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 |
|---|---|---|---|---|
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Factor ix CPT 85250 | $324.00 | $405.00 | $19.04 – $19.42 | 3 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.58 – $3.65 | 3 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.61 – $1.74 | 3 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $5.43 | 3 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.37 – $1.40 | 3 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.50 – $4.59 | 3 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.74 – $1.78 | 3 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.80 – $1.87 | 3 |
| Factor viii CPT 85240 | $317.60 | $397.00 | $17.90 – $18.26 | 3 |
| Factor viii HCPCS J7190 | not published | not published | $1.39 – $1.42 | 3 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.46 – $2.51 | 3 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $1.21 | 3 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $2.18 | 3 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.57 – $1.60 | 3 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.41 – $1.44 | 3 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.24 – $3.30 | 3 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.78 – $10.99 | 3 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.33 – $18.70 | 3 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $28.40 – $31.89 | 3 |
| Fancc gene CPT 81242 | $1,280.00 | $1,600.00 | $36.62 – $37.35 | 3 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $102.40 | $128.00 | $5.10 – $5.20 | 3 |
| Fatty acids nonesterified CPT 82725 | $258.40 | $323.00 | $18.77 – $19.15 | 3 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $4.65 | 3 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $996.56 – $1,016.49 | 3 |
| #fecal-sodium CPT 84302 | $232.80 | $291.00 | $4.86 – $4.96 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $79.72 – $81.31 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $126.40 | $158.00 | $18.64 – $19.01 | 3 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,563.00 – $11,563.00 | 1 |
| Feno poc CPT 95012 | not published | not published | $40.03 – $40.83 | 3 |
| Fern test HCPCS Q0114 | $44.00 | $55.00 | $9.74 – $9.93 | 3 |
| Ferritin CPT 82728 | $248.00 | $310.00 | $13.63 – $13.90 | 3 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $810.90 | 3 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,100.80 | $1,376.00 | $112.03 – $114.27 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $774.23 | 3 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,438.40 | $4,298.00 | $759.05 – $774.23 | 3 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $216.65 – $1,766.00 | 4 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $326.55 – $1,766.00 | 4 |
| Fetal fibronectin CPT 82731 | $1,256.80 | $1,571.00 | $64.41 – $65.70 | 3 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $326.55 – $1,766.00 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $7.73 – $7.88 | 3 |
| Fetal hemoglobin rosette CPT 85461 | $108.00 | $135.00 | $9.36 – $9.55 | 3 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $42.40 | $53.00 | $19.32 – $19.71 | 3 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Fetal non stress test CPT 59025 | $585.60 | $732.00 | $216.65 – $1,766.00 | 4 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $326.55 – $1,766.00 | 4 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $326.55 – $1,766.00 | 4 |
| #_fet/norfentcnfrmur CPT 80354 | $244.80 | $306.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $257.60 | $322.00 | $10.18 – $10.38 | 3 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $7.03 | 3 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $9.91 | 3 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $10.38 | 3 |
| Fibrinogen activity CPT 85384 | $277.60 | $347.00 | $9.72 – $9.91 | 3 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $12.68 | 3 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $15.48 – $15.79 | 3 |
| Fibrinolytic antiplasmin CPT 85410 | $292.80 | $366.00 | $7.71 – $7.86 | 3 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $7.86 | 3 |
| Fibrinolytic plasminogen CPT 85415 | $815.20 | $1,019.00 | $17.19 – $17.53 | 3 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $10.38 | 3 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $316.00 | $395.00 | $6.53 – $6.66 | 3 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Filtered speech hearing test CPT 92571 | not published | not published | $40.03 – $40.83 | 3 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,114.40 | $1,393.00 | $758.85 – $3,541.00 | 4 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $558.40 | $698.00 | $1,766.00 – $1,766.00 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $401.60 | $502.00 | $1,766.00 – $1,766.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $558.40 | $698.00 | $1,766.00 – $1,766.00 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $712.00 | $890.00 | $435.63 – $1,766.00 | 4 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $63.22 – $64.48 | 3 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $63.22 – $64.48 | 3 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $40.03 – $40.83 | 3 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $40.03 – $40.83 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $216.65 – $1,766.00 | 4 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $971.94 – $5,947.00 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Flebogamma injection HCPCS J1572 | not published | not published | $59.29 – $92.55 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $19.01 | 3 |
| Fl exam g/colon tube w contrast CPT 49465 | $725.60 | $907.00 | $255.69 – $1,766.00 | 4 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $996.56 – $3,541.00 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Flow cytometry marker each additional CPT 88185 | $223.20 | $279.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $2,969.60 | $3,712.00 | $384.12 – $391.80 | 3 |
| Flt3 gene CPT 81245 | $1,592.00 | $1,990.00 | $165.51 – $168.82 | 3 |
| Flt3 gene analysis CPT 81246 | $964.00 | $1,205.00 | $83.00 – $84.66 | 3 |
| Fluidotherapy charges pt CPT 97022 | $83.20 | $104.00 | $16.22 – $16.54 | 3 |
| Fluid pressure muscle 20950 CPT 20950 | $1,207.20 | $1,509.00 | $758.85 – $3,541.00 | 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.