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 |
|---|---|---|---|---|
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $9.48 | $13.16 | $0.59 – $5.21 | 14 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $9.94 | $13.80 | $3.00 – $13.80 | 4 |
| Cyclosporine 2 hour CPT 80158 | $325.44 | $452.00 | $8.53 – $180.00 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $14.62 | $20.30 | $0.87 – $4.13 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | $14.36 | $19.95 | $2.99 – $19.95 | 4 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $25,020.00 | $34,750.00 | $804.60 – $1,350.00 | 3 |
| Cymetra injectable HCPCS Q4112 | $648.00 | $900.00 | $536.40 – $900.00 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $936.00 | $1,300.00 | $115.77 – $1,300.00 | 17 |
| Cystatin c CPT 82610 | $199.44 | $277.00 | $8.40 – $277.00 | 17 |
| Cystic fibrosis cftr CPT 81223 | $1,768.32 | $2,456.00 | $252.58 – $2,456.00 | 17 |
| Cystine urine quantitative CPT 82131 | $37.44 | $52.00 | $8.40 – $57.45 | 17 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $785.52 | $1,091.00 | $36.51 – $1,091.00 | 16 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | not published | 0 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | not published | 0 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52214 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52224 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52234 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52235 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52240 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52260 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52265 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52276 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52283 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52290 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52300 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $4,425.12 | $6,146.00 | $1,349.53 – $6,146.00 | 14 |
| Cystoscopy and treatment CPT 52315 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52320 | not published | not published | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,676.16 | $2,328.00 | $265.00 – $2,328.00 | 15 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | not published | 0 |
| Cystoscopy inject material CPT 52327 | not published | not published | not published | 0 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | not published | 0 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $4,430.88 | $6,154.00 | $1,349.53 – $6,154.00 | 14 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,425.12 | $6,146.00 | $1,349.53 – $6,146.00 | 14 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,425.12 | $6,146.00 | $1,349.53 – $6,146.00 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $43.20 | $60.00 | $1.39 – $6.90 | 4 |
| Cytogenetics 25-99 CPT 88274 | $275.04 | $382.00 | $32.74 – $382.00 | 17 |
| Cytogenomic neo microra alys CPT 81277 | $3,465.36 | $4,813.00 | $1,160.00 – $4,813.00 | 17 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,490.40 | $2,070.00 | $460.90 – $2,250.00 | 17 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $98.64 | $137.00 | $8.09 – $137.00 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $110.88 | $154.00 | $8.09 – $154.00 | 17 |
| Cyto/molecular report CPT 88291 | $252.00 | $350.00 | $48.08 – $328.00 | 8 |
| Cytopath fl nongyn filter CPT 88106 | $267.12 | $371.00 | $23.09 – $371.00 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $301.68 | $419.00 | $23.09 – $371.00 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $192.96 | $268.00 | $14.38 – $66.53 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $156.24 | $217.00 | $14.38 – $50.65 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $255.60 | $355.00 | $23.09 – $355.00 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $164.16 | $228.00 | $8.60 – $25.40 | 9 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $552.96 | $768.00 | $22.16 – $456.43 | 17 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $313.20 | $435.00 | $55.84 – $186.96 | 17 |
| Cytopath tbs c/v manual CPT 88164 | $37.44 | $52.00 | $14.38 – $46.35 | 17 |
| Cytotoxic antibody screening CPT 86807 | $238.32 | $331.00 | $43.88 – $331.00 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $1,075.68 | $1,494.00 | $128.09 – $1,494.00 | 17 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,663.20 | $2,310.00 | $307.99 – $2,310.00 | 16 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $3.42 | $4.75 | $0.05 – $0.29 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $152.24 | $211.44 | $55.06 – $3,086.08 | 16 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $10,031.04 | $13,932.00 | $3.02 – $1,161.00 | 16 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $318.73 | $442.68 | $43.44 – $442.68 | 7 |
| D&c after delivery 59160 CPT 59160 | $5,971.68 | $8,294.00 | $1,467.98 – $8,672.41 | 14 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | not published | 0 |
| Dch glucoscan CPT 82948 | $44.64 | $62.00 | $3.80 – $62.00 | 17 |
| Dch pulmonary stress test CPT 94621 | $1,393.20 | $1,935.00 | $89.44 – $1,935.00 | 14 |
| Dch validity tests CPT 81002 | $33.84 | $47.00 | $2.12 – $47.00 | 17 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $114.48 | $159.00 | $8.09 – $127.00 | 17 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,321.92 | $1,836.00 | $265.00 – $1,836.00 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $750.96 | $1,043.00 | $46.33 – $1,043.00 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,499.92 | $4,861.00 | $265.00 – $4,861.00 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,106.64 | $1,537.00 | $265.00 – $1,537.00 | 6 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $3,245.76 | $4,508.00 | $265.00 – $4,508.00 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,087.92 | $1,511.00 | $265.00 – $1,511.00 | 15 |
| Debride nail1-5 11720 CPT 11720 | $423.36 | $588.00 | $57.57 – $588.00 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $434.88 | $604.00 | $57.57 – $604.00 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $3,070.08 | $4,264.00 | $330.88 – $4,264.00 | 14 |
| Debride skin bone at fx site CPT 11012 | $6,181.92 | $8,586.00 | $880.23 – $8,586.00 | 14 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,272.96 | $1,768.00 | $265.00 – $1,768.00 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,561.68 | $2,169.00 | $330.88 – $2,169.00 | 14 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,321.92 | $1,836.00 | $265.00 – $1,980.01 | 15 |
| Decalcification CPT 88311 | $105.12 | $146.00 | $12.27 – $146.00 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $9.50 | $13.20 | $1.07 – $32.61 | 7 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $2,835.36 | $3,938.00 | $255.32 – $3,938.00 | 15 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | not published | 0 |
| Decompression of lower leg CPT 27600 | $7,008.48 | $9,734.00 | $2,711.32 – $9,734.00 | 14 |
| Decompression of lower leg CPT 27601 | not published | not published | not published | 0 |
| Decompression of tibia nerve CPT 28035 | not published | not published | not published | 0 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | not published | 0 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | not published | 0 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $44.50 | $61.80 | $13.98 – $61.08 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | 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.