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 |
|---|---|---|---|---|
| Rib cartilage graft CPT 21230 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Right ventric recording CPT 93603 | not published | not published | $1,304.74 – $5,947.00 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.16 – $75.64 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.28 – $37.01 | 3 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.28 – $31.90 | 3 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.26 – $20.66 | 3 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.69 – $13.96 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,474.11 – $9,024.00 | 4 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,474.11 – $9,024.00 | 4 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $758.85 – $3,541.00 | 4 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,723.15 – $5,947.00 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,112.75 – $5,947.00 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,282.34 – $5,947.00 | 4 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,660.81 – $8,908.00 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $14,185.00 – $24,313.36 | 4 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $14,185.00 – $34,309.63 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $20,321.60 | $25,402.00 | $14,185.00 – $24,313.36 | 4 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $672.23 – $3,541.00 | 4 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | $7,190.40 | $8,988.00 | $7,432.00 – $9,045.42 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,448.00 | $20,560.00 | $11,563.00 – $21,054.01 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,868.06 – $11,563.00 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $12,985.00 – $12,985.00 | 1 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $758.85 – $3,541.00 | 4 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,112.75 – $6,314.00 | 4 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $478.72 – $1,766.00 | 4 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $4,004.60 – $7,432.00 | 4 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,506.34 – $3,576.46 | 3 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $9,024.00 – $9,024.00 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.80 – $31.41 | 3 |
| Romiplostim injection HCPCS J2796 | not published | not published | $106.85 – $106.85 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.90 – $12.43 | 3 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $18.59 | 3 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $215.00 – $219.30 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,775.89 – $9,024.00 | 4 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $8,908.00 – $14,033.33 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,686.89 – $3,541.00 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $428.40 – $436.97 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,084.80 | $3,856.00 | $1,387.37 – $1,415.12 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,626.40 | $5,783.00 | $1,532.36 – $1,563.01 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $1,686.89 – $3,541.00 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,478.50 – $8,908.00 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,963.01 – $8,908.00 | 4 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,836.82 – $7,432.00 | 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.