HSHS St. Joseph's Hospital
9515 Holy Cross Lane, Breese, IL · Hshs · · NPI 1457319154
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $146.16 | $203.00 | $9.27 – $203.00 | 14 |
| 3d recon without postprocess indpndt CPT 76376 | $506.88 | $704.00 | $704.00 – $704.00 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $102.96 | $143.00 | $8.40 – $143.00 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $176.40 | $245.00 | $8.09 – $245.00 | 14 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,343.68 | $4,644.00 | $187.96 – $4,644.00 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,733.84 | $3,797.00 | $75.19 – $3,797.00 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,418.48 | $3,359.00 | $92.49 – $3,359.00 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,053.60 | $5,630.00 | $149.54 – $5,630.00 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $3,523.68 | $4,894.00 | $352.85 – $4,894.00 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $3,130.56 | $4,348.00 | $102.28 – $4,348.00 | 14 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,107.36 | $1,538.00 | $625.35 – $2,429.86 | 13 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,419.84 | $1,972.00 | $44.81 – $1,972.00 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,182.24 | $1,642.00 | $44.81 – $1,642.00 | 13 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,012.32 | $1,406.00 | $625.35 – $2,429.86 | 13 |
| Ablation of upper extremity nerves rf CPT 64999 | $342.72 | $476.00 | $328.94 – $822.34 | 13 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $1.28 | $1.78 | $0.10 – $1.78 | 3 |
| Acetone qualitative CPT 82009 | $54.00 | $75.00 | $3.80 – $75.00 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $167.76 | $233.00 | $8.09 – $233.00 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $6.34 | $8.80 | $0.61 – $8.80 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $293.76 | $408.00 | $53.53 – $408.00 | 13 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $54.00 | $75.00 | $14.20 – $75.00 | 13 |
| Acoustic immitance testing CPT 92570 | $169.20 | $235.00 | $34.61 – $235.00 | 13 |
| Acute hepatitis panel CPT 80074 | $600.48 | $834.00 | $6.35 – $834.00 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.31 | $8.76 | $0.87 – $5.00 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $84.96 | $118.00 | $8.09 – $118.00 | 14 |
| Adh-sendout CPT 84588 | $133.20 | $185.00 | $24.59 – $185.00 | 14 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $12.96 | $18.00 | $1.82 – $2.25 | 8 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $90.72 | $126.00 | $30.86 – $192.89 | 13 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $806.40 | $1,120.00 | $141.58 – $1,120.00 | 13 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $384.48 | $534.00 | $40.15 – $884.90 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $123.12 | $171.00 | $30.86 – $192.89 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $145.44 | $202.00 | $30.86 – $202.00 | 13 |
| Administration immunization 1 vaccine CPT 90471 | $66.96 | $93.00 | $33.67 – $192.89 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $69.84 | $97.00 | $33.67 – $97.00 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $49.68 | $69.00 | $33.67 – $125.45 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $56.16 | $78.00 | $33.67 – $125.45 | 13 |
| Administration vaccine pneumococcal HCPCS G0009 | $49.68 | $69.00 | $33.67 – $125.45 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $100.80 | $140.00 | $7.41 – $140.00 | 14 |
| Air conduction bilat CPT 92552 | $138.96 | $193.00 | $13.23 – $193.00 | 13 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $287.28 | $399.00 | $89.44 – $399.00 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $29.52 | $41.00 | $3.80 – $41.00 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $311.04 | $432.00 | $53.08 – $275.60 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $105.12 | $146.00 | $2.12 – $146.00 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $66.96 | $93.00 | $3.80 – $93.00 | 14 |
| Alkaline phosphatase CPT 84075 | $44.64 | $62.00 | $3.80 – $62.00 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $22.32 | $31.00 | $8.09 – $44.83 | 14 |
| Allergen egg white ige CPT 86003 | $91.44 | $127.00 | $5.22 – $13.05 | 14 |
| Allergy injections; 2 or more 95117 CPT 95117 | $59.76 | $83.00 | $21.72 – $125.45 | 14 |
| Allergy injection; single 95115 CPT 95115 | $49.68 | $69.00 | $21.72 – $125.45 | 14 |
| Alpha-fetoprotein tumor marker CPT 82105 | $97.20 | $135.00 | $8.40 – $135.00 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $319.97 | $444.40 | $84.03 – $444.40 | 14 |
| Alt/sgpt CPT 84460 | $92.88 | $129.00 | $3.80 – $129.00 | 14 |
| Aluminum - quest CPT 82108 | $32.40 | $45.00 | $8.65 – $63.70 | 14 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $13.30 | $18.47 | $4.17 – $18.47 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $2.59 | $3.60 | $0.68 – $1.92 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $43.20 | $60.00 | $9.83 – $60.00 | 3 |
| Ammonia CPT 82140 | $182.88 | $254.00 | $8.40 – $254.00 | 14 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $940.32 | $1,306.00 | $500.05 – $2,467.54 | 13 |
| Amphetamine confirm urine -sendout CPT 80324 | $36.00 | $50.00 | $9.83 – $50.00 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $12.96 | $18.00 | $0.97 – $9.60 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $27.58 | $38.30 | $2.19 – $29.20 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $378.72 | $526.00 | $262.99 – $657.48 | 13 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | not published | 0 |
| Amylase CPT 82150 | $126.72 | $176.00 | $3.80 – $135.00 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $498.24 | $692.00 | $32.74 – $692.00 | 14 |
| Analysis gene f5 leiden variant CPT 81241 | $169.92 | $236.00 | $32.74 – $236.00 | 14 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $270.72 | $376.00 | $30.13 – $376.00 | 14 |
| Anca screen with reflex to titer -quest CPT 86021 | $195.12 | $271.00 | $8.09 – $271.00 | 14 |
| An cholangiogram percutaneous compl CPT 47531 | $3,811.68 | $5,294.00 | $1,467.17 – $9,592.06 | 13 |
| An fluoro guide for cvp CPT 77001 | $984.24 | $1,367.00 | $175.21 – $1,367.00 | 3 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $32.40 | $45.00 | $42.00 – $42.00 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $515.52 | $716.00 | $48.67 – $716.00 | 13 |
| Anora (draw only) CPT 99001 | $48.96 | $68.00 | $2.37 – $68.00 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $78.48 | $109.00 | $8.09 – $109.00 | 14 |
| Antibody elution rbc reference CPT 86860 | $246.24 | $342.00 | $113.90 – $456.43 | 14 |
| Antibody htlv/hiv confirm test CPT 86689 | $108.00 | $150.00 | $8.09 – $150.00 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $152.64 | $212.00 | $8.09 – $212.00 | 14 |
| Antibody id rbc panel CPT 86870 | $453.60 | $630.00 | $113.90 – $960.29 | 14 |
| Antibody influenza virus CPT 86710 | $126.72 | $176.00 | $8.09 – $176.00 | 14 |
| Antibody screen rbc CPT 86850 | $101.52 | $141.00 | $3.11 – $141.00 | 14 |
| Antibody tetanus CPT 86774 | $115.92 | $161.00 | $8.09 – $161.00 | 14 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $195.12 | $271.00 | $8.09 – $271.00 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $48.96 | $68.00 | $8.09 – $68.00 | 14 |
| Antinuclear antibodies CPT 86038 | $131.76 | $183.00 | $8.09 – $183.00 | 14 |
| Antinuclear antibodies titer CPT 86039 | $117.36 | $163.00 | $8.09 – $163.00 | 14 |
| Antiphosphatidylserine antibody CPT 86148 | $52.56 | $73.00 | $8.09 – $73.00 | 14 |
| Antipsychotics nos 1-3 CPT 80342 | $105.12 | $146.00 | $9.83 – $146.00 | 3 |
| Antistreptolysin o titer CPT 86060 | $54.00 | $75.00 | $7.30 – $75.00 | 14 |
| Antithrombin iii activity CPT 85300 | $128.16 | $178.00 | $3.11 – $178.00 | 14 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $200.88 | $279.00 | $65.60 – $356.44 | 13 |
| Application long leg splint 29505 CPT 29505 | $430.56 | $598.00 | $65.60 – $598.00 | 13 |
| Application lower leg splint 29515 CPT 29515 | $430.56 | $598.00 | $65.60 – $598.00 | 13 |
| Application of forearm cast 29075 CPT 29075 | $749.52 | $1,041.00 | $155.85 – $1,041.00 | 13 |
| Application of long arm cast 29065 CPT 29065 | $749.52 | $1,041.00 | $155.85 – $1,041.00 | 13 |
| Application of long leg cast 29345 CPT 29345 | $749.52 | $1,041.00 | $155.85 – $1,041.00 | 13 |
| Application of paste boot 29580 CPT 29580 | $430.56 | $598.00 | $150.00 – $598.00 | 14 |
| Application short leg cast 29405 CPT 29405 | $749.52 | $1,041.00 | $155.85 – $1,041.00 | 13 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $540.00 | $750.00 | $121.05 – $150.00 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.