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PricedCare

OSF Saint Paul Medical Center

1401 E 12Th Street, Mendota, IL 61342 · (815) 539-7461

Critical Access HospitalsVoluntary non-profit - ChurchCMS rating 3/5Ottawa, IL metroPart of OSF Healthcare System · 6 hospitals

Price file

Prices published

File dated 2026-03-31

168 price rows for 38 procedures

Published prices

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

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

$176
cash
CT scan of the abdomen and pelvis, with contrast

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

$5,718
cash
CT scan of the head, no contrast

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

$1,640
cash
CT scan of the pelvis, with contrast

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

$2,106
cash
Cesarean section hospital stay, no complications

MS-DRG 788

—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $52

$66
cash
Complete blood count (CBC) with differential

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

$122
cash
Comprehensive metabolic panel (blood test)

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

$202
cash
Diagnostic mammogram (both breasts)

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

$475
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $379

$379
cash
Gonorrhea test (DNA)

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

$66
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392

—
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—
cash
Lipid panel (cholesterol test)

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

$191
cash
Liver function panel

CPT 80076 · metro median $228

$228
cash
MRI of the brain, with and without contrast

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

$3,823
cash
MRI of the lower back (lumbar spine), no contrast

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

$3,571
cash
MRI of the neck (cervical spine), no contrast

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

$3,302
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

—
cash
New patient office visit (about 30 minutes)

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

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

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

$372
cash
New patient office visit (about 60 minutes)

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

$486
cash
PSA test (prostate)

CPT 84153 · metro median $196

$201
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines · metro median $48

$48
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $849

$849
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $29

$29
cash
Psychotherapy, 30 minutes

CPT 90832 · metro median $135

$135
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

$5,450
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,107

$1,107
cash
Spinal injection, lower back, with imaging guidance

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

$967
cash
TSH test (thyroid)

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

$43
cash
Transvaginal ultrasound

CPT 76830 · metro median $704

$925
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,013

$1,175
cash
Urinalysis with microscope

CPT 81001 · metro median $93

$93
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807

—
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.