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 |
|---|---|---|---|---|
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Embolization s&i CPT 75894 | $3,877.50 | $7,050.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $14,561.80 | $26,476.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $14,809.85 | $26,927.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $14,809.85 | $26,927.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $14,809.85 | $26,927.00 | not published | 0 |
| Embryo hatching CPT 89253 | not published | not published | $182.57 – $191.70 | 3 |
| Emb without cervical dilation 58100 CPT 58100 | $259.60 | $472.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $236.50 | $430.00 | $142.58 – $149.71 | 3 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $137.89 – $144.78 | 3 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $231.39 – $242.96 | 3 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $142.58 – $149.71 | 3 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $137.89 – $144.78 | 3 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $231.39 – $242.96 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $79.20 | $144.00 | $13.19 – $13.85 | 3 |
| Encephalitis, st louis igg/igm CPT 86653 | $79.20 | $144.00 | $13.19 – $13.85 | 3 |
| Encephalitis, western equine igg/igm CPT 86654 | $79.20 | $144.00 | $13.19 – $13.85 | 3 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $72.37 | 3 |
| Endo cath bile duct s&i CPT 74328 | $789.25 | $1,435.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $1,127.50 | $2,050.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $326.55 – $342.88 | 3 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,825.60 | $10,592.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $4,391.20 | $7,984.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | $2,113.10 | $3,842.00 | not published | 0 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $996.56 – $1,046.39 | 3 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $996.56 – $1,046.39 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $401.50 | $730.00 | $54.09 – $56.79 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,346.30 | $4,266.00 | $1,907.37 – $2,002.74 | 3 |
| Endo, single, pulmonary HCPCS C1601 | $1,870.81 | $3,401.48 | not published | 0 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $11,139.15 | $20,253.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $631.95 | $1,149.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $6,554.90 | $11,918.00 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $73.70 | $134.00 | $11.98 – $12.58 | 3 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $16.80 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $14.09 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $44.03 – $46.23 | 3 |
| Enzyme histochemistry CPT 88319 | $862.95 | $1,569.00 | $863.38 – $906.55 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $947.82 – $995.21 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $947.82 – $995.21 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,570.99 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,093.75 | $5,625.00 | $3,468.96 – $3,642.41 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $45.10 | $82.00 | $13.12 – $13.78 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $50.60 | $92.00 | $15.29 – $16.05 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $84.70 | $154.00 | $18.14 – $19.05 | 3 |
| Ercp biliary & pancreas CPT 74330 | $1,127.50 | $2,050.00 | not published | 0 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $341.00 | $620.00 | $90.36 – $94.88 | 3 |
| ER Visit (level 2) CPT 99282 | $598.40 | $1,088.00 | $164.54 – $172.77 | 3 |
| ER Visit (level 3) CPT 99283 | $939.40 | $1,708.00 | $292.53 – $307.15 | 3 |
| ER Visit (level 4) CPT 99284 | $1,451.45 | $2,639.00 | $447.15 – $469.50 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $1,707.20 | $3,104.00 | $638.18 – $670.09 | 3 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $428.40 – $449.82 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $971.94 – $1,020.54 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $971.94 – $1,020.54 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $971.94 – $1,020.54 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $1,914.00 | $3,480.00 | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Esophagus motility study CPT 91010 | $880.55 | $1,601.00 | $399.88 – $419.88 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $399.88 – $419.88 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $2,056.34 – $2,159.15 | 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.