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 |
|---|---|---|---|---|
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $255.69 – $260.80 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $373.86 – $381.34 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $840.06 – $856.87 | 3 |
| MRI chest without contrast CPT 71550 | $3,880.00 | $4,850.00 | $255.69 – $260.80 | 3 |
| MRI chest without & w/contrast CPT 71552 | $5,927.20 | $7,409.00 | $373.86 – $381.34 | 3 |
| MRI chest w IV cont CPT 71551 | $4,651.20 | $5,814.00 | $840.06 – $856.87 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $255.69 – $260.80 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | $5,420.00 | $6,775.00 | $373.86 – $381.34 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $5,137.60 | $6,422.00 | $255.69 – $260.80 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,813.60 | $7,267.00 | $373.86 – $381.34 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,053.60 | $3,817.00 | $255.69 – $260.80 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,005.60 | $6,257.00 | $373.86 – $381.34 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,472.00 | $4,340.00 | $373.86 – $381.34 | 3 |
| MRI tmj CPT 70336 | $3,372.00 | $4,215.00 | $255.69 – $260.80 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $5,108.80 | $6,386.00 | $255.69 – $260.80 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,273.60 | $6,592.00 | $373.86 – $381.34 | 3 |
| MRI upper extremity w/dye CPT 73219 | $5,420.80 | $6,776.00 | $373.86 – $381.34 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $373.86 – $381.34 | 3 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $187.96 – $191.72 | 3 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $373.86 – $381.34 | 3 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $373.86 – $381.34 | 3 |
| Mr safety determination physician/other qhp CPT 76016 | $179.20 | $224.00 | $93.26 – $95.12 | 3 |
| Mr safety implant elec prepj CPT 76018 | $187.20 | $234.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $100.80 | $126.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $120.80 | $151.00 | $63.22 – $64.48 | 3 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $50.40 | $63.00 | $30.99 – $31.61 | 3 |
| Mr sfty med physics xm cstmz CPT 76017 | $492.80 | $616.00 | $255.69 – $260.80 | 3 |
| Mr spectroscopy CPT 76390 | not published | not published | $93.26 – $95.12 | 3 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $217.57 | 3 |
| Msh2 gene full seq CPT 81295 | $1,446.40 | $1,808.00 | $381.70 – $389.33 | 3 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $344.48 | 3 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $242.76 | 3 |
| Msh6 gene full seq CPT 81298 | $2,432.80 | $3,041.00 | $641.85 – $654.69 | 3 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $314.16 | 3 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Mthfr gene analy common variants CPT 81291 | $1,424.00 | $1,780.00 | $65.34 – $66.65 | 3 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $27.42 | 3 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $43.70 | 3 |
| Mucin synovial fluid CPT 83872 | $240.00 | $300.00 | $5.86 – $5.98 | 3 |
| Mucopolysaccharides CPT 83864 | $1,058.40 | $1,323.00 | $28.50 – $29.07 | 3 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $15.30 | 3 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $137.89 – $140.65 | 3 |
| Multiple sleep latency test CPT 95805 | $4,873.60 | $6,092.00 | $920.24 – $938.65 | 3 |
| Mumps antibody igg CPT 86735 | $175.20 | $219.00 | $13.05 – $13.31 | 3 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $231.39 – $236.02 | 3 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $137.89 – $140.65 | 3 |
| Muscle test larynx CPT 95865 | $441.60 | $552.00 | $142.58 – $145.43 | 3 |
| Muscle test one fiber CPT 95872 | not published | not published | $231.39 – $236.02 | 3 |
| Muscle transfers CPT 23397 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $49.20 | 3 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $20.45 | 3 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $43.70 | 3 |
| Mycoplasma antibody igm CPT 86738 | $183.20 | $229.00 | $13.24 – $13.50 | 3 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,372.80 | $1,716.00 | $175.40 – $178.91 | 3 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $840.06 – $856.87 | 3 |
| Myelography l-s spine CPT 72265 | not published | not published | $840.06 – $856.87 | 3 |
| Myelography neck spine CPT 72240 | not published | not published | $840.06 – $856.87 | 3 |
| Myelography thoracic spine CPT 72255 | not published | not published | $840.06 – $856.87 | 3 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $840.06 – $3,541.00 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $15,196.80 | $18,996.00 | $840.06 – $3,541.00 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $840.06 – $3,541.00 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $840.06 – $3,541.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $4,260.00 | $5,325.00 | $11.53 – $11.76 | 3 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Myomectomy abdom method CPT 58140 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Myringoplasty CPT 69620 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $328.00 | $410.00 | $213.90 – $1,766.00 | 4 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $253.81 – $1,766.00 | 4 |
| Nasal function studies CPT 92512 | not published | not published | $231.39 – $236.02 | 3 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $7,432.00 – $7,714.16 | 4 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $1,907.37 – $5,947.00 | 4 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $7,432.00 – $7,714.16 | 4 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,907.37 – $6,314.00 | 4 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $6,314.00 – $7,714.16 | 4 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $7,432.00 – $7,714.16 | 4 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $7,432.00 – $7,714.16 | 4 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $419.13 – $1,766.00 | 4 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,907.37 – $5,947.00 | 4 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.32 – $24.81 | 3 |
| Natriuretic peptide CPT 83880 | $360.00 | $450.00 | $39.26 – $40.05 | 3 |
| Natural killer cells total count CPT 86357 | $183.20 | $229.00 | $37.73 – $38.48 | 3 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| N block inj common digit CPT 64632 | not published | not published | $328.94 – $1,766.00 | 4 |
| N block inj hypogas plxs CPT 64517 | $2,903.20 | $3,629.00 | $947.82 – $3,541.00 | 4 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $267.74 – $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.