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 |
|---|---|---|---|---|
| Antistreptolysin o screen CPT 86063 | $220.00 | $275.00 | $5.77 – $5.89 | 3 |
| Antistreptolysin o titer CPT 86060 | $206.40 | $258.00 | $7.30 – $7.45 | 3 |
| Antithrombin iii activity CPT 85300 | $258.40 | $323.00 | $11.85 – $12.09 | 3 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $142.58 – $145.43 | 3 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $142.58 – $145.43 | 3 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Aortic dysfunction/dilation CPT 81410 | $9,708.80 | $12,136.00 | $504.00 – $514.08 | 3 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,377.19 | 3 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Aortic suspension CPT 33800 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $204.00 | 3 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $795.60 | 3 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $285.60 | 3 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $63.22 – $64.48 | 3 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,667.44 – $9,024.00 | 4 |
| Apheresis plasma CPT 36514 | $5,917.60 | $7,397.00 | $1,668.97 – $5,947.00 | 4 |
| Apheresis platelets CPT 36513 | not published | not published | $472.77 – $1,766.00 | 4 |
| Apheresis rbc CPT 36512 | not published | not published | $1,668.97 – $5,947.00 | 4 |
| Apheresis wbc CPT 36511 | not published | not published | $1,668.97 – $5,947.00 | 4 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,095.20 | $1,369.00 | $207.31 – $211.46 | 3 |
| Appendectomy CPT 44950 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,891.20 | $2,364.00 | $2,211.05 – $5,947.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,245.60 | $1,557.00 | $1,766.00 – $1,766.00 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $799.20 | $999.00 | $1,766.00 – $1,766.00 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,345.60 | $4,182.00 | $2,211.05 – $7,432.00 | 4 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,245.60 | $1,557.00 | $1,766.00 – $1,766.00 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $799.20 | $999.00 | $1,766.00 – $1,766.00 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $174.14 – $1,766.00 | 4 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Appl halo type body cast CPT 29000 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $299.72 – $1,766.00 | 4 |
| Application clubfoot cast CPT 29450 | not published | not published | $174.14 – $1,766.00 | 4 |
| Application finger splntstatic 29130 CPT 29130 | $557.60 | $697.00 | $142.58 – $1,766.00 | 4 |
| Application halo femoral CPT 20663 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Application halo pelvic CPT 20662 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Application long leg splint 29505 CPT 29505 | $598.40 | $748.00 | $174.14 – $1,766.00 | 4 |
| Application lower leg splint 29515 CPT 29515 | $743.20 | $929.00 | $174.14 – $1,766.00 | 4 |
| Application multi layer compression below knee (both sides) CPT 29581 | $505.60 | $632.00 | $174.14 – $1,766.00 | 4 |
| Application of body cast CPT 29010 | not published | not published | $299.72 – $1,766.00 | 4 |
| Application of body cast CPT 29015 | not published | not published | $299.72 – $1,766.00 | 4 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $299.72 – $1,766.00 | 4 |
| Application of forearm cast 29075 CPT 29075 | $347.20 | $434.00 | $299.72 – $1,766.00 | 4 |
| Application of long arm cast 29065 CPT 29065 | $347.20 | $434.00 | $299.72 – $1,766.00 | 4 |
| Application of long leg cast CPT 29355 | $538.40 | $673.00 | $299.72 – $1,766.00 | 4 |
| Application of long leg cast 29345 CPT 29345 | $410.40 | $513.00 | $299.72 – $1,766.00 | 4 |
| Application of paste boot 29580 CPT 29580 | $606.40 | $758.00 | $174.14 – $1,766.00 | 4 |
| Application short leg cast 29405 CPT 29405 | $1,237.60 | $1,547.00 | $299.72 – $1,766.00 | 4 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,628.00 | $2,035.00 | $792.00 – $5,947.00 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,628.00 | $2,035.00 | $792.00 – $5,947.00 | 4 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $410.40 | $513.00 | not published | 0 |
| Appl long leg cast brace CPT 29358 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $7,432.00 – $14,033.33 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $70.40 | $88.00 | $6.06 – $6.18 | 3 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $70.40 | $88.00 | $11.72 – $11.95 | 3 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $40.03 – $40.83 | 3 |
| Appl multlay comprs arm/hand CPT 29584 | $524.00 | $655.00 | $174.14 – $1,766.00 | 4 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $299.72 – $1,766.00 | 4 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $174.14 – $1,766.00 | 4 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $142.58 – $1,766.00 | 4 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,723.15 – $3,541.00 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | $246.40 | $308.00 | $174.14 – $1,766.00 | 4 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $63.22 – $1,766.00 | 4 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Apply rigid leg cast 29445 CPT 29445 | $955.20 | $1,194.00 | $299.72 – $1,766.00 | 4 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $299.72 – $1,766.00 | 4 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $35.74 – $36.45 | 3 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $7,432.00 – $29,658.87 | 4 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,723.15 – $3,541.00 | 4 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | $405.60 | $507.00 | $35.09 – $35.79 | 3 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $1,014.40 | $1,268.00 | $37.73 – $38.48 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $12.29 | 3 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $11.76 | 3 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $144.00 | $180.00 | $37.72 – $38.47 | 3 |
| Aquatic exercise - group charge CPT 97150 | $52.80 | $66.00 | $17.73 – $18.08 | 3 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $139.74 | 3 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $307.38 | 3 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $188.90 | 3 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $6,314.00 – $6,314.00 | 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.