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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $464.80 | $581.00 | $267.74 – $1,766.00 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $11,338.00 – $20,037.41 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $12,985.00 – $20,037.41 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $12,985.00 – $20,037.41 | 4 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $5,947.00 – $6,470.68 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,552.91 – $9,024.00 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $12.22 | 3 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.90 – $17.36 | 3 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.22 – $61.43 | 3 |
| Pet CT skull-mid thgh initial CPT 78815 | $9,546.40 | $11,933.00 | $1,532.36 – $1,563.01 | 3 |
| Pet CT whole body initial CPT 78816 | $9,546.40 | $11,933.00 | $1,532.36 – $1,563.01 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | $10,888.80 | $13,611.00 | $1,532.36 – $1,563.01 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,532.36 – $1,563.01 | 3 |
| Pet image w/ct lmtd CPT 78814 | $8,679.20 | $10,849.00 | $1,532.36 – $1,563.01 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $428.40 – $436.97 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $21.04 – $21.46 | 3 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $29.14 – $29.72 | 3 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.56 – $10.77 | 3 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Ph body fluid CPT 83986 | $133.60 | $167.00 | $3.58 – $3.65 | 3 |
| Phencyclidine (pcp) CPT 83992 | $479.20 | $599.00 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $456.00 | $570.00 | $15.30 – $15.61 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $287.20 | $359.00 | $13.25 – $13.52 | 3 |
| Phlebotomy therapeutic CPT 99195 | $581.60 | $727.00 | $142.58 – $145.43 | 3 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Phosphorus CPT 84100 | $129.60 | $162.00 | $4.74 – $4.83 | 3 |
| Phosphorus 24 hour urine CPT 84105 | $265.60 | $332.00 | $5.78 – $5.90 | 3 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $63.22 – $64.48 | 3 |
| Photochemotherapy puva CPT 96912 | not published | not published | $63.22 – $64.48 | 3 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $435.63 – $444.34 | 3 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $63.22 – $64.48 | 3 |
| Photopheresis CPT 36522 | not published | not published | $4,667.44 – $9,024.00 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $142.58 – $145.43 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $55.84 – $56.96 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $182.57 – $186.22 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $30.99 – $31.61 | 3 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $280.33 | 3 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $410.40 | $513.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $792.00 – $1,766.00 | 4 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,506.34 – $5,947.00 | 4 |
| Pin service 60m per month HCPCS G0023 | $212.00 | $265.00 | not published | 0 |
| Pinworm exam CPT 87172 | $171.20 | $214.00 | $4.27 – $4.36 | 3 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $4.36 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $591.07 | 3 |
| Place breast cath for rad CPT 19297 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $8,908.00 – $15,063.28 | 4 |
| Place cath intracranial art CPT 36228 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Place endorectal app HCPCS C9725 | not published | not published | $996.56 – $3,541.00 | 4 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Placement bile duct support CPT 47801 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,432.00 | $3,040.00 | $1,769.88 – $3,541.00 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,432.00 | $3,040.00 | $1,766.00 – $1,766.00 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,432.00 | $3,040.00 | $758.85 – $3,541.00 | 4 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $2,240.09 – $6,314.00 | 4 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,974.45 – $6,314.00 | 4 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,350.40 | $11,688.00 | $11,563.00 – $12,618.39 | 4 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Place needles pelvic for right CPT 55920 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $20.62 | 3 |
| Place po breast cath for rad CPT 19296 | not published | not published | $8,758.76 – $8,933.93 | 4 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,483.26 – $5,947.00 | 4 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $183.20 | $229.00 | not published | 0 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $1,387.37 – $1,415.12 | 3 |
| Plastic surgery neck CPT 15819 | not published | not published | $5,947.00 – $5,947.00 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $772.80 | $966.00 | $24.91 – $25.41 | 3 |
| Platelet automated CPT 85049 | $101.60 | $127.00 | $4.48 – $4.57 | 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.