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 |
|---|---|---|---|---|
| Measure ureter pressure CPT 50686 | not published | not published | $137.89 – $1,766.00 | 4 |
| #mec-opiates CPT 80356 | $148.00 | $185.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $1,604.80 | $2,006.00 | $150.00 – $153.00 | 3 |
| Mecp2 gene full seq CPT 81302 | $2,444.80 | $3,056.00 | $527.87 – $538.43 | 3 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $122.40 | 3 |
| Medial canthopexy CPT 21280 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,478.50 – $9,024.00 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,478.50 – $9,024.00 | 4 |
| Meg evoked single CPT 95966 | not published | not published | $920.24 – $938.65 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $920.24 – $938.65 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,736.00 | $2,170.00 | not published | 0 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.82 – $32.46 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $224.80 | $281.00 | $8.46 – $8.63 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $324.00 | $405.00 | $10.56 – $10.77 | 3 |
| Metabolic panel ionized ca CPT 80047 | $112.00 | $140.00 | $13.73 – $14.00 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $270.40 | $338.00 | $38.57 – $39.34 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $49.60 | $62.00 | not published | 0 |
| Methylphenidate CPT 80360 | $442.40 | $553.00 | not published | 0 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $92.98 | 3 |
| Mgmt promoter methylation analysis CPT 81287 | $1,488.80 | $1,861.00 | $124.64 – $127.13 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.35 | 3 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $40.97 | 3 |
| Microdissection manual CPT 88381 | $1,674.40 | $2,093.00 | not published | 0 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $22.93 | 3 |
| Microsatellite instability CPT 81301 | $1,348.00 | $1,685.00 | $348.56 – $355.53 | 3 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $137.89 – $140.65 | 3 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $9,024.00 – $9,024.00 | 1 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $112.03 – $114.27 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,390.48 | 3 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $196.17 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $206.45 | 3 |
| Mlh1 gene full seq CPT 81292 | $2,559.20 | $3,199.00 | $675.40 – $688.91 | 3 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $337.62 | 3 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $18.16 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $5.42 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $93.26 – $95.12 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $21.65 – $22.08 | 3 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $142.58 – $145.43 | 3 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $849.60 | $1,062.00 | $37.73 – $38.48 | 3 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $655.34 – $668.44 | 3 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $145.52 | 3 |
| Mopath procedure level 1 CPT 81400 | $2,236.00 | $2,795.00 | $63.96 – $65.24 | 3 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $153.34 | 3 |
| Mopath procedure level 5 CPT 81404 | $4,656.00 | $5,820.00 | $274.83 – $280.33 | 3 |
| Mopath procedure level 6 CPT 81405 | $5,100.00 | $6,375.00 | $301.35 – $307.38 | 3 |
| Mopath procedure level 7 CPT 81406 | $13,187.20 | $16,484.00 | $282.88 – $288.54 | 3 |
| Mopath procedure level 8 CPT 81407 | $8,596.80 | $10,746.00 | $846.27 – $863.20 | 3 |
| Mopath procedure level 9 CPT 81408 | $7,545.60 | $9,432.00 | $2,000.00 – $2,040.00 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $182.57 – $186.22 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $798.40 | $998.00 | $384.12 – $391.80 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $535.20 | $669.00 | $182.57 – $186.22 | 3 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $920.24 – $938.65 | 3 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $182.57 – $186.22 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $182.57 – $186.22 | 3 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $153.34 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $20.45 | 3 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $308.67 | 3 |
| MRA abdomen post contrast CPT 74185 | $4,378.40 | $5,473.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $373.86 – $381.34 | 3 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $255.69 – $260.80 | 3 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $373.86 – $381.34 | 3 |
| MRA pelvis CPT 72198 | $4,832.00 | $6,040.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $373.86 – $381.34 | 3 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $255.69 – $260.80 | 3 |
| MRA spinal canal CPT 72159 | $5,472.80 | $6,841.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $373.86 – $381.34 | 3 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $255.69 – $260.80 | 3 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $255.69 – $260.80 | 3 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $255.69 – $260.80 | 3 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $255.69 – $260.80 | 3 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $373.86 – $381.34 | 3 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $373.86 – $381.34 | 3 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $373.86 – $381.34 | 3 |
| Mr elastography CPT 76391 | not published | not published | $255.69 – $260.80 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $187.96 – $191.72 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $585.55 – $597.26 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $187.96 – $191.72 | 3 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $255.69 – $260.80 | 3 |
| MRI breast without cont bi CPT 77047 | $5,313.60 | $6,642.00 | $255.69 – $260.80 | 3 |
| MRI breast w IV cont bi CPT 77049 | $6,103.20 | $7,629.00 | not published | 0 |
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.