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 |
|---|---|---|---|---|
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | not published | 0 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $6,868.08 | $9,539.00 | $1,467.98 – $9,539.00 | 14 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $961.92 | $1,336.00 | $1,336.00 – $14,939.16 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $81.02 | $112.53 | $29.46 – $800.43 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $750.96 | $1,043.00 | $142.58 – $1,043.00 | 14 |
| Dermagraft HCPCS Q4106 | $6,696.00 | $9,300.00 | $84.05 – $169.00 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $15,626.88 | $21,704.00 | $10,852.00 – $21,704.00 | 5 |
| Design mlc device for imrt CPT 77338 | $1,784.88 | $2,479.00 | $161.64 – $2,479.00 | 16 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $43.20 | $60.00 | $5.63 – $105.42 | 7 |
| Desoxycorticosterone CPT 82633 | $228.24 | $317.00 | $24.59 – $317.00 | 17 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $6,242.40 | $8,670.00 | $8,670.00 – $14,939.16 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $22,492.08 | $31,239.00 | $14,227.77 – $31,239.00 | 6 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $15,626.88 | $21,704.00 | $10,852.00 – $21,704.00 | 5 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $429.12 | $596.00 | $143.09 – $596.00 | 14 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,217.76 | $5,858.00 | $1,109.03 – $5,858.00 | 14 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,250.88 | $5,904.00 | $345.75 – $5,904.00 | 4 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | not published | 0 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $563.04 | $782.00 | $143.09 – $782.00 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,250.88 | $5,904.00 | $1,109.03 – $5,904.00 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,888.80 | $6,790.00 | $1,109.03 – $6,790.00 | 14 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $407.52 | $566.00 | $30.03 – $566.00 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | $281.52 | $391.00 | $188.00 – $531.39 | 6 |
| Device ablt adv novasure HCPCS C1886 | $10,820.16 | $15,028.00 | $4,112.40 – $6,900.00 | 3 |
| Device sut capio slim opn HCPCS C2631 | $972.00 | $1,350.00 | $804.60 – $1,350.00 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $566.64 | $787.00 | $36.51 – $787.00 | 16 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.60 | $5.00 | $0.02 – $0.24 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $10.80 | $15.00 | $0.18 – $5.00 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,804.67 | $2,506.48 | $58.01 – $1,316.43 | 16 |
| Dextran 40 infusion HCPCS J7100 | $300.60 | $417.50 | $162.94 – $417.50 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $21.60 | $30.00 | $9.98 – $30.00 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $21.60 | $30.00 | $2.89 – $30.00 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $21.60 | $30.00 | $4.85 – $30.00 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $88.56 | $123.00 | $9.27 – $123.00 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $105.12 | $146.00 | $3.80 – $146.00 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $278.64 | $387.00 | $142.58 – $387.00 | 14 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $647.28 | $899.00 | $146.83 – $899.00 | 14 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $1,285.92 | $1,786.00 | $146.83 – $1,786.00 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $519.84 | $722.00 | $41.39 – $335.92 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | $381.60 | $530.00 | $41.39 – $263.72 | 16 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $15,635.52 | $21,716.00 | $9,271.13 – $21,716.00 | 5 |
| Dialysis one evaluation CPT 90945 | $1,500.48 | $2,084.00 | $447.15 – $1,277.00 | 15 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.76 | $1.05 | $0.12 – $1.05 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $72.71 | $100.98 | $11.04 – $55.93 | 4 |
| Dicyclomine injection HCPCS J0500 | $363.13 | $504.35 | $18.69 – $147.60 | 4 |
| Diffusing capacity CPT 94729 | $375.84 | $522.00 | $49.92 – $522.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $595.01 | $826.40 | $15.79 – $60.00 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $12,892.61 | $17,906.40 | $3,842.26 – $17,906.40 | 16 |
| Digoxin total therapeutic drug level CPT 80162 | $66.96 | $93.00 | $8.53 – $93.00 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $645.84 | $897.00 | $94.18 – $897.00 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $4,370.40 | $6,070.00 | $4,699.21 – $6,070.00 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | not published | 0 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,666.88 | $3,704.00 | $3,704.00 – $12,794.83 | 4 |
| Dilate ic vasospasm init CPT 61640 | $1,789.92 | $2,486.00 | $2,486.00 – $12,794.83 | 4 |
| Dilate urethra stricture CPT 53600 | $601.92 | $836.00 | $74.69 – $836.00 | 14 |
| Dilate urethra stricture CPT 53605 | not published | not published | not published | 0 |
| Dilation of anal sphincter CPT 45905 | not published | not published | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | not published | 0 |
| Dilation of vagina CPT 57400 | not published | not published | not published | 0 |
| Dilation salivary duct 42650 CPT 42650 | $4,374.72 | $6,076.00 | $1,575.35 – $6,076.00 | 14 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $3,286.80 | $4,565.00 | $349.74 – $4,565.00 | 14 |
| Dilator fascial 10fx20cm HCPCS C2627 | $216.00 | $300.00 | $17.88 – $30.00 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $0.86 | $1.20 | $0.05 – $0.24 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $43.20 | $60.00 | $1.17 – $60.00 | 4 |
| Disaccharidases CPT 82657 | $357.84 | $497.00 | $8.40 – $497.00 | 17 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | $218.16 | $303.00 | $0.02 – $303.00 | 6 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $4,626.00 | $6,425.00 | $6,425.00 – $14,939.16 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | $564.48 | $784.00 | $115.77 – $784.00 | 17 |
| Dna antibody native/double stranded CPT 86225 | $64.80 | $90.00 | $8.09 – $90.00 | 17 |
| Dna gardnerella CPT 87510 | $117.36 | $163.00 | $7.41 – $163.00 | 17 |
| Dna trichomonas CPT 87660 | $117.36 | $163.00 | $7.41 – $163.00 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $106.92 | $148.50 | $13.23 – $60.00 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $71.73 | $99.63 | $1.07 – $32.61 | 7 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $8.64 | $12.00 | $1.32 – $9.35 | 4 |
| Doppler echo complete CPT 93320 | $916.56 | $1,273.00 | $375.32 – $1,273.00 | 4 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $5,437.44 | $7,552.00 | $1,467.17 – $7,552.00 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,180.08 | $1,639.00 | $71.83 – $1,639.00 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $532.80 | $740.00 | $47.37 – $740.00 | 15 |
| Dornhoffer fixed part w/window HCPCS L8614 | $52,020.00 | $72,250.00 | $89.40 – $150.00 | 3 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $163.44 | $227.00 | $124.94 – $312.36 | 13 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $48.24 | $67.00 | $4.59 – $32.42 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.09 | $1.51 | $0.17 – $0.96 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,519.92 | $2,111.00 | $758.85 – $2,111.00 | 14 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,519.92 | $2,111.00 | $146.83 – $2,111.00 | 14 |
| Drainage external ear complex 69005 CPT 69005 | $3,499.92 | $4,861.00 | $1,212.35 – $4,861.00 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $3,330.72 | $4,626.00 | $146.83 – $3,083.00 | 14 |
| Drainage lymph node lesion 38300 CPT 38300 | $6,535.44 | $9,077.00 | $2,754.40 – $9,077.00 | 14 |
| Drainage mouth roof lesion CPT 42000 | $601.92 | $836.00 | $146.83 – $836.00 | 14 |
| Drainage of arm bursa 23931 CPT 23931 | $3,499.92 | $4,861.00 | $1,551.01 – $4,861.00 | 14 |
| Drainage of eye CPT 65800 | $4,926.24 | $6,842.00 | $873.44 – $6,842.00 | 14 |
| Drainage of eye CPT 65810 | not published | not published | not published | 0 |
| Drainage of eye CPT 65815 | not published | not published | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,591.92 | $2,211.00 | $349.74 – $2,211.00 | 14 |
| Drainage of mouth lesion CPT 41006 | not published | not published | not published | 0 |
| Drainage of mouth lesion CPT 41007 | 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.