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 |
|---|---|---|---|---|
| Intro long gi tube w/mult fluo CPT 74340 | $54.40 | $68.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,907.37 – $5,947.00 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,063.20 | $1,329.00 | $253.81 – $1,766.00 | 4 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $63.22 – $64.48 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.99 – $40.79 | 3 |
| Ionm in operatng room 15 min CPT 95940 | $433.60 | $542.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $7.20 | $9.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $7.20 | $9.00 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $183.70 – $190.91 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $66.37 – $67.70 | 3 |
| Iron CPT 83540 | $207.20 | $259.00 | $6.47 – $6.60 | 3 |
| Iron binding capacity CPT 83550 | $207.20 | $259.00 | $8.74 – $8.91 | 3 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $7.02 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $40.03 – $40.83 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $252.00 | $315.00 | $63.22 – $64.48 | 3 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $63.22 – $1,766.00 | 4 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $82.32 – $85.25 | 3 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Ivc venogram s&i CPT 75825 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $111.35 – $111.35 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $336.80 | $421.00 | $77.16 – $78.70 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $312.80 | $391.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $308.80 | $386.00 | $50.18 – $51.18 | 3 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $737.60 | $922.00 | $227.94 – $232.50 | 3 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $428.40 – $436.97 | 3 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $478.72 – $1,766.00 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $187.96 – $191.72 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,140.00 | $1,425.00 | $187.96 – $191.72 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $131.90 – $142.54 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $188.90 | 3 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $17.23 | 3 |
| J-tube placement CPT 44015 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Keratomileusis CPT 65760 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Keratophakia CPT 65765 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $8,908.00 – $15,855.91 | 4 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $15.78 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $161.60 | $202.00 | $8.17 – $8.33 | 3 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,745.80 – $5,947.00 | 4 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,745.80 – $6,314.00 | 4 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,541.00 – $3,852.98 | 4 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,745.80 – $9,024.00 | 4 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $5,947.00 – $10,347.33 | 4 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,541.00 – $3,852.98 | 4 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $6,314.00 – $10,347.33 | 4 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,745.80 – $6,314.00 | 4 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $5,947.00 – $10,347.33 | 4 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,745.80 – $5,947.00 | 4 |
| Kidney function study CPT 78725 | not published | not published | $428.40 – $436.97 | 3 |
| Kidney imaging morphology CPT 78700 | not published | not published | $428.40 – $436.97 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $581.86 – $593.49 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $924.80 | $1,156.00 | $581.86 – $593.49 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,172.00 | $1,465.00 | $112.03 – $114.27 | 3 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $780.80 | $976.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $2,060.80 | $2,576.00 | $124.87 – $127.37 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,723.15 – $8,908.00 | 4 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $5,486.40 | $6,858.00 | $373.86 – $381.34 | 3 |
| Knee MRI (with contrast) CPT 73722 | $5,348.80 | $6,686.00 | $840.06 – $856.87 | 3 |
| Knee MRI (without contrast) CPT 73721 | $5,379.20 | $6,724.00 | $255.69 – $260.80 | 3 |
| Knee orth pos locking joint HCPCS L1831 | $780.80 | $976.00 | not published | 0 |
| Knee X-ray CPT 73564 | $974.40 | $1,218.00 | $112.03 – $114.27 | 3 |
| Kras gene addl variants CPT 81276 | $1,041.60 | $1,302.00 | $193.25 – $197.12 | 3 |
| Kras gene variants exon 2 CPT 81275 | $1,594.40 | $1,993.00 | $193.25 – $197.12 | 3 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $11,563.00 – $19,165.36 | 4 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $11,563.00 – $19,165.36 | 4 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | $252.80 | $316.00 | $6.04 – $6.16 | 3 |
| Lactic acid CPT 83605 | $389.60 | $487.00 | $11.57 – $11.80 | 3 |
| Lactoferrin fecal qualitative CPT 83630 | $178.40 | $223.00 | $19.70 – $20.09 | 3 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $20.02 | 3 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $11,563.00 – $11,563.00 | 1 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | 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.