metro

Price file

Prices published

File dated 2026-03-31

138 price rows for 32 procedures

Published prices

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

CPT 80048 · lowest of 2 lines · metro median $55

$180
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,676

$3,356
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,199

$1,919
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,434

$2,276
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $67

$62
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $46

$101
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $108

$215
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $286

$306
cash
Established patient office visit (about 40 minutes)

CPT 99215 · metro median $266

$427
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $62

$62
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $34

$192
cash
Liver function panel

CPT 80076 · metro median $77

$210
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,998

$4,246
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,179

$3,033
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,742

$3,022
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $582

$1,771
cash
New patient office visit (about 30 minutes)

CPT 99203 · metro median $190

$242
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $290

$372
cash
PSA test (prostate)

CPT 84153 · metro median $68

$192
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $16

$44
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $299

$833
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $11

$29
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $70

$135
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $231

$312
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $1,616

$4,438
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $371

$969
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $630

$914
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $42

$42
cash
Transvaginal ultrasound

CPT 76830 · metro median $266

$711
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $709

$1,030
cash
Urinalysis with microscope

CPT 81001 · metro median $20

$60
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $135

$542
cash

Source files

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