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 |
|---|---|---|---|---|
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $70.40 | $88.00 | $35.09 – $35.79 | 3 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $197.60 | $247.00 | $13.79 – $14.07 | 3 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $364.00 | $455.00 | $25.81 – $26.33 | 3 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $325.60 | $407.00 | $8.89 – $9.07 | 3 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $325.60 | $407.00 | $13.52 – $13.79 | 3 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $271.20 | $339.00 | $27.17 – $27.71 | 3 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,684.00 | $2,105.00 | $17.27 – $17.62 | 3 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $475.20 | $594.00 | $14.99 – $15.29 | 3 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $256.00 | $320.00 | $20.81 – $21.23 | 3 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $733.60 | $917.00 | $20.81 – $21.23 | 3 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $35.79 | 3 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $325.60 | $407.00 | $16.07 – $16.39 | 3 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $298.40 | $373.00 | $11.98 – $12.22 | 3 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $479.20 | $599.00 | $35.09 – $35.79 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $256.80 | $321.00 | $35.09 – $35.79 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $682.40 | $853.00 | $35.09 – $35.79 | 3 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $313.60 | $392.00 | $35.09 – $35.79 | 3 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $508.80 | $636.00 | $42.84 – $43.70 | 3 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $896.00 | $1,120.00 | $72.19 – $73.63 | 3 |
| Mayo infliximab therapeutic drug level CPT 80230 | $626.40 | $783.00 | $38.57 – $39.34 | 3 |
| Mayo inhab inhibin a CPT 86336 | $212.00 | $265.00 | $15.59 – $15.90 | 3 |
| Mayo insft insulin free CPT 83527 | $178.40 | $223.00 | $12.95 – $13.21 | 3 |
| Mayo insulin antibodies CPT 86337 | $304.00 | $380.00 | $21.41 – $21.84 | 3 |
| Mayo iodine CPT 83789 | $1,243.20 | $1,554.00 | $24.11 – $24.59 | 3 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $144.00 | $180.00 | $27.11 – $27.65 | 3 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $396.80 | $496.00 | $27.11 – $27.65 | 3 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $252.80 | $316.00 | $13.25 – $13.52 | 3 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $173.60 | $217.00 | $12.79 – $13.05 | 3 |
| Mayo legionella antibody CPT 86713 | $197.60 | $247.00 | $15.30 – $15.61 | 3 |
| Mayo leptospira antibody igm CPT 86720 | $420.00 | $525.00 | $16.20 – $16.52 | 3 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $11.49 | 3 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $260.80 | $326.00 | $15.49 – $15.80 | 3 |
| Mayo manganese CPT 83785 | $728.80 | $911.00 | $26.65 – $27.18 | 3 |
| Mayo metanephrines plasma CPT 83835 | $336.00 | $420.00 | $16.94 – $17.28 | 3 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $420.80 | $526.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $323.20 | $404.00 | $12.05 – $12.29 | 3 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $525.60 | $657.00 | $18.40 – $18.77 | 3 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $204.00 | $255.00 | $14.55 – $14.84 | 3 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $950.40 | $1,188.00 | $18.64 – $19.01 | 3 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $2,353.60 | $2,942.00 | $137.00 – $139.74 | 3 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $1,117.60 | $1,397.00 | $185.20 – $188.90 | 3 |
| Mayo muramidase CPT 85549 | $174.40 | $218.00 | $18.75 – $19.12 | 3 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $946.40 | $1,183.00 | $18.40 – $18.77 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $252.80 | $316.00 | $18.05 – $18.41 | 3 |
| Mayo myoglobin CPT 83874 | $250.40 | $313.00 | $12.92 – $13.18 | 3 |
| Mayo nickel CPT 83885 | $826.40 | $1,033.00 | $24.51 – $25.00 | 3 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $552.80 | $691.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $28.80 | $36.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $473.60 | $592.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $324.80 | $406.00 | $21.21 – $21.63 | 3 |
| Mayo organic acids qualitative each specimen CPT 83919 | $672.00 | $840.00 | $16.45 – $16.78 | 3 |
| Mayo oxalate 24 hour urine CPT 83945 | $179.20 | $224.00 | $14.45 – $14.74 | 3 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $328.00 | $410.00 | $11.53 – $11.76 | 3 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $210.40 | $263.00 | $15.03 – $15.33 | 3 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $2,162.40 | $2,703.00 | $12.05 – $12.29 | 3 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $520.80 | $651.00 | $35.09 – $35.79 | 3 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $432.80 | $541.00 | $17.98 – $18.34 | 3 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $417.60 | $522.00 | $13.76 – $14.04 | 3 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $258.40 | $323.00 | $8.44 – $8.61 | 3 |
| Mayo pregnenolone CPT 84140 | $216.00 | $270.00 | $20.67 – $21.08 | 3 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $221.60 | $277.00 | $16.59 – $16.92 | 3 |
| Mayo proinsulin CPT 84206 | $414.40 | $518.00 | $26.69 – $27.22 | 3 |
| Mayo psaft prostate specific antigen free CPT 84154 | $177.60 | $222.00 | $18.39 – $18.76 | 3 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $4,798.40 | $5,998.00 | $18.40 – $18.77 | 3 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $312.80 | $391.00 | $13.36 – $13.63 | 3 |
| Mayo receptor assay transferrin soluble CPT 84238 | $199.20 | $249.00 | $36.57 – $37.30 | 3 |
| Mayo renin CPT 84244 | $266.40 | $333.00 | $21.99 – $22.43 | 3 |
| Mayo repu protein electrophoresis urine CPT 84166 | $329.60 | $412.00 | $17.83 – $18.19 | 3 |
| Mayo selenium CPT 84255 | $222.40 | $278.00 | $25.53 – $26.04 | 3 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $15.81 | 3 |
| Mayo serotonin CPT 84260 | $371.20 | $464.00 | $30.98 – $31.60 | 3 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $232.00 | $290.00 | $19.35 – $19.74 | 3 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $248.00 | $310.00 | $13.73 – $14.00 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $144.80 | $181.00 | $92.03 – $93.87 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $197.60 | $247.00 | $4.27 – $4.36 | 3 |
| Mayo tau phosphorylated 217 each CPT 84393 | $1,400.80 | $1,751.00 | $128.92 – $131.50 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,132.00 | $1,415.00 | $208.92 – $213.10 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $256.80 | $321.00 | $25.47 – $25.98 | 3 |
| Mayo tgrp testosterone total CPT 84403 | $467.20 | $584.00 | $25.81 – $26.33 | 3 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $399.20 | $499.00 | $22.17 – $22.61 | 3 |
| Mayo thyroglobulin CPT 84432 | $183.20 | $229.00 | $16.06 – $16.38 | 3 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $254.40 | $318.00 | $10.18 – $10.38 | 3 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $801.60 | $1,002.00 | $12.39 – $12.64 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $126.40 | $158.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $236.00 | $295.00 | $51.28 – $52.31 | 3 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $133.60 | $167.00 | $14.16 – $14.44 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $230.40 | $288.00 | $13.54 – $13.81 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $182.40 | $228.00 | $35.33 – $36.04 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $284.80 | $356.00 | $20.24 – $20.64 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $515.20 | $644.00 | $17.06 – $17.40 | 3 |
| Mayo vitamin k CPT 84597 | $370.40 | $463.00 | $13.72 – $13.99 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $231.20 | $289.00 | $13.25 – $13.52 | 3 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $40.10 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Measure kidney pressure CPT 50396 | not published | not published | $747.24 – $3,541.00 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $371.20 | $464.00 | $63.22 – $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.