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 |
|---|---|---|---|---|
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $299.72 – $1,766.00 | 4 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $299.72 – $1,766.00 | 4 |
| Western blot test CPT 84181 | $520.00 | $650.00 | $17.03 – $17.37 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.54 – $18.91 | 3 |
| Whole blood for transfusion HCPCS P9010 | $1,829.60 | $2,287.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $1,311.20 | $1,639.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $7,844.80 | $9,806.00 | $1,287.00 – $1,312.74 | 3 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $954.72 | 3 |
| Wilate injection HCPCS J7183 | not published | not published | $1.32 – $1.35 | 3 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $336.00 | $420.00 | $435.63 – $444.34 | 3 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $360.80 | $451.00 | $435.63 – $444.34 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $292.80 | $366.00 | $215.00 – $219.30 | 3 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $502.40 | $628.00 | $435.63 – $444.34 | 3 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,506.34 – $7,432.00 | 4 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,775.89 – $8,908.00 | 4 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,723.15 – $7,432.00 | 4 |
| Wrist X-ray CPT 73110 | $983.20 | $1,229.00 | $93.26 – $95.12 | 3 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,429.45 – $9,024.00 | 4 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,473.11 – $6,314.00 | 4 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,429.45 – $9,024.00 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,702.41 – $9,024.00 | 4 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $2,211.05 – $5,947.00 | 4 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $932.28 | 3 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $932.28 | 3 |
| Xm archive tissue molec anal CPT 88363 | $223.20 | $279.00 | $30.99 – $31.61 | 3 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,766.00 – $1,766.00 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $6,314.00 – $6,314.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $369.60 | $462.00 | $93.26 – $95.12 | 3 |
| X-ray abdomen 2 views CPT 74019 | $450.40 | $563.00 | $112.03 – $114.27 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $519.20 | $649.00 | $112.03 – $114.27 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $744.80 | $931.00 | $112.03 – $114.27 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $436.00 | $545.00 | $93.26 – $95.12 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,993.60 | $2,492.00 | $373.86 – $381.34 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $12.77 | 3 |
| X-ray bone age studies CPT 77072 | $436.00 | $545.00 | $112.03 – $114.27 | 3 |
| X-ray bone length studies CPT 77073 | $492.00 | $615.00 | $112.03 – $114.27 | 3 |
| X-ray bone survey complete CPT 77075 | $856.80 | $1,071.00 | $112.03 – $114.27 | 3 |
| X-ray bone survey infant CPT 77076 | $492.00 | $615.00 | $112.03 – $114.27 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | $550.40 | $688.00 | $93.26 – $95.12 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | $680.00 | $850.00 | $112.03 – $114.27 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | $747.20 | $934.00 | $112.03 – $114.27 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $964.80 | $1,206.00 | $187.96 – $191.72 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,495.20 | $1,869.00 | $187.96 – $191.72 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $707.20 | $884.00 | $93.26 – $95.12 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $692.80 | $866.00 | $93.26 – $95.12 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $772.00 | $965.00 | $187.96 – $191.72 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $445.60 | $557.00 | $112.03 – $114.27 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $513.60 | $642.00 | $112.03 – $114.27 | 3 |
| X-ray exam of arm infant CPT 73092 | $862.40 | $1,078.00 | $112.03 – $114.27 | 3 |
| X-ray exam of eye sockets CPT 70200 | $553.60 | $692.00 | $112.03 – $114.27 | 3 |
| X-ray exam of femur 1 CPT 73551 | $801.60 | $1,002.00 | $93.26 – $95.12 | 3 |
| X-ray exam of jaw joint CPT 70328 | $380.00 | $475.00 | $93.26 – $95.12 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $255.69 – $260.80 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $112.03 – $114.27 | 3 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $585.55 – $597.26 | 3 |
| X-ray exam of penis CPT 74445 | not published | not published | $112.03 – $114.27 | 3 |
| X-ray exam of perineum CPT 74775 | not published | not published | $255.69 – $260.80 | 3 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $93.26 – $95.12 | 3 |
| X-ray exam of sinuses CPT 70210 | $436.00 | $545.00 | $93.26 – $95.12 | 3 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $255.69 – $260.80 | 3 |
| X-ray exam of teeth CPT 70300 | not published | not published | $93.26 – $95.12 | 3 |
| X-ray exam of teeth CPT 70310 | not published | not published | $255.69 – $260.80 | 3 |
| X-ray exam si joints CPT 72200 | $436.00 | $545.00 | $112.03 – $114.27 | 3 |
| X-ray exam thorac spine4/>vw CPT 72074 | $669.60 | $837.00 | $112.03 – $114.27 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $484.80 | $606.00 | $93.26 – $95.12 | 3 |
| X-ray facial bones complete > 3 views CPT 70150 | $564.00 | $705.00 | $112.03 – $114.27 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | $784.80 | $981.00 | $93.26 – $95.12 | 3 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $572.00 | $715.00 | $93.26 – $95.12 | 3 |
| X-ray foot 2 views (both sides) CPT 73620 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray forearm 2 views (both sides) CPT 73090 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray hand 2 views (both sides) CPT 73120 | $862.40 | $1,078.00 | $112.03 – $114.27 | 3 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $93.26 – $95.12 | 3 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $1,606.40 | $2,008.00 | $112.03 – $114.27 | 3 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,611.20 | $2,014.00 | $112.03 – $114.27 | 3 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $2,106.40 | $2,633.00 | $112.03 – $114.27 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $2,597.60 | $3,247.00 | $112.03 – $114.27 | 3 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $492.00 | $615.00 | $93.26 – $95.12 | 3 |
| X-ray humerus >= 2 views left CPT 73060 | $725.60 | $907.00 | $93.26 – $95.12 | 3 |
| X-ray joint survey 1 view CPT 77077 | $436.00 | $545.00 | $112.03 – $114.27 | 3 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray knee 3 views (both sides) CPT 73562 | $983.20 | $1,229.00 | $93.26 – $95.12 | 3 |
| X-ray knee ap standing bilateral CPT 73565 | $436.00 | $545.00 | $93.26 – $95.12 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $862.40 | $1,078.00 | $93.26 – $95.12 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $554.40 | $693.00 | $112.03 – $114.27 | 3 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $637.60 | $797.00 | $112.03 – $114.27 | 3 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $720.80 | $901.00 | $112.03 – $114.27 | 3 |
| X-ray male genital tract CPT 74440 | not published | not published | $255.69 – $260.80 | 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.