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 |
|---|---|---|---|---|
| Ghs ed rmvl or bivalving cast CPT 29700 | $569.60 | $712.00 | $299.72 – $1,766.00 | 4 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $756.44 – $3,541.00 | 4 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,055.20 | $1,319.00 | $231.39 – $236.02 | 3 |
| Ghs electrostagmgraphy CPT 92537 | $767.20 | $959.00 | $137.89 – $140.65 | 3 |
| Ghs elect torsion swing CPT 92546 | $419.20 | $524.00 | $137.89 – $140.65 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $435.63 – $1,766.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $627.20 | $784.00 | $435.63 – $1,766.00 | 4 |
| Ghs eye exam CPT 92002 | not published | not published | $142.67 – $145.52 | 3 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,108.80 | $1,386.00 | $340.14 – $1,766.00 | 4 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $4.95 | 3 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Ghs fb removal - incisional CPT 10121 | $3,344.00 | $4,180.00 | $1,769.88 – $5,947.00 | 4 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $7.12 | 3 |
| Ghs fish cytogen CPT 88271 | $1,532.80 | $1,916.00 | $21.42 – $21.85 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $1,328.00 | $1,660.00 | $51.19 – $52.21 | 3 |
| Ghs flow volume loop CPT 94375 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs gastric intub aspiration lavage CPT 43753 | $308.80 | $386.00 | $231.39 – $1,766.00 | 4 |
| Ghs hcv amplificaiton CPT 87521 | $532.80 | $666.00 | $35.09 – $35.79 | 3 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $23.43 | 3 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $15.80 | 3 |
| Ghs hgb stability-thal CPT 83068 | $614.40 | $768.00 | $9.47 – $9.66 | 3 |
| Ghs histoplasma antigen CPT 87385 | $436.00 | $545.00 | $13.25 – $13.52 | 3 |
| Ghs HIV antibody CPT 86703 | $256.80 | $321.00 | $13.71 – $13.98 | 3 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $108.26 | 3 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,402.40 | $4,253.00 | $2,240.09 – $6,314.00 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $4,208.00 | $5,260.00 | $1,282.34 – $5,947.00 | 4 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,148.80 | $1,436.00 | $758.85 – $3,541.00 | 4 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $812.80 | $1,016.00 | $758.85 – $3,541.00 | 4 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $30.52 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $406.40 | $508.00 | $267.74 – $1,766.00 | 4 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $323.20 | $404.00 | $213.90 – $1,766.00 | 4 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $1,209.60 | $1,512.00 | $12.87 – $13.13 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $464.80 | $581.00 | $215.00 – $1,766.00 | 4 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $5,818.40 | $7,273.00 | $947.82 – $3,541.00 | 4 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,890.40 | $3,613.00 | $947.82 – $3,541.00 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | $1,080.00 | $1,350.00 | $328.94 – $1,766.00 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $3,051.20 | $3,814.00 | $1,766.00 – $1,766.00 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,051.20 | $3,814.00 | $947.82 – $3,541.00 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $533.60 | $667.00 | $478.72 – $1,766.00 | 4 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $700.00 | $875.00 | $435.63 – $1,766.00 | 4 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $835.20 | $1,044.00 | $792.00 – $1,766.00 | 4 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,550.40 | $1,938.00 | $2,211.05 – $5,947.00 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $808.80 | $1,011.00 | $267.74 – $1,766.00 | 4 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $96.80 | $121.00 | $50.18 – $51.18 | 3 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $703.20 | $879.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $703.20 | $879.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $703.20 | $879.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $467.20 | $584.00 | $353.96 – $1,766.00 | 4 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $335.20 | $419.00 | $478.72 – $1,766.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $336.00 | $420.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $336.00 | $420.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $553.60 | $692.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $489.60 | $612.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $396.00 | $495.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $524.80 | $656.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $457.60 | $572.00 | $435.63 – $1,766.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $514.40 | $643.00 | $792.00 – $1,766.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $801.60 | $1,002.00 | $435.63 – $1,766.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $700.00 | $875.00 | $792.00 – $1,766.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $991.20 | $1,239.00 | $435.63 – $1,766.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $857.60 | $1,072.00 | $792.00 – $3,541.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,296.00 | $1,620.00 | $435.63 – $1,766.00 | 4 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,550.40 | $1,938.00 | $2,211.05 – $5,947.00 | 4 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,474.40 | $1,843.00 | $435.63 – $1,766.00 | 4 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $8.77 | 3 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $17.54 | 3 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $518.40 | $648.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $518.40 | $648.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $518.40 | $648.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $518.40 | $648.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $518.40 | $648.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $0.80 | $1.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $514.40 | $643.00 | $792.00 – $1,766.00 | 4 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,735.20 | $3,419.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,679.20 | $2,099.00 | $756.44 – $3,541.00 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $1,606.40 | $2,008.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve block brachial plexus CPT 64415 | $1,175.20 | $1,469.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve block celiac plexus CPT 64530 | $3,150.40 | $3,938.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve block interscaline CPT 64510 | $3,051.20 | $3,814.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $3,051.20 | $3,814.00 | $947.82 – $3,541.00 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,093.60 | $1,367.00 | $756.44 – $3,541.00 | 4 |
| Ghs nerve block suprascapular CPT 64418 | $1,544.80 | $1,931.00 | $756.44 – $3,541.00 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $478.72 – $1,766.00 | 4 |
| Ghs o2 saturation CPT 82810 | $187.20 | $234.00 | $9.77 – $9.97 | 3 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $137.89 – $140.65 | 3 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $63.22 – $64.48 | 3 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $672.23 – $3,541.00 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,686.89 – $3,541.00 | 4 |
| Ghs optokenetic CPT 92544 | $366.40 | $458.00 | $137.89 – $140.65 | 3 |
| Ghs oscillating trac CPT 92545 | $366.40 | $458.00 | $231.39 – $236.02 | 3 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.16 – $7.30 | 3 |
| Ghs ot group caregiver training CPT 97552 | $46.40 | $58.00 | $9.58 – $9.77 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | $164.00 | $205.00 | $41.42 – $42.25 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $144.00 | $180.00 | $62.36 – $63.61 | 3 |
| Ghs ot work hardening-additional hours CPT 97546 | $170.40 | $213.00 | not published | 0 |
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.