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 |
|---|---|---|---|---|
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $258.40 | $323.00 | $182.57 – $186.22 | 3 |
| Compatibility test each unit electronic CPT 86923 | $435.20 | $544.00 | $182.57 – $186.22 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $144.00 | $180.00 | $182.57 – $186.22 | 3 |
| Compatibility test incubate CPT 86921 | $144.00 | $180.00 | $182.57 – $186.22 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $747.24 – $3,541.00 | 4 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $747.24 – $3,541.00 | 4 |
| Complement antigen each component c3 CPT 86160 | $547.20 | $684.00 | $12.00 – $12.24 | 3 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $10.21 | 3 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $267.74 – $1,766.00 | 4 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $514.40 | $643.00 | $435.63 – $1,766.00 | 4 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $792.00 – $1,766.00 | 4 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $231.39 – $1,766.00 | 4 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $968.00 | $1,210.00 | $792.00 – $1,766.00 | 4 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $968.00 | $1,210.00 | $792.00 – $1,766.00 | 4 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $360.00 | $450.00 | $1,766.00 – $1,766.00 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $564.00 | $705.00 | $435.63 – $1,766.00 | 4 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,172.80 | $1,466.00 | $435.63 – $1,766.00 | 4 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $364.80 | $456.00 | $1,766.00 – $1,766.00 | 1 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $788.80 | $986.00 | $1,766.00 – $1,766.00 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $792.00 – $1,766.00 | 4 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Comprehensive hearing test CPT 92557 | $380.00 | $475.00 | $137.89 – $140.65 | 3 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $142.67 – $145.52 | 3 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $142.67 – $145.52 | 3 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $3,000.00 | $3,750.00 | $373.86 – $381.34 | 3 |
| Concentration infection agents any type CPT 87015 | $100.80 | $126.00 | $6.68 – $6.81 | 3 |
| Conditioning play audiometry 92582 CPT 92582 | $340.00 | $425.00 | $137.89 – $140.65 | 3 |
| Condylomata destruction 56420 CPT 56420 | $936.80 | $1,171.00 | $216.65 – $1,766.00 | 4 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $5.05 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Conization of cervix CPT 57520 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Construct bladder opening CPT 51980 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construct bowel bladder CPT 50820 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construct bowel bladder CPT 50825 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construction of absent anus CPT 46730 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construction of absent anus CPT 46735 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construction of absent anus CPT 46740 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Construction of vagina CPT 57291 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Construct vagina with graft CPT 57292 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $63.22 – $64.48 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $708.80 | $886.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $571.20 | $714.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $575.20 | $719.00 | $182.57 – $186.22 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $55.84 – $56.96 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $40.03 – $40.83 | 3 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $182.57 – $186.22 | 3 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $142.58 – $145.43 | 3 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Contour of face bone lesion CPT 21029 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Contrast baths charges CPT 97034 | not published | not published | $14.54 – $14.83 | 3 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,088.00 | $3,860.00 | $3,383.62 – $3,451.29 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $187.96 – $191.72 | 3 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $840.06 – $856.87 | 3 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of hip CPT 73525 | $1,993.60 | $2,492.00 | $373.86 – $381.34 | 3 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $373.86 – $381.34 | 3 |
| Contrast x-ray of wrist CPT 73115 | $1,993.60 | $2,492.00 | $373.86 – $381.34 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | $497.60 | $622.00 | $142.58 – $1,766.00 | 4 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $253.81 – $1,766.00 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | $371.20 | $464.00 | $142.58 – $1,766.00 | 4 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $250.40 | $313.00 | $142.58 – $1,766.00 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $577.95 – $1,766.00 | 4 |
| Control throat bleeding CPT 42961 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Control throat bleeding CPT 42962 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Convert nephrostomy catheter CPT 50434 | $1,634.40 | $2,043.00 | $2,240.09 – $3,541.00 | 4 |
| Conv gtube to jtube CPT 44373 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Coombs direct CPT 86880 | $235.20 | $294.00 | $63.22 – $64.48 | 3 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $190.40 | $238.00 | $182.57 – $186.22 | 3 |
| Coombs indirect titer reference CPT 86886 | $442.40 | $553.00 | $182.57 – $186.22 | 3 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,071.00 | 3 |
| Core ndl bx lng/med perq CPT 32408 | $2,840.00 | $3,550.00 | $1,769.88 – $5,947.00 | 4 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $63.22 – $64.48 | 3 |
| Corneal smear CPT 65430 | not published | not published | $478.72 – $1,766.00 | 4 |
| Corneal transplant CPT 65710 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Corneal transplant CPT 65730 | not published | not published | $4,429.45 – $9,024.00 | 4 |
| Corneal transplant CPT 65750 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Corneal transplant CPT 65755 | not published | not published | $4,429.45 – $9,024.00 | 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.