SSM Health St. Mary's Hospital - Centralia
400 North Pleasant Avenue, Centralia, IL · SSM Health · · NPI 1083617245
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $91.85 | $167.00 | $29.28 – $30.74 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $44.00 | $80.00 | $22.81 – $23.95 | 3 |
| 17-ketosteroids CPT 83586 | $44.00 | $80.00 | $12.80 – $13.44 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $142.67 – $149.80 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $37.72 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $142.58 – $149.71 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $840.06 – $882.07 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $840.06 – $882.07 | 3 |
| 2nd order venous cath CPT 36012 | $1,758.90 | $3,198.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $137.89 – $144.78 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $137.89 – $144.78 | 3 |
| 3-d radiotherapy plan CPT 77295 | $6,734.75 | $12,245.00 | $1,483.26 – $1,557.42 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $91.85 | $167.00 | $11.15 – $11.71 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $198.00 | $360.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $183.70 | $334.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $135.30 | $246.00 | $12.01 – $12.61 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $4,356.00 | $7,920.00 | $3,383.62 – $3,552.80 | 3 |
| Abd/low ext cath 1st CPT 36245 | $2,610.85 | $4,747.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,055.35 | $3,737.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $3,999.60 | $7,272.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,010.15 | $5,473.00 | $187.96 – $197.36 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,809.40 | $5,108.00 | $187.96 – $197.36 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,608.65 | $4,743.00 | $112.03 – $117.63 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,158.00 | $7,560.00 | $373.86 – $392.55 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $3,150.40 | $5,728.00 | $373.86 – $392.55 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,746.15 | $4,993.00 | $255.69 – $268.47 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,849.65 | $3,363.00 | $971.94 – $1,020.54 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,271.60 | $2,312.00 | $112.03 – $117.63 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,010.35 | $1,837.00 | $112.03 – $117.63 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,115.73 – $7,471.51 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,847.45 | $3,359.00 | $971.94 – $1,020.54 | 3 |
| Abl1 gene CPT 81170 | $1,332.10 | $2,422.00 | $300.00 – $315.00 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $5,648.50 | $10,270.00 | $7,775.89 – $8,164.69 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $10,340.55 | $18,801.00 | $18,789.56 – $19,729.04 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,787.85 | $6,887.00 | $137.89 – $144.78 | 3 |
| Ablation cryo abd perit om CPT 49999 | $4,476.45 | $8,139.00 | $971.94 – $1,020.54 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $264.33 – $277.55 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $472.77 – $496.41 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $264.33 – $277.55 | 3 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $790.90 | $1,438.00 | $328.94 – $345.38 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $326.55 – $342.88 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $215.00 – $225.75 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,634.50 | $4,790.00 | $1,769.88 – $1,858.38 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $1,826.00 | $3,320.00 | not published | 0 |
| Acetaminophen level CPT 80143 | not published | not published | $18.64 – $19.57 | 3 |
| Acetone qualitative CPT 82009 | $49.50 | $90.00 | $4.52 – $4.75 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $71.50 | $130.00 | $12.05 – $12.65 | 3 |
| Acetylcholinesterase assay CPT 82013 | $227.15 | $413.00 | $12.29 – $12.90 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $399.88 – $419.88 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $215.00 – $225.75 | 3 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $108.87 – $114.31 | 3 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $190.21 – $199.72 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $381.70 | $694.00 | $142.67 – $149.80 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $38.50 | $70.00 | $12.87 – $13.51 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $137.89 – $144.78 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $40.03 – $42.03 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $63.22 – $66.38 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $40.03 – $42.03 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $37.95 | $69.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $348.15 | $633.00 | $47.63 – $50.01 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,387.37 – $1,456.74 | 3 |
| #acylcarnitineprfl CPT 82017 | $287.65 | $523.00 | $16.87 – $17.71 | 3 |
| Acylcarnitines qual CPT 82016 | $47.30 | $86.00 | $16.49 – $17.31 | 3 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $190.21 – $199.72 | 3 |
| Adapter b 8 channel 10cm HCPCS C1883 | $123.78 | $225.06 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $174.14 – $182.85 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.58 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $169.40 | $308.00 | $12.87 – $13.51 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.85 | 3 |
| Adh-sendout CPT 84588 | $63.80 | $116.00 | $33.94 – $35.64 | 3 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $971.94 – $1,020.54 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $170.50 | $310.00 | $77.16 – $81.01 | 3 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $211.20 | $384.00 | $77.16 – $81.01 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $445.50 | $810.00 | $353.96 – $371.66 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $435.60 | $792.00 | $353.96 – $371.66 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $253.00 | $460.00 | $77.16 – $81.01 | 3 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $340.45 | $619.00 | $77.16 – $81.01 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $84.15 | $153.00 | $77.16 – $81.01 | 3 |
| Administration immunization each additional vaccine CPT 90472 | $73.70 | $134.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $20.35 | $37.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $77.16 – $81.01 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $76.45 | $139.00 | $50.18 – $52.69 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | $66.55 | $121.00 | $50.18 – $52.69 | 3 |
| Administration vaccine pneumococcal HCPCS G0009 | $70.95 | $129.00 | $50.18 – $52.69 | 3 |
| Adrenal cortex & medulla img CPT 78075 | $1,987.70 | $3,614.00 | $1,387.37 – $1,456.74 | 3 |
| Aep hearing status deter i&r CPT 92651 | $303.05 | $551.00 | $231.39 – $242.96 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $231.39 – $242.96 | 3 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $231.39 – $242.96 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $67.65 | $123.00 | $20.05 – $21.05 | 3 |
| #afb mycobacteria suscep. #1 CPT 87190 | $92.95 | $169.00 | $7.31 – $7.68 | 3 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $121.13 | 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.