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 |
|---|---|---|---|---|
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $945.00 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $253.55 | $461.00 | $14.39 – $15.11 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $220.55 | $401.00 | $16.85 – $17.69 | 3 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $14.09 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $26.64 | 3 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $15.38 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $169.95 | $309.00 | $55.84 – $58.64 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $26.61 – $27.94 | 3 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $113.85 | $207.00 | $20.26 – $21.27 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $121.55 | $221.00 | $40.03 – $42.03 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $124.30 | $226.00 | $40.03 – $42.03 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $102.85 | $187.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $286.00 | $520.00 | $182.57 – $191.70 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $223.30 | $406.00 | $55.84 – $58.64 | 3 |
| Cytopath smear other source CPT 88160 | $118.80 | $216.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | not published | not published | $55.84 – $58.64 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $160.60 | $292.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.54 – $19.47 | 3 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $82.58 | 3 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $31.16 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $816.20 | $1,484.00 | $182.57 – $191.70 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $215.00 – $225.75 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $5.29 | 3 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $399.88 – $419.88 | 3 |
| Dch validity tests CPT 81002 | $34.10 | $62.00 | $3.48 – $3.65 | 3 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $27.50 | $50.00 | $12.05 – $12.65 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $729.30 | $1,326.00 | $435.63 – $457.41 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $240.35 | $437.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,121.35 | $3,857.00 | $1,769.88 – $1,858.38 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $585.75 | $1,065.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,163.25 | $2,115.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $910.80 | $1,656.00 | $435.63 – $457.41 | 3 |
| Debride nail1-5 11720 CPT 11720 | $80.85 | $147.00 | $63.22 – $66.38 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $96.80 | $176.00 | $63.22 – $66.38 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $758.85 – $796.79 | 3 |
| Debride skin bone at fx site CPT 11012 | $2,703.80 | $4,916.00 | $3,112.75 – $3,268.38 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $663.30 | $1,206.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $207.35 | $377.00 | $215.00 – $225.75 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $710.60 | $1,292.00 | $758.85 – $796.79 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $966.90 | $1,758.00 | $792.00 – $831.60 | 3 |
| Decalcification CPT 88311 | $90.20 | $164.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $573.65 | $1,043.00 | $353.96 – $371.66 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Delivery of placenta 59414 CPT 59414 | $3,185.60 | $5,792.00 | $3,468.96 – $3,642.41 | 3 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $142.67 – $149.80 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $101.20 | $184.00 | $234.66 – $246.39 | 3 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $326.15 | $593.00 | $142.58 – $149.71 | 3 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $758.85 – $796.79 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $435.63 – $457.41 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Design mlc device for imrt CPT 77338 | $1,323.85 | $2,407.00 | $401.25 – $421.31 | 3 |
| Desoxycorticosterone CPT 82633 | $247.50 | $450.00 | $30.98 – $32.53 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $215.00 – $225.75 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $215.00 – $225.75 | 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.