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 |
|---|---|---|---|---|
| Uric acid urine CPT 84560 | $235.20 | $294.00 | $5.08 – $5.18 | 3 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.79 | 3 |
| Urinalysis microscopic only CPT 81015 | $120.00 | $150.00 | $3.05 – $3.11 | 3 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $112.80 | $141.00 | $2.17 – $2.21 | 3 |
| Urinalysis (with microscopy) CPT 81001 | $120.00 | $150.00 | $3.17 – $3.23 | 3 |
| Urinalysis (without microscopy) CPT 81003 | $86.40 | $108.00 | $2.25 – $2.30 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $1,766.00 | 4 |
| Urine Culture Test CPT 87086 | $91.20 | $114.00 | $8.07 – $8.23 | 3 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $1,766.00 | 4 |
| Urine pregnancy test CPT 81025 | $208.00 | $260.00 | $8.61 – $8.78 | 3 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $30.58 | 3 |
| Urine shunt to intestine CPT 50815 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Urography, antegrade CPT 74425 | $1,495.20 | $1,869.00 | $373.86 – $381.34 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $187.96 – $191.72 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $112.03 – $114.27 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.62 – $11.86 | 3 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $6,314.00 – $14,033.33 | 4 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $4,641.60 | $5,802.00 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,946.52 – $9,024.00 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,360.72 – $9,024.00 | 4 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Vaginal bx CPT 58999 | not published | not published | $216.65 – $1,766.00 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,360.72 – $7,432.00 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $1,714.19 | 3 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $7,432.00 – $7,432.00 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $258.40 | $323.00 | $13.54 – $13.81 | 3 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,270.52 – $1,295.93 | 3 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $6,099.19 – $8,908.00 | 4 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $8,908.00 – $12,618.39 | 4 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $303.20 | $379.00 | $13.54 – $13.81 | 3 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $35.79 | 3 |
| Varicella zoster antibody igg CPT 86787 | $313.60 | $392.00 | $12.88 – $13.14 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,506.34 – $9,024.00 | 4 |
| Vasectomy CPT 55250 | not published | not published | $2,240.09 – $6,314.00 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.98 – $21.40 | 3 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $920.24 – $938.65 | 3 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $231.39 – $236.02 | 3 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $672.23 – $685.67 | 3 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,644.00 | $3,305.00 | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,644.00 | $3,305.00 | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $672.23 – $685.67 | 3 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,383.62 – $3,451.29 | 3 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $388.16 – $395.92 | 3 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $137.89 – $140.65 | 3 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $137.89 – $140.65 | 3 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $231.39 – $236.02 | 3 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $11.34 – $11.57 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $140.00 | $175.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $1,686.89 – $1,720.63 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $2,059.20 | $2,574.00 | $1,686.89 – $1,720.63 | 3 |
| Venous mech thrombectomy CPT 37187 | $9,350.40 | $11,688.00 | $8,908.00 – $12,618.39 | 4 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,383.62 – $7,432.00 | 4 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $581.86 – $593.49 | 3 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $428.40 – $436.97 | 3 |
| Ventilator each subsequent day CPT 94003 | $1,020.00 | $1,275.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,258.40 | $1,573.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $947.82 – $3,541.00 | 4 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Version cephalic external CPT 59412 | not published | not published | $3,468.96 – $6,314.00 | 4 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.57 – $11.81 | 3 |
| Very long chain fatty acids CPT 82726 | $839.20 | $1,049.00 | $19.75 – $20.14 | 3 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $3,541.00 – $3,541.00 | 1 |
| Vest large holster HCPCS Q0498 | $2,451.20 | $3,064.00 | not published | 0 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,552.91 – $5,947.00 | 4 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $17.84 | 3 |
| Virus isolation addl studies ea CPT 87253 | $122.40 | $153.00 | $20.20 – $20.60 | 3 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | not published | not published | $142.67 – $145.52 | 3 |
| Visual audiometry (vra) CPT 92579 | $280.00 | $350.00 | $231.39 – $236.02 | 3 |
| Vital capacity test CPT 94150 | $131.20 | $164.00 | $137.89 – $140.65 | 3 |
| Vitamin b-12 CPT 82607 | $140.00 | $175.00 | $15.08 – $15.38 | 3 |
| Vitamin D Test CPT 82306 | $170.40 | $213.00 | $29.60 – $30.19 | 3 |
| Vit for macular hole CPT 67042 | not published | not published | $4,429.45 – $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.