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 |
|---|---|---|---|---|
| Echo transesophageal intraop CPT 93318 | not published | not published | $585.55 – $597.26 | 3 |
| Echo transthoracic CPT 93303 | $1,283.20 | $1,604.00 | $585.55 – $597.26 | 3 |
| Echo transthoracic CPT 93304 | not published | not published | $585.55 – $597.26 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,087.20 | $1,359.00 | $255.69 – $260.80 | 3 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $39.99 – $40.79 | 3 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $12.91 | 3 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Eculizumab injection HCPCS J1300 | not published | not published | $243.52 – $243.52 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $28.54 – $29.11 | 3 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $119.87 – $122.27 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $96.80 | $121.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $2,169.60 | $2,712.00 | $231.39 – $236.02 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $920.24 – $938.65 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,495.20 | $1,869.00 | $231.39 – $236.02 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $2,265.60 | $2,832.00 | $231.39 – $236.02 | 3 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,612.80 | $2,016.00 | $231.39 – $236.02 | 3 |
| Eeg recording awake and asleep CPT 95819 | $1,495.20 | $1,869.00 | $231.39 – $236.02 | 3 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $231.39 – $236.02 | 3 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $231.39 – $236.02 | 3 |
| E equine encephalitis igg CPT 86652 | $66.40 | $83.00 | $13.19 – $13.45 | 3 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.61 – $33.26 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd control bleeding any CPT 43255 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd dilate stricture CPT 43245 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $6,505.69 – $7,432.00 | 4 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $7,432.00 – $11,618.95 | 4 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $971.94 – $5,947.00 | 4 |
| Egd guide wire insertion CPT 43248 | not published | not published | $971.94 – $5,947.00 | 4 |
| Egd injection varices CPT 43243 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd lesion ablation CPT 43270 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd remove foreign body CPT 43247 | $4,513.60 | $5,642.00 | $971.94 – $5,947.00 | 4 |
| Egd remove lesion snare CPT 43251 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $2,219.20 | $2,774.00 | $2,056.34 – $5,947.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd varices ligation CPT 43244 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $4,131.60 – $6,314.00 | 4 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $6,314.00 – $6,635.80 | 4 |
| Egfr gene com variants CPT 81235 | $8,329.60 | $10,412.00 | $324.58 – $331.07 | 3 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $50.40 | $63.00 | $35.09 – $35.79 | 3 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $19.96 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $30.99 – $31.61 | 3 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $1,384.80 | $1,731.00 | $329.13 – $1,766.00 | 4 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.41 – $11.64 | 3 |
| Elect analysis of infusion pump 62367 CPT 62367 | $1,411.20 | $1,764.00 | $329.13 – $1,766.00 | 4 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $329.13 – $1,766.00 | 4 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $55.72 – $1,766.00 | 4 |
| Electrical stimulation/unattended 97014 CPT 97014 | $70.40 | $88.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $137.89 – $140.65 | 3 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $920.24 – $938.65 | 3 |
| Electrode stimulation brain CPT 95961 | not published | not published | $920.24 – $938.65 | 3 |
| Electroejaculation CPT 55870 | not published | not published | $987.01 – $3,541.00 | 4 |
| Electrogastrography CPT 91132 | not published | not published | $231.39 – $1,766.00 | 4 |
| Electrogastrography w/test CPT 91133 | not published | not published | $142.58 – $1,766.00 | 4 |
| Electrolyte panel CPT 80051 | $190.40 | $238.00 | $7.01 – $7.15 | 3 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.15 – $10.35 | 3 |
| Electron microscopy diagnostic CPT 88348 | $3,398.40 | $4,248.00 | not published | 0 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $142.58 – $145.43 | 3 |
| Electrophysiologic study CPT 93624 | not published | not published | $8,358.26 – $8,908.00 | 4 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $8,358.26 – $8,908.00 | 4 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $8,358.26 – $8,908.00 | 4 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $1,304.74 – $5,947.00 | 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.