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 |
|---|---|---|---|---|
| G6pd full gene sequence CPT 81249 | $1,244.16 | $1,728.00 | $460.90 – $1,728.00 | 17 |
| Gabapentin non-blood CPT 80355 | $60.48 | $84.00 | $0.02 – $84.00 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $2.35 | $3.27 | $0.17 – $2.57 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $64.93 | $90.18 | $24.34 – $90.18 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $333.36 | $463.00 | $8.40 – $463.00 | 17 |
| Galectin-3 CPT 82777 | $199.44 | $277.00 | $19.79 – $277.00 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $120.96 | $168.00 | $3.80 – $168.00 | 17 |
| Gammaglobulin ige CPT 82785 | $175.68 | $244.00 | $8.40 – $244.00 | 17 |
| Gamma glutamyltransferase CPT 82977 | $110.16 | $153.00 | $3.80 – $153.00 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $192.77 | $267.74 | $49.08 – $1,092.91 | 16 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $259.20 | $360.00 | $55.31 – $360.00 | 4 |
| Gastroesophageal reflux study CPT 78262 | $2,011.68 | $2,794.00 | $318.49 – $2,794.00 | 16 |
| Gastroesophageal reflux test CPT 91034 | $2,210.40 | $3,070.00 | $337.16 – $3,070.00 | 14 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | not published | 0 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $23.04 | $32.00 | $19.07 – $32.00 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $44.35 | $61.60 | $5.92 – $52.98 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $587.28 | $815.66 | $240.17 – $3,842.26 | 16 |
| Generator barostim neo2 2014 HCPCS C1767 | $52,020.00 | $72,250.00 | $715.20 – $1,200.00 | 3 |
| Generator emblem MRI sicd subq HCPCS C1722 | $42,120.00 | $58,500.00 | $15,496.00 – $26,000.00 | 3 |
| Genetic tstg severe inh cond CPT 81443 | $3,883.68 | $5,394.00 | $1,637.52 – $6,121.40 | 17 |
| Genome sequence analysis CPT 81425 | $4,256.64 | $5,912.00 | $0.02 – $12,578.00 | 17 |
| Genome sequence analysis CPT 81426 | $1,944.00 | $2,700.00 | $0.02 – $6,750.00 | 17 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $43.20 | $60.00 | $3.58 – $19.60 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $123.84 | $172.00 | $8.53 – $172.00 | 17 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,210.40 | $3,070.00 | $337.16 – $3,070.00 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $2,442.24 | $3,392.00 | $996.56 – $3,392.00 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,181.92 | $8,586.00 | $265.00 – $8,586.00 | 15 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $24.48 | $34.00 | $3.80 – $34.00 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $40.32 | $56.00 | $8.40 – $56.00 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $259.20 | $360.00 | $32.74 – $360.00 | 17 |
| Ghs antibodies (torch) igm CPT 86694 | $109.44 | $152.00 | $8.09 – $152.00 | 17 |
| Ghs bladder cath - complex-foley CPT 51703 | $604.80 | $840.00 | $74.69 – $840.00 | 15 |
| Ghs bleeding time (ivy) CPT 85002 | $64.08 | $89.00 | $3.11 – $89.00 | 17 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,496.16 | $2,078.00 | $345.75 – $2,078.00 | 15 |
| Ghs central line insert < age 5, failed CPT 36555 | $6,798.24 | $9,442.00 | $951.00 – $9,442.00 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $888.48 | $1,234.00 | $267.74 – $1,234.00 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $2,207.52 | $3,066.00 | $224.81 – $3,066.00 | 15 |
| Ghs chemo infusion >8 hrs CPT 96425 | $822.96 | $1,143.00 | $290.35 – $1,143.00 | 15 |
| Ghs chemo IV push, ea addtl CPT 96411 | $268.56 | $373.00 | $40.15 – $373.00 | 15 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $207.36 | $288.00 | $30.13 – $170.00 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $470.16 | $653.00 | $264.33 – $660.83 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $595.44 | $827.00 | $264.33 – $827.00 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,456.72 | $4,801.00 | $398.66 – $4,307.88 | 14 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $696.24 | $967.00 | $264.33 – $967.00 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,456.72 | $4,801.00 | $398.66 – $4,801.00 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,161.68 | $7,169.00 | $880.23 – $9,493.80 | 14 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $559.44 | $777.00 | $264.33 – $777.00 | 14 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,456.72 | $4,801.00 | $398.66 – $4,801.00 | 14 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $5,014.80 | $6,965.00 | $398.66 – $4,801.00 | 14 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $610.56 | $848.00 | $264.33 – $848.00 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $518.40 | $720.00 | $264.33 – $720.00 | 14 |
| Ghs community re-entry 15 minutes CPT 97537 | $164.88 | $229.00 | $30.89 – $229.00 | 16 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $1,104.48 | $1,534.00 | $65.29 – $1,534.00 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $432.00 | $600.00 | $32.65 – $600.00 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $861.84 | $1,197.00 | $65.29 – $1,197.00 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $735.84 | $1,022.00 | $65.29 – $783.00 | 14 |
| Ghs cricothyroidotomy CPT 31605 | $1,892.88 | $2,629.00 | $253.81 – $2,629.00 | 14 |
| Ghs cutdown placement under 1 yr CPT 36420 | $468.00 | $650.00 | $65.11 – $650.00 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $46.80 | $65.00 | $8.09 – $65.00 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | $569.52 | $791.00 | $132.17 – $791.00 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,025.36 | $2,813.00 | $625.35 – $2,813.00 | 14 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,622.88 | $2,254.00 | $662.13 – $2,254.00 | 14 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $600.48 | $834.00 | $231.39 – $834.00 | 14 |
| Ghs excision ingrown nail CPT 11765 | $863.28 | $1,199.00 | $57.57 – $1,199.00 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $645.84 | $897.00 | $250.40 – $897.00 | 14 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,499.92 | $4,861.00 | $1,551.01 – $4,861.00 | 14 |
| Ghs fb removal from muscle - complicated CPT 20525 | $6,181.92 | $8,586.00 | $1,551.01 – $8,586.00 | 14 |
| Ghs fb removal - incisional CPT 10121 | $5,019.12 | $6,971.00 | $1,048.22 – $6,971.00 | 14 |
| Ghs fb removal - non-incisional CPT 20520 | $3,043.44 | $4,227.00 | $1,551.01 – $4,424.71 | 14 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $143.28 | $199.00 | $6.98 – $199.00 | 17 |
| Ghs fish cytogen CPT 88271 | $285.84 | $397.00 | $21.42 – $78.00 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $324.00 | $450.00 | $32.74 – $127.98 | 17 |
| Ghs flow volume loop CPT 94375 | $672.48 | $934.00 | $89.44 – $934.00 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $1,007.28 | $1,399.00 | $231.39 – $1,399.00 | 12 |
| Ghs hcv amplificaiton CPT 87521 | $739.44 | $1,027.00 | $30.13 – $212.00 | 17 |
| Ghs hgb stability-thal CPT 83068 | $138.24 | $192.00 | $3.80 – $192.00 | 17 |
| Ghs histoplasma antigen CPT 87385 | $191.52 | $266.00 | $7.41 – $266.00 | 17 |
| Ghs HIV antibody CPT 86703 | $121.68 | $169.00 | $8.09 – $169.00 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $10,443.60 | $14,505.00 | $2,050.87 – $14,505.00 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,242.16 | $4,503.00 | $1,246.52 – $4,503.00 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,402.64 | $3,337.00 | $758.85 – $3,337.00 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,321.20 | $1,835.00 | $143.09 – $1,897.12 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $840.96 | $1,168.00 | $267.74 – $1,246.52 | 14 |
| Ghs inf midline insertion CPT 36140 | $3,184.56 | $4,423.00 | $592.67 – $4,423.00 | 4 |
| Ghs inhibitor screen CPT 85335 | $211.68 | $294.00 | $3.11 – $294.00 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $429.12 | $596.00 | $157.97 – $596.00 | 14 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $6,054.48 | $8,409.00 | $947.82 – $8,409.00 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $649.44 | $902.00 | $213.37 – $902.00 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,414.16 | $3,353.00 | $662.13 – $3,353.00 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,682.08 | $5,114.00 | $662.13 – $5,114.00 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $861.84 | $1,197.00 | $213.37 – $1,197.00 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,702.80 | $2,365.00 | $330.88 – $2,365.00 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,890.00 | $2,625.00 | $330.88 – $2,625.00 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,951.36 | $5,488.00 | $330.88 – $5,527.62 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $272.16 | $378.00 | $65.11 – $378.00 | 4 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $601.92 | $836.00 | $74.69 – $836.00 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $99.36 | $138.00 | $40.15 – $138.00 | 14 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $973.44 | $1,352.00 | $255.32 – $1,352.00 | 4 |
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.