St. Francis Hospital

Litchfield, IL · Critical Access Hospital

Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Shoulder arthroscopy with decompression (29826) $5,505.12 $7,646 —
Knee arthroscopy with meniscectomy (29881) $7,008.48 $9,734 2.0×
Transforaminal epidural injection, lumbar/sacral (64483) $1,923.12 $2,671 2.0×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,606.32 $2,231 2.7×
CT head/brain without contrast (70450) $1,914.48 $2,659 17.1×
MRI brain without contrast (70551) $3,088.08 $4,289 12.1×
MRI brain with contrast (70552) $3,553.92 $4,936 9.5×
MRI brain without and with contrast (70553) $4,044.24 $5,617 10.8×
X-ray lower spine, 4+ views (72110) $917.28 $1,274 8.2×
MRI lumbar spine without contrast (72148) $3,158.64 $4,387 12.4×
CT pelvis with contrast (72193) $2,167.92 $3,011 11.5×
MRI lower-extremity joint without contrast (73721) $3,006 $4,175 11.8×
CT abdomen and pelvis with contrast (74177) $4,990.32 $6,931 13.3×
Ultrasound, abdomen complete (76700) $1,254.24 $1,742 11.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $809.28 $1,124 7.2×
Ultrasound, transvaginal (76830) $714.24 $992 6.4×
Mammography, one breast (diagnostic) (77065) $498.96 $693 5.8×
Mammography, both breasts (diagnostic) (77066) $537.84 $747 4.9×
Mammography, screening (bilateral) (77067) $460.08 $639 5.0×
Basic metabolic panel (80048) $181.44 $252 21.4×
Comprehensive metabolic panel (80053) $219.60 $305 20.8×
Lipid panel (80061) $120.96 $168 9.0×
Renal function panel (80069) $198.72 $276 22.9×
Hepatic function panel (80076) $191.52 $266 23.4×
PSA, total (84153) $146.16 $203 7.9×
Thyroid stimulating hormone (TSH) (84443) $138.96 $193 8.3×
CBC with automated differential (85025) $122.40 $170 15.8×
CBC, automated (85027) $108.72 $151 16.8×
Prothrombin time (PT) (85610) $61.92 $86 14.4×
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$43.92–$102.96 $61–$143 varies
Sleep study (attended polysomnography) (95810) $4,026.24 $5,592 4.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $149.76 $208 5.2×
Office visit, new patient (low complexity, ~30 min) (99203) $424.80 $590 3.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $567.36 $788 4.0×
Office visit, new patient (high complexity, ~60 min) (99205) $705.60 $980 4.9×

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.

More prices at this hospital

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Download the machine-readable file (ZIP, 4.5 MB) ↓ — captured 2026-10-01

File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.