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 |
|---|---|---|---|---|
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $108.87 – $114.31 | 3 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.45 – $1.53 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $213.40 | $388.00 | not published | 0 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $328.94 – $345.38 | 3 |
| Inj dx for sinogram CPT 20501 | $194.70 | $354.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $756.44 – $794.26 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $475.20 | $864.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $328.94 – $345.38 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | $980.65 | $1,783.00 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $1,275.45 | $2,319.00 | $756.44 – $794.26 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $353.96 – $371.66 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | $379.50 | $690.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $496.10 | $902.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $534.05 | $971.00 | not published | 0 |
| Injection into brain canal CPT 61026 | not published | not published | $756.44 – $794.26 | 3 |
| Injection into brain canal CPT 61055 | not published | not published | $328.94 – $345.38 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $996.56 – $1,046.39 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $947.82 – $995.21 | 3 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $77.16 – $81.01 | 3 |
| Injection px peyronie ds CPT 54200 | not published | not published | $267.74 – $281.13 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $717.20 | $1,304.00 | $428.40 – $449.82 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $4,248.20 | $7,724.00 | $756.44 – $794.26 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $706.75 | $1,285.00 | $756.44 – $794.26 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $963.05 | $1,751.00 | $756.44 – $794.26 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $947.82 – $995.21 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $947.82 – $995.21 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $646.80 | $1,176.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $879.45 | $1,599.00 | $947.82 – $995.21 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $756.44 – $794.26 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $756.44 – $794.26 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $418.55 | $761.00 | $328.94 – $345.38 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $463.65 | $843.00 | $328.94 – $345.38 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $513.70 | $934.00 | $328.94 – $345.38 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $204.05 | $371.00 | $50.18 – $52.69 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $180.95 | $329.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $390.50 | $710.00 | $227.94 – $239.33 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $158.40 | $288.00 | $77.16 – $81.01 | 3 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Injection treatment of nerve CPT 64681 | not published | not published | $947.82 – $995.21 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $756.44 – $794.26 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $947.82 – $995.21 | 3 |
| Inj for ext venography CPT 36005 | $367.95 | $669.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $136.40 | $248.00 | not published | 0 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,034.55 | $1,881.00 | not published | 0 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $947.82 – $995.21 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $215.00 – $225.75 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $215.00 – $225.75 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,812.25 | $3,295.00 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Inj proc elbow arthro CPT 24220 | $246.40 | $448.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $1,201.20 | $2,184.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $510.95 | $929.00 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $669.35 | $1,217.00 | not published | 0 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $435.63 – $457.41 | 3 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $435.63 – $457.41 | 3 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $435.63 – $457.41 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $1,493.80 | $2,716.00 | $227.94 – $239.33 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $12,274.90 | $22,318.00 | $3,383.62 – $3,552.80 | 3 |
| Ins cath ren art 1st uni CPT 36251 | $5,897.10 | $10,722.00 | $3,383.62 – $3,552.80 | 3 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ins cerv dilator (sep proc) CPT 59200 | $380.60 | $692.00 | $326.55 – $342.88 | 3 |
| Insemination of oocytes CPT 89268 | not published | not published | $182.57 – $191.70 | 3 |
| Insert and remove bone pin CPT 20650 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Insert cath pleura with image CPT 32557 | $1,135.75 | $2,065.00 | $1,686.89 – $1,771.24 | 3 |
| Insert cath pleura without image CPT 32556 | $1,529.55 | $2,781.00 | $2,056.34 – $2,159.15 | 3 |
| Insert drug delivery implant CPT 11981 | not published | not published | $142.58 – $149.71 | 3 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $264.55 | $481.00 | $142.58 – $149.71 | 3 |
| Insertion catheter bladder temporary simple CPT 51702 | $513.70 | $934.00 | $142.58 – $149.71 | 3 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,835.70 | $6,974.00 | $3,836.82 – $4,028.66 | 3 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $10,297.10 | $18,722.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $6,088.50 | $11,070.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,268.30 | $2,306.00 | $3,383.62 – $3,552.80 | 3 |
| Insertion of cannula CPT 36810 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Insertion of heart electrode 33211 CPT 33211 | $8,292.90 | $15,078.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $19,374.30 | $35,226.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $15,761.35 | $28,657.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $22,627.00 | $41,140.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,856.25 | $3,375.00 | $1,686.89 – $1,771.24 | 3 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,271.60 | $2,312.00 | $1,686.89 – $1,771.24 | 3 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $41,764.80 | $75,936.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $9,598.60 | $17,452.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $11,188.10 | $20,342.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $13,988.70 | $25,434.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,686.65 | $6,703.00 | $3,383.62 – $3,552.80 | 3 |
| Insert picvad cath CPT 36570 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Insert pm/icd lead dual CPT 33217 | $11,188.10 | $20,342.00 | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $2,125.20 | $3,864.00 | $1,686.89 – $1,771.24 | 3 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Insert vad art access left hrt arterial access CPT 33990 | $4,504.50 | $8,190.00 | not published | 0 |
| Ins icd gen exist mlt leads CPT 33231 | $35,956.25 | $65,375.00 | not published | 0 |
| Ins icd gen exist sgl lead CPT 33240 | $27,667.75 | $50,305.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $513.15 | $933.00 | $384.12 – $403.32 | 3 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $182.57 – $191.70 | 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.