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 |
|---|---|---|---|---|
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Admin ecg contrast agent CPT 93352 | $335.20 | $419.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $183.20 | $229.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $183.20 | $229.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $889.60 | $1,112.00 | $353.96 – $361.04 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $675.20 | $844.00 | $353.96 – $361.04 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $538.40 | $673.00 | $77.16 – $78.70 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $77.16 – $78.70 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $120.80 | $151.00 | $77.16 – $78.70 | 3 |
| Administration immunization each additional vaccine CPT 90472 | $60.80 | $76.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $77.16 – $78.70 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $66.40 | $83.00 | $50.18 – $51.18 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | $127.20 | $159.00 | $50.18 – $51.18 | 3 |
| Administration vaccine pneumococcal HCPCS G0009 | $132.00 | $165.00 | $50.18 – $51.18 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $41.91 – $43.04 | 3 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Aep hearing status deter i&r CPT 92651 | $261.60 | $327.00 | $231.39 – $236.02 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | $1,257.60 | $1,572.00 | $231.39 – $236.02 | 3 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,257.60 | $1,572.00 | $231.39 – $236.02 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $20.05 – $20.45 | 3 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $7.46 | 3 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $493.60 | $617.00 | $115.36 – $117.67 | 3 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $139.74 | 3 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $280.33 | 3 |
| Aflibercept injection HCPCS J0178 | not published | not published | $731.88 – $746.52 | 3 |
| Afo molded ankle gauntlet HCPCS L1904 | $225.60 | $282.00 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $4,564.00 | $5,705.00 | not published | 0 |
| After cataract laser surgery CPT 66821 | $1,516.80 | $1,896.00 | $589.39 – $3,541.00 | 4 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.58 – $232.13 | 3 |
| Air conduction bilat CPT 92552 | $206.40 | $258.00 | $142.58 – $145.43 | 3 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $659.20 | $824.00 | $137.89 – $140.65 | 3 |
| Albumin body fluid quantitative each specimen CPT 82042 | $260.80 | $326.00 | $7.78 – $7.94 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $34.62 | 3 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $82.40 | $103.00 | $5.78 – $5.90 | 3 |
| Albumin serum plasma or whole blood CPT 82040 | $169.60 | $212.00 | $4.95 – $5.05 | 3 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $419.20 | $524.00 | $17.27 – $17.62 | 3 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $30.99 – $31.61 | 3 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $3,405.65 | 3 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $128.01 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,440.42 – $2,489.22 | 3 |
| Alkaline phosphatase CPT 84075 | $128.80 | $161.00 | $5.18 – $5.28 | 3 |
| Allergen alpha lactalbumin ige CPT 86008 | $566.40 | $708.00 | $17.93 – $18.29 | 3 |
| Allergen egg white ige CPT 86003 | $231.20 | $289.00 | $5.22 – $5.32 | 3 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $8.13 | 3 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $50.18 – $51.18 | 3 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $50.18 – $51.18 | 3 |
| Allergy Skin Testing CPT 95004 | $62.40 | $78.00 | $920.24 – $938.65 | 3 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $920.24 – $938.65 | 3 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $950.40 | $1,188.00 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $644.80 | $806.00 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $40.03 – $40.83 | 3 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $30.99 – $31.61 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.14 – $5.24 | 3 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $65.70 | 3 |
| Alpha-fetoprotein amniotic CPT 82106 | $198.40 | $248.00 | $17.00 – $17.34 | 3 |
| Alpha-fetoprotein tumor marker CPT 82105 | $388.00 | $485.00 | $16.77 – $17.11 | 3 |
| Alt/sgpt CPT 84460 | $152.80 | $191.00 | $5.30 – $5.41 | 3 |
| Aluminum - quest CPT 82108 | $216.00 | $270.00 | $25.48 – $25.99 | 3 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $830.40 | $1,038.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $142.58 – $145.43 | 3 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $6.11 | 3 |
| Amino acid screen, urine CPT 82128 | $897.60 | $1,122.00 | $13.87 – $14.15 | 3 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $14.46 | 3 |
| Amino acids quant 2-5 CPT 82136 | $323.20 | $404.00 | $19.61 – $20.00 | 3 |
| Aminolevulinic acid delta CPT 82135 | $336.80 | $421.00 | $16.45 – $16.78 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $181.60 | $227.00 | not published | 0 |
| Ammonia CPT 82140 | $238.40 | $298.00 | $14.57 – $14.86 | 3 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $731.20 | $914.00 | $987.01 – $3,541.00 | 4 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $326.55 – $1,766.00 | 4 |
| Amniotic fluid scan CPT 82143 | $252.80 | $316.00 | $9.35 – $9.54 | 3 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Amphetamine confirm urine -sendout CPT 80324 | $367.20 | $459.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $321.60 | $402.00 | not published | 0 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $268.25 | 3 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,506.34 – $11,563.00 | 4 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,506.34 – $11,563.00 | 4 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,506.34 – $11,563.00 | 4 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $7,775.89 – $11,563.00 | 4 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Amputation of foot at ankle CPT 27889 | 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.