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 |
|---|---|---|---|---|
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $8,908.00 – $20,037.41 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $6,099.19 – $8,908.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,563.00 – $12,618.39 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $478.72 – $1,766.00 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $406.40 | $508.00 | $142.58 – $1,766.00 | 4 |
| Pr removal intrauterine device CPT 58301 | $288.00 | $360.00 | $326.55 – $1,766.00 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $352.00 | $440.00 | $435.63 – $1,766.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $446.40 | $558.00 | $215.00 – $1,766.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $446.40 | $558.00 | $215.00 – $1,766.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $446.40 | $558.00 | $215.00 – $1,766.00 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $460.00 | $575.00 | $215.00 – $1,766.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $472.77 – $1,766.00 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,888.80 | $3,611.00 | $1,686.89 – $3,541.00 | 4 |
| PSA (Prostate) Test CPT 84153 | $248.00 | $310.00 | $18.39 – $18.76 | 3 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $30.99 – $31.61 | 3 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $135.20 | $169.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $231.39 – $236.02 | 3 |
| Psycl/nrpsyc tech 1st CPT 96138 | $335.20 | $419.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $142.58 – $145.43 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $115.20 | $144.00 | $15.18 – $15.48 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $115.20 | $144.00 | $18.35 – $18.72 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $107.20 | $134.00 | $13.94 – $14.22 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $107.20 | $134.00 | $14.22 – $14.50 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $306.00 | 3 |
| Pten gene full sequence CPT 81321 | $5,502.40 | $6,878.00 | $600.00 – $612.00 | 3 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $47.53 | 3 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $371.20 | $464.00 | $94.04 – $95.92 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $308.80 | $386.00 | $98.89 – $100.87 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $329.60 | $412.00 | $99.73 – $101.72 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.74 – $26.25 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $214.40 | $268.00 | $68.90 – $70.28 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $157.60 | $197.00 | $30.03 – $30.63 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.33 – $12.58 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $140.00 | $175.00 | $28.06 – $28.62 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $30.54 – $31.15 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $144.00 | $180.00 | $31.68 – $32.31 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,517.79 | 3 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $2,627.20 | $3,284.00 | $428.40 – $436.97 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $1,088.00 | $1,360.00 | $137.89 – $140.65 | 3 |
| Pulse ox multiple CPT 94761 | $185.60 | $232.00 | not published | 0 |
| Pulse ox single CPT 94760 | $88.80 | $111.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $756.44 – $3,541.00 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $107.20 | $134.00 | $142.58 – $1,766.00 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,809.60 | $2,262.00 | $435.63 – $1,766.00 | 4 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,421.60 | $3,027.00 | $756.44 – $3,541.00 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | $402.40 | $503.00 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $402.40 | $503.00 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $756.44 – $3,541.00 | 4 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $756.44 – $3,541.00 | 4 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $27,503.20 | $34,379.00 | not published | 0 |
| Pyelotomy complicated CPT 50135 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Pyruvate CPT 84210 | $199.20 | $249.00 | $14.48 – $14.77 | 3 |
| Pyruvate kinase CPT 84220 | $199.20 | $249.00 | $9.44 – $9.63 | 3 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $142.58 – $145.43 | 3 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,627.20 | $3,284.00 | $581.86 – $593.49 | 3 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,627.20 | $3,284.00 | $428.40 – $436.97 | 3 |
| Quest t3 uptake CPT 84479 | $157.60 | $197.00 | $6.47 – $6.60 | 3 |
| Radial keratotomy CPT 65771 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,345.60 | $2,932.00 | $581.86 – $593.49 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,363.20 | $4,204.00 | $581.86 – $593.49 | 3 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,470.40 | $4,338.00 | $1,387.37 – $1,415.12 | 3 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,313.60 | $2,892.00 | $581.86 – $593.49 | 3 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,345.60 | $2,932.00 | $428.40 – $436.97 | 3 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.47 – $76.98 | 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.