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 |
|---|---|---|---|---|
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | not published | 0 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | not published | 0 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | not published | 0 |
| Ercp w/specimen collection CPT 43260 | not published | not published | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $299.81 | $416.40 | $15.11 – $120.00 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $349.92 | $486.00 | $90.36 – $486.00 | 12 |
| ER Visit (level 2) CPT 99282 | $541.44 | $752.00 | $164.54 – $752.00 | 12 |
| ER Visit (level 3) CPT 99283 | $834.48 | $1,159.00 | $292.53 – $1,159.00 | 12 |
| ER Visit (level 4) CPT 99284 | $1,185.84 | $1,647.00 | $447.15 – $1,647.00 | 12 |
| ER Visit (level 5, high severity) CPT 99285 | $1,758.24 | $2,442.00 | $638.18 – $2,371.00 | 12 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $864.00 | $1,200.00 | $33.26 – $731.55 | 4 |
| Escharotomy ea addl incision CPT 16036 | $610.56 | $848.00 | $330.88 – $848.00 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $2.26 | $3.14 | $0.68 – $2.45 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $43.20 | $60.00 | $0.35 – $4.36 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | not published | 0 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | not published | 0 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | not published | 0 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | not published | 0 |
| Esophagoscp rig trnso rem fb CPT 43194 | $4,097.52 | $5,691.00 | $1,737.98 – $5,691.00 | 14 |
| Esophagus motility study CPT 91010 | $1,146.24 | $1,592.00 | $337.16 – $1,592.00 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | not published | 0 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | not published | 0 |
| Esoph imped funct test > 1hr CPT 91038 | $1,666.08 | $2,314.00 | $337.16 – $2,314.00 | 14 |
| Esoph scope w/submucous inj CPT 43201 | $4,097.52 | $5,691.00 | $835.91 – $5,691.00 | 14 |
| Establish access to aorta CPT 36160 | $4,835.52 | $6,716.00 | $592.67 – $6,716.00 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $471.60 | $655.00 | $265.00 – $333.00 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $276.48 | $384.00 | $57.50 – $265.00 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $324.72 | $451.00 | $93.54 – $265.00 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $505.44 | $702.00 | $265.00 – $702.00 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $588.24 | $817.00 | $265.00 – $817.00 | 3 |
| Estradiol total CPT 82670 | $74.88 | $104.00 | $9.27 – $104.00 | 17 |
| Estrogens total-sendout CPT 82672 | $213.12 | $296.00 | $9.27 – $296.00 | 17 |
| Ethylene glycol -sendout CPT 82693 | $192.24 | $267.00 | $8.65 – $267.00 | 17 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $5.92 | $8.22 | $1.72 – $6.11 | 4 |
| Euglobulin lysis CPT 85360 | $136.08 | $189.00 | $4.17 – $189.00 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $293.76 | $408.00 | $117.20 – $408.00 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $230.40 | $320.00 | $47.86 – $320.00 | 17 |
| Evaluation of speech fluency 92521 CPT 92521 | $797.04 | $1,107.00 | $128.40 – $1,107.00 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | $375.12 | $521.00 | $190.21 – $521.00 | 14 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $15,707.52 | $21,816.00 | $10,908.00 – $21,816.00 | 5 |
| Evasc prlng admn rx agnt add CPT 61651 | $15,707.52 | $21,816.00 | $10,908.00 – $21,816.00 | 5 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $5,266.08 | $7,314.00 | $3,180.00 – $14,939.16 | 4 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $12,067.92 | $16,761.00 | $14,227.77 – $16,761.00 | 4 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $19,488.24 | $27,067.00 | $14,227.77 – $27,067.00 | 4 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $33,894.00 | $47,075.00 | $14,227.77 – $47,075.00 | 5 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $2,886.48 | $4,009.00 | $4,009.00 – $14,939.16 | 4 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $22,070.16 | $30,653.00 | $14,227.77 – $30,653.00 | 5 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $32,438.88 | $45,054.00 | $14,227.77 – $45,054.00 | 5 |
| Event monitor CPT 93270 | $370.08 | $514.00 | $36.16 – $514.00 | 14 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $298.80 | $415.00 | $26.45 – $415.00 | 4 |
| Evoked potentials upper limbs CPT 95925 | $1,355.04 | $1,882.00 | $114.90 – $1,882.00 | 14 |
| Evoked potential visual not glaucoma CPT 95930 | $1,349.28 | $1,874.00 | $114.90 – $1,874.00 | 14 |
| Evok oa screening qual CPT 92558 | $150.48 | $209.00 | $26.45 – $209.00 | 4 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $6,868.08 | $9,539.00 | $183.12 – $9,539.00 | 14 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,519.92 | $2,111.00 | $364.43 – $2,111.00 | 14 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,519.92 | $2,111.00 | $364.43 – $2,111.00 | 14 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $4,332.24 | $6,017.00 | $1,048.22 – $6,017.00 | 14 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $6,181.92 | $8,586.00 | $1,549.39 – $8,586.00 | 14 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,209.68 | $3,069.00 | $364.43 – $3,069.00 | 14 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,519.92 | $2,111.00 | $364.43 – $2,111.00 | 14 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | not published | 0 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | not published | 0 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | not published | 0 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | not published | 0 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | not published | 0 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $8,209.44 | $11,402.00 | $1,919.85 – $11,402.00 | 14 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $1,114.56 | $1,548.00 | $349.99 – $1,548.00 | 14 |
| Exchange drainage catheter CPT 49423 | $4,549.68 | $6,319.00 | $625.35 – $6,319.00 | 14 |
| Exchange lens prosthesis CPT 66986 | not published | not published | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $3,847.68 | $5,344.00 | $1,269.05 – $5,600.23 | 14 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | not published | 0 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | not published | 0 |
| Excise foot tendon sheath CPT 28086 | not published | not published | not published | 0 |
| Excise foot tendon sheath CPT 28088 | not published | not published | not published | 0 |
| Excise inferior turbinate CPT 30130 | not published | not published | not published | 0 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | not published | 0 |
| Excise lesion testis CPT 54512 | not published | not published | not published | 0 |
| Excise oral mucosa for graft 40818 CPT 40818 | 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.