HSHS St. Francis Hospital — price list
← Hospital overviewVerified from HSHS St. Francis Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
81 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Anchor/screw bn/bn,tis/bn Inpatient & outpatient | C1713 HCPCS | $3,623 | $2,608 | $761 – $3,623 | $1,071 | |
| Cath ureth 14fr 2 drain eye coude intmt rbr ster latex disp Inpatient & outpatient | C1729 HCPCS | $9.60 | $6.91 | $2.02 – $9.60 | $18.00 | |
| Cath ureth bardx lbtcath 18fr STD foley 3wy 2 stgr drain eye Inpatient & outpatient | C1758 HCPCS | $21.00 | $15.12 | $4.41 – $21.00 | $44.49 | |
| Cath, drainage Inpatient & outpatient | C1729 HCPCS | $21.18 | $15.25 | $4.45 – $21.18 | $18.00 | |
| Catheter angio 14 gauge Inpatient & outpatient | C1725 HCPCS | $12.15 | $8.75 | $2.55 – $12.15 | $12.15 | |
| Catheter balloon 3-way 20fr 30cc latex Inpatient & outpatient | C1726 HCPCS | $21.18 | $15.25 | $4.45 – $21.18 | — | |
| Catheter foley 16fr 30ml Inpatient & outpatient | C1729 HCPCS | $9.87 | $7.11 | $2.07 – $9.87 | $18.00 | |
| Catheter red robinson 16fr Inpatient & outpatient | C1729 HCPCS | $4.59 | $3.30 | $0.96 – $4.59 | $18.00 | |
| Catheter trocar chest 24 fr Inpatient & outpatient | C1729 HCPCS | $10.96 | $7.89 | $2.30 – $10.96 | $18.00 | |
| Catheter urethral bardex lubricath 24fr standard foley 3 way 2 stagger drainage eye medium round tip rubber hydrogel 30cc sterile latex disposable red Inpatient & outpatient | C1729 HCPCS | $25.87 | $18.63 | $5.43 – $25.87 | $18.00 | |
| Catheter urethral purewick free female Inpatient & outpatient | C1758 HCPCS | $19.50 | $14.04 | $4.10 – $19.50 | $44.49 | |
| Catheter, ureteral Inpatient & outpatient | C1758 HCPCS | $24.78 | $17.84 | $5.20 – $24.78 | $44.49 | |
| Cement bone gmv gentamicin 40g Inpatient & outpatient | C1713 HCPCS | $474 | $341 | $99.54 – $474 | $1,071 | |
| Cement hydroset 3cc Inpatient & outpatient | C1713 HCPCS | $2,240 | $1,613 | $470 – $2,240 | $1,071 | |
| Cement hydroset 5cc Inpatient & outpatient | C1713 HCPCS | $3,593 | $2,587 | $755 – $3,593 | $1,071 | |
| Cement simplex hv withgentamicin Inpatient & outpatient | C1713 HCPCS | $417 | $300 | $87.55 – $417 | $1,071 | |
| Device inflation cre (syringe) Inpatient & outpatient | C1726 HCPCS | $87.60 | $63.07 | $18.40 – $87.60 | — | |
| Filler bone void cerament 5cc Inpatient & outpatient | 278 RC | $4,632 | $3,335 | $973 – $4,632 | — | |
| Gdwire ortho 5.91in .045in troc tip Inpatient & outpatient | C1769 HCPCS | $23.10 | $16.63 | $4.85 – $23.10 | $138 | |
| Gdwire ortho 7in .054in ss troc Inpatient & outpatient | C1769 HCPCS | $48.00 | $34.56 | $10.08 – $48.00 | $138 | |
| Gdwire uro 145cm .038in amplzr-ss bntsn strt ptfe fltwr outr Inpatient & outpatient | C1769 HCPCS | $64.71 | $46.59 | $13.59 – $64.71 | $138 | |
| Graft bone allomatrix putty wright medical 5ml Inpatient & outpatient | C1713 HCPCS | $2,520 | $1,814 | $529 – $2,520 | $1,071 | |
| Graft bone cancellous 15ml 4-10mm freeze dried chips Inpatient & outpatient | 278 RC | $759 | $547 | $159 – $759 | — | |
| Guide wire Inpatient & outpatient | C1769 HCPCS | $237 | $171 | $49.77 – $237 | $138 | |
| Guidewire sensor .035 x 150cm Inpatient & outpatient | C1769 HCPCS | $107 | $77.18 | $22.51 – $107 | $138 | |
| Guidewire stryker gamma 3 ball tip 3x1000mm Inpatient & outpatient | C1769 HCPCS | $420 | $302 | $88.10 – $420 | $138 | |
| Afo ankle brace custom Inpatient & outpatient | L1930 HCPCS | $198 | $143 | $41.58 – $198 | — | |
| Cmv ab igm-90 Inpatient & outpatient | 86645 CPT | $196 | $141 | $11.58 – $196 | $181 | |
| Cmv ab-90 Inpatient & outpatient | 86644 CPT | $181 | $130 | $11.58 – $181 | $181 | |
| Diptheria-90 Inpatient & outpatient | 86648 CPT | $74.00 | $53.28 | $11.58 – $74.00 | — |