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 |
|---|---|---|---|---|
| Hip X-ray CPT 73502 | $376.20 | $684.00 | $93.26 – $97.92 | 3 |
| Histamine CPT 83088 | $355.30 | $646.00 | $29.53 – $31.01 | 3 |
| Histochemical stains add-on CPT 88314 | $158.95 | $289.00 | not published | 0 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $40.03 – $42.03 | 3 |
| Hiv-1 ag ia CPT 87390 | $84.15 | $153.00 | $24.06 – $25.26 | 3 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $23.02 | 3 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $23.00 | 3 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $23.02 | 3 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $61.55 | 3 |
| Hla class i high defin qual CPT 86832 | not published | not published | $323.75 – $339.94 | 3 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $325.80 – $342.09 | 3 |
| Hla class i&ii antibody qual CPT 86828 | $863.50 | $1,570.00 | $64.19 – $67.40 | 3 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $64.19 – $67.40 | 3 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $85.97 | 3 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $339.11 | 3 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $100.30 | 3 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $375.44 | 3 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $424.75 | 3 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $362.85 | 3 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $422.23 | 3 |
| Hla ii typing 1 loc hr CPT 81382 | $282.70 | $514.00 | $123.68 – $129.86 | 3 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $231.78 | 3 |
| Hla i low res one antigen equiv ea CPT 81374 | $169.40 | $308.00 | $74.33 – $78.05 | 3 |
| Hla i typing 1 locus hr CPT 81380 | $1,095.60 | $1,992.00 | $177.25 – $186.11 | 3 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $352.15 | 3 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $423.77 | 3 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $434.50 | $790.00 | $169.90 – $178.40 | 3 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $133.80 | 3 |
| Hla typing a b or c CPT 86813 | not published | not published | $58.00 – $60.90 | 3 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $31.68 | 3 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $38.36 | 3 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $114.96 | 3 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $108.87 – $114.31 | 3 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $190.21 – $199.72 | 3 |
| Home sleep test/type 2 porta HCPCS G0398 | $517.00 | $940.00 | $231.39 – $242.96 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,008.70 | $1,834.00 | $231.39 – $242.96 | 3 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $231.39 – $242.96 | 3 |
| Homocysteine CPT 83090 | $352.00 | $640.00 | $17.92 – $18.82 | 3 |
| Homogenization tissue CPT 87176 | $36.30 | $66.00 | $5.88 – $6.17 | 3 |
| Homovanillic acid (hva) CPT 83150 | $243.65 | $443.00 | $22.41 – $23.53 | 3 |
| Hopd covid-19 spec collect HCPCS C9803 | $35.75 | $65.00 | not published | 0 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $108.87 – $114.31 | 3 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $128.33 | 3 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $128.33 | 3 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $36.84 | 3 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $36.84 | 3 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $42.58 | 3 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.80 | 3 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $70.73 | 3 |
| H pylori (c-13) breath CPT 83013 | $155.65 | $283.00 | $67.36 – $70.73 | 3 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $8.25 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,535.05 | $2,791.00 | $1,303.95 – $1,369.15 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $614.14 | 3 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $614.14 | 3 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $21.05 | 3 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $288.57 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $310.20 | $564.00 | $137.00 – $143.85 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $214.50 | $390.00 | $20.81 – $21.85 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $100.10 | $182.00 | $50.18 – $52.69 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $383.35 | $697.00 | $227.94 – $239.33 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $411.40 | $748.00 | $17.90 – $18.80 | 3 |
| Hymenotomy CPT 56442 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $10.69 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $413.32 – $433.98 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $592.11 – $621.72 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $592.11 – $621.72 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $592.11 – $621.72 | 3 |
| Hypnotherapy CPT 90880 | not published | not published | $108.87 – $114.31 | 3 |
| Hysterosalpingography s&i CPT 74740 | $1,144.55 | $2,081.00 | $255.69 – $268.47 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $4,305.40 | $7,828.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $3,278.00 | $5,960.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $174.90 | $318.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $117.70 | $214.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $42.35 | $77.00 | $13.42 – $14.09 | 3 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $36.84 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $169.40 | $308.00 | $18.09 – $18.99 | 3 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $47.54 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,570.99 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $32,319.18 | $58,762.14 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $46,687.57 | $84,886.49 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $9,615.70 | $17,483.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,772.50 | $19,586.36 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.39 – $242.96 | 3 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.03 – $42.03 | 3 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $63.22 – $66.38 | 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.