OSF Healthcare System · Pontiac, IL
30
In-network payers
148
Disclosed rate categories
42
Beds
2
Care quality
Osf Saint James - John W. Albrect Medical Center - Pontiac is a 42-bed voluntary non-profit - church hospital in Pontiac, IL, affiliated with OSF Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 148 disclosed rate categories.
CCN (Medicare provider number)
140161
NPI
1407808090
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
42
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Osf Saint James - John W. Albrect Medical Center - Pontiac most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$498 - $6,530
from 4 insurers · median $5,568
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,684
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,086
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74176
$324 - $4,270
from 4 insurers · median $3,418
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$575 - $15,217
from 3 insurers · median $9,433
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$547 - $15,217
from 3 insurers · median $9,433
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$24,171 - $44,225
from 2 insurers · median $34,198
Typical for a hospital with this service line
MRI imaging
CPT 70553
$605 - $6,530
from 4 insurers · median $5,568
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$313 - $3,706
from 4 insurers · median $2,727
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$186 - $1,226
from 4 insurers · median $1,129
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$778 - $10,465
from 4 insurers · median $8,885
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$380 - $8,741
from 4 insurers · median $5,941
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$24,171 - $44,225
from 2 insurers · median $34,198
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 216
$105,984
negotiated rate
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58661
$24,171 - $44,225
from 2 insurers · median $34,198
Typical for a hospital with this service line
MRI imaging
CPT 74183
$682 - $6,530
from 4 insurers · median $5,568
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$788 - $10,435
from 2 insurers · median $5,612
28 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Mammography
CPT 77067
$220 - $345
from 4 insurers · median $338
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$361 - $4,270
from 4 insurers · median $3,418
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$24,171 - $44,225
from 2 insurers · median $34,198
Typical for a hospital with this service line
Ultrasound
CPT 76705
$148 - $1,226
from 4 insurers · median $1,129
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$371 - $4,270
from 4 insurers · median $3,418
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$292 - $4,270
from 4 insurers · median $3,418
Common here, based on CMS Medicare volume
CT imaging
CPT 74178
$388 - $6,530
from 4 insurers · median $5,568
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 1505% | 0 | 0 |
| Insurer B* | 24 | 1148% | 18 | 1 |
| Insurer C* | 20 | 998% | 11 | 1 |
| Insurer D* | 17 | 133% | 1 | 15 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Osf Saint James - John W. Albrect Medical Center - Pontiac.
2500 West Reynolds, Pontiac, IL 61764
(815) 842-2828
The nearest hospitals of similar type and size. Their rates are compared with Osf Saint James - John W. Albrect Medical Center - Pontiac for the same insurers and services above.
Iroquois Memorial Hospital
▼ Rates typically 40% lower than Osf Saint James - John W. Albrect Medical Center - Pontiac (13 services)
Franciscan Health Munster
▼ Rates typically 53% lower than Osf Saint James - John W. Albrect Medical Center - Pontiac (22 services)
Katherine Shaw Bethea
▼ Rates typically 47% lower than Osf Saint James - John W. Albrect Medical Center - Pontiac (7 services)
Hshs Good Shepherd Hospital
▲ Rates typically 345% higher than Osf Saint James - John W. Albrect Medical Center - Pontiac (18 services)
Mcdonough District Hospital
▲ Rates typically 10% higher than Osf Saint James - John W. Albrect Medical Center - Pontiac (16 services)
Franciscan Health Crawfordsville
▼ Rates typically 32% lower than Osf Saint James - John W. Albrect Medical Center - Pontiac (21 services)
Osf Sacred Heart Medical Center - Danville
Osf Saint Elizabeth Medical Center - Ottawa
Osf Saint Francis Medical Center - Peoria
Osf Saint Anthony S Health Center - Alton
About Osf Saint James - John W. Albrect Medical Center - Pontiac's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Osf Saint James - John W. Albrect Medical Center - Pontiac range from $605 to $6,530 across 4 insurers. Cigna's rate is $5,640. The median at nearby comparable hospitals is $1,470. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Osf Saint James - John W. Albrect Medical Center - Pontiac range from $498 to $6,530 across 4 insurers. Aetna's rate is $498. The median at nearby comparable hospitals is $1,541. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Osf Saint James - John W. Albrect Medical Center - Pontiac range from $575 to $15,217 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $15,217. The median at nearby comparable hospitals is $3,705. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Osf Saint James - John W. Albrect Medical Center - Pontiac range from $6,684 to $6,684 across 1 insurers. Blue Cross Blue Shield of Illinois's rate is $6,684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Osf Saint James - John W. Albrect Medical Center - Pontiac range from $220 to $345 across 4 insurers. Aetna's rate is $220. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.
Osf Saint James - John W. Albrect Medical Center - Pontiac has 42 beds. Facility type: Short Term Acute Care Hospital.
Osf Saint James - John W. Albrect Medical Center - Pontiac is located at 2500 West Reynolds, Pontiac, IL 61764. Its main phone number is (815) 842-2828.
Osf Saint James - John W. Albrect Medical Center - Pontiac's CMS Certification Number (CCN), also called its Medicare provider number, is 140161.
The National Provider Identifier (NPI) on file for Osf Saint James - John W. Albrect Medical Center - Pontiac is 1407808090.
Osf Saint James - John W. Albrect Medical Center - Pontiac is affiliated with OSF Healthcare System.
Osf Saint James - John W. Albrect Medical Center - Pontiac lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
148 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers