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 |
|---|---|---|---|---|
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $16.93 | $23.51 | $4.64 – $22.80 | 3 |
| Pinworm exam CPT 87172 | $84.24 | $117.00 | $4.27 – $117.00 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $16.50 | $22.92 | $1.80 – $7.80 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,822.32 | $2,531.00 | $241.69 – $4,424.71 | 13 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $641.52 | $891.00 | $168.50 – $891.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,822.32 | $2,531.00 | $355.03 – $1,897.12 | 13 |
| Place right device/marker pros CPT 55876 | $3,749.76 | $5,208.00 | $922.49 – $5,208.00 | 13 |
| Platelet aggregation each agent teg CPT 85576 | $62.64 | $87.00 | $17.80 – $87.00 | 14 |
| Platelet automated CPT 85049 | $54.72 | $76.00 | $4.17 – $76.00 | 14 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,150.56 | $1,598.00 | $144.26 – $1,598.00 | 13 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,049.76 | $1,458.00 | $189.59 – $1,458.00 | 13 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,204.56 | $1,673.00 | $239.38 – $1,673.00 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,195.92 | $1,661.00 | $239.38 – $1,661.00 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,090.80 | $1,515.00 | $239.38 – $1,701.53 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,083.60 | $1,505.00 | $239.38 – $1,518.58 | 13 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $641.52 | $891.00 | $286.71 – $891.00 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $720.00 | $1,000.00 | $89.44 – $1,000.00 | 13 |
| #pnh-flow cytometry interp CPT 88187 | $170.64 | $237.00 | $23.09 – $237.00 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $195.12 | $271.00 | $19.79 – $271.00 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,944.96 | $6,868.00 | $685.10 – $6,868.00 | 14 |
| Potassium 24 hour urine CPT 84133 | $71.28 | $99.00 | $3.80 – $99.00 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $65.52 | $91.00 | $0.20 – $18.20 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $72.00 | $100.00 | $3.80 – $100.00 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $18,010.80 | $25,015.00 | $4,276.96 – $25,015.00 | 13 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $8,851.68 | $12,294.00 | $4,276.96 – $12,294.00 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $7,920.72 | $11,001.00 | $1,130.75 – $11,001.00 | 13 |
| Pr application of long arm splint CPT 29105 | $430.56 | $598.00 | $65.60 – $598.00 | 13 |
| Pr application splint static short arm CPT 29125 | $329.76 | $458.00 | $65.60 – $458.00 | 13 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $424.08 | $589.00 | $97.25 – $589.00 | 14 |
| Prealbumin CPT 84134 | $87.12 | $121.00 | $8.40 – $121.00 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1.44 | $2.00 | $1.52 – $2.00 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.43 | $0.60 | $0.02 – $0.15 | 3 |
| Pregabalin - sendout CPT 80366 | $167.76 | $233.00 | $9.83 – $233.00 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | $144.00 | $200.00 | $8.40 – $200.00 | 14 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,137.60 | $1,580.00 | $87.26 – $1,580.00 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,056.24 | $1,467.00 | $87.26 – $1,467.00 | 13 |
| Pressure max expiratory/inspiratory CPT 94799 | $324.00 | $450.00 | $49.92 – $450.00 | 13 |
| Pressure treatment esophagus CPT 43460 | $1,432.80 | $1,990.00 | $1,990.00 – $1,990.00 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $216.00 | $300.00 | $73.45 – $456.43 | 14 |
| Pretreat rbc absorption reference CPT 86978 | $194.40 | $270.00 | $63.22 – $270.00 | 14 |
| Pretreat rbc density gradient separation reference CPT 86972 | $216.00 | $300.00 | $73.45 – $456.43 | 14 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $207.36 | $288.00 | $63.22 – $288.00 | 14 |
| Pretreat rbc w enzyme reference CPT 86971 | $216.00 | $300.00 | $73.45 – $456.43 | 14 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,305.00 | $1,305.00 | $150.00 – $1,305.00 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $822.96 | $1,143.00 | $143.09 – $1,143.00 | 13 |
| Pr incision & drainage abscess simple/single CPT 10060 | $423.36 | $588.00 | $143.09 – $588.00 | 13 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $328.32 | $456.00 | $183.12 – $816.39 | 13 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $812.88 | $1,129.00 | $143.09 – $1,129.00 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $640.08 | $889.00 | $19.73 – $889.00 | 5 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | not published | 0 |
| Procalcitonin CPT 84145 | $88.56 | $123.00 | $9.27 – $123.00 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $25.06 | $34.80 | $4.16 – $25.45 | 3 |
| Progesterone CPT 84144 | $134.64 | $187.00 | $9.27 – $187.00 | 14 |
| Prolactin CPT 84146 | $87.84 | $122.00 | $9.27 – $122.00 | 14 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $1.04 | $1.44 | $0.15 – $1.44 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | $738.72 | $1,026.00 | $114.03 – $1,026.00 | 14 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $7.32 | $10.16 | $2.59 – $10.16 | 3 |
| Protein c activity CPT 85303 | $155.52 | $216.00 | $3.11 – $216.00 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $54.72 | $76.00 | $3.80 – $76.00 | 14 |
| Protein s total CPT 85305 | $27.36 | $38.00 | $3.11 – $38.00 | 14 |
| Protein total 24 hour urine CPT 84156 | $94.32 | $131.00 | $3.67 – $131.00 | 14 |
| Protein total body fluid CPT 84157 | $71.28 | $99.00 | $3.80 – $99.00 | 14 |
| Protein total serum plasma whole blood CPT 84155 | $51.12 | $71.00 | $3.67 – $71.00 | 14 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $216.72 | $301.00 | $142.58 – $356.44 | 12 |
| Pr removal intrauterine device CPT 58301 | not published | not published | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $429.84 | $597.00 | $330.88 – $1,089.07 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $308.88 | $429.00 | $157.97 – $537.51 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $362.88 | $504.00 | $157.97 – $537.51 | 13 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $354.96 | $493.00 | $157.97 – $537.51 | 13 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $362.88 | $504.00 | $157.97 – $537.51 | 13 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | $0.01 – $0.01 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $7,078.32 | $9,831.00 | $863.48 – $6,554.00 | 13 |
| PSA (Prostate) Test CPT 84153 | $177.12 | $246.00 | $8.40 – $246.00 | 14 |
| Psychotherapy group therapy CPT 90853 | $130.32 | $181.00 | $108.87 – $272.16 | 13 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $173.52 | $241.00 | $112.10 – $475.52 | 13 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $173.52 | $241.00 | $133.94 – $475.52 | 13 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $173.52 | $241.00 | $133.94 – $475.52 | 13 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $182.88 | $254.00 | $14.55 – $254.00 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $254.16 | $353.00 | $18.58 – $353.00 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $182.88 | $254.00 | $14.14 – $254.00 | 14 |
| Pt application of modality traction mechanical CPT 97012 | $156.24 | $217.00 | $14.22 – $217.00 | 14 |
| Pt evaluation high complexity patient/family CPT 97163 | $520.56 | $723.00 | $94.52 – $723.00 | 14 |
| Pt evaluation low complexity patient/family CPT 97161 | $223.92 | $311.00 | $94.52 – $311.00 | 14 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $286.56 | $398.00 | $94.52 – $398.00 | 14 |
| Pt re-evaluation patient/family CPT 97164 | $150.48 | $209.00 | $65.00 – $209.00 | 14 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $133.92 | $186.00 | $12.52 – $186.00 | 14 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $149.04 | $207.00 | $26.27 – $207.00 | 14 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $162.72 | $226.00 | $26.27 – $226.00 | 14 |
| Pulse ox continuous overnight monitoring CPT 94762 | $528.48 | $734.00 | $49.92 – $734.00 | 13 |
| Pulse ox single CPT 94760 | $72.72 | $101.00 | $101.00 – $101.00 | 1 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $432.00 | $600.00 | $99.00 – $247.50 | 13 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $315.36 | $438.00 | $65.11 – $438.00 | 13 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $822.96 | $1,143.00 | $143.09 – $1,143.00 | 13 |
| Puncture spinal lumbar diagnostic CPT 62270 | $708.48 | $984.00 | $662.13 – $1,891.09 | 13 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $75.13 | $104.35 | $25.67 – $104.35 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,645.92 | $2,286.00 | $428.40 – $2,286.00 | 13 |
| Quest t3 uptake CPT 84479 | $64.80 | $90.00 | $6.47 – $90.00 | 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.