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 |
|---|---|---|---|---|
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | not published | 0 |
| Laryngoscopy with biopsy CPT 31576 | $4,485.60 | $6,230.00 | $1,631.30 – $6,230.00 | 14 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $4,667.04 | $6,482.00 | $419.13 – $6,482.00 | 14 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | not published | 0 |
| Laser surgery of prostate CPT 52648 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67039 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67040 | not published | not published | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $11,556.00 | $16,050.00 | $715.20 – $1,200.00 | 3 |
| Lead capillary CPT 83655 | $56.88 | $79.00 | $8.65 – $79.00 | 17 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $9,288.00 | $12,900.00 | $715.20 – $1,200.00 | 3 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,908.00 | $15,150.00 | $5,185.20 – $8,700.00 | 3 |
| Left compres band <3"/yd HCPCS A6448 | $15.84 | $22.00 | $13.11 – $22.00 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,608.48 | $2,234.00 | $145.96 – $2,234.00 | 15 |
| Leishmania antibody CPT 86717 | $81.36 | $113.00 | $8.09 – $113.00 | 17 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,376.00 | $3,300.00 | $89.40 – $150.00 | 3 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,376.00 | $3,300.00 | $327.80 – $550.00 | 3 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,376.00 | $3,300.00 | $178.80 – $300.00 | 3 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,944.00 | $2,700.00 | $536.40 – $900.00 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $47.52 | $66.00 | $6.34 – $24.51 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $5,563.30 | $7,726.80 | $170.78 – $1,626.08 | 16 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $4,668.48 | $6,484.00 | $838.21 – $6,484.00 | 16 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,924.56 | $2,673.00 | $123.41 – $2,673.00 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.91 | $1.26 | $0.07 – $0.60 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $6,868.08 | $9,539.00 | $8.53 – $9,539.00 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $43.20 | $60.00 | $3.56 – $20.00 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $45.61 | $63.35 | $9.87 – $63.35 | 4 |
| Liberta rc ipg HCPCS C1820 | $34,020.00 | $47,250.00 | $715.20 – $1,200.00 | 3 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $7.20 | $10.00 | $0.02 – $0.06 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.02 | $0.03 | $0.02 – $0.03 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $0.01 | $0.01 | $0.01 – $8.53 | 17 |
| Ligate leg veins open CPT 37761 | $6,798.24 | $9,442.00 | $2,357.42 – $9,442.00 | 14 |
| Ligate/strip long leg vein CPT 37722 | $6,798.24 | $9,442.00 | $2,357.42 – $9,442.00 | 14 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,944.72 | $2,701.00 | $1,815.41 – $2,701.00 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $9,705.60 | $13,480.00 | $265.00 – $13,480.00 | 16 |
| Lig/band angioaccess av fistula CPT 37607 | $7,229.52 | $10,041.00 | $1,815.41 – $10,041.00 | 14 |
| Limb exercise test CPT 95875 | $671.04 | $932.00 | $114.90 – $932.00 | 14 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $102.96 | $143.00 | $4.52 – $30.80 | 4 |
| Lipase CPT 83690 | $92.88 | $129.00 | $3.80 – $129.00 | 17 |
| Lipoprotein blood quant CPT 83704 | $110.16 | $153.00 | $19.79 – $153.00 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $93.60 | $130.00 | $3.80 – $130.00 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $53.28 | $74.00 | $3.80 – $74.00 | 17 |
| Lithium therapeutic drug level CPT 80178 | $82.80 | $115.00 | $6.61 – $115.00 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,818.08 | $16,414.00 | $7,107.54 – $16,414.00 | 5 |
| Liver Function Test CPT 80076 | $149.76 | $208.00 | $6.35 – $154.00 | 17 |
| Liver/spleen imag static only CPT 78215 | $1,895.76 | $2,633.00 | $275.63 – $2,633.00 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $168.30 | $233.75 | $2.33 – $60.00 | 4 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $184.32 | $256.00 | $127.83 – $319.58 | 13 |
| Low back disk surgery CPT 63030 | not published | not published | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | $2,502.72 | $3,476.00 | $265.00 – $3,417.00 | 6 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,207.60 | $4,455.00 | $187.96 – $4,455.00 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,967.84 | $4,122.00 | $261.29 – $4,122.00 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,428.56 | $3,373.00 | $92.49 – $3,373.00 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,527.44 | $7,677.00 | $352.85 – $7,677.00 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,068.80 | $7,040.00 | $352.85 – $7,040.00 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,510.08 | $6,264.00 | $104.57 – $6,264.00 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $666.00 | $925.00 | $39.87 – $925.00 | 16 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $4,217.76 | $5,858.00 | $93.55 – $5,858.00 | 16 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $219.60 | $305.00 | $49.92 – $305.00 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $378.72 | $526.00 | $49.92 – $578.47 | 14 |
| Lung perfusion imaging CPT 78580 | $1,799.28 | $2,499.00 | $326.50 – $2,499.00 | 16 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $534.60 | $742.50 | $210.78 – $3,086.08 | 16 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $106.61 | $148.07 | $42.77 – $6,125.05 | 16 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $2,434.32 | $3,381.00 | $481.59 – $3,381.00 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | $337.68 | $469.00 | $28.69 – $469.00 | 17 |
| Lymphocytotoxicity assay CPT 86805 | $239.04 | $332.00 | $113.90 – $473.78 | 17 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $120.96 | $168.00 | $4.27 – $168.00 | 17 |
| Macroscopic exam parasite CPT 87169 | $105.84 | $147.00 | $4.31 – $147.00 | 17 |
| Magnesium CPT 83735 | $108.00 | $150.00 | $3.80 – $150.00 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $21.98 | $30.53 | $0.68 – $0.75 | 4 |
| Malaria antibody CPT 86750 | $104.40 | $145.00 | $8.09 – $145.00 | 17 |
| Male sling procedure CPT 53440 | not published | not published | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $278.64 | $387.00 | $49.92 – $387.00 | 14 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $278.64 | $387.00 | $49.92 – $387.00 | 14 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $43.20 | $60.00 | $3.70 – $40.15 | 3 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $680.40 | $945.00 | $287.18 – $945.00 | 4 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | not published | 0 |
| Map tachycard site(s) CPT 93609 | $4,676.40 | $6,495.00 | $6,495.00 – $15,905.49 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $357.12 | $496.00 | $295.62 – $496.00 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | not published | 0 |
| Mast mod rad CPT 19307 | not published | not published | not published | 0 |
| Mastopexy CPT 19316 | not published | not published | not published | 0 |
| Mast simple complete CPT 19303 | not published | not published | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $162.00 | $225.00 | $133.36 – $333.39 | 14 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $9,288.00 | $12,900.00 | $47.93 – $3,300.00 | 14 |
| M.avium-intra dna amp prob CPT 87561 | $272.16 | $378.00 | $30.13 – $378.00 | 17 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $184.32 | $256.00 | $8.40 – $256.00 | 17 |
| Mayo aathr protein s free CPT 85306 | $59.76 | $83.00 | $3.11 – $83.00 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $64.80 | $90.00 | $4.17 – $90.00 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $326.16 | $453.00 | $8.53 – $453.00 | 17 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $166.32 | $231.00 | $0.02 – $231.00 | 6 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $128.88 | $179.00 | $0.02 – $179.00 | 6 |
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.