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 |
|---|---|---|---|---|
| Cryofibrinogen qualitative - sendout CPT 82585 | $48.00 | $60.00 | $14.14 – $14.42 | 3 |
| Cryoprecipitate each unit HCPCS P9012 | $868.80 | $1,086.00 | not published | 0 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $182.57 – $186.22 | 3 |
| Cryopreservation sperm CPT 89259 | not published | not published | $182.57 – $186.22 | 3 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $472.77 – $1,766.00 | 4 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $55.84 – $56.96 | 3 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,195.85 – $7,432.00 | 4 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $215.00 – $1,766.00 | 4 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $63.22 – $1,766.00 | 4 |
| Cryptococcus abs qn - sendout CPT 86641 | $370.40 | $463.00 | $14.41 – $14.70 | 3 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $12.22 | 3 |
| Crystal identification light microscopy CPT 89060 | $134.40 | $168.00 | $7.33 – $7.48 | 3 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Csf shunt reprogram 62252 CPT 62252 | $477.60 | $597.00 | $329.13 – $1,766.00 | 4 |
| Csf ventriculography CPT 78635 | not published | not published | $581.86 – $593.49 | 3 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $139.74 | 3 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $280.33 | 3 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $188.90 | 3 |
| CT 3d report other modality w/workstation CPT 76377 | $959.20 | $1,199.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $4,778.40 | $5,973.00 | $187.96 – $191.72 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,054.40 | $3,818.00 | $187.96 – $191.72 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,168.80 | $2,711.00 | $187.96 – $191.72 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $3,244.80 | $4,056.00 | $187.96 – $191.72 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,778.40 | $5,973.00 | $373.86 – $381.34 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,311.20 | $4,139.00 | $187.96 – $191.72 | 3 |
| CT Angiogram of the Head CPT 70496 | $3,028.80 | $3,786.00 | $187.96 – $191.72 | 3 |
| CT angio hrt w/3d image CPT 75574 | $2,927.20 | $3,659.00 | $373.86 – $381.34 | 3 |
| CT angio pelvis CPT 72191 | $3,291.20 | $4,114.00 | $187.96 – $191.72 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,251.20 | $2,814.00 | $187.96 – $191.72 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $93.26 – $95.12 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $187.96 – $191.72 | 3 |
| CT colonography dx CPT 74261 | $2,205.60 | $2,757.00 | $112.03 – $114.27 | 3 |
| CT colonography dx w/dye CPT 74262 | $2,205.60 | $2,757.00 | $187.96 – $191.72 | 3 |
| CT colonography screening CPT 74263 | $944.80 | $1,181.00 | $255.69 – $260.80 | 3 |
| CT guidance for needle placement CPT 77012 | $2,831.20 | $3,539.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $3,172.80 | $3,966.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $264.33 – $1,766.00 | 4 |
| CT guid parench tis ablat CPT 77013 | $2,156.00 | $2,695.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $156.00 | $195.00 | $93.26 – $95.12 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $373.86 – $381.34 | 3 |
| CT hrt w/3d image CPT 75572 | $2,629.60 | $3,287.00 | $373.86 – $381.34 | 3 |
| CT limited or localized follow-up study CPT 76380 | $1,599.20 | $1,999.00 | $93.26 – $95.12 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $5,407.20 | $6,759.00 | $187.96 – $191.72 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $3,923.20 | $4,904.00 | $112.03 – $114.27 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,964.80 | $6,206.00 | $187.96 – $191.72 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $2,815.20 | $3,519.00 | $187.96 – $191.72 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $2,216.00 | $2,770.00 | $112.03 – $114.27 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,975.20 | $3,719.00 | $187.96 – $191.72 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,031.20 | $3,789.00 | $187.96 – $191.72 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,484.00 | $3,105.00 | $187.96 – $191.72 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,341.60 | $2,927.00 | $112.03 – $114.27 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $497.60 | $622.00 | $253.81 – $1,766.00 | 4 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,403.20 | $8,004.00 | $373.86 – $381.34 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,639.20 | $7,049.00 | $373.86 – $381.34 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,655.20 | $5,819.00 | $255.69 – $260.80 | 3 |
| CT thoracic spine w/contrast CPT 72129 | $2,805.60 | $3,507.00 | $187.96 – $191.72 | 3 |
| CT thoracic spine without contrast CPT 72128 | $2,691.20 | $3,364.00 | $112.03 – $114.27 | 3 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $235.20 | $294.00 | $112.03 – $114.27 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $3,176.00 | $3,970.00 | $187.96 – $191.72 | 3 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $4,276.80 | $5,346.00 | $373.86 – $381.34 | 3 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,533.60 | $4,417.00 | $112.03 – $114.27 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $5,044.80 | $6,306.00 | $187.96 – $191.72 | 3 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $182.57 – $186.22 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $186.22 | 3 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $84.00 | $105.00 | $8.08 – $8.24 | 3 |
| Culture afb any source CPT 87116 | $364.80 | $456.00 | $10.80 – $11.02 | 3 |
| Culture anaerobic additional method definitive id each CPT 87076 | $236.80 | $296.00 | $8.08 – $8.24 | 3 |
| Culture anaerobic except blood CPT 87075 | $274.40 | $343.00 | $9.47 – $9.66 | 3 |
| Culture bacteria anaerobic CPT 87073 | $506.40 | $633.00 | $9.66 – $9.85 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $139.20 | $174.00 | $9.44 – $9.63 | 3 |
| Culture body fluid CPT 87070 | $279.20 | $349.00 | $8.62 – $8.79 | 3 |
| Culture fungi definitive id mold CPT 87107 | $158.40 | $198.00 | $10.32 – $10.53 | 3 |
| Culture fungi definitive id yeast CPT 87106 | $130.40 | $163.00 | $10.32 – $10.53 | 3 |
| Culture fungi other (except blood) CPT 87102 | $364.80 | $456.00 | $8.41 – $8.58 | 3 |
| Culture fungi skin/hair/nail CPT 87101 | $187.20 | $234.00 | $7.71 – $7.86 | 3 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $357.60 | $447.00 | $14.61 – $14.90 | 3 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $15.70 | 3 |
| Culture of specimen by kit CPT 87084 | not published | not published | $27.07 – $27.61 | 3 |
| Culture quantitative aerobic other source CPT 87071 | $1,074.40 | $1,343.00 | $9.89 – $10.09 | 3 |
| Culture screening strep group a CPT 87081 | $154.40 | $193.00 | $6.63 – $6.76 | 3 |
| Culture type pulse field gel CPT 87152 | $460.00 | $575.00 | $7.74 – $7.89 | 3 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $7.89 | 3 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $12.77 | 3 |
| Culture typing immunologic CPT 87147 | $103.20 | $129.00 | $5.18 – $5.28 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $827.20 | $1,034.00 | $218.06 – $222.42 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $611.20 | $764.00 | $35.09 – $35.79 | 3 |
| Culture urine each isolate CPT 87088 | $123.20 | $154.00 | $8.09 – $8.25 | 3 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $19.95 | 3 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,068.27 – $5,947.00 | 4 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Cv line/pic reposition CPT 36597 | $2,113.60 | $2,642.00 | $1,686.89 – $3,541.00 | 4 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $14.61 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $196.80 | $246.00 | $12.95 – $13.21 | 3 |
| Cyclosporine 2 hour CPT 80158 | $486.40 | $608.00 | $18.05 – $18.41 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $2,353.60 | $2,942.00 | $291.36 – $297.19 | 3 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $178.31 | 3 |
| Cyp2d6 gene com variants CPT 81226 | $3,593.60 | $4,492.00 | $450.91 – $459.93 | 3 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $178.31 | 3 |
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.