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 |
|---|---|---|---|---|
| Sarscov coronavirus ag ia CPT 87426 | $75.60 | $105.00 | $7.41 – $88.33 | 14 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $623.52 | $866.00 | $145.96 – $866.00 | 13 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,000.08 | $1,389.00 | $112.03 – $1,389.00 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,272.96 | $1,768.00 | $145.96 – $1,768.00 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $300.96 | $418.00 | $94.73 – $418.00 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,295.28 | $1,799.00 | $94.73 – $1,799.00 | 13 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,143.44 | $2,977.00 | $145.96 – $2,977.00 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,556.64 | $2,162.00 | $94.73 – $2,162.00 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,260.72 | $1,751.00 | $94.73 – $1,751.00 | 13 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | not published | 0 |
| Screening Mammogram CPT 77067 | $320.40 | $445.00 | $20.70 – $210.65 | 13 |
| Screening prostate cancer PSA HCPCS G0103 | $224.64 | $312.00 | $8.09 – $312.00 | 14 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $10,152.00 | $14,100.00 | $24.21 – $30.00 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $64.80 | $90.00 | $2.70 – $90.00 | 14 |
| Select picture audiometry CPT 92583 | $104.40 | $145.00 | $26.45 – $158.04 | 13 |
| Semen analysis presence/motility CPT 89321 | $48.96 | $68.00 | $3.49 – $68.00 | 14 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,085.28 | $5,674.00 | $352.85 – $5,674.00 | 14 |
| Shoulder MRI (with contrast) CPT 73222 | $3,587.04 | $4,982.00 | $352.85 – $4,982.00 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $3,338.64 | $4,637.00 | $209.13 – $4,637.00 | 14 |
| Shoulder X-ray CPT 73030 | $515.52 | $716.00 | $48.67 – $716.00 | 13 |
| Sickling rbc CPT 85660 | $41.04 | $57.00 | $4.17 – $57.00 | 14 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $429.01 | $595.85 | $84.03 – $595.85 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,136.96 | $2,968.00 | $187.96 – $2,968.00 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $1,941.12 | $2,696.00 | $187.96 – $2,696.00 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $1,744.56 | $2,423.00 | $92.49 – $2,423.00 | 14 |
| Skin Biopsy CPT 11102 | $447.84 | $622.00 | $364.43 – $1,089.07 | 13 |
| Slco1b1 gene com variants CPT 81328 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $4,370.40 | $6,070.00 | $685.10 – $6,070.00 | 14 |
| Sleep study unattended CPT 95806 | $1,020.96 | $1,418.00 | $131.58 – $1,418.00 | 14 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,672.00 | $5,100.00 | $4,115.70 – $5,100.00 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $86.40 | $120.00 | $5.39 – $120.00 | 14 |
| Smear gram stain CPT 87205 | $99.36 | $138.00 | $4.27 – $138.00 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $101.52 | $141.00 | $5.99 – $141.00 | 14 |
| Smear wet mount CPT 87210 | $120.24 | $167.00 | $5.82 – $167.00 | 14 |
| Snrpn/ube3a gene CPT 81331 | $373.68 | $519.00 | $32.74 – $519.00 | 14 |
| Sodium 24 hour urine CPT 84300 | $82.08 | $114.00 | $3.80 – $114.00 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $32.40 | $45.00 | $3.28 – $45.00 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $32.40 | $45.00 | $2.13 – $45.00 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $45.00 | $1.09 – $45.00 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.06 | $0.09 | $0.09 – $0.09 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $72.00 | $100.00 | $3.80 – $100.00 | 14 |
| Speech audiometry complete CPT 92556 | $136.80 | $190.00 | $13.23 – $190.00 | 13 |
| Speech recep thresh CPT 92555 | $76.32 | $106.00 | $13.23 – $106.00 | 13 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $708.48 | $984.00 | $89.44 – $999.71 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $187.92 | $261.00 | $107.02 – $267.55 | 13 |
| Staph a dna amp probe CPT 87640 | $177.84 | $247.00 | $30.13 – $247.00 | 14 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $4,968.00 | $6,900.00 | $5,568.30 – $6,900.00 | 3 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $270.00 | $375.00 | $181.58 – $225.00 | 3 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $162.00 | $225.00 | $181.58 – $225.00 | 3 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $4.32 | $6.00 | $4.84 – $6.00 | 3 |
| Sterile needle HCPCS A4215 | $11.52 | $16.00 | $12.91 – $16.00 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $203.76 | $283.00 | $197.43 – $547.43 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $403.92 | $561.00 | $89.52 – $561.00 | 13 |
| St evaluation swallow function CPT 92610 | $187.92 | $261.00 | $81.89 – $261.00 | 13 |
| Strapping of knee CPT 29530 | $200.88 | $279.00 | $65.60 – $356.44 | 13 |
| Strep a dna quant CPT 87652 | $75.60 | $105.00 | $30.13 – $105.00 | 14 |
| Strep b dna amp probe CPT 87653 | $200.88 | $279.00 | $30.13 – $95.00 | 14 |
| Stress test pulmonary CPT 94618 | $289.44 | $402.00 | $49.92 – $402.00 | 13 |
| Stress tte complete CPT 93351 | $1,361.52 | $1,891.00 | $375.32 – $1,891.00 | 13 |
| St treatment speech individual CPT 92507 | $110.16 | $153.00 | $73.90 – $184.75 | 13 |
| St treatment swallow dysfunction/oral CPT 92526 | $103.68 | $144.00 | $31.25 – $203.45 | 13 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $6.21 | $8.63 | $2.56 – $3.00 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $152.64 | $212.00 | $9.83 – $212.00 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $38.02 | $52.80 | $52.80 – $52.80 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | not published | 0 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | not published | 0 |
| Surgery to stop leg growth CPT 27477 | not published | not published | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $136.80 | $190.00 | $27.95 – $190.00 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $259.92 | $361.00 | $27.95 – $361.00 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $324.00 | $450.00 | $27.95 – $450.00 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $410.40 | $570.00 | $27.95 – $139.61 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $746.64 | $1,037.00 | $114.03 – $960.29 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,029.60 | $1,430.00 | $114.03 – $2,158.45 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $44.64 | $62.00 | $4.75 – $62.00 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $20.88 | $29.00 | $4.75 – $29.00 | 14 |
| Susceptibility mic per plate CPT 87186 | $208.80 | $290.00 | $7.41 – $290.00 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $42.48 | $59.00 | $4.40 – $59.00 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $8,424.00 | $11,700.00 | $9,441.90 – $11,700.00 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $127.44 | $177.00 | $9.27 – $177.00 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $117.36 | $163.00 | $9.27 – $163.00 | 14 |
| T4 (thyroxine) free CPT 84439 | $141.12 | $196.00 | $9.02 – $143.00 | 14 |
| T4 (thyroxine) total CPT 84436 | $74.88 | $104.00 | $6.87 – $104.00 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $79.92 | $111.00 | $8.53 – $111.00 | 14 |
| Target gsa panel hmtlmph neop CPT 81450 | $6,035.04 | $8,382.00 | $460.90 – $8,382.00 | 14 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,382.04 | $1,919.50 | $0.25 – $1,919.50 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $126.00 | $175.00 | $28.69 – $250.00 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $238.32 | $331.00 | $28.69 – $331.00 | 14 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $18.72 | $26.00 | $16.50 – $26.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $185.04 | $257.00 | $28.69 – $257.00 | 14 |
| T cells absolute cd 4 count CPT 86361 | $33.84 | $47.00 | $26.78 – $66.95 | 14 |
| T cells total count CPT 86359 | $175.68 | $244.00 | $28.69 – $244.00 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $99.36 | $138.00 | $12.20 – $138.00 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $573.51 | $796.54 | $186.97 – $796.54 | 14 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | not published | 0 |
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.