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 |
|---|---|---|---|---|
| Optx medial ankle fx CPT 27766 | not published | not published | not published | 0 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | not published | 0 |
| Optx post ankle fx CPT 27769 | not published | not published | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | not published | 0 |
| Optx radial shaft fracture CPT 25515 | not published | not published | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | not published | 0 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | not published | 0 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | not published | 0 |
| Oral aprepitant HCPCS J8501 | $19.79 | $27.49 | $4.57 – $20.62 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $298.80 | $415.00 | $8.65 – $415.00 | 17 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $75.22 | $104.47 | $28.47 – $1,092.91 | 16 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,199.68 | $4,444.00 | $1,212.35 – $4,444.00 | 14 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $67.39 | $93.60 | $10.54 – $72.00 | 4 |
| Orthopantogram CPT 70355 | $490.32 | $681.00 | $14.15 – $681.00 | 16 |
| Oscillation chest wall mechanical per session CPT 94669 | $439.20 | $610.00 | $49.92 – $610.00 | 14 |
| Osmolality blood CPT 83930 | $93.60 | $130.00 | $3.80 – $130.00 | 17 |
| Osmolality urine CPT 83935 | $122.40 | $170.00 | $3.80 – $170.00 | 17 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | not published | 0 |
| Osteoplasty humerus CPT 24420 | not published | not published | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $514.80 | $715.00 | $96.48 – $715.00 | 16 |
| Ot evaluation low complexity patient/family CPT 97165 | $387.36 | $538.00 | $96.48 – $538.00 | 16 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $423.36 | $588.00 | $96.48 – $560.00 | 16 |
| Oth resp proc, group HCPCS G0239 | $108.00 | $150.00 | $29.63 – $150.00 | 14 |
| Oth resp proc, indiv HCPCS G0238 | $75.60 | $105.00 | $29.63 – $105.00 | 14 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $192.96 | $268.00 | $31.25 – $268.00 | 16 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $192.96 | $268.00 | $31.25 – $268.00 | 16 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $167.04 | $232.00 | $26.78 – $232.00 | 16 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $137.52 | $191.00 | $191.00 – $191.00 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $155.52 | $216.00 | $65.52 – $216.00 | 16 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $154.08 | $214.00 | $31.25 – $214.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $166.32 | $231.00 | $20.61 – $231.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $187.20 | $260.00 | $22.10 – $260.00 | 16 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $175.68 | $244.00 | $28.06 – $244.00 | 16 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $185.76 | $258.00 | $31.25 – $258.00 | 16 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $148.32 | $206.00 | $26.27 – $206.00 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $43.20 | $60.00 | $0.94 – $17.53 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $4.75 | $6.60 | $0.08 – $0.66 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $43.20 | $60.00 | $3.43 – $20.00 | 4 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $23,220.00 | $32,250.00 | $7,684.50 – $23,500.00 | 13 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.58 | $2.20 | $0.17 – $1.32 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $42.48 | $59.00 | $8.18 – $1,092.91 | 16 |
| Pad repl cerv collr univ adult HCPCS L0999 | $573.84 | $797.00 | $475.01 – $797.00 | 3 |
| Palonosetron hcl HCPCS J2469 | $151.20 | $210.00 | $0.58 – $60.00 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $134.73 | $187.12 | $18.63 – $162.00 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $43.20 | $60.00 | $4.63 – $60.00 | 4 |
| Papaverin hcl injection HCPCS J2440 | $178.92 | $248.50 | $75.80 – $225.00 | 4 |
| Parathormone (pth) intact CPT 83970 | $254.16 | $353.00 | $24.59 – $353.00 | 17 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,506.32 | $3,481.00 | $318.49 – $3,481.00 | 16 |
| Parathyroid planar imaging CPT 78070 | $1,516.32 | $2,106.00 | $419.89 – $2,106.00 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,257.92 | $3,136.00 | $318.49 – $3,136.00 | 16 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | not published | 0 |
| Paricalcitol HCPCS J2501 | $43.20 | $60.00 | $1.60 – $60.00 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $691.92 | $961.00 | $143.09 – $961.00 | 15 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $5,348.88 | $7,429.00 | $2,111.37 – $8,672.41 | 14 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Partial removal finger bone CPT 26236 | $5,626.80 | $7,815.00 | $1,130.75 – $7,815.00 | 14 |
| Partial removal foot fascia CPT 28060 | not published | not published | not published | 0 |
| Partial removal of eye fluid CPT 67005 | not published | not published | not published | 0 |
| Partial removal of eye fluid CPT 67010 | not published | not published | not published | 0 |
| Partial removal of fibula CPT 27641 | not published | not published | not published | 0 |
| Partial removal of foot bone CPT 28288 | not published | not published | not published | 0 |
| Partial removal of radius CPT 25151 | not published | not published | not published | 0 |
| Partial removal of thyroid CPT 60220 | not published | not published | not published | 0 |
| Partial removal of tibia CPT 27640 | not published | not published | not published | 0 |
| Partial removal of toe CPT 28160 | not published | not published | not published | 0 |
| Partial removal of ulna CPT 25150 | not published | not published | not published | 0 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | not published | 0 |
| Partial thyroid excision CPT 60210 | not published | not published | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,968.00 | $6,900.00 | $6.10 – $900.00 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28113 | not published | not published | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $174.96 | $243.00 | $144.83 – $417.26 | 13 |
| Path clin consltj sf 5-20 CPT 80503 | $122.40 | $170.00 | $34.95 – $170.00 | 17 |
| Pca3/klk3 antigen CPT 81313 | $743.76 | $1,033.00 | $115.77 – $1,033.00 | 17 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $3,951.36 | $5,488.00 | $1,682.90 – $5,527.62 | 14 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $1,386.29 | $1,925.40 | $122.84 – $1,925.40 | 16 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $901.80 | $1,252.50 | $161.99 – $1,551.94 | 16 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $450.90 | $626.25 | $98.87 – $1,092.91 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,218.40 | $4,470.00 | $187.96 – $4,470.00 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,800.80 | $3,890.00 | $187.96 – $3,890.00 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,508.48 | $3,484.00 | $92.49 – $3,484.00 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,349.60 | $7,430.00 | $352.85 – $7,430.00 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $3,837.60 | $5,330.00 | $352.85 – $5,330.00 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $3,493.44 | $4,852.00 | $209.13 – $4,852.00 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,104.48 | $1,534.00 | $72.45 – $280.08 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $712.80 | $990.00 | $37.63 – $990.00 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $152.87 | $212.32 | $59.73 – $6,125.05 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $209.59 | $291.10 | $3.59 – $1,092.91 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $153.42 | $213.08 | $31.97 – $166.07 | 16 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $6.84 | $9.50 | $1.29 – $3.20 | 4 |
| Penile injection CPT 54235 | $792.72 | $1,101.00 | $74.69 – $1,101.00 | 14 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $17,820.00 | $24,750.00 | $178.80 – $300.00 | 3 |
| Penile vascular study CPT 93980 | $1,918.08 | $2,664.00 | $112.03 – $2,664.00 | 15 |
| Penis plastic surgery CPT 54360 | 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.