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 |
|---|---|---|---|---|
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $264.33 – $277.55 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $264.33 – $277.55 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $304.70 | $554.00 | $264.33 – $277.55 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $264.33 – $277.55 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,397.00 | $2,540.00 | $1,723.15 – $1,809.31 | 3 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $264.33 – $277.55 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Cltx post ankle fx CPT 27767 | not published | not published | $264.33 – $277.55 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $264.33 – $277.55 | 3 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| C motor evoked lwr limbs CPT 95929 | $1,281.50 | $2,330.00 | $399.88 – $419.88 | 3 |
| C motor evoked uppr limbs CPT 95928 | $1,328.80 | $2,416.00 | $920.24 – $966.25 | 3 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $920.24 – $966.25 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $63.22 – $66.38 | 3 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $63.22 – $66.38 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $14.77 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $9.24 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $278.85 | $507.00 | $19.56 – $20.54 | 3 |
| Cmv pcr-sendout CPT 87496 | $284.35 | $517.00 | $35.09 – $36.84 | 3 |
| Co2 monitor per day CPT 94681 | not published | not published | $399.88 – $419.88 | 3 |
| Coagulation time activated teg CPT 85347 | $62.15 | $113.00 | $4.28 – $4.49 | 3 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $4.71 | 3 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $137.89 – $144.78 | 3 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $137.89 – $144.78 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $8.47 | 3 |
| Cold agglutinin titer CPT 86157 | $107.80 | $196.00 | $8.06 – $8.46 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $253.00 | $460.00 | $142.58 – $149.71 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $99.00 | $180.00 | $142.58 – $149.71 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $22.00 | $40.00 | $9.34 – $9.81 | 3 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $231.39 – $242.96 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $996.56 – $1,046.39 | 3 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $996.56 – $1,046.39 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $996.56 – $1,046.39 | 3 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $996.56 – $1,046.39 | 3 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $326.55 – $342.88 | 3 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $326.55 – $342.88 | 3 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $204.05 | $371.00 | $182.57 – $191.70 | 3 |
| Compatibility test each unit electronic CPT 86923 | $124.85 | $227.00 | $182.57 – $191.70 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $105.60 | $192.00 | $182.57 – $191.70 | 3 |
| Compatibility test incubate CPT 86921 | $149.60 | $272.00 | $182.57 – $191.70 | 3 |
| Complement antigen each component c3 CPT 86160 | $225.50 | $410.00 | $12.00 – $12.60 | 3 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $10.51 | 3 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $267.74 – $281.13 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $543.95 | $989.00 | $435.63 – $457.41 | 3 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $792.00 – $831.60 | 3 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $231.39 – $242.96 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $572.00 | $1,040.00 | $792.00 – $831.60 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $841.50 | $1,530.00 | $792.00 – $831.60 | 3 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $455.40 | $828.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $450.45 | $819.00 | $435.63 – $457.41 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $841.50 | $1,530.00 | $435.63 – $457.41 | 3 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $532.40 | $968.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $366.85 | $667.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $792.00 – $831.60 | 3 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Comprehensive hearing test CPT 92557 | not published | not published | $137.89 – $144.78 | 3 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $142.67 – $149.80 | 3 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $142.67 – $149.80 | 3 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $373.86 – $392.55 | 3 |
| Concentration infection agents any type CPT 87015 | $40.70 | $74.00 | $6.68 – $7.01 | 3 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $137.89 – $144.78 | 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.