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 |
|---|---|---|---|---|
| Fusion of toes CPT 28280 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $280.33 | 3 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $139.74 | 3 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $280.33 | 3 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $188.90 | 3 |
| G6pc gene CPT 81250 | $165.60 | $207.00 | $58.49 – $59.66 | 3 |
| G6pd full gene sequence CPT 81249 | $1,960.80 | $2,451.00 | $600.00 – $612.00 | 3 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $178.31 | 3 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $382.76 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $10.40 | $13.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $716.80 | $896.00 | $21.07 – $21.49 | 3 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $21.91 | 3 |
| Galactose transferase test CPT 82776 | $50.40 | $63.00 | $11.74 – $11.97 | 3 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $45.14 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $501.31 – $523.87 | 3 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $160.29 – $163.49 | 3 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.95 – $49.93 | 3 |
| Gammaglobulin iga CPT 82784 | $314.40 | $393.00 | $9.30 – $9.49 | 3 |
| Gammaglobulin ige CPT 82785 | $194.40 | $243.00 | $16.46 – $16.79 | 3 |
| Gamma glutamyltransferase CPT 82977 | $278.40 | $348.00 | $7.20 – $7.34 | 3 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.65 – $65.94 | 3 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.73 – $50.72 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $35.79 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $42.60 | 3 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $6.84 | 3 |
| Gastric emptying imag study CPT 78265 | $2,480.00 | $3,100.00 | $428.40 – $436.97 | 3 |
| Gastric emptying imag study CPT 78266 | $3,251.20 | $4,064.00 | $581.86 – $593.49 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $399.88 – $1,766.00 | 4 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $428.40 – $436.97 | 3 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $18.04 | 3 |
| Gastroduodenostomy CPT 43810 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $428.40 – $436.97 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $399.88 – $1,766.00 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $971.94 – $5,947.00 | 4 |
| Gated heart multiple CPT 78473 | $3,251.20 | $4,064.00 | $428.40 – $436.97 | 3 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $48.20 | 3 |
| Gel-one HCPCS J7326 | not published | not published | $526.79 – $537.32 | 3 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.68 – $0.69 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $234.41 – $244.97 | 3 |
| General health panel CPT 80050 | $812.80 | $1,016.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $9,833.60 | $12,292.00 | $2,448.56 – $2,497.53 | 3 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $2,384.40 | 3 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $5,131.82 | 3 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $2,764.15 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $468.00 | $585.00 | $16.38 – $16.71 | 3 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.68 – $3.75 | 3 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $920.24 – $1,766.00 | 4 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $2,792.80 | $3,491.00 | $996.56 – $3,541.00 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,492.80 | $4,366.00 | $3,112.75 – $6,314.00 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $175.20 | $219.00 | $9.81 – $10.01 | 3 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $208.00 | $260.00 | $17.11 – $17.45 | 3 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $104.31 | 3 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $142.58 – $145.43 | 3 |
| Ghs antibodies (torch) igm CPT 86694 | $208.80 | $261.00 | $14.39 – $14.68 | 3 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $267.74 – $1,766.00 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $835.20 | $1,044.00 | $137.89 – $1,766.00 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $4.92 | 3 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,093.60 | $1,367.00 | $756.44 – $3,541.00 | 4 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,644.00 | $3,305.00 | $3,383.62 – $3,541.00 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $464.80 | $581.00 | $267.74 – $1,766.00 | 4 |
| Ghs chemo >8 hrs CPT 96416 | $1,424.00 | $1,780.00 | $353.96 – $361.04 | 3 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $353.96 – $361.04 | 3 |
| Ghs chemo IV push, ea addtl CPT 96411 | $252.00 | $315.00 | $77.16 – $78.70 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $535.20 | $669.00 | $35.09 – $35.79 | 3 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $301.60 | $377.00 | $264.33 – $1,766.00 | 4 |
| Ghs closed reduction ankle dislocation CPT 27840 | $857.60 | $1,072.00 | $264.33 – $1,766.00 | 4 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,132.00 | $2,665.00 | $1,723.15 – $3,541.00 | 4 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $264.33 – $1,766.00 | 4 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,420.80 | $5,526.00 | $1,723.15 – $5,947.00 | 4 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $3,797.52 – $5,947.00 | 4 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $359.20 | $449.00 | $264.33 – $1,766.00 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $5,676.80 | $7,096.00 | $1,723.15 – $5,947.00 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $391.20 | $489.00 | $264.33 – $1,766.00 | 4 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $301.60 | $377.00 | $264.33 – $1,766.00 | 4 |
| Ghs community re-entry 15 minutes CPT 97537 | $144.00 | $180.00 | $32.69 – $33.34 | 3 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $478.72 – $1,766.00 | 4 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $486.40 | $608.00 | $142.58 – $1,766.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $946.40 | $1,183.00 | $478.72 – $1,766.00 | 4 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $1,063.20 | $1,329.00 | $142.58 – $1,766.00 | 4 |
| Ghs cricothyroidotomy CPT 31605 | $361.60 | $452.00 | $253.81 – $1,766.00 | 4 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $478.72 – $1,766.00 | 4 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $142.58 – $1,766.00 | 4 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $224.80 | $281.00 | $15.21 – $15.51 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $857.60 | $1,072.00 | $264.33 – $1,766.00 | 4 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $780.80 | $976.00 | $971.94 – $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.