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 |
|---|---|---|---|---|
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $4.06 | 3 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $21.70 | 3 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $21.47 | 3 |
| Assay of procainamide CPT 80190 | not published | not published | $60.00 – $61.20 | 3 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.75 – $17.08 | 3 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $66.18 | 3 |
| Assay of prostaglandin CPT 84150 | $130.40 | $163.00 | $41.77 – $42.61 | 3 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $18.76 | 3 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $11.86 | 3 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $9.63 | 3 |
| Assay of salicylate CPT 80179 | $313.60 | $392.00 | $18.64 – $19.01 | 3 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $17.69 | 3 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $13.71 | 3 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $25.71 | 3 |
| Assay of somatostatin CPT 84307 | $1,070.40 | $1,338.00 | $18.28 – $18.65 | 3 |
| Assay of thiocyanate CPT 84430 | $248.00 | $310.00 | $11.63 – $11.86 | 3 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $10.29 | 3 |
| Assay of tyrosine CPT 84510 | $186.40 | $233.00 | $10.63 – $10.84 | 3 |
| Assay of urine sulfate CPT 84392 | $86.40 | $108.00 | $5.49 – $5.60 | 3 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $9.74 | 3 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $6.17 | 3 |
| Assay phosphatidylglycerol CPT 84081 | $336.80 | $421.00 | $16.52 – $16.85 | 3 |
| Assay phosphohexose enzymes CPT 84087 | $114.40 | $143.00 | $10.73 – $10.94 | 3 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $9.63 | 3 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $20.13 | 3 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $400.00 | $500.00 | $94.91 – $96.81 | 3 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $4.36 | 3 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $137.89 – $140.65 | 3 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Assistive tech assessment, ot CPT 97755 | $120.80 | $151.00 | $36.48 – $37.21 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $182.57 – $186.22 | 3 |
| Ast/sgot CPT 84450 | $148.80 | $186.00 | $5.18 – $5.28 | 3 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $690.03 | 3 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $246.74 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $94.00 – $95.88 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $11,563.00 – $11,563.00 | 1 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $11,563.00 – $11,563.00 | 1 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $139.74 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $16.22 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $5,360.72 – $6,314.00 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $4,212.96 – $7,432.00 | 4 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $139.74 | 3 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $139.74 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $137.89 – $140.65 | 3 |
| Audiometry air + bone CPT 92553 | $201.60 | $252.00 | $137.89 – $140.65 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $137.89 – $140.65 | 3 |
| Augmentation cheek bone CPT 21270 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $857.46 | 3 |
| Autologous blood process CPT 86890 | not published | not published | $182.57 – $186.22 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,211.05 – $2,255.27 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $6.60 | 3 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $142.58 – $145.43 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $137.89 – $140.65 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $142.58 – $145.43 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $100.20 – $107.66 | 3 |
| Av fistula revision CPT 36833 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Avul nail plate addl CPT 11732 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $378.40 | $473.00 | $215.00 – $1,766.00 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Azacitidine injection HCPCS J9025 | not published | not published | $1.34 – $1.34 | 1 |
| Baclofen eval charges CPT 97750 | $141.60 | $177.00 | $34.36 – $35.05 | 3 |
| Bacterial meningitis antigen CPT 86403 | $230.40 | $288.00 | $11.54 – $11.77 | 3 |
| Bacterial vaginosis pcr CPT 87801 | $1,136.00 | $1,420.00 | $70.20 – $71.60 | 3 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $15.32 | 3 |
| #bac vag cand-c. albicans naa CPT 87481 | $172.00 | $215.00 | $35.09 – $35.79 | 3 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Banding pulmonary artery CPT 33690 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $35.79 | 3 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $43.70 | 3 |
| Basic vestibular evaluation CPT 92540 | $1,813.60 | $2,267.00 | $231.39 – $236.02 | 3 |
| B cells total count CPT 86355 | $784.80 | $981.00 | $37.73 – $38.48 | 3 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $96.89 | 3 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $55.02 – $58.33 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.16 – $2.20 | 3 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.94 – $14.22 | 3 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.90 – $13.16 | 3 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $215.00 – $1,766.00 | 4 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $215.00 – $1,766.00 | 4 |
| #_benzodiazconfur CPT 80346 | $256.00 | $320.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $652.00 | $815.00 | $25.45 – $25.96 | 3 |
| Beta-2 microglobulin CPT 82232 | $555.20 | $694.00 | $16.18 – $16.50 | 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.