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 |
|---|---|---|---|---|
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $264.33 – $1,766.00 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | $4,559.20 | $5,699.00 | $1,723.15 – $5,947.00 | 4 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,411.20 | $3,014.00 | $1,662.71 – $5,947.00 | 4 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,153.60 | $6,442.00 | $3,552.91 – $6,314.00 | 4 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Cltx post ankle fx CPT 27767 | not published | not published | $264.33 – $1,766.00 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,624.00 | $3,280.00 | $1,723.15 – $1,766.00 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,372.80 | $2,966.00 | $1,723.15 – $1,766.00 | 4 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $264.33 – $1,766.00 | 4 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $920.24 – $938.65 | 3 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $920.24 – $938.65 | 3 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $63.22 – $64.48 | 3 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $63.22 – $64.48 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $14.35 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $8.98 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $538.40 | $673.00 | $19.56 – $19.95 | 3 |
| Cmv pcr-sendout CPT 87496 | $514.40 | $643.00 | $35.09 – $35.79 | 3 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $139.74 | 3 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $171.49 – $174.92 | 3 |
| Co2 monitor per day CPT 94681 | $1,568.80 | $1,961.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.64 – $2.69 | 3 |
| Coagulation time activated teg CPT 85347 | $144.80 | $181.00 | $4.28 – $4.37 | 3 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $4.78 | 3 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $4.58 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $44,148.00 | $55,185.00 | not published | 0 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $137.89 – $140.65 | 3 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $137.89 – $140.65 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $8.23 | 3 |
| Cold agglutinin titer CPT 86157 | $248.80 | $311.00 | $8.06 – $8.22 | 3 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $73.05 – $79.92 | 3 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $410.40 | $513.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $113.60 | $142.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $113.60 | $142.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $142.58 – $1,766.00 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $142.58 – $1,766.00 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $34.40 | $43.00 | $9.34 – $9.53 | 3 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $231.39 – $1,766.00 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $996.56 – $5,947.00 | 4 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $996.56 – $5,947.00 | 4 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $996.56 – $5,947.00 | 4 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $996.56 – $5,947.00 | 4 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $5,947.00 – $6,635.80 | 4 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,974.45 – $5,947.00 | 4 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $5,947.00 – $6,635.80 | 4 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colostomy with biopsies CPT 44322 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $7,946.52 – $9,024.00 | 4 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,946.52 – $9,024.00 | 4 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $4,012.00 | $5,015.00 | $3,468.96 – $6,314.00 | 4 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $987.01 – $3,541.00 | 4 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $216.65 – $1,766.00 | 4 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $216.65 – $1,766.00 | 4 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $326.55 – $1,766.00 | 4 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $326.55 – $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.