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 |
|---|---|---|---|---|
| Wound pouch each HCPCS A6154 | $313.92 | $436.00 | $259.86 – $436.00 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $863.28 | $1,199.00 | $330.88 – $1,199.00 | 15 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $865.44 | $1,202.00 | $330.88 – $1,202.00 | 15 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $840.96 | $1,168.00 | $40.21 – $1,168.00 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $865.44 | $1,202.00 | $47.98 – $1,202.00 | 16 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | not published | 0 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | not published | 0 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | not published | 0 |
| Wrist X-ray CPT 73110 | $502.56 | $698.00 | $43.80 – $698.00 | 16 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | not published | 0 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,951.36 | $5,488.00 | $1,682.90 – $5,527.62 | 14 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | not published | 0 |
| Xm archive tissue molec anal CPT 88363 | $30.96 | $43.00 | $23.09 – $77.49 | 17 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $11,381.76 | $15,808.00 | $3,463.33 – $11,593.00 | 5 |
| X-ray abdomen 1 view CPT 74018 | $426.24 | $592.00 | $30.37 – $592.00 | 16 |
| X-ray abdomen 2 views CPT 74019 | $527.04 | $732.00 | $36.51 – $732.00 | 16 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $507.60 | $705.00 | $47.71 – $705.00 | 16 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $722.16 | $1,003.00 | $35.29 – $1,003.00 | 16 |
| X-ray ankle 2 views (both sides) CPT 73600 | $526.32 | $731.00 | $24.34 – $731.00 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,044.00 | $1,450.00 | $102.57 – $1,450.00 | 16 |
| X-ray bone age studies CPT 77072 | $497.52 | $691.00 | $23.09 – $691.00 | 16 |
| X-ray bone length studies CPT 77073 | $586.80 | $815.00 | $36.51 – $815.00 | 16 |
| X-ray bone survey complete CPT 77075 | $1,035.36 | $1,438.00 | $102.50 – $1,438.00 | 16 |
| X-ray bone survey infant CPT 77076 | $546.48 | $759.00 | $48.67 – $759.00 | 16 |
| X-ray cervical spine 2-3 views CPT 72040 | $667.44 | $927.00 | $39.87 – $927.00 | 16 |
| X-ray cervical spine 4-5 views CPT 72050 | $748.08 | $1,039.00 | $48.67 – $1,039.00 | 16 |
| X-ray cervical spine >= 6 views CPT 72052 | $995.76 | $1,383.00 | $48.67 – $1,383.00 | 16 |
| X-ray clavicle complete (both sides) CPT 73000 | $429.84 | $597.00 | $32.61 – $597.00 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $968.40 | $1,345.00 | $102.57 – $1,345.00 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,107.36 | $1,538.00 | $102.57 – $1,538.00 | 16 |
| X-ray elbow 2 views (both sides) CPT 73070 | $488.16 | $678.00 | $24.34 – $678.00 | 16 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $503.28 | $699.00 | $33.16 – $699.00 | 16 |
| Xray endovasc thor ao repr CPT 75956 | $1,537.92 | $2,136.00 | $175.21 – $2,136.00 | 5 |
| Xray endovasc thor ao repr CPT 75957 | $1,945.44 | $2,702.00 | $175.21 – $2,702.00 | 5 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $781.92 | $1,086.00 | $24.34 – $1,086.00 | 16 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $649.44 | $902.00 | $48.67 – $902.00 | 16 |
| X-ray exam of arm infant CPT 73092 | $230.40 | $320.00 | $32.61 – $320.00 | 16 |
| X-ray exam of eye sockets CPT 70200 | $485.28 | $674.00 | $47.13 – $674.00 | 16 |
| X-ray exam of femur 1 CPT 73551 | $190.08 | $264.00 | $31.49 – $264.00 | 16 |
| X-ray exam of sinuses CPT 70210 | $303.12 | $421.00 | $35.97 – $421.00 | 16 |
| X-ray exam of teeth CPT 70300 | $292.32 | $406.00 | $13.59 – $406.00 | 16 |
| X-ray exam si joints CPT 72200 | $312.48 | $434.00 | $34.86 – $434.00 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $690.48 | $959.00 | $45.47 – $959.00 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $203.76 | $283.00 | $33.16 – $283.00 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $663.84 | $922.00 | $47.71 – $922.00 | 16 |
| X-ray femur >=2 views (both sides) CPT 73552 | $463.68 | $644.00 | $38.21 – $644.00 | 16 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $443.52 | $616.00 | $24.34 – $616.00 | 16 |
| X-ray foot 2 views (both sides) CPT 73620 | $511.92 | $711.00 | $24.34 – $711.00 | 16 |
| X-ray forearm 2 views (both sides) CPT 73090 | $458.64 | $637.00 | $30.92 – $637.00 | 16 |
| X-ray hand 2 views (both sides) CPT 73120 | $468.72 | $651.00 | $24.34 – $651.00 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $347.76 | $483.00 | $24.34 – $483.00 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $628.56 | $873.00 | $48.67 – $873.00 | 16 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $571.68 | $794.00 | $42.68 – $794.00 | 16 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $638.64 | $887.00 | $48.67 – $887.00 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $832.32 | $1,156.00 | $48.67 – $1,156.00 | 16 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $269.28 | $374.00 | $33.73 – $374.00 | 16 |
| X-ray humerus >= 2 views left CPT 73060 | $509.04 | $707.00 | $24.34 – $707.00 | 16 |
| X-ray joint survey 1 view CPT 77077 | $263.52 | $366.00 | $35.40 – $366.00 | 16 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $457.92 | $636.00 | $37.63 – $636.00 | 16 |
| X-ray knee 3 views (both sides) CPT 73562 | $794.16 | $1,103.00 | $43.80 – $1,103.00 | 16 |
| X-ray knee ap standing bilateral CPT 73565 | $528.48 | $734.00 | $44.91 – $734.00 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $262.08 | $364.00 | $32.61 – $364.00 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $550.80 | $765.00 | $48.67 – $765.00 | 16 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $867.60 | $1,205.00 | $48.67 – $1,205.00 | 16 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $936.00 | $1,300.00 | $48.67 – $1,300.00 | 16 |
| X-ray mandible complete > 4 views CPT 70110 | $729.36 | $1,013.00 | $43.24 – $1,013.00 | 16 |
| X-ray mandible ltd <4 views CPT 70100 | $270.72 | $376.00 | $39.87 – $376.00 | 16 |
| X-ray nasal bones complete > 3 views CPT 70160 | $211.68 | $294.00 | $24.34 – $294.00 | 16 |
| X-ray neck soft tissue CPT 70360 | $423.36 | $588.00 | $34.29 – $588.00 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $394.56 | $548.00 | $28.71 – $548.00 | 16 |
| X-ray of mammary ducts CPT 77054 | $572.40 | $795.00 | $82.38 – $795.00 | 16 |
| X-ray pelvis 1-2 views CPT 72170 | $482.40 | $670.00 | $35.29 – $670.00 | 16 |
| X-ray pelvis complete > 3 views CPT 72190 | $766.08 | $1,064.00 | $45.47 – $1,064.00 | 16 |
| Xray place dist ext thor ao CPT 75959 | $1,674.00 | $2,325.00 | $175.21 – $2,325.00 | 5 |
| Xray place prox ext thor ao CPT 75958 | $1,521.36 | $2,113.00 | $175.21 – $2,113.00 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $945.36 | $1,313.00 | $72.33 – $1,313.00 | 16 |
| X-ray ribs 2 views left CPT 71100 | $510.48 | $709.00 | $36.51 – $709.00 | 16 |
| X-ray ribs 3 views bilateral CPT 71110 | $619.92 | $861.00 | $41.56 – $861.00 | 16 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $594.00 | $825.00 | $40.44 – $825.00 | 16 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $732.24 | $1,017.00 | $48.67 – $1,017.00 | 16 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $451.44 | $627.00 | $39.87 – $627.00 | 16 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $555.84 | $772.00 | $34.29 – $772.00 | 16 |
| X-ray scapula complete (both sides) CPT 73010 | $487.44 | $677.00 | $26.98 – $677.00 | 16 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $423.36 | $588.00 | $24.78 – $588.00 | 16 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $751.68 | $1,044.00 | $41.56 – $1,044.00 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,073.52 | $1,491.00 | $48.82 – $1,491.00 | 16 |
| X-ray skull < 4 views CPT 70250 | $580.32 | $806.00 | $39.87 – $806.00 | 16 |
| X-ray skull > 4 views complete CPT 70260 | $706.32 | $981.00 | $47.13 – $981.00 | 16 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $829.44 | $1,152.00 | $102.57 – $1,152.00 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $1,005.84 | $1,397.00 | $74.24 – $1,397.00 | 6 |
| X-ray spine single view CPT 72020 | $565.92 | $786.00 | $24.25 – $786.00 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $338.40 | $470.00 | $41.56 – $470.00 | 16 |
| X-ray sternum > 2 views CPT 71120 | $402.48 | $559.00 | $33.16 – $559.00 | 16 |
| X-ray surgical specimen CPT 76098 | $1,029.60 | $1,430.00 | $13.59 – $1,463.87 | 16 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $882.00 | $1,225.00 | $102.57 – $1,225.00 | 16 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $361.44 | $502.00 | $48.67 – $502.00 | 16 |
| X-ray thoracic spine 2 views CPT 72070 | $547.20 | $760.00 | $35.97 – $760.00 | 16 |
| X-ray thoracic spine 3 views CPT 72072 | $672.48 | $934.00 | $39.87 – $934.00 | 16 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $198.00 | $275.00 | $35.40 – $275.00 | 16 |
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.