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 |
|---|---|---|---|---|
| Insertion catheter bladder temporary simple CPT 51702 | $215.28 | $299.00 | $74.69 – $356.44 | 14 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,399.12 | $4,721.00 | $951.00 – $8,459.04 | 13 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,194.56 | $3,048.00 | $951.00 – $4,217.23 | 13 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,594.88 | $3,604.00 | $674.76 – $4,217.23 | 13 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | not published | not published | not published | 0 |
| Insitu hybridization auto CPT 88367 | $453.60 | $630.00 | $114.03 – $960.29 | 14 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $332.64 | $462.00 | $27.95 – $462.00 | 5 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $634.32 | $881.00 | $114.03 – $881.00 | 14 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | not published | 0 |
| Insulin total CPT 83525 | $76.32 | $106.00 | $9.27 – $106.00 | 14 |
| Intens cardiac rehab no exer HCPCS G0423 | $260.64 | $362.00 | $135.25 – $362.00 | 13 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $260.64 | $362.00 | $135.25 – $362.00 | 13 |
| Intrinsic factor antibody CPT 86340 | $84.96 | $118.00 | $8.09 – $118.00 | 14 |
| Intubation endotracheal emergency procedure CPT 31500 | $619.92 | $861.00 | $253.81 – $861.00 | 13 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.97 | $2.74 | $0.25 – $1.89 | 3 |
| Iron CPT 83540 | $92.16 | $128.00 | $3.80 – $128.00 | 14 |
| Iron binding capacity CPT 83550 | $110.88 | $154.00 | $3.80 – $154.00 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $2.25 | $3.12 | $0.40 – $3.12 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $86.40 | $120.00 | $40.03 – $120.00 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $110.16 | $153.00 | $25.29 – $158.04 | 14 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $137.52 | $191.00 | $30.86 – $192.89 | 13 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $119.52 | $166.00 | $166.00 – $166.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $100.08 | $139.00 | $20.07 – $139.00 | 13 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $596.88 | $829.00 | $91.17 – $829.00 | 13 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,164.24 | $1,617.00 | $102.57 – $1,617.00 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $475.20 | $660.00 | $115.77 – $660.00 | 14 |
| John cunningham antibody CPT 86711 | $2,387.52 | $3,316.00 | $8.09 – $3,316.00 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $84.24 | $117.00 | $3.80 – $117.00 | 14 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $12.96 | $18.00 | $0.33 – $9.00 | 13 |
| Kidney imag w/bld flow multi CPT 78709 | $1,290.24 | $1,792.00 | $318.49 – $1,792.00 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,015.92 | $1,411.00 | $318.49 – $1,454.64 | 13 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $978.48 | $1,359.00 | $44.81 – $1,359.00 | 13 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,085.28 | $5,674.00 | $352.85 – $5,674.00 | 14 |
| Knee MRI (with contrast) CPT 73722 | $3,488.40 | $4,845.00 | $352.85 – $4,845.00 | 14 |
| Knee MRI (without contrast) CPT 73721 | $3,375.36 | $4,688.00 | $209.13 – $4,688.00 | 14 |
| Knee X-ray CPT 73564 | $567.36 | $788.00 | $48.67 – $788.00 | 13 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $3.24 | $4.50 | $0.58 – $2.25 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $89.28 | $124.00 | $3.80 – $124.00 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $32.40 | $45.00 | $3.93 – $45.00 | 3 |
| Lactic acid CPT 83605 | $146.16 | $203.00 | $8.40 – $203.00 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $100.08 | $139.00 | $8.40 – $72.00 | 14 |
| Lactoferrin fecal quant CPT 83631 | $211.68 | $294.00 | $8.40 – $294.00 | 14 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | not published | 0 |
| Laparoscopy biopsy CPT 49321 | not published | not published | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | not published | 0 |
| Laparoscopy lysis CPT 58660 | not published | not published | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | not published | 0 |
| Lap ing hernia repair init CPT 49650 | not published | not published | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $776.88 | $1,079.00 | $419.13 – $1,079.00 | 13 |
| Lead capillary CPT 83655 | $59.04 | $82.00 | $8.65 – $82.00 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,143.44 | $2,977.00 | $145.96 – $2,977.00 | 13 |
| Lens, intraocular (new tech) HCPCS C1780 | $324.00 | $450.00 | $242.10 – $300.00 | 3 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $324.00 | $450.00 | $302.63 – $375.00 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.27 | $0.37 | $0.07 – $0.29 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $123.84 | $172.00 | $8.53 – $172.00 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $65.52 | $91.00 | $3.56 – $30.33 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $36.49 | $50.68 | $9.87 – $50.68 | 3 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $2.16 | $3.00 | $0.08 – $0.12 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.13 | $0.18 | $0.02 – $0.18 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $79.20 | $110.00 | $8.53 – $110.00 | 14 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $52.42 | $72.80 | $4.52 – $30.40 | 3 |
| Lipase CPT 83690 | $104.40 | $145.00 | $3.80 – $145.00 | 14 |
| Lipoprotein blood quant CPT 83704 | $149.76 | $208.00 | $19.79 – $208.00 | 14 |
| Lipoprotein direct measurement hdl CPT 83718 | $77.04 | $107.00 | $3.80 – $107.00 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $108.72 | $151.00 | $3.80 – $123.00 | 14 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $43.20 | $60.00 | $19.79 – $85.48 | 14 |
| Lithium therapeutic drug level CPT 80178 | $82.80 | $115.00 | $6.61 – $115.00 | 14 |
| Liver Function Test CPT 80076 | $294.48 | $409.00 | $6.35 – $409.00 | 14 |
| Liver/spleen imag static only CPT 78215 | $1,427.04 | $1,982.00 | $428.40 – $1,982.00 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $12.96 | $18.00 | $2.33 – $18.00 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,150.72 | $4,376.00 | $187.96 – $4,376.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,029.76 | $4,208.00 | $263.47 – $4,208.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,685.60 | $3,730.00 | $92.49 – $3,730.00 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,242.24 | $5,892.00 | $352.85 – $5,892.00 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,517.92 | $4,886.00 | $352.85 – $4,886.00 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,121.92 | $4,336.00 | $102.28 – $4,336.00 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $688.32 | $956.00 | $44.81 – $956.00 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $285.84 | $397.00 | $49.92 – $578.47 | 13 |
| Lung perfusion imaging CPT 78580 | $2,243.52 | $3,116.00 | $428.40 – $3,116.00 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $3,181.68 | $4,419.00 | $581.86 – $4,419.00 | 13 |
| Macroscopic exam parasite CPT 87169 | $39.60 | $55.00 | $4.31 – $55.00 | 14 |
| Magnesium CPT 83735 | $79.92 | $111.00 | $3.80 – $111.00 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $16.38 | $22.75 | $0.68 – $2.28 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $138.96 | $193.00 | $49.92 – $356.44 | 13 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $138.96 | $193.00 | $49.92 – $356.44 | 13 |
| Manual diff wbc count b-coat CPT 85009 | $56.16 | $78.00 | $4.17 – $78.00 | 14 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $280.08 | $389.00 | $135.58 – $168.00 | 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.