HSHS St. John's Hospital
800 E Carpenter St. Springfield, IL 62769|301 N. 8th St., IL · Hshs · · NPI 1205818481
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $55.44 | $77.00 | $9.27 – $77.00 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $133.20 | $185.00 | $9.27 – $185.00 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,693.60 | $5,130.00 | $375.32 – $5,130.00 | 14 |
| 2nd order venous cath CPT 36012 | $1,959.84 | $2,722.00 | $592.67 – $2,295.00 | 4 |
| 3-d radiotherapy plan CPT 77295 | $7,891.92 | $10,961.00 | $422.50 – $10,961.00 | 16 |
| 3d recon without postprocess indpndt CPT 76376 | $570.96 | $793.00 | $20.87 – $793.00 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $156.96 | $218.00 | $8.40 – $218.00 | 17 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3.60 | $5.00 | $2.98 – $1,629.54 | 7 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $87.12 | $121.00 | $8.09 – $121.00 | 17 |
| Abd aorta w/runoff s&i CPT 75630 | $6,798.24 | $9,442.00 | $114.91 – $9,442.00 | 16 |
| Abd/low ext cath 1st CPT 36245 | $3,896.64 | $5,412.00 | $592.67 – $3,969.00 | 4 |
| Abd/low ext cath 2nd CPT 36246 | $3,283.92 | $4,561.00 | $592.67 – $4,561.00 | 4 |
| Abd/low ext cath 3rd CPT 36247 | $3,283.92 | $4,561.00 | $592.67 – $4,561.00 | 4 |
| Abd/low ext cath addl CPT 36248 | $2,953.44 | $4,102.00 | $592.67 – $4,102.00 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,655.44 | $5,077.00 | $187.96 – $5,077.00 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,390.48 | $4,709.00 | $187.96 – $4,709.00 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,744.64 | $3,812.00 | $92.49 – $3,812.00 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,265.36 | $7,313.00 | $352.85 – $7,313.00 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $4,188.96 | $5,818.00 | $352.85 – $5,818.00 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $4,068.72 | $5,651.00 | $209.13 – $5,651.00 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,041.20 | $2,835.00 | $625.35 – $2,835.00 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,295.28 | $1,799.00 | $112.03 – $1,799.00 | 16 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,147.68 | $1,594.00 | $94.73 – $1,594.00 | 16 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,241.36 | $3,113.00 | $625.35 – $3,113.00 | 14 |
| Abl1 gene CPT 81170 | $925.20 | $1,285.00 | $115.77 – $1,285.00 | 17 |
| Ablate arrhythmia add on CPT 93655 | $13,082.40 | $18,170.00 | $9,085.00 – $18,170.00 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $21,828.24 | $30,317.00 | $1,551.01 – $30,317.00 | 16 |
| Ablate bone tumor(s) perq CPT 20982 | $27,792.00 | $38,600.00 | $967.00 – $46,973.91 | 14 |
| Ablate heart dysrhythm focus CPT 93650 | $15,705.36 | $21,813.00 | $8,358.26 – $21,813.00 | 15 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $13,925.52 | $19,341.00 | $22.28 – $6,784.50 | 15 |
| Ablation cryo abd perit om CPT 49999 | $3,443.76 | $4,783.00 | $625.35 – $3,729.00 | 14 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $22,488.48 | $31,234.00 | $4,699.21 – $31,234.00 | 16 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,779.12 | $2,471.00 | $328.94 – $951.00 | 14 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,961.52 | $6,891.00 | $625.35 – $6,891.00 | 14 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $729.36 | $1,013.00 | $1,013.00 – $14,939.16 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $10.80 | $15.00 | $0.10 – $0.86 | 4 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $172.80 | $240.00 | $13.65 – $61.42 | 5 |
| Acetone qualitative CPT 82009 | $93.60 | $130.00 | $3.80 – $130.00 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $197.28 | $274.00 | $8.09 – $274.00 | 16 |
| Acetylcholinesterase assay CPT 82013 | $93.60 | $130.00 | $8.40 – $130.00 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $21.00 | $29.17 | $0.61 – $5.00 | 5 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $100.80 | $140.00 | $14.03 – $143.90 | 14 |
| Actigraphy testing CPT 95803 | $421.92 | $586.00 | $53.53 – $586.00 | 15 |
| Acute hepatitis panel CPT 80074 | $440.64 | $612.00 | $6.35 – $168.00 | 17 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $3.60 | $5.00 | $0.20 – $0.80 | 4 |
| #acylcarnitineprfl CPT 82017 | $224.64 | $312.00 | $8.40 – $312.00 | 17 |
| Adapter b 8 channel 10cm HCPCS C1883 | $9,288.00 | $12,900.00 | $5.96 – $10.00 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $8.64 | $12.00 | $0.87 – $10.00 | 4 |
| Adenovirus ag ia CPT 87301 | $205.20 | $285.00 | $7.41 – $285.00 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $109.44 | $152.00 | $8.09 – $152.00 | 17 |
| Adh-sendout CPT 84588 | $210.24 | $292.00 | $24.59 – $292.00 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $43.20 | $60.00 | $1.93 – $3.24 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $272.16 | $378.00 | $49.39 – $399.97 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $272.16 | $378.00 | $77.16 – $378.00 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $622.80 | $865.00 | $224.78 – $884.90 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $698.40 | $970.00 | $40.15 – $970.00 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $210.96 | $293.00 | $40.15 – $293.00 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $213.84 | $297.00 | $40.15 – $297.00 | 15 |
| Administration immunization 1 vaccine CPT 90471 | $133.92 | $186.00 | $33.67 – $192.89 | 14 |
| Administration immunization each additional vaccine CPT 90472 | $110.88 | $154.00 | $33.67 – $154.00 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $110.88 | $154.00 | $33.67 – $154.00 | 14 |
| Administration vaccine influenza virus HCPCS G0008 | $116.64 | $162.00 | $33.67 – $162.00 | 14 |
| Administration vaccine pneumococcal HCPCS G0009 | $116.64 | $162.00 | $33.67 – $162.00 | 14 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $103.41 | $143.63 | $42.19 – $3,086.08 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | $672.48 | $934.00 | $69.21 – $934.00 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $151.20 | $210.00 | $7.41 – $210.00 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $30.96 | $43.00 | $7.31 – $43.00 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $696.96 | $968.00 | $115.36 – $448.00 | 17 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,265.84 | $3,147.00 | $1,732.99 – $4,332.48 | 13 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,400.40 | $1,945.00 | $1,159.22 – $3,165.78 | 13 |
| Afo w/ankle joint, prefab HCPCS L1971 | $109.44 | $152.00 | $90.59 – $1,228.20 | 13 |
| After cataract laser surgery CPT 66821 | not published | not published | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $337.68 | $469.00 | $89.44 – $469.00 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $30.96 | $43.00 | $3.80 – $29.00 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $250.02 | $347.25 | $53.08 – $279.25 | 16 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $388.80 | $540.00 | $53.08 – $278.75 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $64.08 | $89.00 | $2.12 – $89.00 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $26.64 | $37.00 | $3.80 – $37.00 | 17 |
| Alginate dressing <=16 sq in HCPCS A6196 | $15.84 | $22.00 | $6.56 – $11.00 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $23.04 | $32.00 | $19.07 – $32.00 | 3 |
| Alginate drsg wound filler HCPCS A6199 | $58.32 | $81.00 | $19.07 – $32.00 | 3 |
| Alkaline phosphatase CPT 84075 | $42.48 | $59.00 | $3.80 – $59.00 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $19.44 | $27.00 | $8.09 – $44.83 | 17 |
| Allergen egg white ige CPT 86003 | $91.44 | $127.00 | $5.22 – $13.05 | 17 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $7,992.00 | $11,100.00 | $11,100.00 – $11,100.00 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $11,880.00 | $16,500.00 | $0.01 – $333.39 | 14 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,512.00 | $2,100.00 | $1,251.60 – $2,100.00 | 3 |
| Alloskin HCPCS Q4115 | $3,240.00 | $4,500.00 | $30.86 – $333.39 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $347.04 | $482.00 | $19.79 – $482.00 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | $94.32 | $131.00 | $8.40 – $131.00 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $149.76 | $208.00 | $8.40 – $208.00 | 17 |
| Alprostadil for injection HCPCS J0270 | $731.59 | $1,016.10 | $0.79 – $1,016.10 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $399.96 | $555.50 | $84.03 – $316.81 | 16 |
| Alt/sgpt CPT 84460 | $38.88 | $54.00 | $3.80 – $54.00 | 17 |
| Aluminum - quest CPT 82108 | $82.80 | $115.00 | $8.65 – $115.00 | 17 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | 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.