Osf Saint Elizabeth Medical Center

Peru, IL

Posts prices for 45 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $796.80 $1,328 0.8×
Upper GI endoscopy (EGD) with biopsy (43239) $796.80 $1,328 0.8×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$1,276.80–$1,295.40 $2,128–$2,159 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 3 matching MRF lines
$1,295.40–$1,941.60 $2,159–$3,236 varies
After-cataract laser surgery (YAG capsulotomy) (66821) $1,305 $2,175 2.2×
CT head/brain without contrast (70450) $2,046 $3,410 18.3×
MRI brain without contrast (70551) $3,373.80 $5,623 13.2×
MRI brain with contrast (70552) $4,125 $6,875 11.0×
MRI brain without and with contrast (70553) $4,508.40 $7,514 12.1×
X-ray lower spine, 4+ views (72110) $478.20 $797 4.3×
MRI lumbar spine without contrast (72148) $2,997.60 $4,996 11.7×
CT pelvis with contrast (72193) $2,324.40 $3,874 12.4×
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$2,821.80–$4,233 $4,703–$7,055 varies
CT abdomen and pelvis with contrast (74177) $4,983 $8,305 13.3×
Ultrasound, abdomen complete (76700) $765 $1,275 6.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $814.80 $1,358 7.3×
Ultrasound, transvaginal (76830) $704.40 $1,174 6.3×
Mammography, one breast (diagnostic) (77065) $300 $500 3.5×
Mammography, both breasts (diagnostic) (77066) $360 $600 3.3×
Mammography, screening (bilateral) (77067)
range across 6 matching MRF lines
$275.40–$413.40 $459–$689 varies
Basic metabolic panel (80048) $139.80 $233 16.5×
Comprehensive metabolic panel (80053) $223.20 $372 21.1×
Lipid panel (80061) $160.80 $268 12.0×
Renal function panel (80069) $153 $255 17.6×
Hepatic function panel (80076) $110.40 $184 13.5×
Urinalysis, non-automated, without microscopy (81002) $37.80 $63 10.9×
PSA, total (84153) $133.80 $223 7.3×
Thyroid stimulating hormone (TSH) (84443) $144 $240 8.6×
CBC with automated differential (85025) $91.80 $153 11.8×
CBC, automated (85027) $64.80 $108 10.0×
Prothrombin time (PT) (85610) $71.40 $119 16.6×
Partial thromboplastin time (PTT) (85730) $66 $110 11.0×
Psychotherapy, 30 minutes (90832)
range across 4 matching MRF lines
$94.20–$186.60 $157–$311 varies
Psychotherapy, 45 minutes (90834)
range across 4 matching MRF lines
$89.40–$232.80 $149–$388 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
$97.20–$257.40 $162–$429 varies
Family psychotherapy, without patient (50 min) (90846)
range across 4 matching MRF lines
$97.20–$204 $162–$340 varies
Family psychotherapy, with patient (50 min) (90847)
range across 4 matching MRF lines
$97.20–$234.60 $162–$391 varies
Group psychotherapy (90853)
range across 8 matching MRF lines
$72–$189.60 $120–$316 varies
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$2,416.80–$3,220.80 $4,028–$5,368 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $105 $175 3.6×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$168.60–$205.20 $281–$342 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$262.20–$326.40 $437–$544 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$330.60–$427.20 $551–$712 varies
Office consultation (low complexity, ~30 min) (99243)
range across 2 matching MRF lines
$161.40–$454.20 $269–$757 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 2 matching MRF lines
$159–$643.80 $265–$1,073 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (JSON, 17.9 MB) ↓ — captured 2026-10-01

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