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 |
|---|---|---|---|---|
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $113.60 | $142.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $124.80 | $156.00 | $234.66 – $239.35 | 3 |
| Osmolality blood CPT 83930 | $300.80 | $376.00 | $6.61 – $6.74 | 3 |
| Osmolality urine CPT 83935 | $300.80 | $376.00 | $6.82 – $6.96 | 3 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $371.20 | $464.00 | $102.47 – $104.52 | 3 |
| Ot evaluation low complexity patient/family CPT 97165 | $308.80 | $386.00 | $101.57 – $103.60 | 3 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $329.60 | $412.00 | $96.48 – $98.41 | 3 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $23.59 | 3 |
| Oth resp proc, group HCPCS G0239 | $103.20 | $129.00 | $40.03 – $40.83 | 3 |
| Oth resp proc, indiv HCPCS G0238 | $142.40 | $178.00 | $30.99 – $31.61 | 3 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $144.00 | $180.00 | $50.81 – $51.83 | 3 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.00 | $175.00 | $47.25 – $48.20 | 3 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $140.00 | $175.00 | $28.43 – $29.00 | 3 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $214.40 | $268.00 | $69.31 – $70.70 | 3 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $170.40 | $213.00 | $33.81 – $34.49 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $144.00 | $180.00 | $18.55 – $18.92 | 3 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $144.00 | $180.00 | $19.66 – $20.05 | 3 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $140.00 | $175.00 | $29.67 – $30.26 | 3 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $144.00 | $180.00 | $31.82 – $32.46 | 3 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $140.00 | $175.00 | $31.10 – $31.72 | 3 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Ovulation tests CPT 84830 | $323.20 | $404.00 | $12.70 – $12.95 | 3 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $139.74 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $690.03 | 3 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $307.38 | 3 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $445.48 | 3 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $174.39 – $177.87 | 3 |
| Parathormone (pth) intact CPT 83970 | $494.40 | $618.00 | $41.28 – $42.11 | 3 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $581.86 – $593.49 | 3 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,532.80 | $1,916.00 | $428.40 – $436.97 | 3 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,014.40 | $2,518.00 | $428.40 – $436.97 | 3 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $7,115.73 – $9,024.00 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $251.20 | $314.00 | $215.00 – $1,766.00 | 4 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Partial excision of lip CPT 40500 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Partial hip replacement CPT 27125 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Partial hysterectomy CPT 58180 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of bladder CPT 51550 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,552.91 – $6,314.00 | 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.