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 |
|---|---|---|---|---|
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $16.42 | 3 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $12.22 | 3 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $13.69 | 3 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $54.54 | 3 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $35.79 | 3 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $43.70 | 3 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $35.09 – $35.79 | 3 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $405.60 | $507.00 | $95.80 – $97.72 | 3 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $52.34 | 3 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $284.80 | $356.00 | $51.31 – $52.34 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $962.40 | $1,203.00 | $416.78 – $425.12 | 3 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $498.43 | 3 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $26.59 | 3 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $42.21 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $217.60 | $272.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $13.69 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $146.40 | $183.00 | $13.82 – $14.10 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $168.00 | $210.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $252.00 | $315.00 | $14.38 – $14.67 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $324.80 | $406.00 | $10.33 – $10.54 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $334.40 | $418.00 | $10.33 – $10.54 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $184.80 | $231.00 | $24.08 – $24.56 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $493.60 | $617.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $198.40 | $248.00 | $11.98 – $12.22 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $12.22 | 3 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $1,200.00 | $1,500.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $1,210.40 | $1,513.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $324.00 | $405.00 | $37.27 – $38.02 | 3 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,544.00 | $1,930.00 | $416.78 – $425.12 | 3 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $379.20 | $474.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $301.60 | $377.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $529.60 | $662.00 | $41.68 – $42.51 | 3 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $308.80 | $386.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $65.60 | $82.00 | $51.31 – $52.34 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $142.63 – $145.48 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $350.40 | $438.00 | $142.63 – $145.48 | 3 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $79.20 | $99.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $197.60 | $247.00 | $35.09 – $35.79 | 3 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $96.80 | $121.00 | $70.18 – $71.58 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $78.31 | 3 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $2,289.60 | $2,862.00 | $679.77 – $693.37 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,576.80 | $1,971.00 | $416.78 – $425.12 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $130.86 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $262.99 – $268.25 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,197.60 | $1,497.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $532.00 | $665.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $637.60 | $797.00 | $42.84 – $43.70 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $524.80 | $656.00 | $85.10 – $86.80 | 3 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $368.80 | $461.00 | $142.63 – $145.48 | 3 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.04 – $31.66 | 3 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $28.60 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $26.04 – $26.56 | 3 |
| Influenza dna amp prob addl CPT 87503 | $101.60 | $127.00 | $29.22 – $29.80 | 3 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $248.00 | $310.00 | $234.66 – $239.35 | 3 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.41 – $40.20 | 3 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $142.67 – $145.52 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $574.40 | $718.00 | $234.66 – $239.35 | 3 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6.31 – $6.31 | 1 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $1.60 | 3 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.95 – $18.67 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.36 – $166.62 | 3 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $214.02 – $218.30 | 3 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $3.53 | 3 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $7.11 | 3 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $9.09 – $9.09 | 1 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $352.24 – $360.13 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $1,024.00 | $1,280.00 | $1,766.00 – $1,766.00 | 1 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $94.26 – $94.26 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.93 – $14.21 | 3 |
| Inj disk cerv-thor ea lev CPT 62291 | $8,904.80 | $11,131.00 | $1,766.00 – $1,766.00 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $328.94 – $1,766.00 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.73 – $6.87 | 3 |
| Inj dx for sinogram CPT 20501 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $3,499.20 | $4,374.00 | $756.44 – $3,541.00 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,109.60 | $1,387.00 | $1,766.00 – $1,766.00 | 1 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.26 – $54.17 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $460.99 – $508.69 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $752.80 | $941.00 | $328.94 – $1,766.00 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.77 – $72.19 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.18 – $15.48 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $2,544.80 | $3,181.00 | $756.44 – $3,541.00 | 4 |
| Injection eye drug CPT 67028 | not published | not published | $353.96 – $1,766.00 | 4 |
| Injection for arthrography wrist (both sides) CPT 25246 | $1,420.00 | $1,775.00 | $1,766.00 – $1,766.00 | 1 |
| Injection for bladder x-ray CPT 51600 | $1,324.00 | $1,655.00 | $1,766.00 – $1,766.00 | 1 |
| Injection for hip x-ray CPT 27095 | $1,564.80 | $1,956.00 | $1,766.00 – $1,766.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,420.00 | $1,775.00 | $1,766.00 – $1,766.00 | 1 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.61 – $12.86 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $756.44 – $3,541.00 | 4 |
| Injection into brain canal CPT 61055 | not published | not published | $328.94 – $1,766.00 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $996.56 – $3,541.00 | 4 |
| Injection into spinal artery CPT 62294 | not published | not published | $947.82 – $3,541.00 | 4 |
| Injection into vocal cord CPT 31513 | not published | not published | $419.13 – $1,766.00 | 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.