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 pacing - transcutaneous CPT 92953 | not published | not published | $708.28 – $3,541.00 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $3,980.00 | $4,975.00 | $1,766.00 – $1,766.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $4,106.40 | $5,133.00 | $1,766.00 – $1,766.00 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $250.40 | $313.00 | $253.81 – $1,766.00 | 4 |
| Ghs phenylketonurid CPT 84030 | $441.60 | $552.00 | $5.50 – $5.61 | 3 |
| Ghs picc line insert < 5 CPT 36568 | $2,093.60 | $2,617.00 | $1,686.89 – $3,541.00 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $903.20 | $1,129.00 | $264.33 – $1,766.00 | 4 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $4.40 | 3 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,586.40 | $6,983.00 | $920.24 – $938.65 | 3 |
| Ghs pos nystagmus CPT 92542 | $366.40 | $458.00 | $142.58 – $145.43 | 3 |
| Ghs ppd (tb intradermal) CPT 86580 | $67.20 | $84.00 | $30.99 – $31.61 | 3 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $147.20 | $184.00 | $9.66 – $9.85 | 3 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $5.72 | 3 |
| Ghs protoporphyrins fract CPT 84202 | $457.60 | $572.00 | $14.35 – $14.64 | 3 |
| Ghs pr without cont pulse ox CPT 94625 | $193.60 | $242.00 | $63.22 – $64.48 | 3 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $12.50 | 3 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $481.60 | $602.00 | not published | 0 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $14.89 | 3 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $353.96 – $1,766.00 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $216.00 | $270.00 | $142.58 – $1,766.00 | 4 |
| Ghs removal pharyngeal foreign body CPT 42809 | $467.20 | $584.00 | $478.72 – $1,766.00 | 4 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $16.21 | 3 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $4.40 | 3 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $14.19 | 3 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $4.36 | 3 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $12.56 | 3 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $10.04 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $242.40 | $303.00 | $7.48 – $7.63 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $561.60 | $702.00 | $435.63 – $1,766.00 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $743.20 | $929.00 | $435.63 – $1,766.00 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $512.80 | $641.00 | $435.63 – $1,766.00 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,080.00 | $1,350.00 | $435.63 – $1,766.00 | 4 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $478.40 | $598.00 | $215.00 – $1,766.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $774.40 | $968.00 | $215.00 – $1,766.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $527.20 | $659.00 | $215.00 – $1,766.00 | 4 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $686.40 | $858.00 | $215.00 – $1,766.00 | 4 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,228.80 | $1,536.00 | $215.00 – $1,766.00 | 4 |
| Ghs sleep study unattended CPT 95800 | $939.20 | $1,174.00 | $231.39 – $236.02 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $231.39 – $236.02 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $920.24 – $938.65 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $48.59 – $49.56 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $328.94 – $1,766.00 | 4 |
| Ghs spont nystagmus CPT 92541 | $366.40 | $458.00 | $142.58 – $145.43 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $104.56 – $106.65 | 3 |
| Ghs st - eval for alt comm CPT 92567 | $179.20 | $224.00 | $40.03 – $40.83 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | $259.20 | $324.00 | $142.58 – $1,766.00 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $72.74 – $74.19 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $50.18 – $51.18 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $227.94 – $232.50 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,389.60 | $1,737.00 | $792.00 – $1,766.00 | 4 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $435.63 – $1,766.00 | 4 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,244.00 | $1,555.00 | $1,662.71 – $5,947.00 | 4 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $7.45 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $697.60 | $872.00 | $264.33 – $1,766.00 | 4 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $264.33 – $1,766.00 | 4 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $24.79 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $220.80 | $276.00 | $14.71 – $15.00 | 3 |
| Ghs vaginal delivery only CPT 59409 | $4,676.80 | $5,846.00 | $3,468.96 – $6,314.00 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $174.14 – $1,766.00 | 4 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $13.88 | 3 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $15.01 | 3 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $255.69 – $260.80 | 3 |
| Gi inhouse confirmation CPT 87045 | $325.60 | $407.00 | $9.44 – $9.63 | 3 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Gi protein loss CPT 78282 | not published | not published | $428.40 – $436.97 | 3 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $971.94 – $5,947.00 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $996.56 – $1,016.49 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $971.94 – $5,947.00 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $971.94 – $5,947.00 | 4 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $103.14 | 3 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $62.75 | 3 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $35.70 | 3 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.77 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.99 – $31.61 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $40.03 – $40.83 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,429.45 – $6,314.00 | 4 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,429.45 – $6,314.00 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $14.58 | 3 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $46.99 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $51.51 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $18.13 | 3 |
| Glucose 1 hr post dose CPT 82950 | $148.00 | $185.00 | $4.75 – $4.84 | 3 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.17 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $47.20 | $59.00 | $3.28 – $3.35 | 3 |
| Glucose blood quantitative CPT 82947 | $122.40 | $153.00 | $3.93 – $4.01 | 3 |
| Glucose body fluid CPT 82945 | $183.20 | $229.00 | $3.93 – $4.01 | 3 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $63.22 – $64.48 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $520.00 | $650.00 | $12.87 – $13.13 | 3 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $97.60 | $122.00 | $3.92 – $4.00 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.29 – $11.51 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $312.00 | $390.00 | $18.58 – $18.95 | 3 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $151.38 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $511.20 | $639.00 | $18.52 – $18.89 | 3 |
| Gonioscopy CPT 92020 | not published | not published | $142.58 – $145.43 | 3 |
| Goniotomy CPT 65820 | not published | not published | $4,429.45 – $6,314.00 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $964.53 – $964.53 | 1 |
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.