Saint Francis Hospital
Saint Francis Hospital in Evanston, IL publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Click a procedure to compare it with other hospitals nearby.
355 Ridge Ave., Evanston, Illinois 60202 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN/PELVIS W CONTRAST | $372.00 | $6,385.00 | 94% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $111.00 | $4,076.00 | 97% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $187.00 | $2,197.00 | 91% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAPHY; BILATERAL | $111.00 | $877.00 | 87% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAPHY; UNILATERAL | $87.00 | $647.00 | 87% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST | $254.00 | $5,957.00 | 96% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG. COMBO | $372.00 | $7,017.00 | 95% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $254.00 | $2,851.00 | 91% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $372.00 | $4,255.00 | 91% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $254.00 | $3,580.00 | 93% |
| Screening mammogram, both breasts CPT 77067 HC MAMMOGRAM, SCREENING | $92.00 | $720.00 | 87% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $915.00 | $8,168.00 | 89% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND,TRANSVAGINAL | $111.00 | $1,429.00 | 92% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $111.00 | $2,926.00 | 96% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $111.00 | $1,238.00 | 91% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $8.00 | $422.00 | 98% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $13.00 | $175.00 | 93% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $7.00 | $304.00 | 98% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $6.00 | $53.00 | 89% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $8.00 | $144.00 | 94% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $8.00 | $206.00 | 96% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN,FREE | $18.00 | $159.00 | 89% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL - 84153 - 30100312 | $18.00 | $159.00 | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $6.00 | $91.00 | 93% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $4.00 | $62.00 | 94% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $16.00 | $183.00 | 91% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE | $4.00 | $22.00 | 82% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $3.00 | $9.00 | 67% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY,REMV LESN,SNARE | $1,276.00 | $6,145.00 | 79% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,276.00 | $8,268.00 | 85% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,276.00 | $8,480.00 | 85% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY,BIOPSY | $1,276.00 | $6,145.00 | 79% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $991.00 | $7,596.00 | 87% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY,DIAGNOSTIC | $991.00 | $4,752.00 | 79% |
| Colonoscopy, diagnostic CPT 45378 HC COLORECTAL CANCER SCREEN, COLONOSCOPY HIGH RISK - 45378 - 75000068 | $991.00 | $4,752.00 | 79% |
| Colonoscopy, diagnostic CPT 45378 HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK - 45378 - 75000071 | $991.00 | $13,712.00 | 93% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $6,446.00 | $30,198.00 | 79% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $3,818.00 | $19,280.00 | 80% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881 | $3,489.00 | $15,087.00 | 77% |
| Prostate biopsy CPT 55700 Biopsy of prostate | $2,138.00 | $11,874.00 | 82% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $11,335.00 | $50,215.30 | 77% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $4,175.00 | $12,635.00 | 67% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $13,690.00 | $41,544.00 | 67% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $13,690.00 | $40,674.00 | 66% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $967.00 | $3,966.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $967.00 | $6,790.00 | 86% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $967.00 | $6,320.00 | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD TRANSORAL DIAGNOSTIC | $967.00 | $4,886.00 | 80% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT | $189.00 | $287.00 | 34% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT | $189.00 | $261.00 | 28% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $108.00 | $388.00 | 72% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES, EA 15 MIN | $29.00 | $289.00 | 90% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE OTA COMPLEX EA 15 | $29.00 | $289.00 | 90% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT&/FAMILY 30 MINUTES | $189.00 | $217.00 | 13% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES | $189.00 | $332.00 | 43% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $189.00 | $473.00 | 60% |
Source file: https://saintfrancisevanston.org/wp-content/uploads/2026/09/0006470_SaintFrancisHospital_standardcharges.json