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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 1) CPT 99211 | $136.08 | $189.00 | $150.00 – $189.00 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $154.08 | $214.00 | $57.50 – $150.00 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $172.80 | $240.00 | $93.54 – $150.00 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $220.32 | $306.00 | $150.00 – $306.00 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $275.04 | $382.00 | $150.00 – $382.00 | 3 |
| Estradiol total CPT 82670 | $120.96 | $168.00 | $9.27 – $168.00 | 14 |
| Estrogens total-sendout CPT 82672 | $69.84 | $97.00 | $9.27 – $97.00 | 14 |
| Ethylene glycol -sendout CPT 82693 | $110.88 | $154.00 | $8.65 – $154.00 | 14 |
| Eval aud funcj ea addl 15 CPT 92627 | $82.08 | $114.00 | $114.00 – $114.00 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $288.00 | $400.00 | $137.89 – $400.00 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $187.92 | $261.00 | $47.86 – $261.00 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $395.28 | $549.00 | $128.96 – $322.40 | 13 |
| Event monitor CPT 93270 | $557.28 | $774.00 | $36.16 – $774.00 | 13 |
| Evoked auditory tst complete CPT 92588 | $336.24 | $467.00 | $34.61 – $499.85 | 13 |
| Evoked oa emissions ltd CPT 92587 | $336.24 | $467.00 | $34.61 – $467.00 | 13 |
| Evok oa screening qual CPT 92558 | $105.12 | $146.00 | $26.45 – $146.00 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,659.60 | $2,305.00 | $364.43 – $2,305.00 | 13 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | not published | 0 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | not published | 0 |
| Excise anal ext tag/papilla CPT 46220 | $2,980.08 | $4,139.00 | $1,246.52 – $4,139.00 | 13 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | not published | 0 |
| Excision breast lesion CPT 19125 | not published | not published | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | not published | 0 |
| Excis partial tal calc CPT 28120 | not published | not published | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | not published | 0 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | not published | 0 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | not published | 0 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $5,636.16 | $7,828.00 | $1,246.52 – $7,828.00 | 13 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,672.00 | $5,100.00 | $4,115.70 – $5,100.00 | 3 |
| Exploration of foot joint CPT 28022 | not published | not published | not published | 0 |
| Explore/treat finger joint CPT 26080 | not published | not published | not published | 0 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $275.04 | $382.00 | $115.77 – $382.00 | 14 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $38.88 | $54.00 | $31.00 – $77.49 | 14 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $617.04 | $857.00 | $128.09 – $857.00 | 14 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $154.80 | $215.00 | $8.09 – $132.00 | 14 |
| Factor ix CPT 85250 | $96.48 | $134.00 | $17.80 – $134.00 | 14 |
| Factor viii CPT 85240 | $120.96 | $168.00 | $3.11 – $168.00 | 14 |
| Family therapy without pt 50min 90846 CPT 90846 | $173.52 | $241.00 | $146.08 – $475.52 | 13 |
| Family therapy with patient 50 min 90847 CPT 90847 | $173.52 | $241.00 | $146.08 – $475.52 | 13 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.17 | $0.23 | $0.02 – $0.23 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $75.60 | $105.00 | $3.80 – $105.00 | 14 |
| Fatty acids nonesterified CPT 82725 | $128.88 | $179.00 | $8.40 – $179.00 | 14 |
| #fecal-sodium CPT 84302 | $12.24 | $17.00 | $3.80 – $17.00 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $12.96 | $18.00 | $1.96 – $4.80 | 3 |
| Ferritin CPT 82728 | $110.88 | $154.00 | $8.40 – $154.00 | 14 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,613.52 | $2,241.00 | $87.26 – $385.00 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $432.72 | $601.00 | $167.74 – $601.00 | 13 |
| Fetal fibronectin CPT 82731 | $379.44 | $527.00 | $47.86 – $527.00 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $174.96 | $243.00 | $4.17 – $243.00 | 14 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $25.92 | $36.00 | $8.40 – $48.30 | 14 |
| Fetal non stress test CPT 59025 | $570.24 | $792.00 | $167.74 – $792.00 | 13 |
| Fibrin degradation d dimer quantitative CPT 85379 | $153.36 | $213.00 | $3.11 – $213.00 | 14 |
| Fibrinogen activity CPT 85384 | $20.88 | $29.00 | $3.11 – $29.00 | 14 |
| Fibrinolytic plasminogen CPT 85415 | $156.24 | $217.00 | $3.11 – $217.00 | 14 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $64.80 | $90.00 | $3.11 – $90.00 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $374.40 | $520.00 | $62.26 – $520.00 | 3 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $591.84 | $822.00 | $102.57 – $822.00 | 13 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $580.32 | $806.00 | $23.09 – $806.00 | 5 |
| Flow cytometry marker each additional CPT 88185 | $175.68 | $244.00 | $23.09 – $145.00 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $453.60 | $630.00 | $128.09 – $960.29 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $65.52 | $91.00 | $7.39 – $67.20 | 3 |
| Fluid pressure muscle 20950 CPT 20950 | $759.60 | $1,055.00 | $159.46 – $1,897.12 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $48.96 | $68.00 | $8.09 – $68.00 | 14 |
| Fluoroguide needle placement CPT 77002 | $711.36 | $988.00 | $175.21 – $988.00 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $514.80 | $715.00 | $102.57 – $715.00 | 13 |
| Folic acid CPT 82746 | $161.28 | $224.00 | $8.40 – $224.00 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.30 | $1.80 | $0.08 – $1.80 | 3 |
| Fondaparinux sodium HCPCS J1652 | $24.70 | $34.30 | $1.45 – $34.30 | 3 |
| Foot X-ray CPT 73630 | $489.60 | $680.00 | $48.67 – $680.00 | 13 |
| Fracture assessment via dxa CPT 77086 | $252.72 | $351.00 | $68.34 – $351.00 | 13 |
| _fragile x methylation-sendout CPT 81244 | $228.24 | $317.00 | $32.74 – $317.00 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $187.20 | $260.00 | $85.98 – $260.00 | 13 |
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.