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 |
|---|---|---|---|---|
| Hpv combo assay ca screen HCPCS G0476 | $196.80 | $246.00 | $35.09 – $35.79 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $35.79 | 3 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $41.36 | 3 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.32 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $68.71 | 3 |
| H pylori (c-13) breath CPT 83013 | $236.00 | $295.00 | $67.36 – $68.71 | 3 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $8.02 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,303.95 – $1,330.03 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | $11,572.00 | $14,465.00 | $584.90 – $596.60 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | $9,488.80 | $11,861.00 | $584.90 – $596.60 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $20.45 | 3 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $280.33 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $1,176.80 | $1,471.00 | $137.00 – $139.74 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $514.40 | $643.00 | $20.81 – $21.23 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $300.80 | $376.00 | $50.18 – $51.18 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $633.60 | $792.00 | $227.94 – $232.50 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $18.26 | 3 |
| Hymenotomy CPT 56442 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.13 – $18.50 | 3 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $10.38 | 3 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $1,428.00 | $1,785.00 | $255.69 – $260.80 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $13.69 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $35.79 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $18.45 | 3 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $46.19 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,497.53 | 3 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.39 – $236.02 | 3 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.03 – $40.83 | 3 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $63.22 – $64.48 | 3 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $30.99 – $31.61 | 3 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $55.84 – $56.96 | 3 |
| Idet 1 or more levels CPT 22527 | $7,601.60 | $9,502.00 | $7,432.00 – $7,432.00 | 1 |
| Idet single level CPT 22526 | $15,196.80 | $18,996.00 | $7,432.00 – $7,432.00 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Idh1 common variants CPT 81120 | $816.00 | $1,020.00 | $193.25 – $197.12 | 3 |
| Idh2 common variants CPT 81121 | $1,248.00 | $1,560.00 | $295.79 – $301.71 | 3 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,974.45 – $6,314.00 | 4 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,068.27 – $5,947.00 | 4 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,547.76 – $3,541.00 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.22 – $569.39 | 3 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Ifnl3 gene CPT 81283 | $1,372.80 | $1,716.00 | $73.37 – $74.84 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $211.46 | 3 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $69.92 | 3 |
| Igh gene rearrange amp meth CPT 81261 | $951.20 | $1,189.00 | $197.99 – $201.95 | 3 |
| Igh@ var region somatic mutation analy CPT 81263 | $2,336.00 | $2,920.00 | $294.52 – $300.41 | 3 |
| Igk rearrangeabn clonal pop CPT 81264 | $717.60 | $897.00 | $172.73 – $176.18 | 3 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $413.60 | $517.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $406.40 | $508.00 | $384.12 – $391.80 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $377.60 | $472.00 | $182.57 – $186.22 | 3 |
| Ikbkap gene CPT 81260 | $2,695.20 | $3,369.00 | $39.31 – $40.10 | 3 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $63.22 – $64.48 | 3 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $40.03 – $40.83 | 3 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $63.22 – $64.48 | 3 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $410.40 | $513.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $780.80 | $976.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $225.60 | $282.00 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $410.40 | $513.00 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $8,758.76 – $9,024.00 | 4 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $24.86 | 3 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $49.08 – $50.06 | 3 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.40 – $82.00 | 3 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.04 – $47.98 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $288.00 | $360.00 | $20.81 – $21.23 | 3 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $544.00 | $680.00 | $20.81 – $21.23 | 3 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $26.08 | 3 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $1,056.00 | $1,320.00 | $11.98 – $12.22 | 3 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $14.33 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $464.80 | $581.00 | $22.34 – $22.79 | 3 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $840.00 | $1,050.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $990.40 | $1,238.00 | $182.57 – $186.22 | 3 |
| Immunoglobulin assay CPT 86023 | $298.40 | $373.00 | $12.46 – $12.71 | 3 |
| Impedence cardiogram CPT 93701 | not published | not published | $142.58 – $145.43 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $8,607.20 | $10,759.00 | not published | 0 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $5,947.00 – $5,947.00 | 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.