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 |
|---|---|---|---|---|
| Disarticulation shoulder CPT 23920 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Discography cerv/thor spine CPT 72285 | $4,468.00 | $5,585.00 | $2,092.58 – $2,134.43 | 3 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,766.00 – $1,945.52 | 4 |
| Dissect brain w/scope CPT 62161 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $5,947.00 – $5,947.00 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $284.58 | 3 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $280.33 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $139.74 | 3 |
| Dna antibody native/double stranded CPT 86225 | $445.60 | $557.00 | $13.74 – $14.01 | 3 |
| Dna gardnerella CPT 87510 | $70.40 | $88.00 | $20.05 – $20.45 | 3 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $23.20 | 3 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $27.42 | 3 |
| Dna trichomonas CPT 87660 | $70.40 | $88.00 | $20.05 – $20.45 | 3 |
| Doppler echo complete CPT 93320 | $1,116.00 | $1,395.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,184.80 | $1,481.00 | $231.39 – $236.02 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $509.60 | $637.00 | $142.58 – $145.43 | 3 |
| Double transfer toe-hand CPT 26554 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Dpyd gene common variants CPT 81232 | $2,148.80 | $2,686.00 | $174.81 – $178.31 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $660.80 | $826.00 | $758.85 – $3,541.00 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,285.60 | $1,607.00 | $758.85 – $3,541.00 | 4 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $680.80 | $851.00 | $758.85 – $3,541.00 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drainage mouth roof lesion CPT 42000 | $387.20 | $484.00 | $253.81 – $1,766.00 | 4 |
| Drainage of abdomen CPT 48000 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $7,245.60 | $9,057.00 | $1,769.88 – $5,947.00 | 4 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Drainage of eye CPT 65800 | not published | not published | $1,766.00 – $2,522.57 | 4 |
| Drainage of eye CPT 65810 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Drainage of eye CPT 65815 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $758.85 – $3,541.00 | 4 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $253.81 – $1,766.00 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Drainage of mouth lesion CPT 41008 | $5,328.00 | $6,660.00 | $3,552.91 – $5,947.00 | 4 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $577.95 – $1,766.00 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $577.95 – $1,766.00 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $253.81 – $1,766.00 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $577.95 – $1,766.00 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,974.45 – $5,947.00 | 4 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Drainage of salivary gland CPT 42320 | not published | not published | $577.95 – $1,766.00 | 4 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,240.09 – $6,314.00 | 4 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $747.24 – $6,314.00 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,240.09 – $6,314.00 | 4 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $920.24 – $5,947.00 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $152.00 | $190.00 | $142.58 – $1,766.00 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $756.44 – $3,541.00 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Drain finger abscess;simple 26010 CPT 26010 | $766.40 | $958.00 | $215.00 – $1,766.00 | 4 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drain penis lesion CPT 54015 | $1,360.80 | $1,701.00 | $1,769.88 – $5,947.00 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drain shoulder lesion CPT 23030 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $564.00 | $705.00 | $215.00 – $1,766.00 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $557.60 | $697.00 | $215.00 – $1,766.00 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $488.00 | $610.00 | $435.63 – $1,766.00 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $792.00 – $1,766.00 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $6,314.00 – $6,314.00 | 1 |
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.