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 |
|---|---|---|---|---|
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $43.20 | $60.00 | $0.63 – $30.00 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $103.64 | $143.94 | $11.63 – $1,092.91 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $213.84 | $297.00 | $9.27 – $297.00 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $213.84 | $297.00 | $9.27 – $297.00 | 17 |
| Goniotomy CPT 65820 | not published | not published | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,913.30 | $4,046.25 | $777.50 – $4,046.25 | 16 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $79.20 | $110.00 | $72.55 – $333.39 | 14 |
| Graft axiofill 1000mg HCPCS J3590 | $327.38 | $454.70 | $0.10 – $0.10 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $156.24 | $217.00 | $0.01 – $333.39 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $19,620.00 | $27,250.00 | $74.66 – $333.39 | 14 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $19,620.00 | $27,250.00 | $447.00 – $750.00 | 3 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $10,584.00 | $14,700.00 | $134.10 – $225.00 | 3 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $25.92 | $36.00 | $21.46 – $333.39 | 13 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $335.52 | $466.00 | $0.01 – $333.39 | 14 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $781.92 | $1,086.00 | $133.36 – $1,086.00 | 14 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $0.01 | $0.01 | $0.01 – $333.39 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $49,320.00 | $68,500.00 | $89.40 – $150.00 | 3 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $14,220.00 | $19,750.00 | $5.96 – $10.00 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,728.00 | $2,400.00 | $239.38 – $2,400.00 | 4 |
| Great toe with reduction 28495 CPT 28495 | $653.04 | $907.00 | $264.33 – $907.00 | 15 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | not published | 0 |
| Grfg autol soft tiss dir exc CPT 15769 | $8,149.68 | $11,319.00 | $1,682.90 – $11,319.00 | 14 |
| Growth hormone antibody CPT 86277 | $188.64 | $262.00 | $8.09 – $262.00 | 17 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | not published | 0 |
| Gstrst open wo constj tube CPT 43830 | $4,754.16 | $6,603.00 | $2,056.34 – $6,603.00 | 14 |
| G-tube reposition CPT 43761 | $2,080.08 | $2,889.00 | $267.74 – $2,889.00 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,425.12 | $6,146.00 | $105.31 – $6,146.00 | 16 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,231.28 | $3,099.00 | $758.85 – $3,099.00 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,832.00 | $8,100.00 | $5.96 – $10.00 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,944.00 | $2,700.00 | $11.92 – $20.00 | 3 |
| Guid loc target vol rad tx CPT 77387 | $858.24 | $1,192.00 | $104.13 – $1,192.00 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $6,696.00 | $9,300.00 | $5.96 – $10.00 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $95.04 | $132.00 | $6.50 – $121.25 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $43.20 | $60.00 | $1.20 – $60.00 | 4 |
| Hand X-ray CPT 73130 | $502.56 | $698.00 | $38.76 – $698.00 | 16 |
| Haptoglobin quantitative CPT 83010 | $131.04 | $182.00 | $8.40 – $70.00 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | $797.04 | $1,107.00 | $460.90 – $1,500.00 | 17 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $780.48 | $1,084.00 | $115.77 – $1,084.00 | 17 |
| Hbb full gene sequence CPT 81364 | $1,424.16 | $1,978.00 | $115.77 – $1,978.00 | 17 |
| Hbb gene com variants CPT 81361 | $392.40 | $545.00 | $115.77 – $545.00 | 17 |
| Hbb gene dup/del variants CPT 81363 | $732.24 | $1,017.00 | $115.77 – $1,017.00 | 17 |
| Hbot, full body chamber, 30m HCPCS G0277 | $826.56 | $1,148.00 | $147.46 – $1,148.00 | 14 |
| Hcg qualitative CPT 84703 | $151.92 | $211.00 | $3.80 – $211.00 | 17 |
| Hcg quantitative CPT 84702 | $93.60 | $130.00 | $9.27 – $130.00 | 17 |
| Hc nm kidney imaging with flow CPT 78701 | $2,115.36 | $2,938.00 | $311.99 – $2,938.00 | 16 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $5,255.28 | $7,299.00 | $1,156.39 – $7,299.00 | 15 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $3,082.32 | $4,281.00 | $4,281.00 – $13,130.03 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $3,216.24 | $4,467.00 | $187.96 – $4,467.00 | 16 |
| Head CT scan (with contrast) CPT 70460 | $2,561.04 | $3,557.00 | $167.35 – $3,557.00 | 16 |
| Head CT scan (without contrast) CPT 70450 | $2,257.92 | $3,136.00 | $112.03 – $3,136.00 | 16 |
| Heart image spect CPT 78494 | $2,529.36 | $3,513.00 | $272.29 – $3,513.00 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $151.20 | $210.00 | $8.09 – $210.00 | 17 |
| Hematocrit CPT 85014 | $30.24 | $42.00 | $2.37 – $5.93 | 17 |
| Hemoglobin CPT 85018 | $34.56 | $48.00 | $2.37 – $5.93 | 17 |
| Hemoglobin fetal qualitative CPT 83033 | $187.20 | $260.00 | $3.80 – $260.00 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $43.92 | $61.00 | $3.80 – $61.00 | 17 |
| Hemoglobin-oxygen affinity CPT 82820 | $1,223.28 | $1,699.00 | $4.17 – $1,699.00 | 17 |
| Hemoglobin plasma CPT 83051 | $183.60 | $255.00 | $3.80 – $255.00 | 17 |
| Hemolysins/agglutinins auto CPT 86940 | $103.68 | $144.00 | $3.11 – $144.00 | 17 |
| Hemolysins and agglutinins incubated CPT 86941 | $119.52 | $166.00 | $3.11 – $166.00 | 17 |
| Hemophilus influenza antibdy CPT 86684 | $102.24 | $142.00 | $8.09 – $142.00 | 17 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | not published | 0 |
| Heparin assay CPT 85520 | $123.84 | $172.00 | $3.11 – $172.00 | 17 |
| Heparin bolus from bag HCPCS J1644 | $43.20 | $60.00 | $0.30 – $1.50 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.22 | $0.30 | $0.03 – $0.10 | 3 |
| Hepatitis a antibody igm CPT 86709 | $106.56 | $148.00 | $8.09 – $148.00 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $98.64 | $137.00 | $8.09 – $137.00 | 17 |
| Hepatitis b core antibody total CPT 86704 | $99.36 | $138.00 | $8.09 – $138.00 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $742.61 | $1,031.40 | $137.83 – $838.21 | 16 |
| Hepatitis b surface antibody CPT 86706 | $133.20 | $185.00 | $8.09 – $185.00 | 17 |
| Hepatitis c antibody CPT 86803 | $170.64 | $237.00 | $8.09 – $237.00 | 17 |
| Hepatitis g dna amp probe CPT 87526 | $113.76 | $158.00 | $30.13 – $158.00 | 17 |
| Hepatobiliary system imaging CPT 78226 | $3,083.04 | $4,282.00 | $318.49 – $4,282.00 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $84.96 | $118.00 | $7.41 – $118.00 | 17 |
| Herpes simplex 2 ag if CPT 87273 | $80.64 | $112.00 | $7.41 – $112.00 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $86.40 | $120.00 | $8.09 – $66.00 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $86.40 | $120.00 | $8.09 – $97.00 | 17 |
| Herpes simplex virus isolation CPT 87255 | $313.92 | $436.00 | $30.13 – $436.00 | 17 |
| Heterophile antibodies screening CPT 86308 | $72.00 | $100.00 | $5.18 – $100.00 | 17 |
| Hhv-6 dna quant CPT 87533 | $538.56 | $748.00 | $30.13 – $748.00 | 17 |
| Hip adj flex ext abduct cont HCPCS L2624 | $787.68 | $1,094.00 | $602.42 – $1,506.04 | 13 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | not published | 0 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | not published | 0 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | not published | 0 |
| Hip X-ray CPT 73502 | $511.20 | $710.00 | $48.67 – $710.00 | 16 |
| Histamine CPT 83088 | $213.12 | $296.00 | $19.79 – $296.00 | 17 |
| Histochemical stains add-on CPT 88314 | $316.08 | $439.00 | $27.95 – $439.00 | 9 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $75.64 | $105.05 | $1.34 – $105.05 | 14 |
| Hla class i high defin qual CPT 86832 | $653.04 | $907.00 | $113.90 – $907.00 | 17 |
| Hla class ii high defin qual CPT 86833 | $779.04 | $1,082.00 | $113.90 – $1,082.00 | 17 |
| Hla class i&ii antibody qual CPT 86828 | $152.64 | $212.00 | $43.88 – $212.00 | 17 |
| Hla ii typing 1 loc hr CPT 81382 | $647.28 | $899.00 | $32.74 – $899.00 | 17 |
| Hla i typing complete lr CPT 81372 | $1,050.48 | $1,459.00 | $252.58 – $1,459.00 | 17 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $531.36 | $738.00 | $115.77 – $738.00 | 17 |
| Hla i typing low res one locus ea CPT 81373 | $416.16 | $578.00 | $32.74 – $578.00 | 17 |
| Hla typing a b or c CPT 86813 | $285.84 | $397.00 | $43.88 – $397.00 | 17 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $2.66 | $3.69 | $0.36 – $3.69 | 3 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $154.80 | $215.00 | $128.14 – $493.70 | 13 |
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.