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 |
|---|---|---|---|---|
| Prq cardiac angio addl art CPT 92921 | $9,162.00 | $12,725.00 | $6,362.50 – $12,725.00 | 5 |
| Prq card revasc chronic addl CPT 92944 | $12,651.12 | $17,571.00 | $7,107.54 – $17,571.00 | 5 |
| Prq card revasc mi 1 vsl CPT 92941 | $24,515.28 | $34,049.00 | $7,107.54 – $34,049.00 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $24,515.28 | $34,049.00 | $7,107.54 – $34,049.00 | 5 |
| Prq card stent/ath/angio CPT 92934 | $11,000.88 | $15,279.00 | $7,107.54 – $15,279.00 | 5 |
| Prq card stent w/angio addl CPT 92929 | $11,000.88 | $15,279.00 | $7,107.54 – $15,279.00 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $24,515.28 | $34,049.00 | $7,107.54 – $34,049.00 | 15 |
| Prq revasc byp graft addl CPT 92938 | $11,000.88 | $15,279.00 | $7,107.54 – $15,279.00 | 5 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | not published | 0 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $15,430.32 | $21,431.00 | $4,572.11 – $21,431.00 | 14 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $24,495.84 | $34,022.00 | $7,107.54 – $34,022.00 | 15 |
| Prq trlml c athrc st angiop1 CPT 92933 | $38,786.40 | $53,870.00 | $7,107.54 – $53,870.00 | 15 |
| Prq trluml c angiop 1art&/br CPT 92920 | $18,326.16 | $25,453.00 | $6,099.19 – $17,105.00 | 15 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $30,384.72 | $42,201.00 | $7,107.54 – $42,201.00 | 15 |
| Prq trluml revsc ch occ ant CPT 92943 | $24,515.28 | $34,049.00 | $7,107.54 – $34,022.00 | 15 |
| Pr removal drug delivery implant CPT 11982 | $861.84 | $1,197.00 | $143.09 – $1,197.00 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $409.68 | $569.00 | $142.58 – $436.00 | 12 |
| Pr removal intrauterine device CPT 58301 | $657.36 | $913.00 | $183.12 – $913.00 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $750.24 | $1,042.00 | $330.88 – $1,089.07 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $770.40 | $1,070.00 | $157.97 – $1,070.00 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $777.60 | $1,080.00 | $157.97 – $1,080.00 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $691.92 | $961.00 | $157.97 – $961.00 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $628.56 | $873.00 | $157.97 – $873.00 | 14 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | $0.01 – $0.01 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,355.20 | $4,660.00 | $863.48 – $4,217.23 | 14 |
| PSA (Prostate) Test CPT 84153 | $101.52 | $141.00 | $8.40 – $141.00 | 17 |
| Psychotherapy group therapy CPT 90853 | $200.16 | $278.00 | $108.87 – $278.00 | 14 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $347.04 | $482.00 | $112.10 – $482.00 | 14 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $347.04 | $482.00 | $133.94 – $482.00 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $347.04 | $482.00 | $133.94 – $482.00 | 14 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $672.48 | $934.00 | $231.39 – $934.00 | 14 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $146.16 | $203.00 | $203.00 – $531.39 | 4 |
| Psytx complex interactive CPT 90785 | $61.92 | $86.00 | $75.00 – $117.70 | 5 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $229.68 | $319.00 | $14.36 – $319.00 | 16 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $167.04 | $232.00 | $26.27 – $232.00 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $255.60 | $355.00 | $18.35 – $355.00 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $189.36 | $263.00 | $13.94 – $263.00 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $237.60 | $330.00 | $14.03 – $330.00 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $560.88 | $779.00 | $94.04 – $779.00 | 16 |
| Pt evaluation low complexity patient/family CPT 97161 | $347.76 | $483.00 | $94.04 – $483.00 | 16 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $489.60 | $680.00 | $94.04 – $680.00 | 16 |
| Pt re-evaluation patient/family CPT 97164 | $167.76 | $233.00 | $64.61 – $233.00 | 16 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $310.32 | $431.00 | $12.33 – $431.00 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $142.56 | $198.00 | $26.27 – $198.00 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $221.04 | $307.00 | $26.27 – $307.00 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $234.00 | $325.00 | $29.97 – $325.00 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $387.36 | $538.00 | $49.92 – $538.00 | 14 |
| Pulse ox multiple CPT 94761 | $216.72 | $301.00 | $301.00 – $301.00 | 1 |
| Pulse ox single CPT 94760 | $90.72 | $126.00 | $126.00 – $126.00 | 1 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $680.40 | $945.00 | $49.05 – $150.00 | 13 |
| Punc of shunt for asp or inj CPT 61070 | $2,296.08 | $3,189.00 | $345.75 – $3,189.00 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $241.92 | $336.00 | $65.11 – $356.44 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $961.20 | $1,335.00 | $143.09 – $1,335.00 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,301.04 | $1,807.00 | $662.13 – $1,891.09 | 14 |
| Pvb thoracic cont infusion CPT 64463 | $1,496.16 | $2,078.00 | $662.13 – $2,078.00 | 14 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $93.89 | $130.40 | $25.67 – $130.40 | 4 |
| Pyruvate CPT 84210 | $75.60 | $105.00 | $8.40 – $105.00 | 17 |
| Pyruvate kinase CPT 84220 | $169.20 | $235.00 | $3.80 – $235.00 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $999.36 | $1,388.00 | $267.62 – $1,388.00 | 16 |
| Quest t3 uptake CPT 84479 | $78.48 | $109.00 | $6.47 – $109.00 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $881.93 | $1,224.90 | $279.95 – $1,224.89 | 16 |
| Radiation physics consult CPT 77336 | $980.64 | $1,362.00 | $104.13 – $1,362.00 | 16 |
| Radiation therapy dose plan CPT 77300 | $862.56 | $1,198.00 | $53.86 – $1,198.00 | 16 |
| Radiation treatment aid(s) CPT 77332 | $1,249.92 | $1,736.00 | $25.79 – $1,736.00 | 16 |
| Radiation treatment aid(s) CPT 77333 | $1,391.76 | $1,933.00 | $104.13 – $1,933.00 | 16 |
| Radiation treatment aid(s) CPT 77334 | $2,038.32 | $2,831.00 | $107.53 – $2,831.00 | 16 |
| Radiation treatment delivery CPT 77402 | $672.48 | $934.00 | $109.34 – $934.00 | 16 |
| Radiation treatment delivery CPT 77412 | $1,064.16 | $1,478.00 | $155.85 – $1,478.00 | 16 |
| Radiation tx management x5 CPT 77427 | $746.64 | $1,037.00 | $321.10 – $1,037.00 | 6 |
| Radiology port images(s) CPT 77417 | $491.04 | $682.00 | $18.07 – $682.00 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | $7,763.04 | $10,782.00 | $922.49 – $10,782.00 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,797.28 | $5,274.00 | $448.93 – $5,274.00 | 16 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,169.44 | $4,402.00 | $581.86 – $4,402.00 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,169.44 | $4,402.00 | $466.49 – $4,402.00 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,128.24 | $1,567.00 | $260.53 – $1,567.00 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $194.50 | $270.14 | $75.58 – $3,842.26 | 16 |
| Rapid Strep Test CPT 87880 | $117.36 | $163.00 | $7.41 – $163.00 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $956.45 | $1,328.40 | $383.37 – $1,551.94 | 16 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $564.37 | $783.85 | $224.80 – $18,611.67 | 16 |
| Rbc count only automated CPT 85041 | $17.28 | $24.00 | $3.02 – $24.00 | 17 |
| Rbc irradiated each unit HCPCS P9038 | $696.96 | $968.00 | $108.55 – $968.00 | 14 |
| Rbc serum pretx incubj drugs CPT 86975 | $502.56 | $698.00 | $1.68 – $1,196.80 | 17 |
| Realignment of tendons CPT 26437 | $7,008.48 | $9,734.00 | $1,130.75 – $9,734.00 | 14 |
| Rebuild eardrum structures CPT 69632 | not published | not published | not published | 0 |
| Rebuild eardrum structures CPT 69633 | not published | not published | not published | 0 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $11,476.08 | $15,939.00 | $3,463.33 – $15,939.00 | 5 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $16,920.00 | $23,500.00 | $3,463.33 – $15,667.00 | 15 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $11,476.08 | $15,939.00 | $3,463.33 – $15,939.00 | 5 |
| Recon, cta for surg plan HCPCS G0288 | $2,142.00 | $2,975.00 | $58.24 – $2,975.00 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42200 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42215 | not published | not published | not published | 0 |
| Reconstruct elbow joint CPT 24360 | not published | not published | not published | 0 |
| Reconstruct extra finger CPT 26587 | $7,008.48 | $9,734.00 | $1,864.71 – $9,734.00 | 14 |
| Reconstruct head of radius CPT 24366 | not published | not published | not published | 0 |
| Reconstruction knee CPT 27427 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67973 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67975 | 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.