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 |
|---|---|---|---|---|
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $434.50 | $790.00 | not published | 0 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $253.81 – $266.50 | 3 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,748.59 | $10,451.99 | not published | 0 |
| Lead capillary CPT 83655 | $131.45 | $239.00 | $12.11 – $12.72 | 3 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,913.57 | $3,479.22 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $11,269.88 | $20,490.69 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $21.05 | 3 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $43.85 | 3 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,442.10 | $2,622.00 | $255.69 – $268.47 | 3 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $12.86 | 3 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,164.69 | $2,117.61 | not published | 0 |
| Leukacyte transfusion CPT 86950 | not published | not published | $182.57 – $191.70 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $10.91 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $29.70 | $54.00 | $13.25 – $13.91 | 3 |
| Liberta rc ipg HCPCS C1820 | $16,328.57 | $29,688.31 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $180.95 | $329.00 | $14.69 – $15.42 | 3 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $137.89 – $144.78 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $63.22 – $66.38 | 3 |
| Lipase CPT 83690 | $151.25 | $275.00 | $6.89 – $7.23 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | $163.90 | $298.00 | $33.86 – $35.55 | 3 |
| Lipoprotein blood quant CPT 83704 | $103.40 | $188.00 | $34.19 – $35.90 | 3 |
| Lipoprotein direct measurement hdl CPT 83718 | $109.45 | $199.00 | $8.19 – $8.60 | 3 |
| Lipoprotein direct measurement ldl CPT 83721 | $127.60 | $232.00 | $10.50 – $11.02 | 3 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $35.90 | 3 |
| Lip surgery procedure CPT 40799 | $371.80 | $676.00 | $253.81 – $266.50 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $13.85 | 3 |
| Lithium therapeutic drug level CPT 80178 | $125.40 | $228.00 | $6.61 – $6.94 | 3 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,876.30 | $8,866.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $185.00 | 3 |
| Liver elastography 91200 CPT 91200 | not published | not published | $137.89 – $144.78 | 3 |
| Liver Function Test CPT 80076 | $159.50 | $290.00 | $8.17 – $8.58 | 3 |
| Liver imaging CPT 78201 | $1,963.50 | $3,570.00 | $581.86 – $610.95 | 3 |
| Liver imag w/vasclr flow CPT 78202 | $1,963.50 | $3,570.00 | $581.86 – $610.95 | 3 |
| Liver/spleen imag static only CPT 78215 | $846.45 | $1,539.00 | $428.40 – $449.82 | 3 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $987.25 | $1,795.00 | $428.40 – $449.82 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Loudness balance test CPT 92562 | not published | not published | $231.39 – $242.96 | 3 |
| Low back disk surgery CPT 63030 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Low cost skin substitute app HCPCS C5271 | $594.55 | $1,081.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $552.20 | $1,004.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,729.65 | $4,963.00 | $187.96 – $197.36 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,568.50 | $4,670.00 | $373.86 – $392.55 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,407.90 | $4,378.00 | $112.03 – $117.63 | 3 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,299.35 | $7,817.00 | $373.86 – $392.55 | 3 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,097.05 | $5,631.00 | $373.86 – $392.55 | 3 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,898.50 | $5,270.00 | $255.69 – $268.47 | 3 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $584.10 | $1,062.00 | $112.03 – $117.63 | 3 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $215.00 – $225.75 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| L/s ratio fetal lung CPT 83661 | $303.05 | $551.00 | $21.99 – $23.09 | 3 |
| Lumbar diskogram s&i CPT 72295 | $4,674.45 | $8,499.00 | $2,092.58 – $2,197.21 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $63.22 – $66.38 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $317.35 | $577.00 | $231.39 – $242.96 | 3 |
| Lung perfusion imaging CPT 78580 | $994.95 | $1,809.00 | $428.40 – $449.82 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $21.05 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | $2,136.20 | $3,884.00 | $581.86 – $610.95 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $38.39 | 3 |
| Lymphocyte transformation mitogen CPT 86353 | $158.40 | $288.00 | $49.03 – $51.48 | 3 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $198.99 | 3 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $49.97 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,686.89 – $1,771.24 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,383.62 – $3,552.80 | 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.