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 |
|---|---|---|---|---|
| Incision of metatarsal CPT 28308 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of metatarsals CPT 28309 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of midfoot bones CPT 28304 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of neck of femur CPT 27161 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of rectal abscess CPT 46060 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Incision of thigh CPT 27448 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of thigh CPT 27450 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision of tibia CPT 27705 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Incision of tongue fold CPT 41010 | $1,384.35 | $2,517.00 | not published | 0 |
| Incision of tongue nerve CPT 64740 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Incisn windpipe CPT 31600 | $3,849.45 | $6,999.00 | not published | 0 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $73.71 | 3 |
| Infect ag drug suscept pheno predict CPT 87900 | $380.60 | $692.00 | $130.35 – $136.87 | 3 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $15.75 | 3 |
| Infect ag eia influenza a or b ea CPT 87400 | $16.50 | $30.00 | $14.13 – $14.84 | 3 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $270.32 | 3 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $354.75 | $645.00 | $257.45 – $270.32 | 3 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $146.85 | $267.00 | $128.73 – $135.17 | 3 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $518.10 | $942.00 | $257.45 – $270.32 | 3 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $34.41 | 3 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $35.29 – $37.05 | 3 |
| Infect ag ia optc obs influenza CPT 87804 | $114.95 | $209.00 | $16.55 – $17.38 | 3 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $45.10 | $82.00 | $11.98 – $12.58 | 3 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $19.28 | 3 |
| Infect ag if influenza a CPT 87276 | $42.35 | $77.00 | $16.07 – $16.87 | 3 |
| Infect ag if influenza b CPT 87275 | $42.35 | $77.00 | $12.25 – $12.86 | 3 |
| Infect ag if legionella pneumophila CPT 87278 | $121.00 | $220.00 | $15.60 – $16.38 | 3 |
| Infect ag if nos ea CPT 87299 | $42.35 | $77.00 | $16.10 – $16.90 | 3 |
| Infect ag if pneumocystis carinii CPT 87281 | $42.35 | $77.00 | $11.98 – $12.58 | 3 |
| Infect ag if varicella zoster CPT 87290 | $140.80 | $256.00 | $13.42 – $14.09 | 3 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $53.47 – $56.14 | 3 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $36.84 | 3 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $44.98 | 3 |
| Infect ag na hpv high-risk types CPT 87624 | $42.35 | $77.00 | $35.09 – $36.84 | 3 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $95.80 – $100.59 | 3 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $53.88 | 3 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $73.70 | $134.00 | $51.31 – $53.88 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $704.55 | $1,281.00 | $416.78 – $437.62 | 3 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $513.09 | 3 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $27.37 | 3 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $43.45 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $69.30 | $126.00 | $11.98 – $12.58 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $53.90 | $98.00 | $13.42 – $14.09 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $84.15 | $153.00 | $13.82 – $14.51 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $57.20 | $104.00 | $11.98 – $12.58 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $106.70 | $194.00 | $14.38 – $15.10 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $117.15 | $213.00 | $10.33 – $10.85 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $112.20 | $204.00 | $10.33 – $10.85 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $69.85 | $127.00 | $24.08 – $25.28 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $176.55 | $321.00 | $11.98 – $12.58 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $257.40 | $468.00 | $11.98 – $12.58 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $112.20 | $204.00 | $11.98 – $12.58 | 3 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $386.10 | $702.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $132.00 | $240.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $177.65 | $323.00 | $37.27 – $39.13 | 3 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $520.85 | $947.00 | $416.78 – $437.62 | 3 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $380.60 | $692.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $83.60 | $152.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $343.75 | $625.00 | $41.68 – $43.76 | 3 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $115.50 | $210.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $91.30 | $166.00 | $51.31 – $53.88 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $217.80 | $396.00 | $142.63 – $149.76 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $270.60 | $492.00 | $142.63 – $149.76 | 3 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $45.10 | $82.00 | $35.09 – $36.84 | 3 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $73.69 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $189.75 | $345.00 | $76.77 – $80.61 | 3 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $713.76 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $611.60 | $1,112.00 | $416.78 – $437.62 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $180.40 | $328.00 | $128.29 – $134.70 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $298.10 | $542.00 | $262.99 – $276.14 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $366.30 | $666.00 | $42.84 – $44.98 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $377.30 | $686.00 | $42.84 – $44.98 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $351.45 | $639.00 | $42.84 – $44.98 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $287.10 | $522.00 | $85.10 – $89.36 | 3 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $306.90 | $558.00 | $142.63 – $149.76 | 3 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $30.68 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $413.32 – $433.98 | 3 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $399.88 – $419.88 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $143.55 | $261.00 | $234.66 – $246.39 | 3 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $142.67 – $149.80 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $288.20 | $524.00 | $234.66 – $246.39 | 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.