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 |
|---|---|---|---|---|
| Chemo extend IV infus w/pump HCPCS G0498 | $628.80 | $786.00 | $353.96 – $361.04 | 3 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $50.18 – $51.18 | 3 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $353.96 – $361.04 | 3 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $353.96 – $361.04 | 3 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $227.94 – $232.50 | 3 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $77.16 – $78.70 | 3 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $16.31 | 3 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $353.96 – $361.04 | 3 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $353.96 – $361.04 | 3 |
| Chest 2 vws w oblique CPT 71048 | $657.60 | $822.00 | $112.03 – $114.27 | 3 |
| Chest apical lordotic proj CPT 71047 | $443.20 | $554.00 | $93.26 – $95.12 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,057.60 | $3,822.00 | $187.96 – $191.72 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $2,840.80 | $3,551.00 | $187.96 – $191.72 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $2,288.80 | $2,861.00 | $112.03 – $114.27 | 3 |
| Chest X-ray CPT 71046 | $372.80 | $466.00 | $93.26 – $95.12 | 3 |
| Chest X-ray (single view) CPT 71045 | $315.20 | $394.00 | $93.26 – $95.12 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $193.60 | $242.00 | $63.22 – $64.48 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $1,034.40 | $1,293.00 | $187.96 – $191.72 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $211.61 | 3 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $266.01 | 3 |
| Chlamydia culture CPT 87110 | $290.40 | $363.00 | $19.60 – $19.99 | 3 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $12.22 | 3 |
| Chlamydia type CPT 87140 | $104.00 | $130.00 | $5.57 – $5.68 | 3 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $20.45 | 3 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $43.70 | 3 |
| Chlnggrphy intraop addl s&i CPT 74301 | $720.80 | $901.00 | not published | 0 |
| Chloride CPT 82435 | $106.40 | $133.00 | $4.60 – $4.69 | 3 |
| Chloride 24 hour urine CPT 82436 | $300.80 | $376.00 | $5.75 – $5.86 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $353.96 – $361.04 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $3,120.80 | $3,901.00 | $3,836.82 – $7,432.00 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,068.00 | $1,335.00 | not published | 0 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,120.00 | $3,900.00 | $3,836.82 – $7,432.00 | 4 |
| Cholesterol CPT 82465 | $127.20 | $159.00 | $4.35 – $4.44 | 3 |
| Cholesterol body fluid CPT 84999 | $299.20 | $374.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $317.60 | $397.00 | $13.39 – $13.66 | 3 |
| Cholinesterase CPT 82480 | $339.20 | $424.00 | $7.87 – $8.03 | 3 |
| Cholinesterase challenge CPT 95857 | $519.20 | $649.00 | $231.39 – $236.02 | 3 |
| Chorion biopsy CPT 59015 | not published | not published | $987.01 – $3,541.00 | 4 |
| Chrom analysis CPT 88273 | $193.60 | $242.00 | $34.81 – $35.51 | 3 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $39.78 | 3 |
| Chromatography CPT 83021 | $931.20 | $1,164.00 | $18.06 – $18.42 | 3 |
| Chromogenic substrate assay CPT 85130 | $1,152.00 | $1,440.00 | $11.89 – $12.13 | 3 |
| Chromo high res and frag x - sendout CPT 81243 | $1,468.80 | $1,836.00 | $57.04 – $58.18 | 3 |
| Chromosome analys amniotic CPT 88269 | $404.00 | $505.00 | $173.66 – $177.13 | 3 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $176.63 | 3 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,185.60 | $1,482.00 | $125.49 – $128.00 | 3 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $176.63 | 3 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $153.30 | 3 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $269.63 | 3 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $176.63 | 3 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $192.34 | 3 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $69.97 | 3 |
| Chromosome count additional CPT 88285 | $429.60 | $537.00 | $26.91 – $27.45 | 3 |
| Chromosome karyotype study CPT 88280 | $585.60 | $732.00 | $33.47 – $34.14 | 3 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $35.12 | 3 |
| Chronic urticaria - sendout CPT 86343 | $659.20 | $824.00 | $12.46 – $12.71 | 3 |
| Chylomicron screen, bf - sendout CPT 82664 | $251.20 | $314.00 | $61.50 – $62.73 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $520,800.00 – $600,264.70 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $112.03 – $114.27 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,240.09 – $6,314.00 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $747.24 – $6,314.00 | 4 |
| Circumcision (newborn) CPT 54150 | $1,720.80 | $2,151.00 | $2,240.09 – $6,314.00 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $336.10 | 3 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Clamp neck artery CPT 61703 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $577.95 – $1,766.00 | 4 |
| Clearance of airways CPT 31720 | $85.60 | $107.00 | $234.66 – $1,766.00 | 4 |
| Clearance of airways CPT 31725 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Clearance of tear duct CPT 68530 | not published | not published | $340.14 – $1,766.00 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $142.58 – $145.43 | 3 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $142.58 – $145.43 | 3 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $142.58 – $145.43 | 3 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.03 – $40.83 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Cllr miami j sm HCPCS L0174 | $410.40 | $513.00 | not published | 0 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Close chest after drainage CPT 32810 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $264.33 – $1,766.00 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,520.00 | $3,150.00 | $1,723.15 – $1,766.00 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $264.33 – $1,766.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,856.80 | $4,821.00 | $1,723.15 – $6,314.00 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $264.33 – $1,766.00 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,344.00 | $1,680.00 | $1,723.15 – $1,766.00 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $322.40 | $403.00 | $264.33 – $1,766.00 | 4 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $577.95 – $1,766.00 | 4 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,344.00 | $1,680.00 | $1,723.15 – $5,947.00 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $264.33 – $1,766.00 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $264.33 – $1,766.00 | 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.