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 |
|---|---|---|---|---|
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $5,248.08 | $7,289.00 | $1,109.03 – $4,859.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $7,765.20 | $10,785.00 | $1,109.03 – $7,189.00 | 13 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $387.36 | $538.00 | $37.30 – $538.00 | 13 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.54 | $0.75 | $0.02 – $0.38 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $2.59 | $3.60 | $0.18 – $2.25 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $32.40 | $45.00 | $9.98 – $45.00 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $32.40 | $45.00 | $2.89 – $45.00 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $59.04 | $82.00 | $9.27 – $82.00 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $108.72 | $151.00 | $3.80 – $24.28 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $105.84 | $147.00 | $15.78 – $147.00 | 13 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $357.12 | $496.00 | $146.83 – $534.76 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $480.96 | $668.00 | $41.39 – $256.10 | 13 |
| Diagnostic Mammogram (one breast) CPT 77065 | $367.92 | $511.00 | $41.39 – $199.13 | 13 |
| Diathermy eg microwave CPT 97024 | $139.68 | $194.00 | $7.29 – $194.00 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $42.55 | $59.10 | $11.04 – $59.10 | 3 |
| Dicyclomine injection HCPCS J0500 | $134.78 | $187.20 | $18.69 – $116.40 | 3 |
| Diffusing capacity CPT 94729 | $365.76 | $508.00 | $49.92 – $508.00 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.01 | $26.40 | $15.79 – $26.40 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $102.96 | $143.00 | $8.53 – $143.00 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $516.67 | $717.60 | $94.18 – $717.60 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $0.26 | $0.36 | $0.05 – $0.17 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $12.96 | $18.00 | $1.17 – $18.00 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | $43.20 | $60.00 | $9.83 – $60.00 | 3 |
| Dna antibody native/double stranded CPT 86225 | $126.72 | $176.00 | $8.09 – $176.00 | 14 |
| Doppler echo complete CPT 93320 | $330.48 | $459.00 | $375.32 – $459.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,368.72 | $1,901.00 | $71.83 – $1,901.00 | 13 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $611.28 | $849.00 | $94.73 – $849.00 | 13 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.91 | $1.26 | $0.17 – $1.21 | 3 |
| Dpyd gene common variants CPT 81232 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,764.72 | $2,451.00 | $758.85 – $2,451.00 | 13 |
| Drainage external ear simple 69000 CPT 69000 | $1,764.72 | $2,451.00 | $146.83 – $2,451.00 | 13 |
| Drainage mouth roof lesion CPT 42000 | $506.88 | $704.00 | $146.83 – $704.00 | 13 |
| Drainage of arm bursa 23931 CPT 23931 | $3,659.04 | $5,082.00 | $1,551.01 – $5,082.00 | 13 |
| Drainage of mouth lesion CPT 41005 | $390.24 | $542.00 | $146.83 – $634.53 | 13 |
| Drainage of mouth lesion CPT 41018 | $4,096.08 | $5,689.00 | $1,575.35 – $5,689.00 | 13 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,212.56 | $3,073.00 | $2,240.09 – $5,600.23 | 13 |
| Drain blood from under nail 11740 CPT 11740 | $187.92 | $261.00 | $57.57 – $356.44 | 13 |
| Drain finger abscess;simple 26010 CPT 26010 | $465.12 | $646.00 | $143.09 – $646.00 | 13 |
| Drain thigh/knee lesion 27301 CPT 27301 | $6,708.96 | $9,318.00 | $1,551.01 – $9,318.00 | 13 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $409.68 | $569.00 | $157.97 – $569.00 | 13 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $388.80 | $540.00 | $157.97 – $540.00 | 13 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Drng of eyelid abscess 67700 CPT 67700 | $435.60 | $605.00 | $250.40 – $850.34 | 13 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,042.80 | $5,615.00 | $929.77 – $5,615.00 | 13 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,244.24 | $3,117.00 | $1,769.88 – $4,424.71 | 13 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $36.76 | $51.05 | $11.85 – $51.05 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $864.00 | $1,200.00 | $968.40 – $1,200.00 | 3 |
| Drug assay posaconazole CPT 80187 | $233.28 | $324.00 | $8.53 – $324.00 | 14 |
| Drug test def 1-7 classes HCPCS G0480 | $170.64 | $237.00 | $49.05 – $286.08 | 14 |
| Drug test def 22+ classes HCPCS G0483 | $311.04 | $432.00 | $114.15 – $617.30 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $191.52 | $266.00 | $9.83 – $266.00 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $303.84 | $422.00 | $49.05 – $155.35 | 14 |
| Drvvt confirm - quest CPT 85597 | $29.52 | $41.00 | $3.11 – $44.95 | 14 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,974.48 | $6,909.00 | $1,109.03 – $6,909.00 | 13 |
| Ductogram sgl duct CPT 77053 | $534.96 | $743.00 | $36.72 – $639.23 | 13 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $961.20 | $1,335.00 | $94.73 – $1,335.00 | 13 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,427.84 | $3,372.00 | $94.73 – $3,372.00 | 13 |
| Ear irrigation 69209 CPT 69209 | $156.24 | $217.00 | $63.22 – $217.00 | 12 |
| Ecg 12 lead tracing only CPT 93005 | $344.16 | $478.00 | $22.28 – $478.00 | 13 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $264.96 | $368.00 | $22.28 – $368.00 | 13 |
| Ecg < 30 days transmission & analysis CPT 93271 | $657.36 | $913.00 | $36.16 – $913.00 | 13 |
| Ecg external < 48 hours recording CPT 93225 | $737.28 | $1,024.00 | $53.53 – $1,024.00 | 13 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $684.72 | $951.00 | $53.53 – $951.00 | 13 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,431.36 | $1,988.00 | $234.22 – $1,988.00 | 13 |
| Echocardiography doppler color flow mapping CPT 93325 | $196.56 | $273.00 | $47.37 – $273.00 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,809.36 | $2,513.00 | $375.32 – $2,513.00 | 13 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $336.96 | $468.00 | $255.69 – $639.23 | 13 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $818.64 | $1,137.00 | $373.86 – $1,137.00 | 13 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $188.64 | $262.00 | $187.66 – $262.00 | 3 |
| Echo exam uterus 76831- CPT 76831 | $995.76 | $1,383.00 | $145.96 – $1,383.00 | 13 |
| Echo guide for amniocentesis CPT 76946 | $526.32 | $731.00 | $97.41 – $731.00 | 3 |
| Echo stress CPT 93350 | $1,464.48 | $2,034.00 | $375.32 – $2,034.00 | 13 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $452.16 | $628.00 | $255.69 – $639.23 | 13 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $80.64 | $112.00 | $62.30 – $112.00 | 5 |
| E equine encephalitis igg CPT 86652 | $84.96 | $118.00 | $8.09 – $118.00 | 14 |
| Egd control bleeding any CPT 43255 | not published | not published | not published | 0 |
| Egd guide wire insertion CPT 43248 | not published | not published | not published | 0 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Egd remove lesion snare CPT 43251 | not published | not published | not published | 0 |
| Electrolyte panel CPT 80051 | $187.92 | $261.00 | $6.35 – $261.00 | 14 |
| Encephalitis, california igg/igm CPT 86651 | $94.32 | $131.00 | $8.09 – $131.00 | 14 |
| Encephalitis, st louis igg/igm CPT 86653 | $90.72 | $126.00 | $8.09 – $126.00 | 14 |
| Encephalitis, western equine igg/igm CPT 86654 | $92.88 | $129.00 | $8.09 – $129.00 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $4.32 | $6.00 | $0.87 – $3.37 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,414.16 | $3,353.00 | $287.00 – $3,353.00 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $3.41 | $4.73 | $0.71 – $4.73 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $82.08 | $114.00 | $8.09 – $114.00 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $56.16 | $78.00 | $8.09 – $78.00 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $69.84 | $97.00 | $8.09 – $97.00 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $222.34 | $308.80 | $15.11 – $308.80 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $388.08 | $539.00 | $90.36 – $539.00 | 12 |
| ER Visit (level 2) CPT 99282 | $578.88 | $804.00 | $164.54 – $804.00 | 12 |
| ER Visit (level 3) CPT 99283 | $849.60 | $1,180.00 | $292.53 – $1,180.00 | 12 |
| ER Visit (level 4) CPT 99284 | $1,298.88 | $1,804.00 | $447.15 – $1,804.00 | 12 |
| ER Visit (level 5, high severity) CPT 99285 | $1,874.88 | $2,604.00 | $638.18 – $2,604.00 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $1.66 | $2.30 | $0.68 – $2.30 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2.59 | $3.60 | $0.35 – $3.60 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | 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.