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 |
|---|---|---|---|---|
| Revision of foot bones CPT 28737 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Revision of foot tendon CPT 28238 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,723.15 – $6,314.00 | 4 |
| Revision of heart chamber CPT 33476 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of heart chamber CPT 33735 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of heart chamber CPT 33736 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of heart chamber CPT 33737 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of hip bone CPT 27147 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Revision of hip bones CPT 27156 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Revision of hip tendon CPT 27097 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $3,797.52 – $7,432.00 | 4 |
| Revision of infusion pump CPT 36261 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Revision of iris CPT 66761 | not published | not published | $589.39 – $3,541.00 | 4 |
| Revision of iris CPT 66762 | not published | not published | $589.39 – $3,541.00 | 4 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,662.71 – $5,947.00 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $11,563.00 – $14,033.33 | 4 |
| Revision of knee joint CPT 27445 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,383.62 – $3,541.00 | 4 |
| Revision of lung CPT 32940 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $6,314.00 – $7,931.41 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $758.85 – $3,541.00 | 4 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Revision of nose CPT 30120 | not published | not published | $3,552.91 – $6,314.00 | 4 |
| Revision of nose CPT 30430 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| Revision of nose CPT 30435 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of nose CPT 30450 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of nose CPT 30460 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of nose CPT 30462 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of pelvis CPT 27158 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $3,777.44 – $9,024.00 | 4 |
| Revision of penis CPT 54304 | not published | not published | $3,777.44 – $9,024.00 | 4 |
| Revision of penis CPT 54420 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Revision of penis CPT 54430 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision of radius CPT 25355 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,092.58 – $6,314.00 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $3,777.44 – $9,024.00 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $5,745.80 – $6,314.00 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,660.81 – $9,024.00 | 4 |
| Revision of testis CPT 54660 | not published | not published | $5,745.80 – $6,314.00 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision of toe CPT 28312 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision of upper arm CPT 24940 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $3,777.44 – $6,314.00 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Revision of urinary tract CPT 51820 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Revision tips CPT 37183 | not published | not published | $6,099.19 – $11,563.00 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,024.00 – $14,033.33 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,745.80 – $9,024.00 | 4 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,746.49 – $7,432.00 | 4 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,746.49 – $7,432.00 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,746.49 – $7,432.00 | 4 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $11,563.00 – $19,165.36 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $11,563.00 – $19,165.36 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,563.00 – $12,179.53 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $8,908.00 – $8,908.00 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $9,624.00 | $12,030.00 | $2,092.58 – $6,314.00 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $161.60 | $202.00 | $6.14 – $6.26 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $158.40 | $198.00 | $5.67 – $5.78 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,314.00 – $6,470.68 | 4 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,474.11 – $9,024.00 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,474.11 – $9,024.00 | 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.