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 |
|---|---|---|---|---|
| Evaluation of speech fluency 92521 CPT 92521 | $483.20 | $604.00 | $134.52 – $137.21 | 3 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Event monitor CPT 93270 | $254.40 | $318.00 | $39.99 – $40.79 | 3 |
| Evoked auditory tst complete CPT 92588 | $354.40 | $443.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $264.00 | $330.00 | $231.39 – $236.02 | 3 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $231.39 – $236.02 | 3 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $231.39 – $236.02 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $326.55 – $1,766.00 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $591.20 | $739.00 | $758.85 – $3,541.00 | 4 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $758.85 – $3,541.00 | 4 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $758.85 – $3,541.00 | 4 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $758.85 – $3,541.00 | 4 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $336.00 | $420.00 | $435.63 – $1,766.00 | 4 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $758.85 – $3,541.00 | 4 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,195.85 – $6,314.00 | 4 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $3,112.75 – $3,541.00 | 4 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $758.85 – $3,541.00 | 4 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,769.88 – $6,314.00 | 4 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,769.88 – $6,314.00 | 4 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Exchange biliary drg cath CPT 47536 | $3,120.00 | $3,900.00 | $3,836.82 – $7,432.00 | 4 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $472.77 – $1,766.00 | 4 |
| Exchange drainage catheter CPT 49423 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Exchange nephrostomy cath CPT 50435 | $1,666.40 | $2,083.00 | $2,240.09 – $3,541.00 | 4 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $215.00 – $219.30 | 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.