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 |
|---|---|---|---|---|
| Cryopreserve stem cells CPT 38207 | not published | not published | $472.77 – $496.41 | 3 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $55.84 – $58.64 | 3 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $215.00 – $225.75 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $63.22 – $66.38 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | $202.40 | $368.00 | $14.41 – $15.13 | 3 |
| Cryptosporidium antigen CPT 87272 | $77.55 | $141.00 | $11.98 – $12.58 | 3 |
| Crystal identification light microscopy CPT 89060 | $284.35 | $517.00 | $7.33 – $7.70 | 3 |
| Csf leakage imaging CPT 78650 | $1,963.50 | $3,570.00 | $1,387.37 – $1,456.74 | 3 |
| Csf ventriculography CPT 78635 | not published | not published | $581.86 – $610.95 | 3 |
| CT 3d report other modality w/workstation CPT 76377 | $915.20 | $1,664.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $5,082.00 | $9,240.00 | $187.96 – $197.36 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,507.90 | $6,378.00 | $187.96 – $197.36 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,114.65 | $5,663.00 | $187.96 – $197.36 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $2,917.20 | $5,304.00 | $187.96 – $197.36 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,082.00 | $9,240.00 | $373.86 – $392.55 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,864.85 | $7,027.00 | $187.96 – $197.36 | 3 |
| CT Angiogram of the Head CPT 70496 | $3,260.40 | $5,928.00 | $187.96 – $197.36 | 3 |
| CT angio hrt w/3d image CPT 75574 | $1,824.35 | $3,317.00 | $373.86 – $392.55 | 3 |
| CT angio pelvis CPT 72191 | $2,191.75 | $3,985.00 | $187.96 – $197.36 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,144.90 | $5,718.00 | $187.96 – $197.36 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $93.26 – $97.92 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $187.96 – $197.36 | 3 |
| CT colonography dx CPT 74261 | not published | not published | $112.03 – $117.63 | 3 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $187.96 – $197.36 | 3 |
| CT colonography screening CPT 74263 | not published | not published | $255.69 – $268.47 | 3 |
| CT guidance for needle placement CPT 77012 | $2,123.00 | $3,860.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,895.85 | $3,447.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $264.33 – $277.55 | 3 |
| CT guid parench tis ablat CPT 77013 | $1,193.50 | $2,170.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $95.70 | $174.00 | $93.26 – $97.92 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $373.86 – $392.55 | 3 |
| CT hrt w/3d image CPT 75572 | not published | not published | $373.86 – $392.55 | 3 |
| CT limited or localized follow-up study CPT 76380 | $990.00 | $1,800.00 | $93.26 – $97.92 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,477.20 | $4,504.00 | $187.96 – $197.36 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,941.50 | $3,530.00 | $112.03 – $117.63 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,781.35 | $5,057.00 | $187.96 – $197.36 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $2,059.20 | $3,744.00 | $187.96 – $197.36 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $1,887.60 | $3,432.00 | $112.03 – $117.63 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,230.80 | $4,056.00 | $187.96 – $197.36 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,973.30 | $5,406.00 | $187.96 – $197.36 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,334.20 | $4,244.00 | $187.96 – $197.36 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,972.85 | $3,587.00 | $112.03 – $117.63 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $265.65 | $483.00 | $253.81 – $266.50 | 3 |
| CT scan for therapy guide CPT 77014 | $1,343.65 | $2,443.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,618.25 | $10,215.00 | $373.86 – $392.55 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,334.00 | $7,880.00 | $373.86 – $392.55 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,173.95 | $7,589.00 | $255.69 – $268.47 | 3 |
| CT thoracic spine w/contrast CPT 72129 | $2,568.50 | $4,670.00 | $187.96 – $197.36 | 3 |
| CT thoracic spine without contrast CPT 72128 | $2,407.90 | $4,378.00 | $112.03 – $117.63 | 3 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $295.35 | $537.00 | $112.03 – $117.63 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $2,654.85 | $4,827.00 | $187.96 – $197.36 | 3 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,668.05 | $4,851.00 | $373.86 – $392.55 | 3 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,994.85 | $3,627.00 | $112.03 – $117.63 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,144.90 | $5,718.00 | $187.96 – $197.36 | 3 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $182.57 – $191.70 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $182.57 – $191.70 | 3 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $49.50 | $90.00 | $8.08 – $8.48 | 3 |
| Culture afb any source CPT 87116 | $194.15 | $353.00 | $10.80 – $11.34 | 3 |
| Culture anaerobic additional method definitive id each CPT 87076 | $61.05 | $111.00 | $8.08 – $8.48 | 3 |
| Culture anaerobic except blood CPT 87075 | $155.65 | $283.00 | $9.47 – $9.94 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $51.15 | $93.00 | $9.44 – $9.91 | 3 |
| Culture body fluid CPT 87070 | $140.80 | $256.00 | $8.62 – $9.05 | 3 |
| Culture fungi definitive id mold CPT 87107 | $42.35 | $77.00 | $10.32 – $10.84 | 3 |
| Culture fungi definitive id yeast CPT 87106 | $66.00 | $120.00 | $10.32 – $10.84 | 3 |
| Culture fungi other (except blood) CPT 87102 | $82.50 | $150.00 | $8.41 – $8.83 | 3 |
| Culture fungi skin/hair/nail CPT 87101 | $112.20 | $204.00 | $7.71 – $8.10 | 3 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $146.85 | $267.00 | $14.61 – $15.34 | 3 |
| Culture mycoplasma any source CPT 87109 | $42.35 | $77.00 | $15.39 – $16.16 | 3 |
| Culture quantitative aerobic other source CPT 87071 | $85.25 | $155.00 | $9.89 – $10.38 | 3 |
| Culture screening strep group a CPT 87081 | $95.15 | $173.00 | $6.63 – $6.96 | 3 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $8.13 | 3 |
| Culture typing immunologic CPT 87147 | $44.00 | $80.00 | $5.18 – $5.44 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $485.65 | $883.00 | $218.06 – $228.96 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $58.85 | $107.00 | $35.09 – $36.84 | 3 |
| Culture urine each isolate CPT 87088 | $58.30 | $106.00 | $8.09 – $8.49 | 3 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $20.54 | 3 |
| Cutter lead HCPCS C1773 | $1,468.52 | $2,670.03 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,230.35 | $2,237.00 | $1,686.89 – $1,771.24 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $199.10 | $362.00 | $14.32 – $15.04 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $95.70 | $174.00 | $12.95 – $13.60 | 3 |
| Cyclosporine 2 hour CPT 80158 | $268.40 | $488.00 | $18.05 – $18.95 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $231.00 | $420.00 | $291.36 – $305.93 | 3 |
| Cyp2c9 gene com variants CPT 81227 | $479.05 | $871.00 | $174.81 – $183.55 | 3 |
| Cyp2d6 gene com variants CPT 81226 | $1,015.30 | $1,846.00 | $450.91 – $473.46 | 3 |
| Cyp3a4 gene common variants CPT 81230 | $138.60 | $252.00 | $174.81 – $183.55 | 3 |
| Cyp3a5 gene common variants CPT 81231 | $138.60 | $252.00 | $174.81 – $183.55 | 3 |
| Cystatin c CPT 82610 | $88.00 | $160.00 | $18.52 – $19.45 | 3 |
| Cystic fibrosis cftr CPT 81223 | $2,844.05 | $5,171.00 | $499.00 – $523.95 | 3 |
| Cystine urine quantitative CPT 82131 | $116.05 | $211.00 | $22.98 – $24.13 | 3 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $629.20 | $1,144.00 | $373.86 – $392.55 | 3 |
| Cystoscopy and treatment CPT 52310 | $2,783.00 | $5,060.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,252.90 | $2,278.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $3,465.00 | $6,300.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,065.15 | $5,573.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $575.30 | $1,046.00 | $42.38 – $44.50 | 3 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $42.74 | 3 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $1,218.00 | 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.