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 |
|---|---|---|---|---|
| Partial removal of liver CPT 47125 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Partial removal of pancreas CPT 48145 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Partial removal of radius CPT 25151 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of radius CPT 25230 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of rectum CPT 45111 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of toe CPT 28160 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Partial removal of tongue CPT 41130 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Partial removal tear gland CPT 68505 | not published | not published | $4,212.96 – $7,432.00 | 4 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,506.34 – $8,908.00 | 4 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $182.57 – $186.22 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $55.84 – $56.96 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $231.39 – $236.02 | 3 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $260.15 | 3 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $336.10 | 3 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $215.00 – $1,766.00 | 4 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $137.89 – $140.65 | 3 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $137.89 – $140.65 | 3 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $27,240.78 – $28,992.54 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $127.38 – $129.93 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $135.98 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $138.61 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $81.09 | 3 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,822.73 – $3,901.01 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,340.80 | $4,176.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,953.60 | $3,692.00 | $187.96 – $191.72 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,306.40 | $2,883.00 | $112.03 – $114.27 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,833.60 | $6,042.00 | $373.86 – $381.34 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $4,444.00 | $5,555.00 | $373.86 – $381.34 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $3,495.20 | $4,369.00 | $255.69 – $260.80 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,284.00 | $1,605.00 | $112.03 – $114.27 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $835.20 | $1,044.00 | $112.03 – $114.27 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $59.83 – $62.48 | 3 |
| Penile injection CPT 54235 | not published | not published | $267.74 – $1,766.00 | 4 |
| Penile vascular study CPT 93980 | not published | not published | $112.03 – $114.27 | 3 |
| Penile vascular study CPT 93981 | not published | not published | $112.03 – $114.27 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,777.44 – $9,024.00 | 4 |
| Penis study CPT 54240 | not published | not published | $231.39 – $1,766.00 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $8,908.00 – $11,618.95 | 4 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $11,563.00 – $20,037.41 | 4 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $11,563.00 – $20,037.41 | 4 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $5,796.00 | $7,245.00 | $1,686.89 – $3,541.00 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,195.85 – $7,432.00 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Peripheral vascular rehab CPT 93668 | $179.20 | $224.00 | $63.22 – $64.48 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $585.55 – $597.26 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $428.40 – $436.97 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $2,432.00 | $3,040.00 | $758.85 – $3,541.00 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | $2,432.00 | $3,040.00 | $758.85 – $3,541.00 | 4 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,024.00 – $10,347.33 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,024.00 – $10,347.33 | 4 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $11,563.00 – $20,037.41 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,766.00 – $1,766.00 | 1 |
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.