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 |
|---|---|---|---|---|
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,478.50 – $7,432.00 | 4 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,745.80 – $7,432.00 | 4 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,777.44 – $7,432.00 | 4 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,937.47 – $7,432.00 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,974.45 – $3,033.94 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $6,343.80 – $9,024.00 | 4 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $63.22 – $64.48 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,836.82 – $7,432.00 | 4 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,432.00 – $7,931.41 | 4 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $7,432.00 – $10,347.33 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Rsv assay w/optic CPT 87807 | $384.00 | $480.00 | $13.10 – $13.36 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $313.60 | $392.00 | $142.67 – $145.52 | 3 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $39.99 – $40.79 | 3 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $90.40 | $113.00 | $39.99 – $40.79 | 3 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $90.40 | $113.00 | $39.99 – $40.79 | 3 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.93 – $26.45 | 3 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $26.41 – $26.94 | 3 |
| Rubella antibody igg CPT 86762 | $263.20 | $329.00 | $14.39 – $14.68 | 3 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $62.02 | 3 |
| Rubeola antibody igg CPT 86765 | $283.20 | $354.00 | $12.88 – $13.14 | 3 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $336.10 | 3 |
| Russell viper venom diluted CPT 85613 | $305.60 | $382.00 | $9.58 – $9.77 | 3 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,204.80 | $4,006.00 | $917.08 – $935.42 | 3 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.54 – $40.33 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $428.40 – $436.97 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $428.40 – $436.97 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $428.40 – $436.97 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $13.45 | 3 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $142.67 – $145.52 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $61.89 – $63.13 | 3 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $52.46 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $73.60 | $92.00 | $35.33 – $36.04 | 3 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $373.60 | $467.00 | $70.29 – $71.70 | 3 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $6,505.69 – $7,432.00 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,561.60 | $1,952.00 | $255.69 – $260.80 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $975.20 | $1,219.00 | $112.03 – $114.27 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $931.20 | $1,164.00 | $255.69 – $260.80 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,229.60 | $1,537.00 | $112.03 – $114.27 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $798.40 | $998.00 | $112.03 – $114.27 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,416.80 | $1,771.00 | $112.03 – $114.27 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,709.60 | $2,137.00 | $255.69 – $260.80 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,416.80 | $1,771.00 | $112.03 – $114.27 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,480.00 | $1,850.00 | $112.03 – $114.27 | 3 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,769.88 – $3,541.00 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,506.34 – $6,314.00 | 4 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $18.91 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $32.58 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $44.85 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $220.80 | $276.00 | $26.49 – $27.02 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $183.20 | $229.00 | $27.05 – $27.59 | 3 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $20.67 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $996.56 – $3,541.00 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $996.56 – $3,541.00 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $18.41 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $28.84 | 3 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $47.28 | 3 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $24.56 | 3 |
| Screening Mammogram CPT 77067 | $551.20 | $689.00 | $92.07 – $93.91 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $296.00 | $370.00 | $19.31 – $19.70 | 3 |
| Screen pap by tech w md supv HCPCS P3000 | $96.00 | $120.00 | $18.54 – $18.91 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $77.16 – $78.70 | 3 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $129.60 | $162.00 | $2.70 – $2.75 | 3 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Select picture audiometry CPT 92583 | $168.00 | $210.00 | $63.22 – $64.48 | 3 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $30.99 – $31.61 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $6.63 | 3 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $12.29 | 3 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $8.78 | 3 |
| Sensorimotor examination CPT 92060 | not published | not published | $63.22 – $64.48 | 3 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.03 – $40.83 | 3 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,547.76 – $6,314.00 | 4 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $195.84 | 3 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,432.00 – $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.