HSHS St. Elizabeth's Hospital

One St. Elizabeth Boulevard, O Fallon, IL 62269 · Acute care hospital · Emergency room

These are HSHS St. Elizabeth's Hospital's own posted figures from its standard-charges file dated March 24, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

205 of the services we track have a posted price here; 149 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge	Insurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291	$5,948.64	$8,262.00	$879.72 – $8,262.00
Emergency room visit, level 1 (minor) CPT 99281	$498.96	$693.00	$89.80 – $693.00
Emergency room visit, level 2 CPT 99282	$912.24	$1,267.00	$163.52 – $1,267.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,372.32	$1,906.00	$290.72 – $1,906.00
Emergency room visit, level 4 CPT 99284	$2,049.12	$2,846.00	$444.38 – $2,846.00
Emergency room visit, level 5 (most severe) CPT 99285	$3,126.24	$4,342.00	$634.24 – $4,342.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$655.20	$910.00	$157.97 – $910.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$233.28	$324.00	$73.25 – $324.00
New patient office visit, about 30 minutes CPT 99203	$282.24	$392.00	$109.76 – $392.00
New patient office visit, about 45 minutes CPT 99204	$398.88	$554.00	$155.12 – $554.00
New patient office visit, about 60 minutes CPT 99205	$450.00	$625.00	$175.00 – $625.00
Office consultation, about 40 minutes CPT 99243	$231.84	$322.00	$90.16 – $322.00
Office consultation, about 60 minutes CPT 99244	$373.68	$519.00	$145.32 – $519.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	$200.88	$279.00	$57.50 – $279.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$242.64	$337.00	$93.54 – $337.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$349.92	$486.00	$136.08 – $486.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$429.12	$596.00	$166.88 – $596.00
Office visit, established patient, brief (often a nurse) CPT 99211	$166.32	$231.00	$64.68 – $231.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$53.28	$74.00	$20.72 – $74.00
Abdominal X-ray, 1 view CPT 74018	$326.16	$453.00	$26.99 – $453.00
Ankle X-ray, 3 or more views CPT 73610	$395.28	$549.00	$34.44 – $549.00
Bone density scan (DEXA), hips and spine CPT 77080	$421.20	$585.00	$42.39 – $585.00
Breast ultrasound, one breast, complete CPT 76641	$825.12	$1,146.00	$67.16 – $1,146.00
Breast ultrasound, one breast, limited CPT 76642	$473.76	$658.00	$52.27 – $658.00
Chest X-ray, 1 view CPT 71045	$282.24	$392.00	$17.53 – $392.00
Chest X-ray, 2 views CPT 71046	$475.20	$660.00	$23.49 – $660.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,759.04	$3,832.00	$186.80 – $3,832.00
CT angiogram of the head CPT 70496	$2,224.08	$3,089.00	$186.80 – $3,089.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$4,083.84	$5,672.00	$263.47 – $5,672.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$5,628.24	$7,817.00	$263.47 – $7,817.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$3,429.36	$4,763.00	$157.64 – $4,763.00
CT scan of the abdomen, without contrast CPT 74150	$1,755.36	$2,438.00	$92.49 – $2,438.00
CT scan of the chest, with contrast CPT 71260	$2,331.36	$3,238.00	$186.80 – $3,238.00
CT scan of the chest, without contrast CPT 71250	$2,164.32	$3,006.00	$92.49 – $3,006.00
CT scan of the head, without contrast CPT 70450	$1,578.24	$2,192.00	$102.00 – $2,192.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$2,168.64	$3,012.00	$92.49 – $3,012.00
CT scan of the pelvis, with contrast CPT 72193	$1,931.76	$2,683.00	$186.80 – $2,683.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,834.56	$2,548.00	$92.49 – $2,548.00
Diagnostic mammogram, both breasts CPT 77066	$549.36	$763.00	$41.39 – $763.00
Diagnostic mammogram, one breast CPT 77065	$443.52	$616.00	$41.39 – $616.00
Foot X-ray, 3 or more views CPT 73630	$395.28	$549.00	$31.95 – $549.00
Hand X-ray, 3 or more views CPT 73130	$354.96	$493.00	$34.44 – $493.00
Knee X-ray, 3 views CPT 73562	$471.60	$655.00	$38.91 – $655.00
Leg or arm vein ultrasound, both sides CPT 93970	$1,865.52	$2,591.00	$145.96 – $2,591.00
Leg or arm vein ultrasound, one side CPT 93971	$1,256.40	$1,745.00	$94.73 – $1,745.00
Lower back X-ray, 2 or 3 views CPT 72100	$702.00	$975.00	$35.43 – $975.00
MRI of the abdomen, without and with contrast CPT 74183	$4,090.32	$5,681.00	$352.85 – $5,681.00
MRI of the brain, without and with contrast CPT 70553	$4,820.40	$6,695.00	$352.85 – $6,695.00
MRI of the brain, without contrast CPT 70551	$3,223.44	$4,477.00	$209.13 – $4,477.00
MRI of the knee or other leg joint, without contrast CPT 73721	$3,448.80	$4,790.00	$209.13 – $4,790.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,338.56	$3,248.00	$204.35 – $3,248.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,338.56	$3,248.00	$204.35 – $3,248.00
MRI of the neck (cervical spine), without contrast CPT 72141	$2,106.72	$2,926.00	$203.85 – $2,926.00
MRI of the pelvis, without and with contrast CPT 72197	$4,276.80	$5,940.00	$352.85 – $5,940.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$3,413.52	$4,741.00	$209.13 – $4,741.00
Neck X-ray, 2 or 3 views CPT 72040	$561.60	$780.00	$35.43 – $780.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,341.36	$1,863.00	$72.45 – $1,863.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$1,073.52	$1,491.00	$87.26 – $1,491.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$895.68	$1,244.00	$87.26 – $1,244.00
Screening mammogram, both breasts CPT 77067	$498.24	$692.00	$41.39 – $692.00
Shoulder X-ray, 2 or more views CPT 73030	$374.40	$520.00	$28.97 – $520.00
Transvaginal pregnancy ultrasound CPT 76817	$879.12	$1,221.00	$82.13 – $1,221.00
Transvaginal ultrasound CPT 76830	$879.12	$1,221.00	$94.73 – $1,221.00
Ultrasound of the abdomen, complete CPT 76700	$1,027.44	$1,427.00	$111.34 – $1,427.00
Ultrasound of the neck or thyroid CPT 76536	$1,037.52	$1,441.00	$94.73 – $1,441.00
Wrist X-ray, 3 or more views CPT 73110	$327.60	$455.00	$38.91 – $455.00
X-ray of the lower back, 4 or more views CPT 72110	$869.76	$1,208.00	$48.67 – $1,208.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$279.36	$388.00	$6.35 – $388.00
Blood culture CPT 87040	$241.20	$335.00	$7.41 – $335.00
Blood draw (venipuncture) CPT 36415	$26.64	$37.00	$2.37 – $37.00
BNP test (heart failure) CPT 83880	$154.80	$215.00	$19.79 – $215.00
C-reactive protein (CRP) test CPT 86140	$781.20	$1,085.00	$5.18 – $1,085.00
Chlamydia test (DNA/NAAT) CPT 87491	$192.24	$267.00	$30.13 – $267.00
Complete blood count (CBC) with differential CPT 85025	$106.56	$148.00	$4.17 – $148.00
Complete blood count (CBC), automated CPT 85027	$100.80	$140.00	$4.17 – $140.00
Comprehensive metabolic panel (blood test) CPT 80053	$266.40	$370.00	$6.35 – $370.00
COVID-19 PCR test CPT 87635	$382.32	$531.00	$30.13 – $531.00
D-dimer test (blood clots) CPT 85379	$120.24	$167.00	$3.11 – $167.00
Drug screen, instrument chemistry CPT 80307	$286.56	$398.00	$49.05 – $398.00
Ferritin (iron stores) test CPT 82728	$110.16	$153.00	$8.40 – $153.00
Free T4 (thyroid) test CPT 84439	$127.44	$177.00	$9.02 – $177.00
General health panel (blood tests) CPT 80050	$233.28	$324.00	$6.35 – $324.00
Glucose (blood sugar) test CPT 82947	$51.12	$71.00	$3.80 – $71.00
Gonorrhea test (DNA/NAAT) CPT 87591	$191.52	$266.00	$30.13 – $266.00
Hemoglobin A1c test CPT 83036	$72.00	$100.00	$3.80 – $100.00
Hepatitis C antibody test CPT 86803	$141.84	$197.00	$8.09 – $197.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$182.88	$254.00	$7.41 – $254.00
Iron test CPT 83540	$107.28	$149.00	$3.80 – $149.00
Kidney function panel CPT 80069	$140.40	$195.00	$6.35 – $195.00
Lipase test (pancreas) CPT 83690	$122.40	$170.00	$3.80 – $170.00
Lipid panel, cholesterol and triglycerides CPT 80061	$184.32	$256.00	$6.35 – $256.00
Liver function panel CPT 80076	$172.08	$239.00	$6.35 – $239.00
Magnesium test CPT 83735	$105.12	$146.00	$3.80 – $146.00
Partial thromboplastin time (PTT), clotting test CPT 85730	$78.48	$109.00	$3.11 – $109.00
Pregnancy blood test (hCG), quantitative CPT 84702	$167.04	$232.00	$9.27 – $232.00
Prothrombin time (PT/INR), clotting test CPT 85610	$56.88	$79.00	$3.11 – $79.00
PSA (prostate specific antigen), free CPT 84154	$175.68	$244.00	$8.40 – $244.00
PSA (prostate specific antigen), total CPT 84153	$211.68	$294.00	$8.40 – $294.00
Rapid strep test CPT 87880	$56.88	$79.00	$7.41 – $79.00
Sed rate (ESR) test CPT 85652	$53.28	$74.00	$2.70 – $74.00
Thyroid stimulating hormone (TSH) CPT 84443	$139.68	$194.00	$9.27 – $194.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$351.36	$488.00	$27.95 – $488.00
Troponin test (heart damage) CPT 84484	$145.44	$202.00	$8.40 – $202.00
Urinalysis, automated, with microscope CPT 81001	$157.68	$219.00	$2.12 – $219.00
Urinalysis, automated, without microscope CPT 81003	$66.24	$92.00	$2.12 – $92.00
Urinalysis, manual, without microscope CPT 81002	$19.44	$27.00	$2.12 – $27.00
Urine culture, colony count CPT 87086	$172.80	$240.00	$7.41 – $240.00
Urine pregnancy test CPT 81025	$49.68	$69.00	$2.12 – $69.00
Vitamin B12 test CPT 82607	$262.08	$364.00	$9.27 – $364.00
Vitamin D test CPT 82306	$183.60	$255.00	$19.79 – $255.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$3,234.96	$4,493.00	$145.96 – $4,493.00
ECG tracing only (no interpretation) CPT 93005	$365.76	$508.00	$22.28 – $508.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$5,824.80	$8,090.00	$375.32 – $8,090.00
Left heart catheterization CPT 93452	$7,407.36	$10,288.00	$2,090.90 – $10,288.00
Left heart catheterization with coronary angiogram CPT 93458	$8,011.44	$11,127.00	$2,090.90 – $11,127.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$4,446.00	$6,175.00	$565.31 – $6,175.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$3,131.17 – $19,319.64
Appendix removal, laparoscopic CPT 44970	not posted		$3,132.62 – $16,096.19
Breast biopsy with ultrasound guidance CPT 19083	$3,617.28	$5,024.00	$484.55 – $5,024.00
Carpal tunnel release CPT 64721	not posted		$1,166.98 – $6,044.10
Colonoscopy with biopsy CPT 45380	not posted		$854.15 – $3,990.92
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$854.15 – $4,427.37
Colonoscopy, diagnostic CPT 45378	not posted		$854.15 – $3,397.92
Colposcopy with biopsy CPT 57454	not posted		$179.11 – $8,485.00
Cystoscopy (bladder scope) CPT 52000	$1,454.40	$2,020.00	$327.00 – $2,020.00
Ear tubes, under general anesthesia CPT 69436	not posted		$1,212.35 – $6,326.78
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$854.15 – $6,124.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$2,975.85 – $16,268.66
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$5,043.84 – $28,301.89
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$1,255.63 – $8,654.81
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$3,054.09 – $16,864.06
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$3,054.09 – $12,323.68
Kidney stone shock-wave lithotripsy CPT 50590	$22,947.12	$31,871.00	$2,509.22 – $31,871.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$1,853.94 – $10,009.69
Prostate biopsy CPT 55700	$4,062.96	$5,643.00	$1,475.51 – $5,643.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$3,814.19 – $29,647.76
Removal of a breast lump, open surgery CPT 19120	not posted		$566.09 – $10,424.83
Rotator cuff repair, arthroscopic CPT 29827	not posted		$1,918.31 – $19,319.64
Screening colonoscopy, average risk HCPCS G0121	not posted		$854.15 – $3,406.48
Screening colonoscopy, high risk HCPCS G0105	not posted		$854.15 – $3,398.16
Septoplasty (nasal septum repair) CPT 30520	not posted		$1,681.99 – $8,827.40
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$1,284.49 – $4,587.48
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$1,677.26 – $15,761.52
Total hip replacement CPT 27130	not posted		$6,097.28 – $34,182.93
Total knee replacement CPT 27447	not posted		$6,439.63 – $34,182.93
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$835.91 – $5,156.33
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$835.91 – $8,305.35

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$1,522.80	$2,115.00	$77.00 – $2,115.00
IUD insertion CPT 58300	not posted		$183.12 – $3,910.67

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$118.21 – $19,473.71
C-section, without complications MS-DRG 788	not posted	$118.21 – $20,333.84
Chest pain MS-DRG 313	not posted	$118.21 – $25,309.47
COPD flare-up, with major complications MS-DRG 190	not posted	$118.21 – $41,972.88
COPD flare-up, without complications MS-DRG 192	not posted	$6,684.40 – $69,777.29
Fainting (syncope) MS-DRG 312	not posted	$118.21 – $45,924.63
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$118.21 – $39,467.43
Heart failure, with major complications MS-DRG 291	not posted	$118.21 – $46,588.46
Heart failure, without complications MS-DRG 293	not posted	$118.21 – $10,499.40
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$118.21 – $453,003.51
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$118.21 – $63,133.99
Irregular heartbeat, without complications MS-DRG 310	not posted	$118.21 – $23,855.84
Kidney failure, with complications MS-DRG 683	not posted	$118.21 – $33,911.18
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$118.21 – $33,010.75
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$118.21 – $97,902.05
Normal newborn care MS-DRG 795	not posted	$118.21 – $4,756.11
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$118.21 – $36,054.56
Pneumonia, with complications MS-DRG 194	not posted	$118.21 – $33,644.34
Pneumonia, with major complications MS-DRG 193	not posted	$118.21 – $43,694.00
Pneumonia, without complications MS-DRG 195	not posted	$118.21 – $13,705.15
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$118.21 – $39,293.00
Sepsis, with major complications MS-DRG 871	not posted	$118.21 – $64,243.77
Sepsis, without major complications MS-DRG 872	not posted	$118.21 – $36,067.99
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$118.21 – $34,511.82
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$118.21 – $30,398.16
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$118.21 – $48,208.64
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$118.21 – $55,442.55
Vaginal delivery, without complications MS-DRG 807	not posted	$118.21 – $14,433.92

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,828.80	$2,540.00	$213.37 – $2,540.00
Lower back nerve root injection with imaging guidance CPT 64483	$4,155.84	$5,772.00	$662.13 – $5,772.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,831.76	$3,933.00	$662.13 – $3,933.00
Lower back spinal injection (epidural), without imaging CPT 62322	$3,669.84	$5,097.00	$662.13 – $5,097.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$521.28	$724.00	$69.21 – $724.00

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$815.76	$1,133.00	$131.58 – $1,133.00
Sleep study with CPAP titration CPT 95811	$6,444.00	$8,950.00	$685.10 – $8,950.00
Sleep study, overnight in a sleep lab CPT 95810	$4,452.48	$6,184.00	$685.10 – $6,184.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$396.00	$550.00	$49.92 – $574.89

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$151.20	$210.00	$27.02 – $210.00
Physical therapy evaluation, low complexity CPT 97161	$303.84	$422.00	$94.52 – $422.00
Physical therapy evaluation, moderate complexity CPT 97162	$366.48	$509.00	$94.52 – $509.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$144.72	$201.00	$28.30 – $201.00
Therapeutic activities, 15 minutes CPT 97530	$130.32	$181.00	$31.25 – $181.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$150.48	$209.00	$40.15 – $209.00
IV hydration, each additional hour CPT 96361	$311.04	$432.00	$49.87 – $432.00
IV hydration, first hour CPT 96360	$285.12	$396.00	$110.88 – $566.32
IV push injection of a drug, first CPT 96374	$343.44	$477.00	$40.15 – $566.32
IV push injection, each additional drug CPT 96375	$274.32	$381.00	$40.15 – $381.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$322.52	$447.94	? – $447.94
Dexamethasone injection, per 1 mg HCPCS J1100	$3.24	$4.50	? – $4.50
Fentanyl injection, per 0.1 mg HCPCS J3010	$12.96	$18.00	$1.96 – $18.00
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$12.96	$18.00	? – $18.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$6.48	$9.00	? – $9.00
Morphine injection, up to 10 mg HCPCS J2270	$69.08	$95.95	$4.99 – $95.95
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$3.24	$4.50	? – $4.50
Propofol injection, per 10 mg HCPCS J2704	$1.64	$2.28	? – $2.28
Saline IV solution, 1000 ml HCPCS J7030	$32.40	$45.00	$3.28 – $45.00

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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