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 |
|---|---|---|---|---|
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $971.94 – $1,020.54 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $231.39 – $242.96 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $137.89 – $144.78 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,907.37 – $2,002.74 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $267.74 – $281.13 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $231.39 – $242.96 | 3 |
| Ear irrigation 69209 CPT 69209 | $143.55 | $261.00 | $63.22 – $66.38 | 3 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.03 – $42.03 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $307.45 | $559.00 | $63.22 – $66.38 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $254.10 | $462.00 | $63.22 – $66.38 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $933.90 | $1,698.00 | $142.58 – $149.71 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $864.05 | $1,571.00 | $63.22 – $66.38 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $940.50 | $1,710.00 | $40.03 – $42.03 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $89.10 | $162.00 | $40.03 – $42.03 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,501.95 | $4,549.00 | $585.55 – $614.83 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $554.40 | $1,008.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,644.95 | $4,809.00 | $840.06 – $882.07 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $701.25 | $1,275.00 | $255.69 – $268.47 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,207.80 | $2,196.00 | $373.86 – $392.55 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $444.40 | $808.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $112.03 – $117.63 | 3 |
| Echo exam of eye CPT 76519 | not published | not published | $112.03 – $117.63 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $93.26 – $97.92 | 3 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $585.55 – $614.83 | 3 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $255.69 – $268.47 | 3 |
| Echo exam of fetal heart CPT 76827 | $468.05 | $851.00 | $112.03 – $117.63 | 3 |
| Echo exam of fetal heart CPT 76828 | $353.65 | $643.00 | $112.03 – $117.63 | 3 |
| Echo exam uterus 76831- CPT 76831 | $977.35 | $1,777.00 | $255.69 – $268.47 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $112.03 – $117.63 | 3 |
| Echo guide for amniocentesis CPT 76946 | $1,114.85 | $2,027.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $677.60 | $1,232.00 | $231.39 – $242.96 | 3 |
| Echo stress CPT 93350 | $2,215.95 | $4,029.00 | $585.55 – $614.83 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $585.55 – $614.83 | 3 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,119.15 | $3,853.00 | $585.55 – $614.83 | 3 |
| Echo transesophageal CPT 93313 | $871.20 | $1,584.00 | $585.55 – $614.83 | 3 |
| Echo transesophageal CPT 93315 | not published | not published | $585.55 – $614.83 | 3 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $585.55 – $614.83 | 3 |
| Echo transthoracic CPT 93303 | $1,018.60 | $1,852.00 | $585.55 – $614.83 | 3 |
| Echo transthoracic CPT 93304 | $711.15 | $1,293.00 | $585.55 – $614.83 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,005.95 | $1,829.00 | $255.69 – $268.47 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $39.99 – $41.99 | 3 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $13.29 | 3 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $592.90 | $1,078.00 | $231.39 – $242.96 | 3 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $699.05 | $1,271.00 | $399.88 – $419.88 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $920.24 – $966.25 | 3 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $399.88 – $419.88 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $999.35 | $1,817.00 | $231.39 – $242.96 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,224.30 | $2,226.00 | $231.39 – $242.96 | 3 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $231.39 – $242.96 | 3 |
| Eeg recording awake and asleep CPT 95819 | $999.35 | $1,817.00 | $231.39 – $242.96 | 3 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $231.39 – $242.96 | 3 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $372.90 | $678.00 | $231.39 – $242.96 | 3 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $399.88 – $419.88 | 3 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $399.88 – $419.88 | 3 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $231.39 – $242.96 | 3 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $928.95 | $1,689.00 | $399.88 – $419.88 | 3 |
| E equine encephalitis igg CPT 86652 | $79.20 | $144.00 | $13.19 – $13.85 | 3 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd control bleeding any CPT 43255 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd dilate stricture CPT 43245 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $971.94 – $1,020.54 | 3 |
| Egd guide wire insertion CPT 43248 | not published | not published | $971.94 – $1,020.54 | 3 |
| Egd injection varices CPT 43243 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd lesion ablation CPT 43270 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd remove foreign body CPT 43247 | $1,353.00 | $2,460.00 | $971.94 – $1,020.54 | 3 |
| Egd remove lesion snare CPT 43251 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd varices ligation CPT 43244 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Egfr gene com variants CPT 81235 | $1,056.00 | $1,920.00 | $324.58 – $340.81 | 3 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $43.45 | $79.00 | $35.09 – $36.84 | 3 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $83.60 | $152.00 | $19.57 – $20.55 | 3 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Elec stim unattend for press HCPCS G0281 | $58.85 | $107.00 | $11.41 – $11.98 | 3 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $55.72 – $58.51 | 3 |
| Electrocochleography CPT 92584 | not published | not published | $137.89 – $144.78 | 3 |
| Electroconvulsive therapy 90870 CPT 90870 | $655.05 | $1,191.00 | $920.24 – $966.25 | 3 |
| Electrode stimulation brain CPT 95961 | not published | not published | $920.24 – $966.25 | 3 |
| Electrogastrography CPT 91132 | not published | not published | $231.39 – $242.96 | 3 |
| Electrogastrography w/test CPT 91133 | not published | not published | $142.58 – $149.71 | 3 |
| Electrolyte panel CPT 80051 | $118.25 | $215.00 | $7.01 – $7.36 | 3 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.15 – $10.66 | 3 |
| Electron microscopy diagnostic CPT 88348 | $1,089.00 | $1,980.00 | $863.38 – $906.55 | 3 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $142.58 – $149.71 | 3 |
| Electrophysiology evaluation CPT 93641 | $1,258.95 | $2,289.00 | not published | 0 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $19.20 | 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.