OSF Saint James John W Albrecht Medical Center
2500 West Reynolds Street, Pontiac, IL · Osfhealthcare · · NPI 1407808090
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $285.60 | $357.00 | $29.28 – $29.87 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $223.20 | $279.00 | $22.81 – $23.27 | 3 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $13.06 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $142.67 – $145.52 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $36.64 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | $427.20 | $534.00 | $142.58 – $145.43 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $840.06 – $856.87 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $840.06 – $856.87 | 3 |
| 2nd order venous cath CPT 36012 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $137.89 – $140.65 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $137.89 – $140.65 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $959.20 | $1,199.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $217.60 | $272.00 | $11.15 – $11.37 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $120.80 | $151.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.72 – $45.61 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $12.25 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $5,603.20 | $7,004.00 | $3,383.62 – $3,451.29 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,193.60 | $3,992.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,757.60 | $3,447.00 | $187.96 – $191.72 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,646.40 | $3,308.00 | $112.03 – $114.27 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,116.80 | $6,396.00 | $373.86 – $381.34 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $4,444.00 | $5,555.00 | $373.86 – $381.34 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $3,542.40 | $4,428.00 | $255.69 – $260.80 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,292.80 | $2,866.00 | $971.94 – $5,947.00 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $906.40 | $1,133.00 | $112.03 – $114.27 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,684.80 | $2,106.00 | $112.03 – $114.27 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,115.73 – $9,024.00 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,688.80 | $3,361.00 | $971.94 – $5,947.00 | 4 |
| Abl1 gene CPT 81170 | $1,568.00 | $1,960.00 | $300.00 – $306.00 | 3 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $9,024.00 – $19,165.36 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $8,358.26 – $8,908.00 | 4 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $8,908.00 – $11,618.95 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $137.89 – $1,766.00 | 4 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $971.94 – $5,947.00 | 4 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $1,424.00 | $1,780.00 | $264.33 – $1,766.00 | 4 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $8,908.00 – $11,618.95 | 4 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $472.77 – $1,766.00 | 4 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $264.33 – $1,766.00 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,494.40 | $1,868.00 | $328.94 – $1,766.00 | 4 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,769.88 – $1,805.28 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,314.00 – $10,347.33 | 4 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.90 – $9.08 | 3 |
| Abortion CPT 59850 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $326.55 – $1,766.00 | 4 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $1,766.00 | 4 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Acetaminophen level CPT 80143 | $362.40 | $453.00 | $18.64 – $19.01 | 3 |
| Acetone qualitative CPT 82009 | $197.60 | $247.00 | $4.52 – $4.61 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $210.40 | $263.00 | $12.05 – $12.29 | 3 |
| Acetylcholinesterase assay CPT 82013 | $374.40 | $468.00 | $12.29 – $12.54 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $399.88 – $1,766.00 | 4 |
| Acne surgery 10040 CPT 10040 | not published | not published | $215.00 – $1,766.00 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $181.55 – $185.18 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $136.48 – $139.21 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $735.20 | $919.00 | $142.67 – $145.52 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $123.20 | $154.00 | $12.87 – $13.13 | 3 |
| Acoustic immitance testing CPT 92570 | $419.20 | $524.00 | $137.89 – $140.65 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $40.03 – $40.83 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $88.70 | 3 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $79.83 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $63.22 – $64.48 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $40.83 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.99 – $31.61 | 3 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.99 – $31.61 | 3 |
| Acute hepatitis panel CPT 80074 | $521.60 | $652.00 | $47.63 – $48.58 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| #acylcarnitineprfl CPT 82017 | $351.20 | $439.00 | $16.87 – $17.21 | 3 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $16.82 | 3 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $1,766.00 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.22 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $65.60 | $82.00 | $12.87 – $13.13 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.20 | 3 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Adh-sendout CPT 84588 | $436.00 | $545.00 | $33.94 – $34.62 | 3 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $971.94 – $5,947.00 | 4 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,432.00 – $7,931.41 | 4 |
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.