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 |
|---|---|---|---|---|
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.54 – $18.91 | 3 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $80.22 | 3 |
| Cytotoxic antibody screening CPT 86808 | $1,440.80 | $1,801.00 | $29.68 – $30.27 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $182.57 – $186.22 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.03 – $56.13 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.07 – $3.13 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.07 – $3.13 | 3 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $10.95 | 3 |
| Dark field exam without collj CPT 87166 | not published | not published | $11.30 – $11.53 | 3 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $244.87 – $266.42 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $215.00 – $1,766.00 | 4 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $5.14 | 3 |
| Dch pulmonary stress test CPT 94621 | $1,484.80 | $1,856.00 | not published | 0 |
| Dch validity tests CPT 81002 | $51.20 | $64.00 | $3.48 – $3.55 | 3 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $17,878.40 | $22,348.00 | $2,092.58 – $7,432.00 | 4 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,092.58 – $6,314.00 | 4 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $12.05 – $12.29 | 3 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $514.40 | $643.00 | $435.63 – $1,766.00 | 4 |
| Debridement (>20 cm) charge pt CPT 97598 | $924.00 | $1,155.00 | $1,766.00 – $1,766.00 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,335.20 | $2,919.00 | $1,769.88 – $3,541.00 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,094.40 | $1,368.00 | $1,766.00 – $1,766.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,415.20 | $1,769.00 | $1,766.00 – $1,766.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,272.80 | $1,591.00 | $435.63 – $1,766.00 | 4 |
| Debride nail1-5 11720 CPT 11720 | $396.00 | $495.00 | $63.22 – $1,766.00 | 4 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $63.22 – $1,766.00 | 4 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,416.80 | $1,771.00 | $758.85 – $3,541.00 | 4 |
| Debride skin bone at fx site CPT 11012 | $2,404.00 | $3,005.00 | $3,112.75 – $3,541.00 | 4 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,319.20 | $1,649.00 | $1,766.00 – $1,766.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $215.00 – $1,766.00 | 4 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,352.80 | $1,691.00 | $758.85 – $3,541.00 | 4 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,094.40 | $1,368.00 | $792.00 – $1,766.00 | 4 |
| Decalcification CPT 88311 | $161.60 | $202.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $21.28 – $21.28 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $2,113.60 | $2,642.00 | $353.96 – $1,766.00 | 4 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Decompression of leg CPT 27892 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decompression of leg CPT 27893 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Decompression of leg CPT 27894 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,092.58 – $6,314.00 | 4 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,092.58 – $6,314.00 | 4 |
| Decompressive craniotomy CPT 61322 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,212.96 – $7,432.00 | 4 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Decompress small bowel CPT 44021 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.46 – $4.55 | 3 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $8,758.76 – $8,933.93 | 4 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,211.05 – $6,314.00 | 4 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Delivery of placenta 59414 CPT 59414 | $4,895.20 | $6,119.00 | $3,468.96 – $6,314.00 | 4 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $142.67 – $145.52 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $234.66 – $239.35 | 3 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $29.20 – $30.10 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $292.80 | $366.00 | $142.58 – $1,766.00 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,112.75 – $3,541.00 | 4 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $758.85 – $3,541.00 | 4 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $435.63 – $1,766.00 | 4 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,211.05 – $6,314.00 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Description not available HCPCS S0013 | not published | not published | $14.71 – $14.71 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,195.85 – $7,432.00 | 4 |
| Desoxycorticosterone CPT 82633 | $610.40 | $763.00 | $30.98 – $31.60 | 3 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $215.00 – $1,766.00 | 4 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $215.00 – $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.