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 |
|---|---|---|---|---|
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | not published | 0 |
| Svc venogram s&i CPT 75827 | $3,355.20 | $4,660.00 | $118.48 – $4,660.00 | 16 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $192.24 | $267.00 | $4.40 – $267.00 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $41,842.08 | $58,114.00 | $34,635.94 – $58,114.00 | 3 |
| System pacing micra av HCPCS C1786 | $29,520.00 | $41,000.00 | $3,397.20 – $5,700.00 | 3 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,852.00 | $17,850.00 | $5,542.80 – $9,300.00 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $72.00 | $100.00 | $9.27 – $100.00 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $198.72 | $276.00 | $9.27 – $276.00 | 17 |
| T4 (thyroxine) free CPT 84439 | $159.12 | $221.00 | $9.02 – $221.00 | 17 |
| T4 (thyroxine) total CPT 84436 | $68.40 | $95.00 | $6.87 – $95.00 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12.84 | $17.84 | $0.33 – $8.95 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $64.80 | $90.00 | $8.53 – $90.00 | 17 |
| Tap block bilat cont infusion 64489 CPT 64489 | $195.12 | $271.00 | $271.00 – $1,164.48 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | $195.12 | $271.00 | $271.00 – $363.04 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,023.28 | $4,199.00 | $460.90 – $4,199.00 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,340.96 | $7,418.00 | $1,637.52 – $7,418.00 | 17 |
| Target gsa panel organ neop CPT 81445 | $2,700.72 | $3,751.00 | $252.58 – $3,751.00 | 17 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $3,888.00 | $5,400.00 | $1,566.59 – $5,400.00 | 13 |
| Tavr perq femoral CPT 33361 | $39,347.28 | $54,649.00 | $12,504.79 – $54,649.00 | 5 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,648.87 | $2,290.10 | $0.25 – $1,499.15 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $238.32 | $331.00 | $28.69 – $331.00 | 17 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $18.72 | $26.00 | $16.50 – $26.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $250.56 | $348.00 | $28.69 – $348.00 | 17 |
| T cells absolute cd 4 count CPT 86361 | $186.48 | $259.00 | $26.78 – $259.00 | 17 |
| T cells total count CPT 86359 | $191.52 | $266.00 | $28.69 – $266.00 | 17 |
| Telavancin injection HCPCS J3095 | $22.07 | $30.65 | $7.37 – $163.14 | 16 |
| Telehealth original site facility fee HCPCS Q3014 | $73.44 | $102.00 | $8.00 – $79.63 | 15 |
| Telethx isodose plan cplx CPT 77307 | $2,193.12 | $3,046.00 | $161.64 – $3,046.00 | 16 |
| Telethx isodose plan simple CPT 77306 | $1,689.84 | $2,347.00 | $104.13 – $2,347.00 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $430.13 | $597.40 | $186.97 – $3,842.26 | 16 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $85.10 | $118.20 | $4.08 – $60.00 | 4 |
| Tert gene targeted seq alys CPT 81345 | $1,023.12 | $1,421.00 | $115.77 – $1,421.00 | 17 |
| Test for porphobilinogen CPT 84106 | $82.08 | $114.00 | $3.80 – $114.00 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | $1,711.44 | $2,377.00 | $284.02 – $2,377.00 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $1,388.88 | $1,929.00 | $71.83 – $1,929.00 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $1,682.64 | $2,337.00 | $163.14 – $2,337.00 | 16 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $57.71 | $80.15 | $17.82 – $1,551.94 | 16 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,255.04 | $3,132.00 | $597.91 – $3,132.00 | 17 |
| Theophylline therapeutic drug level CPT 80198 | $93.60 | $130.00 | $8.53 – $130.00 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | $75.60 | $105.00 | $29.63 – $105.00 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $106.56 | $148.00 | $30.01 – $148.00 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $61.20 | $85.00 | $25.93 – $143.90 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $483.84 | $672.00 | $102.57 – $672.00 | 16 |
| Ther radiology tx plng cplx CPT 77263 | $851.76 | $1,183.00 | $104.13 – $1,183.00 | 6 |
| Ther radiology tx plng smpl CPT 77261 | $347.04 | $482.00 | $104.13 – $482.00 | 6 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $43.20 | $60.00 | $2.99 – $60.00 | 4 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,592.80 | $4,990.00 | $672.23 – $4,990.00 | 14 |
| Thoracotomy with cardiac massage CPT 32160 | $2,140.56 | $2,973.00 | $2,973.00 – $4,595.64 | 4 |
| Thorax spine fusion CPT 22610 | not published | not published | not published | 0 |
| Thorax stereo rad targetw/tx CPT 32701 | $1,697.76 | $2,358.00 | $2,358.00 – $2,358.00 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $16,476.48 | $22,884.00 | $7,107.54 – $22,884.00 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,315.60 | $17,105.00 | $3,193.26 – $17,105.00 | 15 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $28,185.12 | $39,146.00 | $5,354.80 – $39,146.00 | 15 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $42,554.88 | $59,104.00 | $9,271.13 – $59,104.00 | 15 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $31,444.56 | $43,673.00 | $3,601.45 – $43,673.00 | 6 |
| Thrombin time CPT 85670 | $78.48 | $109.00 | $3.11 – $109.00 | 17 |
| Thromboendarterectomy common femoral CPT 35371 | $11,663.28 | $16,199.00 | $3,463.33 – $16,199.00 | 5 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $992.16 | $1,378.00 | $1,378.00 – $8,670.66 | 4 |
| Thromboendarterectomy sfa CPT 35302 | $18,397.44 | $25,552.00 | $3,463.33 – $25,552.00 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $54.00 | $75.00 | $3.11 – $16.18 | 17 |
| Thyroglobulin antibody CPT 86800 | $64.08 | $89.00 | $8.09 – $89.00 | 17 |
| Thyroid mets imag whole body CPT 78018 | $3,352.32 | $4,656.00 | $318.49 – $4,656.00 | 16 |
| Thyroid met uptake CPT 78020 | $748.08 | $1,039.00 | $90.93 – $1,039.00 | 6 |
| Thyroid (TSH) Test CPT 84443 | $159.12 | $221.00 | $9.27 – $221.00 | 17 |
| Thyroid Ultrasound CPT 76536 | $878.40 | $1,220.00 | $47.37 – $1,220.00 | 16 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $5,241.35 | $7,279.65 | $838.21 – $7,279.65 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.24 | $67.00 | $9.27 – $67.00 | 17 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | not published | 0 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $41,615.28 | $57,799.00 | $9,271.13 – $57,799.00 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | $28,926.72 | $40,176.00 | $9,271.13 – $40,176.00 | 5 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $31,739.04 | $44,082.00 | $9,271.13 – $44,082.00 | 5 |
| Tigecycline injection HCPCS J3243 | $12.17 | $16.90 | $0.92 – $9.90 | 4 |
| Tilt table study CPT 93660 | $2,758.32 | $3,831.00 | $143.65 – $3,831.00 | 14 |
| Tissue culture placenta CPT 88235 | $523.44 | $727.00 | $128.09 – $375.75 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $409.68 | $569.00 | $128.09 – $569.00 | 17 |
| Tissue culture tumor CPT 88239 | $498.24 | $692.00 | $128.09 – $692.00 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $76.32 | $106.00 | $4.27 – $106.00 | 17 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $7,560.00 | $10,500.00 | $133.36 – $10,500.00 | 14 |
| Tissue transglutaminase iga CPT 86364 | $95.76 | $133.00 | $8.09 – $132.00 | 17 |
| Tixagev and cilgav inj HCPCS M0220 | $325.44 | $452.00 | $40.15 – $452.00 | 4 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | not published | 0 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $565.20 | $785.00 | $467.86 – $2,859.86 | 13 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $43.20 | $60.00 | $3.42 – $30.80 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $141.84 | $197.00 | $8.53 – $197.00 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $17.21 | $23.90 | $5.61 – $838.21 | 16 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $95.76 | $133.00 | $10.43 – $47.12 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $105.12 | $146.00 | $19.22 – $72.20 | 16 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | not published | 0 |
| Total Hip Replacement CPT 27130 | not published | not published | not published | 0 |
| Total Knee Replacement CPT 27447 | not published | not published | not published | 0 |
| Total tau CPT 84394 | $511.20 | $710.00 | $128.92 – $710.00 | 13 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | not published | 0 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | 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.