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 |
|---|---|---|---|---|
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | not published | 0 |
| Audit/dast 15-30 min CPT 99408 | $87.84 | $122.00 | $19.98 – $122.00 | 4 |
| Audit/dast over 30 min CPT 99409 | $127.44 | $177.00 | $19.98 – $177.00 | 4 |
| Augmentation cheek bone CPT 21270 | not published | not published | not published | 0 |
| Augmentation of facial bones CPT 21208 | not published | not published | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,992.00 | $11,100.00 | $5,900.40 – $9,900.00 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $11,667.60 | $16,205.00 | $967.00 – $16,205.00 | 5 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $15,555.60 | $21,605.00 | $967.00 – $21,605.00 | 14 |
| Autologous blood op salvage CPT 86891 | $1,413.36 | $1,963.00 | $7.50 – $2,158.45 | 17 |
| Autologous blood process CPT 86890 | $455.04 | $632.00 | $5.30 – $632.00 | 17 |
| Autopsy (necropsy) complete CPT 88027 | $2,268.00 | $3,150.00 | $20.86 – $3,150.00 | 9 |
| Autopsy (necropsy) complete CPT 88029 | $2,268.00 | $3,150.00 | $11.74 – $3,150.00 | 9 |
| Av fistula revision CPT 36833 | $11,676.24 | $16,217.00 | $3,049.61 – $16,217.00 | 15 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | not published | 0 |
| Av fusion direct any site CPT 36821 | $7,831.44 | $10,877.00 | $3,049.61 – $10,877.00 | 14 |
| Avul nail plate addl CPT 11732 | $386.64 | $537.00 | $57.57 – $537.00 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $696.00 | $696.00 | $57.57 – $696.00 | 16 |
| Azacitidine injection HCPCS J9025 | $14.23 | $19.76 | $0.76 – $32.61 | 7 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.60 | $5.00 | $0.10 – $5.00 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $43.20 | $60.00 | $3.37 – $60.00 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $15.59 | $21.65 | $3.68 – $17.16 | 4 |
| Baclofen eval charges CPT 97750 | $170.64 | $237.00 | $31.25 – $237.00 | 16 |
| Bacterial meningitis antigen CPT 86403 | $90.72 | $126.00 | $8.09 – $126.00 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $439.20 | $610.00 | $30.13 – $314.00 | 17 |
| Bactericidal level serum CPT 87197 | $501.12 | $696.00 | $7.41 – $696.00 | 17 |
| #bac vag cand-c. albicans naa CPT 87481 | $163.44 | $227.00 | $30.13 – $227.00 | 17 |
| Balloon dilate urtrl strix CPT 50706 | $1,509.84 | $2,097.00 | $2,097.00 – $6,201.06 | 4 |
| Barrier film 1.0ml wipe HCPCS A5120 | $15.12 | $21.00 | $12.52 – $21.00 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $645.12 | $896.00 | $30.13 – $896.00 | 17 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,376.00 | $3,300.00 | $566.20 – $950.00 | 3 |
| B cells total count CPT 86355 | $194.40 | $270.00 | $28.69 – $270.00 | 17 |
| Below knee sus/seal sleeve HCPCS L5685 | $177.12 | $246.00 | $146.62 – $438.48 | 13 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $64.12 | $89.06 | $12.83 – $1,551.94 | 16 |
| Benign lesion paring 2-4 CPT 11056 | $691.92 | $961.00 | $143.09 – $961.00 | 15 |
| Benign lesion paring 4+ CPT 11057 | $601.92 | $836.00 | $143.09 – $836.00 | 15 |
| #_benzodiazconfur CPT 80346 | $159.84 | $222.00 | $0.02 – $222.00 | 6 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $135.00 | $187.50 | $22.80 – $187.50 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $67.68 | $94.00 | $8.09 – $94.00 | 17 |
| Beta-2 microglobulin CPT 82232 | $56.16 | $78.00 | $9.27 – $78.00 | 17 |
| Beta-amyloid 1-40 CPT 82233 | $468.00 | $650.00 | $128.92 – $650.00 | 13 |
| Beta-amyloid 1-42 CPT 82234 | $468.00 | $650.00 | $128.92 – $650.00 | 13 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $47.56 | $66.05 | $11.40 – $66.05 | 4 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $206.57 | $286.90 | $73.63 – $1,551.94 | 16 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $180.86 | $251.19 | $23.84 – $838.21 | 16 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $159.00 | $220.83 | $25.80 – $838.21 | 16 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,617.92 | $3,636.00 | $947.82 – $3,636.00 | 14 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,381.68 | $1,919.00 | $328.94 – $1,919.00 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,615.68 | $2,244.00 | $328.94 – $2,244.00 | 14 |
| Biliary endoscopy thru skin CPT 47555 | $7,622.64 | $10,587.00 | $3,692.51 – $17,343.67 | 14 |
| Biliary endoscopy thru skin CPT 47556 | $22,488.48 | $31,234.00 | $3,692.51 – $31,234.00 | 16 |
| Bilicheck CPT 88720 | $35.28 | $49.00 | $4.17 – $49.00 | 17 |
| Bilirubin direct CPT 82248 | $65.52 | $91.00 | $3.80 – $91.00 | 17 |
| Bilirubin total CPT 82247 | $82.80 | $115.00 | $3.80 – $115.00 | 17 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $48.24 | $67.00 | $39.93 – $106.16 | 13 |
| Biopsy abdominal mass CPT 49180 | $3,499.92 | $4,861.00 | $625.35 – $4,861.00 | 14 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | not published | 0 |
| Biopsy, bone open deep CPT 20245 | not published | not published | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,499.92 | $4,861.00 | $591.86 – $4,861.00 | 14 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $2,944.08 | $4,089.00 | $155.38 – $2,467.54 | 15 |
| Biopsy external ear 69100 CPT 69100 | $1,314.72 | $1,826.00 | $146.83 – $1,826.00 | 14 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $6,181.92 | $8,586.00 | $1,435.86 – $8,586.00 | 14 |
| Biopsy lower leg soft tissue CPT 27613 | $4,582.80 | $6,365.00 | $1,551.01 – $6,365.00 | 14 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,043.44 | $4,227.00 | $591.86 – $4,424.71 | 14 |
| Biopsy needle liver percutaneous CPT 47000 | $3,417.12 | $4,746.00 | $625.35 – $4,746.00 | 14 |
| Biopsy needle lymph node superficial CPT 38505 | $4,888.08 | $6,789.00 | $174.74 – $4,424.71 | 14 |
| Biopsy of heart lining CPT 93505 | $6,798.24 | $9,442.00 | $2,090.90 – $9,442.00 | 14 |
| Biopsy of lip 40490 CPT 40490 | $1,612.80 | $2,240.00 | $146.83 – $2,240.00 | 14 |
| Biopsy of nerve CPT 64795 | not published | not published | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | not published | 0 |
| Biopsy of prostate CPT 55700 | $4,425.12 | $6,146.00 | $1,475.51 – $6,146.00 | 4 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,988.64 | $2,762.00 | $758.85 – $2,762.00 | 14 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,499.92 | $4,861.00 | $967.00 – $4,861.00 | 14 |
| Biopsy roof of mouth CPT 42100 | $3,199.68 | $4,444.00 | $1,212.35 – $4,444.00 | 14 |
| Biopsy skin incisional single lesion CPT 11106 | $1,321.92 | $1,836.00 | $364.43 – $1,980.01 | 14 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $7,364.16 | $10,228.00 | $1,769.88 – $10,228.00 | 14 |
| Biopsy tongue anterior two-thirds CPT 41100 | $1,765.44 | $2,452.00 | $146.83 – $2,452.00 | 14 |
| Biospy of bladder CPT 53899 | $1,311.84 | $1,822.00 | $267.74 – $1,822.00 | 14 |
| Biotinidase - quest CPT 82261 | $92.88 | $129.00 | $8.40 – $129.00 | 17 |
| Bivalirudin HCPCS J0583 | $9.83 | $13.65 | $0.26 – $88.23 | 7 |
| Bk fork strap HCPCS L5684 | $108.00 | $150.00 | $77.14 – $192.86 | 13 |
| Bk waist belt webbing HCPCS L5688 | $137.52 | $191.00 | $98.42 – $246.06 | 13 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $746.64 | $1,037.00 | $74.69 – $1,037.00 | 14 |
| Bld prd mix CPT 86965 | $370.08 | $514.00 | $46.96 – $514.00 | 14 |
| Bld push tfuj 2 yr/< CPT 36440 | $2,030.40 | $2,820.00 | $349.99 – $2,820.00 | 14 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $252.11 | $350.15 | $37.98 – $220.10 | 4 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | not published | 0 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $58,144.28 | $80,755.95 | $163.68 – $80,755.95 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,560.00 | $10,500.00 | $5.96 – $10.00 | 3 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $6,696.00 | $9,300.00 | $17.88 – $30.00 | 3 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,080.00 | $1,500.00 | $894.00 – $1,500.00 | 3 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $11,556.00 | $16,050.00 | $2,324.40 – $3,900.00 | 3 |
| Bln press regulation 71-80cm HCPCS C1815 | $14,220.00 | $19,750.00 | $6,258.00 – $10,500.00 | 3 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $24,120.00 | $33,500.00 | $312.90 – $525.00 | 3 |
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.