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 |
|---|---|---|---|---|
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $938.65 | 3 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $435.63 – $1,766.00 | 4 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $792.00 – $5,947.00 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $137.89 – $140.65 | 3 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $182.57 – $186.22 | 3 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $63.22 – $64.48 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $144.00 | $180.00 | $182.57 – $186.22 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $63.22 – $64.48 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $282.40 | $353.00 | $182.57 – $186.22 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $145.52 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,321.60 | $1,652.00 | $1,769.88 – $3,541.00 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,769.88 – $5,947.00 | 4 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,462.40 | $1,828.00 | $435.63 – $1,766.00 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,131.60 – $7,432.00 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.99 – $40.79 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.99 – $40.79 | 3 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $14,662.40 | $18,328.00 | $8,908.00 – $20,037.41 | 4 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | $212.00 | $265.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $812.80 | $1,016.00 | $435.63 – $1,766.00 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $812.80 | $1,016.00 | $215.00 – $1,766.00 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,667.20 | $2,084.00 | $326.55 – $1,766.00 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $812.80 | $1,016.00 | $435.63 – $1,766.00 | 4 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $142.67 – $145.52 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $142.67 – $145.52 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $518.40 | $648.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,092.58 – $6,314.00 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $340.14 – $1,766.00 | 4 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Procalcitonin CPT 84145 | $500.80 | $626.00 | $27.22 – $27.76 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,974.45 – $6,314.00 | 4 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,508.00 | $1,885.00 | $996.56 – $3,541.00 | 4 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,974.45 – $5,947.00 | 4 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,974.45 – $6,314.00 | 4 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,974.45 – $6,314.00 | 4 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,505.69 – $7,432.00 | 4 |
| Progesterone CPT 84144 | $524.80 | $656.00 | $20.86 – $21.28 | 3 |
| Prolactin CPT 84146 | $407.20 | $509.00 | $19.38 – $19.77 | 3 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $227.94 – $232.50 | 3 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $340.14 – $1,766.00 | 4 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $589.39 – $3,541.00 | 4 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| _propoxygc/msur CPT 80367 | $417.60 | $522.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $6,212.80 | $7,766.00 | $384.12 – $391.80 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,745.80 – $9,024.00 | 4 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,745.80 – $9,024.00 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,777.44 – $5,947.00 | 4 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,777.44 – $9,024.00 | 4 |
| Prosthetic sock multi ply bk HCPCS L8420 | $225.60 | $282.00 | not published | 0 |
| Protein c activity CPT 85303 | $361.60 | $452.00 | $13.84 – $14.12 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $363.20 | $454.00 | $10.74 – $10.95 | 3 |
| Protein s total CPT 85305 | $352.00 | $440.00 | $11.61 – $11.84 | 3 |
| Protein total 24 hour urine CPT 84156 | $232.00 | $290.00 | $3.67 – $3.74 | 3 |
| Protein total body fluid CPT 84157 | $177.60 | $222.00 | $4.00 – $4.08 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $118.40 | $148.00 | $3.67 – $3.74 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $234.40 | $293.00 | $3.94 – $4.02 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $9.93 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $142.67 – $145.52 | 3 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $11,563.00 – $20,037.41 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $11,563.00 – $20,037.41 | 4 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $11,563.00 – $11,563.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,314.00 – $7,931.41 | 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.