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 |
|---|---|---|---|---|
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $17.28 | $24.00 | $0.12 – $0.75 | 3 |
| Natriuretic peptide CPT 83880 | $236.88 | $329.00 | $19.79 – $329.00 | 14 |
| Natural killer cells total count CPT 86357 | $175.68 | $244.00 | $28.69 – $244.00 | 14 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $28.08 | $39.00 | $0.01 – $77.49 | 14 |
| Ndl insj without njx 3+ musc CPT 20561 | $69.84 | $97.00 | $26.27 – $77.49 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,886.40 | $2,620.00 | $263.47 – $2,620.00 | 14 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,640.24 | $3,667.00 | $92.49 – $3,667.00 | 14 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,293.36 | $5,963.00 | $149.54 – $5,963.00 | 14 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,735.36 | $5,188.00 | $352.85 – $5,188.00 | 14 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,133.44 | $4,352.00 | $102.28 – $4,352.00 | 14 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,551.76 | $4,933.00 | $373.86 – $4,933.00 | 14 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,340.80 | $4,640.00 | $373.86 – $4,640.00 | 14 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,129.84 | $4,347.00 | $255.69 – $4,347.00 | 14 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $2.16 | $3.00 | $2.33 – $3.00 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $349.20 | $485.00 | $231.39 – $578.47 | 13 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $349.20 | $485.00 | $485.00 – $485.00 | 3 |
| New Patient Office Visit (level 2) CPT 99202 | $103.68 | $144.00 | $73.25 – $144.00 | 3 |
| New Patient Office Visit (level 3) CPT 99203 | $244.08 | $339.00 | $115.84 – $150.00 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $151.92 | $211.00 | $150.00 – $173.49 | 3 |
| New Patient Office Visit (level 5) CPT 99205 | $391.68 | $544.00 | $150.00 – $229.84 | 3 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $1.40 | $1.95 | $0.12 – $1.95 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $7.78 | $10.80 | $2.51 – $10.80 | 3 |
| Njx interlaminar lmbr/sac CPT 62326 | $3,273.84 | $4,547.00 | $662.13 – $4,547.00 | 13 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,648.88 | $3,679.00 | $318.49 – $3,679.00 | 13 |
| Nm imaging bone/joint whole body CPT 78306 | $2,521.44 | $3,502.00 | $318.49 – $3,502.00 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,093.76 | $2,908.00 | $318.49 – $2,908.00 | 13 |
| Nm imaging gastric emptying study CPT 78264 | $2,157.12 | $2,996.00 | $318.49 – $2,996.00 | 13 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,512.72 | $2,101.00 | $428.40 – $2,101.00 | 13 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,003.12 | $4,171.00 | $318.49 – $4,171.00 | 13 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,150.56 | $1,598.00 | $318.49 – $1,598.00 | 13 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,342.08 | $1,864.00 | $318.49 – $1,864.00 | 13 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,363.20 | $6,060.00 | $762.84 – $6,060.00 | 13 |
| Nudt15 gene common variants CPT 81306 | $882.00 | $1,225.00 | $115.77 – $1,225.00 | 14 |
| Observation direct referral from physician office for admission HCPCS G0379 | $662.40 | $920.00 | $920.00 – $920.00 | 1 |
| Observation per hour HCPCS G0378 | $59.04 | $82.00 | $82.00 – $82.00 | 1 |
| Obstetrics panel CPT 80055 | $272.88 | $379.00 | $6.35 – $379.00 | 14 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $629.28 | $874.00 | $87.26 – $874.00 | 13 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $285.12 | $396.00 | $87.26 – $396.00 | 3 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $8.59 | $11.93 | $1.09 – $3.17 | 3 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $4.35 | $6.04 | $1.34 – $4.15 | 3 |
| Onco (ovar) two proteins CPT 81500 | $604.08 | $839.00 | $115.77 – $839.00 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.24 | $4.50 | $0.15 – $4.50 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | not published | 0 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | not published | 0 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | not published | 0 |
| Optx medial ankle fx CPT 27766 | not published | not published | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $213.84 | $297.00 | $8.65 – $297.00 | 14 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $53.93 | $74.90 | $10.54 – $74.90 | 3 |
| Osmolality blood CPT 83930 | $49.68 | $69.00 | $3.80 – $69.00 | 14 |
| Osmolality urine CPT 83935 | $65.52 | $91.00 | $3.80 – $91.00 | 14 |
| Ot evaluation high complexity patient/family CPT 97167 | $520.56 | $723.00 | $96.97 – $723.00 | 14 |
| Ot evaluation low complexity patient/family CPT 97165 | $257.76 | $358.00 | $96.97 – $358.00 | 14 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $316.80 | $440.00 | $96.97 – $440.00 | 14 |
| Oth resp proc, group HCPCS G0239 | $97.20 | $135.00 | $29.63 – $135.00 | 13 |
| Oth resp proc, indiv HCPCS G0238 | $74.88 | $104.00 | $29.63 – $104.00 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $156.96 | $218.00 | $31.25 – $218.00 | 14 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $147.60 | $205.00 | $27.02 – $205.00 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $150.48 | $209.00 | $65.92 – $209.00 | 14 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $135.36 | $188.00 | $31.25 – $188.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $82.08 | $114.00 | $20.64 – $114.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $82.08 | $114.00 | $22.29 – $114.00 | 14 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $147.60 | $205.00 | $28.30 – $205.00 | 14 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $165.60 | $230.00 | $31.25 – $230.00 | 14 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $101.52 | $141.00 | $26.27 – $141.00 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $12.96 | $18.00 | $4.44 – $18.00 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $17.64 | $24.50 | $14.34 – $24.50 | 3 |
| Parathormone (pth) intact CPT 83970 | $94.32 | $131.00 | $24.59 – $131.00 | 14 |
| Parathyroid planar imaging CPT 78070 | $1,782.00 | $2,475.00 | $428.40 – $2,475.00 | 13 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | not published | 0 |
| Partial hysterectomy CPT 58180 | $2,535.12 | $3,521.00 | $3,521.00 – $3,521.00 | 3 |
| Partial removal finger bone CPT 26236 | not published | not published | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,558.88 | $3,554.00 | $187.96 – $3,554.00 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,352.96 | $3,268.00 | $187.96 – $3,268.00 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,144.88 | $2,979.00 | $92.49 – $2,979.00 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,230.00 | $5,875.00 | $149.54 – $5,875.00 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $3,435.12 | $4,771.00 | $352.85 – $4,771.00 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $2,942.64 | $4,087.00 | $102.28 – $4,087.00 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,245.60 | $1,730.00 | $72.45 – $280.08 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $566.64 | $787.00 | $44.81 – $787.00 | 13 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $106.29 | $147.62 | $31.97 – $147.62 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $13.10 | $18.20 | $1.29 – $10.11 | 3 |
| Penile injection CPT 54235 | $765.36 | $1,063.00 | $74.69 – $1,063.00 | 13 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $339.44 | $471.45 | $66.35 – $471.45 | 3 |
| Peripheral vascular rehab CPT 93668 | $114.48 | $159.00 | $63.22 – $159.00 | 13 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $663.12 | $921.00 | $267.74 – $921.00 | 13 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $5,400.00 | $7,500.00 | $121.05 – $150.00 | 3 |
| Ph body fluid CPT 83986 | $78.48 | $109.00 | $3.58 – $109.00 | 14 |
| Phencyclidine (pcp) CPT 83992 | $38.88 | $54.00 | $8.65 – $54.00 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $91.08 | $126.50 | $47.98 – $126.50 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $118.80 | $165.00 | $8.53 – $165.00 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.03 | $0.04 | $0.02 – $0.04 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $3.24 | $4.50 | $0.99 – $3.60 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $163.44 | $227.00 | $8.53 – $157.00 | 14 |
| Phlebotomy therapeutic CPT 99195 | $159.84 | $222.00 | $57.03 – $356.44 | 13 |
| Phosphorus CPT 84100 | $86.40 | $120.00 | $3.80 – $120.00 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $134.64 | $187.00 | $3.80 – $187.00 | 14 |
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.