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 |
|---|---|---|---|---|
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $157.80 | 3 |
| Chromosome analysis 5 CPT 88261 | $653.95 | $1,189.00 | $264.34 – $277.56 | 3 |
| Chromosome analysis 50-100 CPT 88248 | $942.70 | $1,714.00 | $173.17 – $181.83 | 3 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $198.00 | 3 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $72.03 | 3 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $28.26 | 3 |
| Chromosome karyotype study CPT 88280 | $614.35 | $1,117.00 | $33.47 – $35.14 | 3 |
| Chromosome study additional CPT 88289 | $479.05 | $871.00 | $34.43 – $36.15 | 3 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $13.08 | 3 |
| Chylomicron screen, bf - sendout CPT 82664 | $99.55 | $181.00 | $61.50 – $64.58 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $112.03 – $117.63 | 3 |
| Circumcision (newborn) CPT 54150 | $2,295.70 | $4,174.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $345.99 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Clean out mastoid cavity CPT 69222 | $714.45 | $1,299.00 | not published | 0 |
| Clearance of airways CPT 31720 | $146.30 | $266.00 | $234.66 – $246.39 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $142.58 – $149.71 | 3 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $142.58 – $149.71 | 3 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $142.58 – $149.71 | 3 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.03 – $42.03 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $788.84 | $1,434.25 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $330.00 | $600.00 | $264.33 – $277.55 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $264.33 – $277.55 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,132.35 | $3,877.00 | $1,723.15 – $1,809.31 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $264.33 – $277.55 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,397.00 | $2,540.00 | $1,723.15 – $1,809.31 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $329.45 | $599.00 | $264.33 – $277.55 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,531.75 | $2,785.00 | $1,723.15 – $1,809.31 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $264.33 – $277.55 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $264.33 – $277.55 | 3 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $253.81 – $266.50 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $16.80 | 3 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,947.00 | $3,540.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $820.60 | $1,492.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,709.95 | $3,109.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $19.88 | 3 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $21.44 | 3 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $19.88 | 3 |
| Clot factor xii hageman CPT 85280 | $118.25 | $215.00 | $19.35 – $20.32 | 3 |
| Clot factor xiii fibrin scrn CPT 85291 | $39.60 | $72.00 | $9.11 – $9.57 | 3 |
| Clot factor xiii fibrin stab CPT 85290 | $81.95 | $149.00 | $16.34 – $17.16 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $901.45 | $1,639.00 | $264.33 – $277.55 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,403.05 | $2,551.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $667.15 | $1,213.00 | $264.33 – $277.55 | 3 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,037.75 | $3,705.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $287.10 | $522.00 | $264.33 – $277.55 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,531.75 | $2,785.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,531.75 | $2,785.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $299.72 – $314.71 | 3 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $284.35 | $517.00 | $264.33 – $277.55 | 3 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $381.15 | $693.00 | $264.33 – $277.55 | 3 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,181.95 | $2,149.00 | $264.33 – $277.55 | 3 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,498.10 | $4,542.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $346.50 | $630.00 | $264.33 – $277.55 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx pelvic ring fx CPT 27198 | $5,072.65 | $9,223.00 | $264.33 – $277.55 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,473.45 | $2,679.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,403.05 | $2,551.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,523.50 | $2,770.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,523.50 | $2,770.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,611.50 | $2,930.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $401.50 | $730.00 | $264.33 – $277.55 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $346.50 | $630.00 | $264.33 – $277.55 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $287.10 | $522.00 | $264.33 – $277.55 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,531.75 | $2,785.00 | $1,723.15 – $1,809.31 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $264.33 – $277.55 | 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.