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 |
|---|---|---|---|---|
| Platelet deplete of harvest CPT 38213 | not published | not published | $472.77 – $1,766.00 | 4 |
| Platelet pheresis each unit HCPCS P9034 | $2,092.00 | $2,615.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,300.00 | $2,875.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,921.60 | $2,402.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $2,790.40 | $3,488.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $3,136.80 | $3,921.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,092.00 | $2,615.00 | $511.59 – $521.82 | 3 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,300.00 | $2,875.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,790.40 | $3,488.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $428.40 – $436.97 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $297.19 | 3 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $758.85 – $3,541.00 | 4 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $2,432.00 | $3,040.00 | $1,766.00 – $1,766.00 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $2,432.00 | $3,040.00 | $1,766.00 – $1,766.00 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,432.00 | $3,040.00 | $1,766.00 – $1,766.00 | 1 |
| Plerixafor injection HCPCS J2562 | not published | not published | $32.74 – $33.40 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $627.20 | $784.00 | not published | 0 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Plmt nephroureteral catheter CPT 50433 | $2,824.00 | $3,530.00 | $3,777.44 – $6,314.00 | 4 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Pm device progr eval dual CPT 93280 | not published | not published | $39.99 – $40.79 | 3 |
| Pm device progr eval multi CPT 93281 | not published | not published | $39.99 – $40.79 | 3 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $211.46 | 3 |
| Pmp22 gene dup/delet CPT 81324 | $3,214.40 | $4,018.00 | $758.36 – $773.53 | 3 |
| Pmp22 gene full sequence CPT 81325 | $3,214.40 | $4,018.00 | $769.58 – $784.97 | 3 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $47.53 | 3 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $39.99 – $40.79 | 3 |
| Pms2 gene dup/delet variants CPT 81319 | $772.00 | $965.00 | $203.50 – $207.57 | 3 |
| Pms2 gene full seq analysis CPT 81317 | $1,511.20 | $1,889.00 | $676.50 – $690.03 | 3 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $337.62 | 3 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $672.23 – $3,541.00 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $406.40 | $508.00 | $26.07 – $26.59 | 3 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $128.55 – $139.97 | 3 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $6,613.60 | $8,267.00 | $920.24 – $938.65 | 3 |
| Polysom any age 1-3> param CPT 95808 | $4,684.00 | $5,855.00 | $920.24 – $938.65 | 3 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,683.20 | $8,354.00 | $920.24 – $938.65 | 3 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $10.72 | 3 |
| Positional change of finger CPT 26555 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Positional nystagmus test CPT 92532 | $314.40 | $393.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $25.50 | 3 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $116.00 | $145.00 | $4.73 – $4.82 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $5.95 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $134.40 | $168.00 | $4.76 – $4.86 | 3 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $139.74 | 3 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Pq thr inj ext pse CPT 36002 | $512.00 | $640.00 | $672.23 – $3,541.00 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,904.80 | $6,131.00 | $1,766.00 – $1,766.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $12,355.20 | $15,444.00 | $3,506.34 – $7,432.00 | 4 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $12,355.20 | $15,444.00 | $3,506.34 – $7,432.00 | 4 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $278.99 – $400.57 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,005.60 | $6,257.00 | $3,506.34 – $5,947.00 | 4 |
| Pr application of long arm splint CPT 29105 | $598.40 | $748.00 | $174.14 – $1,766.00 | 4 |
| Pr application splint static short arm CPT 29125 | $689.60 | $862.00 | $142.58 – $1,766.00 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.03 – $40.83 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $406.40 | $508.00 | $435.63 – $1,766.00 | 4 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $7,432.00 – $14,033.33 | 4 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $52.00 | $65.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $721.60 | $902.00 | $215.00 – $1,766.00 | 4 |
| Prealbumin CPT 84134 | $193.60 | $242.00 | $14.59 – $14.88 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $2,056.34 – $5,947.00 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | $265.60 | $332.00 | $15.05 – $15.35 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,550.40 | $1,938.00 | $112.03 – $114.27 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,020.80 | $1,276.00 | $112.03 – $114.27 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $236.02 | 3 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $577.95 – $1,766.00 | 4 |
| Prepare donor heart CPT 33944 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $56.96 | 3 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $6,314.00 – $6,314.00 | 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.