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Rochelle Community Hospital

Illinois · 1,500 published self-pay prices, from $95.65 to $141,248.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$109Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$101Outpatient
ACETIC ACID 0.25% IRRIG SOLN$128Outpatient
Activated protein resistance assay$125Outpatient
Acute hepatitis panel$620Outpatient
ACYCLOVIR 5% OINTMENT$2,133Outpatient
Adenosine, 5-monophosphate, cyclic (cyclic AMP) level$185Outpatient
ADH (antidiuretic hormone) level$237Outpatient
Administration of additional new drug or substance into vein using push technique$523Outpatient
Administration of additional new drug or substance into vein, 1 hour or less$543Outpatient
Administration of chemotherapy into vein using push technique$515Outpatient
Administration of chemotherapy into vein, 1 hour or less$1,104Outpatient
Administration of chemotherapy into vein, each additional hour$372Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$383Outpatient
ADMINISTRATION OF INFLUENZA VIRUS VACCINE$153Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$383Outpatient
ADMINISTRATION OF PNEUMOCOCCAL VACCINE$153Outpatient
Administration of vaccine$153Outpatient
Administration of vaccine, each additional vaccine$147Both
ADRENALIN 4 MG/250ML-0.9% NACL$313Outpatient
Adrenocorticotropic hormone (ACTH) level$261Outpatient
Alcohols levels, 1 or 2$315Outpatient
Aldosterone hormone level$235Outpatient
Alkaloids levels$146Outpatient
Alpha-1-antitrypsin (protein) blood test, phenotype$105Outpatient
Alpha-1-antitrypsin (protein) blood test, total$142Outpatient
Alpha-2 antiplasmin (factor inhibitor) measurement$276Outpatient
Alpha-fetoprotein (AFP) analysis$520Outpatient
Alpha-fetoprotein (AFP) level, serum$109Outpatient
ALPHAGAN P 0.1% DROPS$1,274Outpatient
Aluminum level$141Outpatient
Amikacin (antibiotic) level$137Outpatient
Amino acid analysis, quantitative, each specimen$121Outpatient
Amino acid level, 2 to 5 amino acids, quantitative, each specimen$333Outpatient
Aminolevulinic acid (protein) level$173Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$364Outpatient
Amplifed nucleic acid probe typing of disease agent in blood culture specimen$519Outpatient
Amylase (enzyme) level$156Outpatient
Analysis for antibody (IgM) to Chlamydia (bacteria)$110Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$156Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$125Outpatient
Analysis for antibody to aspergillus (fungus)$131Outpatient
Analysis for antibody to Chlamydia (bacteria)$133Outpatient
Analysis for antibody to Cryptococcus (yeast)$137Outpatient
Analysis for antibody to Diphtheria (bacteria)$120Outpatient
Analysis for antibody to Ehrlichia (bacteria transmitted by ticks)$126Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$216Outpatient
Analysis for antibody to helminth (intestinal worm)$173Outpatient
Analysis for antibody to Hepatitis D virus$524Outpatient
Analysis for antibody to Herpes simplex virus$156Outpatient
Analysis for antibody to HIV -1 virus$109Outpatient
Analysis for antibody to HIV-1 and HIV-2 virus$115Outpatient
Analysis for antibody to HIV-2 virus$201Outpatient
Analysis for antibody to Influenza virus$202Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$115Outpatient
Analysis for antibody to Mycoplasma (bacteria)$137Outpatient
Analysis for antibody to parvovirus$156Outpatient
Analysis for antibody to protozoa (parasite)$146Outpatient
Analysis for antibody to Rubella (German measles virus)$126Outpatient
Analysis for antibody to Rubeola (measles virus)$139Outpatient
Analysis for antibody to tetanus bacteria (Clostridium tetanus)$133Outpatient
Analysis for antibody to Trichinella (worm parasite)$213Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$125Outpatient
Analysis for detection of tumor marker$108Outpatient
Analysis of urine, except immunoassays$179Outpatient
Analysis test by nucleic acid for Hepatitis C virus$950Outpatient
Analysis test by nucleic acid for HIV-1 virus$1,538Outpatient
Analysis test by nucleic acid for HIV-1 virus, other region$2,141Outpatient
Androstenedione (hormone) level$105Outpatient
Angiotensin l - converting enzyme (ACE) level$144Outpatient
Antibody evaluation, each additional single antibody stain procedure$700Outpatient
Antibody evaluation, initial single antibody stain procedure$114Outpatient
Antibody identification test, platelet antibodies$328Outpatient
Antibody identification test, platelet associated immunoglobulin assay$396Outpatient
Antiepileptics levels, 1-3$339Outpatient
Antithrombin III antigen (clotting inhibitor) activity$188Outpatient
Apolipoprotein level$125Outpatient
Application of elbow to finger cast$350Both
Application of electrical stimulation$186Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$162Outpatient
Application of hand and lower forearm cast$350Both
Application of hot wax bath$121Outpatient
Application of long leg cast from thigh to toe$350Both
Application of long leg splint from thigh to ankle or toe$350Both
Application of lower and upper arm splint$350Both
Application of mechanical traction$141Outpatient
Application of medication using electrical current, each 15 minutes$212Outpatient
Application of nonmoveable finger splint$350Both
Application of short leg cast$350Both
Application of shoulder to hand cast$350Both
Application of thigh to lower leg cylinder cast$350Both
Application of ultrasound, each 15 minutes$189Outpatient
Application of walking cast covering below knee to toe$350Both
Application of whirlpool therapy$141Outpatient
ARIPIPRAZOLE 5 MG TABLET$148Outpatient
Artery puncture collection of blood sample$144Outpatient
Ascorbic acid (Vitamin C) level, blood$125Outpatient
Aspiration and/or injection of cyst of kidney$1,382Outpatient
Aspiration and/or injection of fluid from large joint$326Outpatient
Aspiration and/or injection of fluid from medium joint$536Both
Aspiration and/or injection of fluid from small joint$536Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$1,416Outpatient
Aspiration of abscess, blood, or cyst$144Outpatient
Aspiration of bladder with insertion of bladder tube to skin$279Both
Aspiration of cyst of breast, each additional cyst$719Outpatient
Aspiration of cyst of breast, first cyst$1,635Outpatient
Aspiration of fluid from chest cavity$1,069Outpatient
Aspiration of fluid from chest cavity using imaging guidance$1,102Outpatient
Assessment of blood clotting function$156Outpatient
AZELASTINE 0.1% (137 MCG) SPRY$609Outpatient
AZELASTINE HCL 0.05% DROPS$603Outpatient
AZITHROMYCIN 200 MG/5 ML SUSP$171Outpatient
b-Hexosaminidase (enzyme) level$450Outpatient
BACITRACIN 500 UNIT/GM OPHTH$736Outpatient
Bacterial blood culture$292Outpatient
Bacterial culture for anaerobic isolates$112Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$200Outpatient
Bacterial culture, any source, except blood, anaerobic$250Outpatient
Benzodiazepines levels, 13 or more$123Outpatient
Beta-2 microglobulin (protein) level$162Outpatient
BETADINE 5% EYE SOLUTION$174Outpatient
BEXSERO PREFILLED SYRINGE$1,431Outpatient
Bile acids level, total$144Outpatient
Biochemical assays for evaluation of chronic Hepatitis C virus infection$681Outpatient
Biofeedback training for bowel or bladder control, initial 15 minutes$104Outpatient
Biopsy of breast and placement of locating device using ultrasound, each additional growth$6,451Outpatient
Biopsy of breast and placement of locating device using ultrasound, first growth$6,451Outpatient
Biopsy of breast and placement of locating device using X-ray with needle, each additional growth$251Outpatient
Biopsy of breast and placement of locating device using X-ray with needle, first growth$1,811Outpatient
Blood gases measurement$300Outpatient
Blood gases measurement, with O2 saturation$288Outpatient
Blood glucose (sugar) level$120Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$229Outpatient
Blood osmolality (concentration) measurement$119Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$119Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$216Outpatient
Blood test, comprehensive group of blood chemicals$291Outpatient
Blood test, lipids (cholesterol and triglycerides)$216Outpatient
Blood test, thyroid stimulating hormone (TSH)$222Outpatient
Blood typing for red blood cell antigens$337Outpatient
Blood unit compatibility test, antiglobulin technique$225Outpatient
Blood unit compatibility test, electronic$443Outpatient
Blood unit compatibility test, immediate spin technique$443Outpatient
Blood viscosity measurement$108Outpatient
Body fluid cell count with cell identification$131Outpatient
BREVITAL SODIUM 500 MG VIAL$719Outpatient
BRIDION 200 MG/2 ML VIAL$858Outpatient
BRIMONIDINE 0.2% EYE DROP$128Outpatient
BRIMONIDINE TARTRATE 0.15% DRP$1,058Outpatient
BRINZOLAMIDE 1% EYE DROPS$1,963Outpatient
BSS EYE SOLUTION$142Outpatient
BSS PLUS EYE IRRIG SOLUTION$707Outpatient
C-peptide (protein) level$162Outpatient
Calcitonin (hormone) level$194Outpatient
CALCIUM CHLORIDE 1 GM/10ML SYR$145Outpatient
Calcium level, ionized$139Outpatient
CAPSAICIN 0.025% CREAM$115Outpatient
Carbohydrate analysis, single qualitative$105Outpatient
Carbon dioxide (bicarbonate) level$112Outpatient
Carboxyhemoglobin (protein) level$283Outpatient
Carcinoembryonic antigen (CEA) protein level$259Outpatient
Cardiolipin antibody (tissue antibody) measurement$113Outpatient
Catecholamines (organic nitrogen) level$165Outpatient
Catecholamines (organic nitrogen) urine level$180Outpatient
CEFIXIME 200 MG/5 ML SUSP$2,375Outpatient
Cell examination of specimen, concentration technique$142Outpatient
Cell examination of specimen, selective cellular enhancement technique$114Outpatient
CEPHALEXIN 250 MG/5 ML SUSP$143Outpatient
Ceruloplasmin (protein) level$126Outpatient
Chemical analysis using spectrophotometry (light)$656Outpatient
Chemical receptor analysis$193Outpatient
Chemical test for genetic disorder$381Outpatient
Cholinesterase (enzyme) level$163Outpatient
Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease$134Outpatient
Chromium level to test for poisoning or deficiency$100Outpatient
Chromosome analysis for genetic defects, analyze 100-300 cells$292Outpatient
Chromosome analysis for genetic defects, analyze 20-25 cells$504Outpatient
Chromosome analysis for genetic defects, analyze 25-99 cells$292Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$504Outpatient
CIPROFLOX-DEXAMETH OTIC SUSP$1,459Outpatient
CIPROFLOXACIN 0.3% EYE DROP$309Outpatient
CISATRACURIUM 20 MG/10 ML VIAL$114Outpatient
CLINDAMYCIN (PEDI) 75 MG/5 ML$297Outpatient
CLINIMIX E 5%-20% SOLUTION$342Outpatient
CLOBETASOL 0.05% CREAM$729Outpatient
CLOBETASOL 0.05% OINTMENT$870Outpatient
CLONIDINE 0.1 MG/DAY PATCH$163Outpatient
CLONIDINE 0.2 MG/DAY PATCH$268Outpatient
Closed treatment of 2 broken lower leg bones at ankle with manipulation$536Both
Closed treatment of 3 broken lower leg bones at ankle with manipulation$536Both
Closed treatment of broken base of forearm bone on small finger side at wrist$536Both
Closed treatment of broken collar bone with manipulation$536Both
Closed treatment of broken end of finger or thumb$536Both
Closed treatment of broken end of finger or thumb with manipulation$536Both
Closed treatment of broken finger or hand at base of finger with manipulation$536Both
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$536Both
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$536Both
Closed treatment of broken great toe$350Both
Closed treatment of broken hand bone with manipulation$536Both
Closed treatment of broken kneecap$536Both
Closed treatment of broken middle part of shin bone$536Both
Closed treatment of broken midpart of both forearm bones with manipulation$536Both
Closed treatment of broken midpart of forearm bone on small finger side with manipulation$536Both
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$536Both
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$536Both
Closed treatment of broken outside lower leg bone at ankle with manipulation$536Both
Closed treatment of broken thigh bone at knee area with manipulation$536Both
Closed treatment of broken thumb at wrist with manipulation$536Both
Closed treatment of broken toe with manipulation$536Both
Closed treatment of dislocated ankle$536Both
Closed treatment of dislocated ankle joint$536Both
Closed treatment of dislocated ankle under anesthesia$536Both
Closed treatment of dislocated finger joint with manipulation$536Both
Closed treatment of dislocated finger joint with manipulation under anesthesia$536Both
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$536Both
Closed treatment of dislocated hand bone at wrist joint with manipulation$536Both
Closed treatment of dislocated hand joint at base of finger with manipulation$536Both
Closed treatment of dislocated hand joint at base of finger with manipulation under anesthesia$536Both
Closed treatment of dislocated hip$536Both
Closed treatment of dislocated hip prosthesis$595Both
Closed treatment of dislocated hip prosthesis under anesthesia$2,974Both
Closed treatment of dislocated hip under anesthesia$536Both
Closed treatment of dislocated joint between toe and foot$536Both
Closed treatment of dislocated joint in toe$536Both
Closed treatment of dislocated knee$536Both
Closed treatment of dislocated knee under anesthesia$536Both
Closed treatment of dislocated kneecap$536Both
Closed treatment of dislocated midfoot joint$536Both
Closed treatment of dislocated shoulder with manipulation$536Both
Closed treatment of dislocated shoulder with manipulation under anesthesia$536Both
Closed treatment of dislocated thumb at wrist with manipulation$536Both
Closed treatment of dislocated wrist (lunate) bone with manipulation$536Both
Closed treatment of middle part of broken shin bone with manipulation$536Both
Clotting factor inhibitor test$337Outpatient
Clotting factor IX (PTC or Christmas) measurement$354Outpatient
Clotting factor V (AcG or proaccelerin) measurement$158Outpatient
Clotting factor VII (proconvertin, stable factor)$235Outpatient
Clotting factor VIII (von Willebrand factor) measurement$281Outpatient
Clotting factor VIII (VW factor) measurement$319Outpatient
Clotting factor X (Stuart-Prower) measurement$272Outpatient
Clotting factor XI (PTA) measurement$235Outpatient
Clotting factor XII (Hageman) measurement$234Outpatient
Clotting factor XIII (fibrin stabilizing) screening test$243Outpatient
Coagulation assessment blood test, substitution, plasma fractions$201Outpatient
Coagulation function analysis, agglutination slide, semiquantitative$156Outpatient
Coagulation function measurement, D-dimer; quantitative$231Outpatient
COCAINE HCL 4% NASAL SOLUTION$1,589Outpatient
Collagen cross links test, (urine test to evaluate bone health)$168Outpatient
Collection of blood sample from implanted device$144Outpatient
COMBIGAN 0.2%-0.5% EYE DROPS$1,335Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$125Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$139Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$2,168Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$1,660Outpatient
Complete ultrasound scan behind abdominal cavity$1,493Outpatient
Complete ultrasound scan of 1 breast$560Outpatient
Complete ultrasound scan of abdomen$1,493Outpatient
Complete ultrasound scan of joint$815Outpatient
Complete ultrasound scan of pelvis$1,487Outpatient
Complete ultrasound study of arm and leg arteries$1,098Outpatient
Complete X-ray of body bones$1,348Outpatient
Complex control of nose bleed$536Both
Complex drainage of wound infection after surgery$181Outpatient
Complicated drainage of abscess in finger$412Both
Complicated or multiple drainage of skin abscess$181Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm$543Both
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm$543Both
Complicated repair of wound of eyelids, nose, ears, or lip, each additional 5.0 cm or less$543Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm$543Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$543Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less$543Both
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm$543Both
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm$543Both
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less$543Both
Complicated repair of wound of trunk, 1.1-2.5 cm$543Both
Complicated repair of wound of trunk, 2.6-7.5 cm$543Both
Complicated repair of wound of trunk, each additional 5.0 cm or less$543Both
COMPUTER-AIDED DETECTION, INCLUDING COMPUTER ALGORITHM ANALYSIS OF BREAST MRI IMAGE DATA FOR LESION DETECTION/CHARACTERIZATION, PHARMACOKINETIC ANALYSIS, WITH FURTHER PHYSICIAN REVIEW FOR INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PRO$450Outpatient
Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV$158Outpatient
Confirmation test for Hepatitis C antibody$269Outpatient
Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin$6,153Outpatient
Cortisol (hormone) measurement, free$142Outpatient
Cortisol (hormone) measurement, total$156Outpatient
Creatine kinase (cardiac enzyme) level, isoenzymes$148Outpatient
Creatine kinase (cardiac enzyme) level, MB fraction only$226Outpatient
Creatine kinase (cardiac enzyme) level, total$120Outpatient
Creatinine clearance measurement to test for kidney function$126Outpatient
Critical care, each additional 30 minutes$682Both
Critical care, first 30-74 minutes$4,072Both
Cryofibrinogen (protein) level$411Outpatient
Cryoglobulin (protein) measurement$204Outpatient
CRYOPRECIPITATE, EACH UNIT$214Outpatient
Crystal identification from tissue or body fluid$141Outpatient
CT scan head or brain with contrast$3,434Outpatient
CT scan head or brain without contrast$2,493Outpatient
CT scan of abdomen and pelvis before and after contrast$7,322Outpatient
CT scan of abdomen and pelvis with contrast$6,575Outpatient
CT scan of abdomen and pelvis without contrast$5,228Outpatient
CT scan of abdomen before and after contrast$5,264Outpatient
CT scan of abdomen with contrast$3,579Outpatient

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