Osf Saint Luke Medical Center

Kewanee, IL · Critical Access Hospital

Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$968.80–$987.20 $1,211–$1,234 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 4 matching MRF lines
$1,339.20–$1,876 $1,674–$2,345 varies
CT head/brain without contrast (70450) $1,919.20 $2,399 17.1×
MRI brain without contrast (70551) $2,912.80 $3,641 11.4×
MRI brain with contrast (70552) $4,039.20 $5,049 10.8×
MRI brain without and with contrast (70553) $4,246.40 $5,308 11.4×
X-ray lower spine, 4+ views (72110) $542.40 $678 4.8×
MRI lumbar spine without contrast (72148) $3,032.80 $3,791 11.9×
CT pelvis with contrast (72193) $2,276 $2,845 12.1×
MRI lower-extremity joint without contrast (73721) $2,880.80 $3,601 11.3×
CT abdomen and pelvis with contrast (74177) $3,356 $4,195 9.0×
Ultrasound, abdomen complete (76700) $1,030.40 $1,288 9.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $832.80 $1,041 7.4×
Ultrasound, transvaginal (76830) $711.20 $889 6.3×
Mammography, one breast (diagnostic) (77065)
range across 5 matching MRF lines
$306.40–$336.80 $383–$421 varies
Mammography, both breasts (diagnostic) (77066)
range across 3 matching MRF lines
$306.40–$436 $383–$545 varies
Mammography, screening (bilateral) (77067)
range across 6 matching MRF lines
$312–$468.80 $390–$586 varies
Basic metabolic panel (80048) $186.40 $233 22.0×
Comprehensive metabolic panel (80053) $297.60 $372 28.2×
Lipid panel (80061) $214.40 $268 16.0×
Renal function panel (80069) $208.80 $261 24.1×
Hepatic function panel (80076) $209.60 $262 25.7×
Urinalysis, non-automated, without microscopy (81002) $25.60 $32 7.4×
PSA, total (84153) $192 $240 10.4×
Thyroid stimulating hormone (TSH) (84443) $192 $240 11.4×
CBC with automated differential (85025) $122.40 $153 15.8×
CBC, automated (85027) $73.60 $92 11.4×
Prothrombin time (PT) (85610) $95.20 $119 22.2×
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$44–$96.80 $55–$121 varies
Psychotherapy, 30 minutes (90832) $135.20 $169 0.7×
Sleep study (attended polysomnography) (95810) $4,438.40 $5,548 4.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $140 $175 4.8×
Office visit, new patient (low complexity, ~30 min) (99203) $241.60 $302 1.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $372 $465 2.6×

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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (JSON, 7.2 MB) ↓ — captured 2026-10-01

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