HSHS St. Joseph's Hospital
12866 TROXLER AVE, HIGHLAND, IL · Hshs · · NPI 1447352323
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 |
|---|---|---|---|---|
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,550.24 | $3,542.00 | $613.20 – $3,542.00 | 6 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,484.00 | $3,450.00 | $215.26 – $3,450.00 | 6 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,995.28 | $5,549.00 | $821.22 – $5,549.00 | 6 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,312.00 | $4,600.00 | $821.22 – $4,600.00 | 6 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,187.44 | $4,427.00 | $243.37 – $4,427.00 | 6 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,173.12 | $5,796.00 | $991.86 – $5,796.00 | 6 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,054.24 | $4,242.00 | $991.86 – $4,242.00 | 6 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,566.08 | $3,564.00 | $991.86 – $3,564.00 | 6 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $397.44 | $552.00 | $317.00 – $1,233.95 | 5 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $397.44 | $552.00 | $317.00 – $1,233.95 | 5 |
| New Patient Office Visit (level 2) CPT 99202 | $234.72 | $326.00 | $73.25 – $146.00 | 3 |
| New Patient Office Visit (level 3) CPT 99203 | $309.60 | $430.00 | $115.84 – $146.00 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $412.56 | $573.00 | $146.00 – $173.49 | 3 |
| New Patient Office Visit (level 5) CPT 99205 | $515.52 | $716.00 | $146.00 – $229.84 | 3 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $1.40 | $1.95 | $0.12 – $204.88 | 6 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $7.78 | $10.80 | $2.51 – $10.80 | 4 |
| Njx interlaminar lmbr/sac CPT 62326 | $2,049.84 | $2,847.00 | $1,541.03 – $2,847.00 | 3 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,770.56 | $3,848.00 | $1,541.03 – $3,848.00 | 3 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,080.72 | $1,501.00 | $741.25 – $1,501.00 | 6 |
| Nm imaging bone/joint whole body CPT 78306 | $960.48 | $1,334.00 | $715.52 – $1,334.00 | 6 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,883.52 | $2,616.00 | $503.36 – $2,616.00 | 6 |
| Nm imaging gastric emptying study CPT 78264 | $1,722.24 | $2,392.00 | $741.25 – $2,392.00 | 6 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,311.84 | $1,822.00 | $834.08 – $1,859.96 | 6 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,717.28 | $3,774.00 | $741.25 – $3,774.00 | 6 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $3,502.08 | $4,864.00 | $332.76 – $4,864.00 | 6 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,947.60 | $2,705.00 | $596.28 – $2,705.00 | 6 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,721.04 | $6,557.00 | $1,100.97 – $6,557.00 | 6 |
| Nudt15 gene common variants CPT 81306 | $367.20 | $510.00 | $269.44 – $510.00 | 5 |
| Nushield 1 square cm HCPCS Q4160 | $511.92 | $711.00 | $209.78 – $711.00 | 4 |
| Observation direct referral from physician office for admission HCPCS G0379 | $662.40 | $920.00 | $920.00 – $920.00 | 1 |
| Observation per hour HCPCS G0378 | $56.16 | $78.00 | $78.00 – $78.00 | 1 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $325.44 | $452.00 | $178.65 – $452.00 | 6 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $237.79 | $330.26 | $97.88 – $45,379.22 | 6 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $34.38 | $47.75 | $1.09 – $47.75 | 4 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $3.41 | $4.74 | $1.34 – $4.74 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.24 | $4.50 | $0.15 – $4.50 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $121.68 | $169.00 | $20.14 – $169.00 | 6 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $41.47 | $57.60 | $10.54 – $57.60 | 4 |
| Osmolality blood CPT 83930 | $154.08 | $214.00 | $8.84 – $214.00 | 6 |
| Osmolality urine CPT 83935 | $120.96 | $168.00 | $8.84 – $168.00 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $281.52 | $391.00 | $298.00 – $438.74 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $297.36 | $413.00 | $298.00 – $438.74 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $303.84 | $422.00 | $298.00 – $438.74 | 5 |
| Oth resp proc, group HCPCS G0239 | $76.32 | $106.00 | $68.95 – $106.00 | 5 |
| Oth resp proc, indiv HCPCS G0238 | $52.56 | $73.00 | $68.95 – $73.00 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $75.60 | $105.00 | $72.72 – $105.00 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $111.60 | $155.00 | $72.72 – $155.00 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $181.44 | $252.00 | $72.72 – $252.00 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $149.76 | $208.00 | $208.00 – $438.74 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $84.96 | $118.00 | $72.72 – $118.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $78.48 | $109.00 | $72.72 – $109.00 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $78.48 | $109.00 | $72.72 – $109.00 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $91.44 | $127.00 | $72.72 – $127.00 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $162.00 | $225.00 | $72.72 – $225.00 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $84.96 | $118.00 | $61.13 – $118.00 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $12.96 | $18.00 | $4.42 – $18.00 | 4 |
| Parathormone (pth) intact CPT 83970 | $46.08 | $64.00 | $57.22 – $64.00 | 6 |
| Parathyroid planar imaging CPT 78070 | $783.36 | $1,088.00 | $711.75 – $1,859.96 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $214.56 | $298.00 | $146.00 – $348.89 | 5 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,520.00 | $3,500.00 | $613.20 – $3,500.00 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,362.32 | $3,281.00 | $613.20 – $3,281.00 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,088.00 | $2,900.00 | $215.26 – $2,900.00 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,853.52 | $6,741.00 | $821.22 – $6,741.00 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $3,742.56 | $5,198.00 | $821.22 – $5,198.00 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $3,171.60 | $4,405.00 | $486.73 – $4,405.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,235.52 | $1,716.00 | $72.45 – $742.00 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $604.08 | $839.00 | $66.94 – $839.00 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $106.29 | $147.62 | $52.75 – $204.88 | 6 |
| Penile injection CPT 54235 | $606.24 | $842.00 | $173.83 – $842.00 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $339.44 | $471.45 | $66.35 – $471.45 | 3 |
| Peripheral vascular rehab CPT 93668 | $169.20 | $235.00 | $235.00 – $350.26 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $1,602.72 | $2,226.00 | $258.21 – $2,811.34 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,427.36 | $7,538.00 | $507.00 – $7,538.00 | 6 |
| Pet CT whole body initial CPT 78816 | $5,065.92 | $7,036.00 | $507.00 – $7,036.00 | 6 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,635.44 | $7,827.00 | $507.00 – $7,827.00 | 6 |
| Pet image w/ct lmtd CPT 78814 | $4,804.56 | $6,673.00 | $507.00 – $6,673.00 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $7,128.00 | $9,900.00 | $150.00 – $150.00 | 1 |
| Ph body fluid CPT 83986 | $44.64 | $62.00 | $7.16 – $62.00 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $91.08 | $126.50 | $47.98 – $126.50 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $248.40 | $345.00 | $19.85 – $345.00 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.01 | $0.02 | $0.02 – $0.02 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $169.20 | $235.00 | $19.85 – $235.00 | 6 |
| Phlebotomy therapeutic CPT 99195 | $138.96 | $193.00 | $151.52 – $193.00 | 3 |
| Phosphorus CPT 84100 | $92.16 | $128.00 | $8.84 – $128.00 | 6 |
| Phosphorus 24 hour urine CPT 84105 | $39.60 | $55.00 | $8.84 – $55.00 | 6 |
| Phys blood bank serv reactj CPT 86078 | $252.72 | $351.00 | $88.15 – $351.00 | 6 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $14.78 | $20.53 | $4.64 – $20.53 | 4 |
| Pinworm exam CPT 87172 | $108.72 | $151.00 | $8.54 – $151.00 | 6 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $16.50 | $22.92 | $1.80 – $8.80 | 4 |
| Place device/marker, non pro HCPCS C9728 | $1,477.44 | $2,052.00 | $428.00 – $2,249.22 | 5 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,802.88 | $2,504.00 | $241.69 – $2,811.34 | 5 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $953.28 | $1,324.00 | $168.50 – $2,811.34 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,094.48 | $2,909.00 | $355.03 – $2,811.34 | 3 |
| Placement of seton CPT 46020 | not published | not published | not published | 0 |
| Place right device/marker pros CPT 55876 | $3,606.48 | $5,009.00 | $2,146.99 – $5,009.00 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $108.72 | $151.00 | $41.43 – $151.00 | 6 |
| Platelet automated CPT 85049 | $465.12 | $646.00 | $8.96 – $646.00 | 6 |
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.