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 |
|---|---|---|---|---|
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $142.58 – $145.43 | 3 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $40.03 – $40.83 | 3 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $142.58 – $145.43 | 3 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $112.03 – $114.27 | 3 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $112.03 – $114.27 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $14,185.00 – $48,145.04 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $11,563.00 – $21,205.31 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $11,563.00 – $12,179.53 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,829.42 – $11,563.00 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $12,985.00 – $33,729.04 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $447.15 – $456.09 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $63.22 – $64.48 | 3 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $63.22 – $64.48 | 3 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx lunate dislocation CPT 25695 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $8,908.00 – $19,165.36 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx thigh fx CPT 27269 | not published | not published | $5,947.00 – $7,931.41 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $12.22 | 3 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $24.07 | 3 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,662.71 – $3,541.00 | 4 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $780.80 | $976.00 | not published | 0 |
| Orthopantogram CPT 70355 | not published | not published | $93.26 – $95.12 | 3 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $63.22 – $64.48 | 3 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $109.09 – $111.28 | 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.