Supplies, drugs & other prices at Osf Saint Elizabeth Medical Center
Peru, IL · every code in this section with a posted price and a Medicare benchmark.
26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $45 | $75 | 0.9× |
| Admin influenza virus vac (G0008) | $52.80 | $88 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $59.40 | $99 | 1.2× |
| Chemo extend iv infus w/pump (G0498) | $453 | $755 | 1.3× |
| Direct refer hospital observ (G0379) | $601.80 | $1,003 | 0.9× |
| Fern test (Q0114) | $30 | $50 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $849.60 | $1,416 | 5.8× |
| Home sleep test/type 3 porta (G0399) | $691.20 | $1,152 | 3.0× |
| Hpv combo assay ca screen (G0476) | $103.20 | $172 | 2.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $823.80 | $1,373 | 6.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,012.80 | $1,688 | 2.0× |
| Neuro csf prion prtn qual (0035U) | $1,370.40 | $2,284 | 2.5× |
| Oth resp proc, group (G0239) | $69.60 | $116 | 1.7× |
| Oth resp proc, indiv (G0238) | $69.60 | $116 | 2.2× |
| Pin service 60m per month (G0023) | $158.40 | $264 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $3,252 | $5,420 | 8.5× |
| Psa screening (G0103) | $142.20 | $237 | 7.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $121.20 | $202 | 4.6× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $121.20 | $202 | 4.5× |
| Screen pap by tech w md supv (P3000) | $81.60 | $136 | 4.4× |
| Therapeutic procd strg endur (G0237) | $69.60 | $116 | 2.2× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$99.60–$149.40 | $166–$249 | varies |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$866.40–$987 | $1,444–$1,645 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $10,874.40 | $18,124 | 0.6× |
| Visit esketamine 56m or less (G2082) | $1,135.20 | $1,892 | 1.0× |
| Visit esketamine, > 56m (G2083) | $1,659 | $2,765 | 1.0× |
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.