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 |
|---|---|---|---|---|
| Ghs protoporphyrins fract CPT 84202 | $60.48 | $84.00 | $8.40 – $84.00 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $166.32 | $231.00 | $29.63 – $231.00 | 13 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $43.20 | $60.00 | $8.40 – $60.00 | 14 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $446.40 | $620.00 | $26.27 – $620.00 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $329.76 | $458.00 | $142.58 – $458.00 | 13 |
| Ghs semen analysis fert CPT 89320 | $156.96 | $218.00 | $3.49 – $218.00 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $102.96 | $143.00 | $7.41 – $143.00 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $431.28 | $599.00 | $157.97 – $1,089.07 | 13 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $431.28 | $599.00 | $157.97 – $1,089.07 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $431.28 | $599.00 | $157.97 – $1,089.07 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $431.28 | $599.00 | $157.97 – $1,089.07 | 13 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $319.68 | $444.00 | $157.97 – $537.51 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $319.68 | $444.00 | $157.97 – $537.51 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $326.88 | $454.00 | $157.97 – $537.51 | 13 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $337.68 | $469.00 | $157.97 – $537.51 | 13 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $342.72 | $476.00 | $157.97 – $537.51 | 13 |
| Ghs st - eval for alt comm CPT 92567 | $136.80 | $190.00 | $13.23 – $190.00 | 13 |
| Ghs strapping shoulder - 29240 CPT 29240 | $200.88 | $279.00 | $65.60 – $356.44 | 13 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,698.48 | $2,359.00 | $330.88 – $2,359.00 | 13 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $855.36 | $1,188.00 | $264.33 – $1,188.00 | 13 |
| Ghs urine, porphyrins quant CPT 84120 | $62.64 | $87.00 | $8.40 – $87.00 | 14 |
| Ghs vaginal delivery only CPT 59409 | $3,433.68 | $4,769.00 | $1,866.70 – $8,672.41 | 13 |
| Gi inhouse confirmation CPT 87045 | $145.44 | $202.00 | $7.41 – $202.00 | 14 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $967.68 | $1,344.00 | $100.40 – $823.70 | 14 |
| Glucose 1 hr post dose CPT 82950 | $57.60 | $80.00 | $3.80 – $80.00 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $41.76 | $58.00 | $3.28 – $58.00 | 14 |
| Glucose blood quantitative CPT 82947 | $75.60 | $105.00 | $3.80 – $105.00 | 14 |
| Glucose body fluid CPT 82945 | $66.24 | $92.00 | $3.80 – $92.00 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $121.68 | $169.00 | $8.40 – $169.00 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $33.84 | $47.00 | $3.80 – $47.00 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $23.40 | $32.50 | $0.63 – $6.00 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $139.68 | $194.00 | $9.27 – $194.00 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $139.68 | $194.00 | $9.27 – $194.00 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $9,288.00 | $12,900.00 | $16.14 – $20.00 | 3 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $162.00 | $225.00 | $181.58 – $225.00 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $378.00 | $525.00 | $60.53 – $75.00 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $216.00 | $300.00 | $24.21 – $30.00 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $20.74 | $28.80 | $1.20 – $18.00 | 3 |
| Hand X-ray CPT 73130 | $509.04 | $707.00 | $48.67 – $707.00 | 13 |
| Haptoglobin quantitative CPT 83010 | $72.00 | $100.00 | $8.40 – $100.00 | 14 |
| Hbb full gene sequence CPT 81364 | $915.84 | $1,272.00 | $115.77 – $1,272.00 | 14 |
| Hcg qualitative CPT 84703 | $102.96 | $143.00 | $3.80 – $143.00 | 14 |
| Hcg quantitative CPT 84702 | $169.92 | $236.00 | $9.27 – $236.00 | 14 |
| Hc hearing aid chck monarl CPT 92592 | $59.76 | $83.00 | $26.45 – $83.00 | 3 |
| Hc hearing aid exam both ears CPT 92591 | $160.56 | $223.00 | $26.45 – $223.00 | 3 |
| Hc hearing aid exam one ear CPT 92590 | $156.96 | $218.00 | $26.45 – $218.00 | 3 |
| Hc nm kidney imaging with flow CPT 78701 | $599.04 | $832.00 | $318.49 – $1,071.01 | 13 |
| Head CT scan (with and without contrast) CPT 70470 | $2,286.72 | $3,176.00 | $187.96 – $3,176.00 | 14 |
| Head CT scan (with contrast) CPT 70460 | $1,891.44 | $2,627.00 | $187.96 – $2,627.00 | 14 |
| Head CT scan (without contrast) CPT 70450 | $1,565.28 | $2,174.00 | $112.03 – $2,174.00 | 14 |
| Heart image spect CPT 78494 | $1,965.60 | $2,730.00 | $318.49 – $2,730.00 | 13 |
| Hematocrit CPT 85014 | $30.96 | $43.00 | $2.37 – $5.93 | 14 |
| Hemoglobin CPT 85018 | $30.96 | $43.00 | $2.37 – $5.93 | 14 |
| Hemoglobin fetal qualitative CPT 83033 | $62.64 | $87.00 | $3.80 – $87.00 | 14 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $108.72 | $151.00 | $3.80 – $151.00 | 14 |
| Hemoglobin plasma CPT 83051 | $45.36 | $63.00 | $3.80 – $63.00 | 14 |
| Hemophilus influenza antibdy CPT 86684 | $159.84 | $222.00 | $8.09 – $222.00 | 14 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | not published | 0 |
| Heparin assay CPT 85520 | $138.24 | $192.00 | $3.11 – $192.00 | 14 |
| Heparin bolus from bag HCPCS J1644 | $23.76 | $33.00 | $0.30 – $3.64 | 3 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.11 | $0.15 | $0.03 – $0.12 | 3 |
| Hepatitis a antibody igm CPT 86709 | $167.76 | $233.00 | $8.09 – $180.00 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $161.28 | $224.00 | $8.09 – $224.00 | 14 |
| Hepatitis b core antibody total CPT 86704 | $167.76 | $233.00 | $8.09 – $233.00 | 14 |
| Hepatitis b surface antibody CPT 86706 | $154.80 | $215.00 | $8.09 – $215.00 | 14 |
| Hepatitis c antibody CPT 86803 | $202.32 | $281.00 | $8.09 – $281.00 | 14 |
| Hepatobiliary system imaging CPT 78226 | $2,456.64 | $3,412.00 | $318.49 – $3,412.00 | 13 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $87.84 | $122.00 | $8.09 – $122.00 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $102.96 | $143.00 | $8.09 – $143.00 | 14 |
| Herpes simplex virus isolation CPT 87255 | $158.40 | $220.00 | $30.13 – $220.00 | 14 |
| Heterophile antibodies screening CPT 86308 | $161.28 | $224.00 | $5.18 – $224.00 | 14 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | not published | 0 |
| Hip X-ray CPT 73502 | $271.44 | $377.00 | $37.30 – $377.00 | 13 |
| Hla ii typing 1 loc hr CPT 81382 | $414.00 | $575.00 | $32.74 – $575.00 | 14 |
| Hla i low res one antigen equiv ea CPT 81374 | $323.28 | $449.00 | $32.74 – $449.00 | 14 |
| Hla i typing 1 locus hr CPT 81380 | $302.40 | $420.00 | $115.77 – $443.13 | 14 |
| Hla i typing complete lr CPT 81372 | $763.92 | $1,061.00 | $252.58 – $1,061.00 | 14 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $514.08 | $714.00 | $115.77 – $714.00 | 14 |
| Homocysteine CPT 83090 | $108.00 | $150.00 | $9.27 – $150.00 | 14 |
| Homogenization tissue CPT 87176 | $81.36 | $113.00 | $5.88 – $113.00 | 14 |
| Hpv types 16 & 18 only CPT 87625 | $132.48 | $184.00 | $30.13 – $101.38 | 14 |
| H pylori (c-13) breath CPT 83013 | $286.56 | $398.00 | $47.86 – $398.00 | 14 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,480.32 | $2,056.00 | $460.90 – $3,259.88 | 14 |
| Human epididymis protein 4 (he4) CPT 86305 | $516.96 | $718.00 | $8.09 – $718.00 | 14 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $10.89 | $15.12 | $1.71 – $15.12 | 13 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $48.38 | $67.20 | $7.24 – $67.20 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $64.08 | $89.00 | $20.07 – $125.45 | 13 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $385.20 | $535.00 | $91.17 – $569.84 | 13 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $30.96 | $43.00 | $34.70 – $43.00 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $3.24 | $4.50 | $0.23 – $0.54 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $55.75 | $77.43 | $21.45 – $77.43 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $56.88 | $79.00 | $9.27 – $79.00 | 14 |
| Hymenotomy CPT 56442 | $4,245.12 | $5,896.00 | $460.90 – $8,672.41 | 13 |
| Hysterosalpingography s&i CPT 74740 | $694.08 | $964.00 | $102.57 – $964.00 | 13 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | not published | 0 |
| Hysteroscopy lysis CPT 58559 | 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.