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 |
|---|---|---|---|---|
| Fructosamine glycated protein CPT 82985 | $20.88 | $29.00 | $8.40 – $41.90 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $12.96 | $18.00 | $0.03 – $0.38 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28730 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28740 | not published | not published | not published | 0 |
| G6pd gene alys cmn variant CPT 81247 | $529.20 | $735.00 | $115.77 – $735.00 | 14 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.89 | $1.23 | $0.17 – $1.23 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $100.80 | $140.00 | $3.80 – $140.00 | 14 |
| Gammaglobulin ige CPT 82785 | $175.68 | $244.00 | $8.40 – $244.00 | 14 |
| Gamma glutamyltransferase CPT 82977 | $100.80 | $140.00 | $3.80 – $140.00 | 14 |
| Gardner vag dna quant CPT 87512 | $488.16 | $678.00 | $30.13 – $678.00 | 14 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $7.20 | $10.00 | $8.07 – $10.00 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $32.76 | $45.50 | $3.58 – $22.28 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $90.00 | $125.00 | $8.53 – $125.00 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $2,134.08 | $2,964.00 | $996.56 – $2,964.00 | 13 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $51.12 | $71.00 | $8.40 – $71.00 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $401.04 | $557.00 | $74.69 – $557.00 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $663.12 | $921.00 | $267.74 – $921.00 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $236.88 | $329.00 | $30.13 – $147.00 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $653.76 | $908.00 | $264.33 – $908.00 | 13 |
| Ghs closed reduction ankle dislocation CPT 27840 | $455.04 | $632.00 | $264.33 – $660.83 | 13 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,922.56 | $5,448.00 | $398.66 – $5,448.00 | 13 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $591.84 | $822.00 | $264.33 – $822.00 | 13 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,103.28 | $5,699.00 | $398.66 – $5,699.00 | 13 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,001.04 | $5,557.00 | $398.66 – $5,557.00 | 13 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $855.36 | $1,188.00 | $264.33 – $1,188.00 | 13 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $855.36 | $1,188.00 | $264.33 – $1,188.00 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $381.60 | $530.00 | $32.65 – $530.00 | 13 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $431.28 | $599.00 | $65.29 – $1,196.80 | 13 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $159.84 | $222.00 | $8.09 – $222.00 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $495.36 | $688.00 | $132.17 – $688.00 | 13 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,012.32 | $1,406.00 | $625.35 – $2,429.86 | 13 |
| Ghs electrostagmgraphy CPT 92537 | $406.08 | $564.00 | $119.32 – $564.00 | 13 |
| Ghs excision ingrown nail CPT 11765 | $431.28 | $599.00 | $57.57 – $1,089.07 | 13 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,089.36 | $1,513.00 | $250.40 – $1,513.00 | 13 |
| Ghs fb removal - incisional CPT 10121 | $5,100.48 | $7,084.00 | $1,048.22 – $7,084.00 | 13 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | not published | 0 |
| Ghs fish cytogen CPT 88271 | $121.68 | $169.00 | $21.42 – $169.00 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $182.88 | $254.00 | $32.74 – $254.00 | 14 |
| Ghs flow volume loop CPT 94375 | $541.44 | $752.00 | $89.44 – $752.00 | 13 |
| Ghs gastric intub aspiration lavage CPT 43753 | $367.92 | $511.00 | $231.39 – $578.47 | 12 |
| Ghs histoplasma antigen CPT 87385 | $357.84 | $497.00 | $7.41 – $497.00 | 14 |
| Ghs HIV antibody CPT 86703 | $128.88 | $179.00 | $8.09 – $179.00 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $5,126.40 | $7,120.00 | $2,050.87 – $7,120.00 | 13 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,905.20 | $4,035.00 | $1,246.52 – $4,035.00 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,764.72 | $2,451.00 | $758.85 – $2,451.00 | 13 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $822.96 | $1,143.00 | $143.09 – $1,897.12 | 13 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $805.68 | $1,119.00 | $267.74 – $1,119.00 | 13 |
| Ghs init tx 1st degree burn CPT 16000 | $388.80 | $540.00 | $157.97 – $540.00 | 13 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,523.68 | $4,894.00 | $947.82 – $3,263.00 | 13 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,494.08 | $3,464.00 | $662.13 – $3,464.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,698.72 | $6,526.00 | $287.00 – $3,263.00 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $817.20 | $1,135.00 | $213.37 – $1,196.80 | 13 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $660.96 | $918.00 | $330.88 – $1,980.01 | 13 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,975.68 | $2,744.00 | $330.88 – $5,527.62 | 13 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $663.12 | $921.00 | $74.69 – $921.00 | 13 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $940.32 | $1,306.00 | $255.32 – $1,306.00 | 3 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $938.88 | $1,304.00 | $255.32 – $1,304.00 | 3 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $1,362.24 | $1,892.00 | $255.32 – $1,892.00 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $609.12 | $846.00 | $255.32 – $884.90 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $431.28 | $599.00 | $146.83 – $1,196.80 | 13 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $447.84 | $622.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $431.28 | $599.00 | $330.88 – $1,089.07 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $660.96 | $918.00 | $330.88 – $1,980.01 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $470.16 | $653.00 | $330.88 – $1,089.07 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $660.96 | $918.00 | $330.88 – $1,980.01 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $492.48 | $684.00 | $330.88 – $1,089.07 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $660.96 | $918.00 | $330.88 – $1,980.01 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $517.68 | $719.00 | $330.88 – $1,089.07 | 13 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,975.68 | $2,744.00 | $330.88 – $5,527.62 | 13 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $542.88 | $754.00 | $330.88 – $1,089.07 | 13 |
| Ghs mbp CPT 83873 | $57.60 | $80.00 | $8.40 – $80.00 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $640.08 | $889.00 | $19.73 – $889.00 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $660.96 | $918.00 | $19.73 – $918.00 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $660.96 | $918.00 | $19.73 – $740.83 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $169.20 | $235.00 | $19.73 – $235.00 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $149.76 | $208.00 | $19.73 – $200.00 | 5 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,452.96 | $2,018.00 | $57.57 – $2,018.00 | 13 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $2,328.48 | $3,234.00 | $345.75 – $3,234.00 | 13 |
| Ghs nerve block brachial plexus CPT 64415 | $3,273.84 | $4,547.00 | $947.82 – $4,547.00 | 13 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,452.96 | $2,018.00 | $638.85 – $2,018.00 | 13 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $69.84 | $97.00 | $23.14 – $97.00 | 14 |
| Ghs ot prosthetic training/15 min CPT 97761 | $156.96 | $218.00 | $31.25 – $218.00 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $110.88 | $154.00 | $31.25 – $154.00 | 14 |
| Ghs ot work hardening-additional hours CPT 97546 | $136.08 | $189.00 | $26.27 – $189.00 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,033.28 | $2,824.00 | $287.00 – $2,824.00 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,895.04 | $2,632.00 | $287.00 – $2,632.00 | 5 |
| Ghs phenylketonurid CPT 84030 | $137.52 | $191.00 | $3.80 – $191.00 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $855.36 | $1,188.00 | $264.33 – $1,188.00 | 13 |
| Ghs pos nystagmus CPT 92542 | $272.16 | $378.00 | $26.45 – $378.00 | 13 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.96 | $68.00 | $8.09 – $77.49 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $51.12 | $71.00 | $3.80 – $71.00 | 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.