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 |
|---|---|---|---|---|
| Critical care each additional 30 minutes CPT 99292 | $846.72 | $1,176.00 | $1,176.00 – $1,176.00 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $177.84 | $247.00 | $71.95 – $247.00 | 13 |
| Cryptococcus abs qn - sendout CPT 86641 | $18.00 | $25.00 | $8.09 – $36.03 | 14 |
| Crystal identification light microscopy CPT 89060 | $68.40 | $95.00 | $3.49 – $95.00 | 14 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,413.44 | $3,352.00 | $187.96 – $3,352.00 | 14 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,203.20 | $3,060.00 | $75.19 – $3,060.00 | 14 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,280.24 | $3,167.00 | $187.96 – $3,167.00 | 14 |
| Cta neck without &/or w/contrast CPT 70498 | $2,259.36 | $3,138.00 | $187.96 – $3,138.00 | 14 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,681.44 | $6,502.00 | $149.54 – $6,502.00 | 14 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,839.68 | $3,944.00 | $75.19 – $3,944.00 | 14 |
| CT Angiogram of the Head CPT 70496 | $2,175.12 | $3,021.00 | $187.96 – $3,021.00 | 14 |
| CT angio pelvis CPT 72191 | $2,558.88 | $3,554.00 | $187.96 – $3,554.00 | 14 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,306.88 | $3,204.00 | $187.96 – $3,204.00 | 14 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,290.24 | $1,792.00 | $175.21 – $1,792.00 | 3 |
| CT limited or localized follow-up study CPT 76380 | $1,955.52 | $2,716.00 | $92.49 – $2,716.00 | 14 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,908.00 | $2,650.00 | $187.96 – $2,650.00 | 14 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,815.12 | $2,521.00 | $92.49 – $2,521.00 | 14 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,230.56 | $3,098.00 | $187.96 – $3,098.00 | 14 |
| CT neck soft tissue w/contrast CPT 70491 | $2,136.96 | $2,968.00 | $187.96 – $2,968.00 | 14 |
| CT neck soft tissue without contrast CPT 70490 | $1,504.08 | $2,089.00 | $92.49 – $2,089.00 | 14 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,095.92 | $2,911.00 | $187.96 – $2,911.00 | 14 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,804.32 | $2,506.00 | $187.96 – $2,506.00 | 14 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,625.76 | $2,258.00 | $187.96 – $2,258.00 | 14 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,447.20 | $2,010.00 | $92.49 – $2,010.00 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,340.96 | $7,418.00 | $149.54 – $7,418.00 | 14 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,451.04 | $6,182.00 | $131.74 – $6,182.00 | 14 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,755.52 | $5,216.00 | $102.28 – $5,216.00 | 14 |
| CT thoracic spine w/contrast CPT 72129 | $3,029.76 | $4,208.00 | $187.96 – $4,208.00 | 14 |
| CT thoracic spine without contrast CPT 72128 | $2,637.36 | $3,663.00 | $92.49 – $3,663.00 | 14 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $197.28 | $274.00 | $44.81 – $280.08 | 14 |
| CT t-spine w /wo contrast CPT 72130 | $3,294.72 | $4,576.00 | $187.96 – $4,576.00 | 14 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,908.00 | $2,650.00 | $263.47 – $2,650.00 | 14 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,815.12 | $2,521.00 | $92.49 – $2,521.00 | 14 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,306.88 | $3,204.00 | $187.96 – $3,204.00 | 14 |
| Culture aerobic additional method definitive id each CPT 87077 | $148.32 | $206.00 | $7.41 – $206.00 | 14 |
| Culture afb any source CPT 87116 | $97.20 | $135.00 | $7.41 – $135.00 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $167.76 | $233.00 | $7.41 – $233.00 | 14 |
| Culture anaerobic except blood CPT 87075 | $213.84 | $297.00 | $7.41 – $297.00 | 14 |
| Culture bacteria anaerobic CPT 87073 | $215.28 | $299.00 | $7.41 – $299.00 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $114.48 | $159.00 | $7.41 – $159.00 | 14 |
| Culture body fluid CPT 87070 | $97.20 | $135.00 | $7.41 – $21.55 | 14 |
| Culture fungi definitive id mold CPT 87107 | $15.84 | $22.00 | $7.41 – $25.80 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $176.40 | $245.00 | $7.41 – $245.00 | 14 |
| Culture fungi other (except blood) CPT 87102 | $226.08 | $314.00 | $7.41 – $314.00 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $72.72 | $101.00 | $7.41 – $101.00 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $90.72 | $126.00 | $7.41 – $126.00 | 14 |
| Culture mycoplasma any source CPT 87109 | $142.56 | $198.00 | $7.41 – $198.00 | 14 |
| Culture quantitative aerobic other source CPT 87071 | $191.52 | $266.00 | $7.41 – $266.00 | 14 |
| Culture screening strep group a CPT 87081 | $164.16 | $228.00 | $6.63 – $228.00 | 14 |
| Culture typing immunologic CPT 87147 | $187.92 | $261.00 | $5.18 – $261.00 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $143.34 – $1,122.00 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $189.36 | $263.00 | $30.13 – $147.00 | 14 |
| Culture urine each isolate CPT 87088 | $105.84 | $147.00 | $7.41 – $147.00 | 14 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $54.00 | $75.00 | $8.40 – $75.00 | 14 |
| Cyclic citrullinated peptide antibody CPT 86200 | $188.64 | $262.00 | $8.09 – $262.00 | 14 |
| Cyclosporine 2 hour CPT 80158 | $59.04 | $82.00 | $8.53 – $82.00 | 14 |
| Cyp2c19 gene com variants CPT 81225 | $882.00 | $1,225.00 | $115.77 – $1,225.00 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Cyp2d6 gene com variants CPT 81226 | $1,365.12 | $1,896.00 | $252.58 – $1,896.00 | 14 |
| Cyp3a4 gene common variants CPT 81230 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Cyp3a5 gene common variants CPT 81231 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Cystatin c CPT 82610 | $123.12 | $171.00 | $8.40 – $171.00 | 14 |
| Cystic fibrosis cftr CPT 81223 | $2,639.52 | $3,666.00 | $252.58 – $3,666.00 | 14 |
| Cystine urine quantitative CPT 82131 | $60.48 | $84.00 | $8.40 – $84.00 | 14 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $732.24 | $1,017.00 | $102.57 – $1,017.00 | 13 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,186.56 | $1,648.00 | $150.00 – $1,868.09 | 14 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,701.52 | $5,141.00 | $1,349.53 – $5,600.23 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $136.08 | $189.00 | $8.09 – $189.00 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $95.76 | $133.00 | $8.09 – $133.00 | 14 |
| Cyto/molecular report CPT 88291 | $49.68 | $69.00 | $65.48 – $69.00 | 5 |
| Cytopath fl nongyn filter CPT 88106 | $158.40 | $220.00 | $23.09 – $220.00 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $123.84 | $172.00 | $23.09 – $172.00 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $104.40 | $145.00 | $14.38 – $66.53 | 14 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $152.64 | $212.00 | $14.38 – $50.65 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $169.20 | $235.00 | $23.09 – $235.00 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $116.64 | $162.00 | $23.09 – $162.00 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $143.28 | $199.00 | $8.60 – $25.40 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $261.36 | $363.00 | $22.16 – $456.43 | 14 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $207.36 | $288.00 | $55.84 – $139.61 | 14 |
| Cytopath smear other source CPT 88160 | $100.08 | $139.00 | $23.09 – $139.00 | 14 |
| Cytopath smear oth prep screen & interp CPT 88161 | $132.48 | $184.00 | $23.09 – $184.00 | 14 |
| Cytopath tbs c/v manual CPT 88164 | $138.96 | $193.00 | $14.38 – $46.35 | 14 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $351.36 | $488.00 | $128.09 – $488.00 | 14 |
| D&c after delivery 59160 CPT 59160 | not published | not published | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | not published | 0 |
| Dch glucoscan CPT 82948 | $37.44 | $52.00 | $3.80 – $52.00 | 14 |
| Deamidated gliadin antibody iga CPT 86258 | $105.84 | $147.00 | $8.09 – $147.00 | 14 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $812.88 | $1,129.00 | $150.00 – $1,129.00 | 14 |
| Debride nail1-5 11720 CPT 11720 | $200.88 | $279.00 | $57.57 – $279.00 | 14 |
| Debride nail6 or more 11721 CPT 11721 | $329.76 | $458.00 | $57.57 – $458.00 | 14 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,808.64 | $2,512.00 | $880.23 – $2,512.00 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $2,522.88 | $3,504.00 | $880.23 – $3,504.00 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,660.32 | $2,306.00 | $330.88 – $2,306.00 | 13 |
| Decalcification CPT 88311 | $55.44 | $77.00 | $17.02 – $77.00 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $358.56 | $498.00 | $141.58 – $884.90 | 14 |
| Delivery of placenta 59414 CPT 59414 | $6,868.08 | $9,539.00 | $1,467.98 – $9,539.00 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $190.80 | $265.00 | $49.92 – $586.65 | 13 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $321.84 | $447.00 | $142.58 – $447.00 | 13 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $7,765.20 | $10,785.00 | $1,109.03 – $7,189.00 | 13 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,997.52 | $6,941.00 | $345.75 – $4,628.00 | 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.