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 |
|---|---|---|---|---|
| Manipulation of spine CPT 22505 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $264.33 – $1,766.00 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.17 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $49.14 – $54.34 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $4,476.80 | $5,596.00 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $4,195.85 – $6,314.00 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $7,115.73 – $9,024.00 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Mastoids complete CPT 70130 | $800.00 | $1,000.00 | $112.03 – $114.27 | 3 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Mastopexy CPT 19316 | not published | not published | $7,115.73 – $7,432.00 | 4 |
| Mast radical CPT 19305 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $7,115.73 – $7,432.00 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $35.79 | 3 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $27.84 | 3 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $43.70 | 3 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $291.20 | $364.00 | $14.46 – $14.75 | 3 |
| Mayo aathr protein s free CPT 85306 | $362.40 | $453.00 | $15.32 – $15.63 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $311.20 | $389.00 | $15.32 – $15.63 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $928.00 | $1,160.00 | $38.57 – $39.34 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $264.00 | $330.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $388.00 | $485.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $168.00 | $210.00 | $14.78 – $15.08 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $179.20 | $224.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $245.60 | $307.00 | $13.44 – $13.71 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $216.80 | $271.00 | $15.08 – $15.38 | 3 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $61.60 | $77.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $236.00 | $295.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,933.60 | $2,417.00 | $121.63 – $124.06 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,768.00 | $2,210.00 | $91.66 – $93.49 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $2,334.40 | $2,918.00 | $137.00 – $139.74 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $7,006.40 | $8,758.00 | $1,160.00 – $1,183.20 | 3 |
| Mayo androstenedione CPT 82157 | $299.20 | $374.00 | $29.28 – $29.87 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $375.20 | $469.00 | $14.60 – $14.89 | 3 |
| Mayo antithrombin iii antigen CPT 85301 | $264.00 | $330.00 | $10.81 – $11.03 | 3 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $260.80 | $326.00 | $15.05 – $15.35 | 3 |
| Mayo avwpr vw factor activity CPT 85397 | $664.00 | $830.00 | $30.86 – $31.48 | 3 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $46.40 | $58.00 | $35.09 – $35.79 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $838.40 | $1,048.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $151.20 | $189.00 | $10.18 – $10.38 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $472.00 | $590.00 | $144.84 – $147.74 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $565.60 | $707.00 | $214.62 – $218.91 | 3 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $152.80 | $191.00 | $12.90 – $13.16 | 3 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $37.60 | $47.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $336.80 | $421.00 | $13.19 – $13.45 | 3 |
| Mayo brcmg brucella antibody igm CPT 86622 | $576.00 | $720.00 | $8.93 – $9.11 | 3 |
| Mayo c1 esterase inhibitor CPT 83883 | $456.00 | $570.00 | $13.60 – $13.87 | 3 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $371.20 | $464.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $316.00 | $395.00 | $16.87 – $17.21 | 3 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $556.80 | $696.00 | $26.78 – $27.32 | 3 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $400.00 | $500.00 | $122.22 – $124.66 | 3 |
| Mayo ceruloplasmin CPT 82390 | $162.40 | $203.00 | $10.74 – $10.95 | 3 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $484.00 | $605.00 | $14.12 – $14.40 | 3 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $616.80 | $771.00 | $12.88 – $13.14 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $162.40 | $203.00 | $11.82 – $12.06 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $129.60 | $162.00 | $12.68 – $12.93 | 3 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,095.20 | $1,369.00 | $116.49 – $118.82 | 3 |
| Mayo chromium CPT 82495 | $392.00 | $490.00 | $20.28 – $20.69 | 3 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $470.40 | $588.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $158.40 | $198.00 | $11.47 – $11.70 | 3 |
| Mayo cocou cortisone urine CPT 82542 | $1,107.20 | $1,384.00 | $24.09 – $24.57 | 3 |
| Mayo cortisol free CPT 82530 | $457.60 | $572.00 | $16.71 – $17.04 | 3 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $44.00 | $55.00 | $42.13 – $42.97 | 3 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $145.60 | $182.00 | $12.12 – $12.36 | 3 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $384.80 | $481.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $395.20 | $494.00 | not published | 0 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $19.79 | 3 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,332.00 | $1,665.00 | $182.57 – $186.22 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $170.40 | $213.00 | $13.25 – $13.52 | 3 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $238.40 | $298.00 | $25.27 – $25.78 | 3 |
| Mayo dihydrotestosterone CPT 82642 | $149.60 | $187.00 | $29.28 – $29.87 | 3 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $9.83 | 3 |
| Mayo efpo chloride stool CPT 82438 | $197.60 | $247.00 | $5.00 – $5.10 | 3 |
| Mayo estriol CPT 82677 | $187.20 | $234.00 | $24.18 – $24.66 | 3 |
| Mayo estrone CPT 82679 | $238.40 | $298.00 | $24.95 – $25.45 | 3 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $230.40 | $288.00 | $16.34 – $16.67 | 3 |
| Mayo everolimus therapeutic drug level CPT 80169 | $706.40 | $883.00 | $13.73 – $14.00 | 3 |
| Mayo factor ii CPT 85210 | $324.80 | $406.00 | $12.98 – $13.24 | 3 |
| Mayo factor v CPT 85220 | $356.00 | $445.00 | $17.65 – $18.00 | 3 |
| Mayo factor vii CPT 85230 | $355.20 | $444.00 | $17.90 – $18.26 | 3 |
| Mayo factor viii vw factor antigen CPT 85246 | $589.60 | $737.00 | $22.94 – $23.40 | 3 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $402.40 | $503.00 | $22.94 – $23.40 | 3 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $393.60 | $492.00 | $22.94 – $23.40 | 3 |
| Mayo factor x CPT 85260 | $608.80 | $761.00 | $17.90 – $18.26 | 3 |
| Mayo factor xi CPT 85270 | $570.40 | $713.00 | $17.90 – $18.26 | 3 |
| Mayo fat/lipids feces quantitative CPT 82710 | $250.40 | $313.00 | $16.80 – $17.14 | 3 |
| Mayo fbl culture fungi blood CPT 87103 | $364.80 | $456.00 | $20.46 – $20.87 | 3 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $792.80 | $991.00 | $80.46 – $82.07 | 3 |
| Mayo ffspg allergen clam igg CPT 86001 | $420.80 | $526.00 | $7.82 – $7.98 | 3 |
| Mayo fibrinogen antigen CPT 85385 | $432.80 | $541.00 | $14.46 – $14.75 | 3 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $252.80 | $316.00 | $21.67 – $22.10 | 3 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $8,596.80 | $10,746.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.75 – $4.84 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $179.20 | $224.00 | $35.09 – $35.79 | 3 |
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.