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St Francis Hospital

1215 Franciscan Dr, Litchfield, IL 62056 · (217) 324-2191

Critical Access HospitalsVoluntary non-profit - ChurchCMS rating 2/5

Price file

Prices published

File dated 2026-06-10

8,854 price rows for 54 procedures

Published prices

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

CPT 80048 · lowest of 4 lines

$142
cash
$3,076
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines

$1,262
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines

$1,629
cash
$5,641
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines

$75
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$909
cash
$4,249
cash
$1,080
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$66
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$181
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines

$538
cash
$203
cash
$1,739
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 7 lines

$75
cash
$389
cash
—
cash
$10,302
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$2,234
cash
$7,008
cash
$1,606
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines

$118
cash
Liver function panel

CPT 80076 · lowest of 3 lines

$161
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$2,315
cash
$2,005
cash
$1,999
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines

$2,004
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$176
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$213
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$259
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$116
cash
$56
cash
$69
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines

$577
cash
$4,425
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 13 lines

$29
cash
$135
cash
$1,089
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 9 lines

$155
cash
$5,505
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 5 lines

$616
cash
$1,018
cash
TSH test (thyroid)

CPT 84443 · lowest of 7 lines

$15
cash
Transvaginal ultrasound

CPT 76830 · lowest of 3 lines

$492
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines

$809
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$577
cash
$3,958
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$47
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines

$439
cash

Source files

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