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 |
|---|---|---|---|---|
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Macroscopic exam arthropod CPT 87168 | $172.15 | $313.00 | $4.27 – $4.48 | 3 |
| Macroscopic exam parasite CPT 87169 | $28.05 | $51.00 | $4.31 – $4.53 | 3 |
| Magnesium CPT 83735 | $115.50 | $210.00 | $6.70 – $7.04 | 3 |
| Magnetic image bone marrow CPT 77084 | $2,097.70 | $3,814.00 | $255.69 – $268.47 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $13.85 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $35.20 | $64.00 | $142.58 – $149.71 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $57.75 | $105.00 | $142.58 – $149.71 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $264.33 – $277.55 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.32 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $218.31 | $396.92 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $7,115.73 – $7,471.51 | 3 |
| Mastoids complete CPT 70130 | $180.95 | $329.00 | $112.03 – $117.63 | 3 |
| Mastopexy CPT 19316 | $6,679.75 | $12,145.00 | $7,115.73 – $7,471.51 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $7,115.73 – $7,471.51 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $36.84 | 3 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $28.65 | 3 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $44.98 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $311.30 | $566.00 | $14.46 – $15.18 | 3 |
| Mayo aathr protein s free CPT 85306 | $310.75 | $565.00 | $15.32 – $16.09 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $268.40 | $488.00 | $15.32 – $16.09 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $194.70 | $354.00 | $38.57 – $40.50 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $79.75 | $145.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $162.25 | $295.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $129.80 | $236.00 | $14.78 – $15.52 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $165.00 | $300.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $211.75 | $385.00 | $13.44 – $14.11 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $170.50 | $310.00 | $15.08 – $15.83 | 3 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $18.70 | $34.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $78.10 | $142.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $840.40 | $1,528.00 | $121.63 – $127.71 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,298.00 | $2,360.00 | $91.66 – $96.24 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $339.35 | $617.00 | $137.00 – $143.85 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,618.00 | $4,760.00 | $1,160.00 – $1,218.00 | 3 |
| Mayo androstenedione CPT 82157 | $287.65 | $523.00 | $29.28 – $30.74 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $215.60 | $392.00 | $14.60 – $15.33 | 3 |
| Mayo antithrombin iii antigen CPT 85301 | $479.05 | $871.00 | $10.81 – $11.35 | 3 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $50.60 | $92.00 | $15.05 – $15.80 | 3 |
| Mayo avwpr vw factor activity CPT 85397 | $174.90 | $318.00 | $30.86 – $32.40 | 3 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $36.84 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $149.05 | $271.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $185.90 | $338.00 | $10.18 – $10.69 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $790.90 | $1,438.00 | $144.84 – $152.08 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $372.90 | $678.00 | $214.62 – $225.35 | 3 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $45.10 | $82.00 | $12.90 – $13.54 | 3 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $152.35 | $277.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $171.60 | $312.00 | $13.19 – $13.85 | 3 |
| Mayo brcmg brucella antibody igm CPT 86622 | $102.30 | $186.00 | $8.93 – $9.38 | 3 |
| Mayo c1 esterase inhibitor CPT 83883 | $103.40 | $188.00 | $13.60 – $14.28 | 3 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $135.85 | $247.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $63.80 | $116.00 | $16.87 – $17.71 | 3 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $124.30 | $226.00 | $26.78 – $28.12 | 3 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $411.95 | $749.00 | $122.22 – $128.33 | 3 |
| Mayo ceruloplasmin CPT 82390 | $56.10 | $102.00 | $10.74 – $11.28 | 3 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $419.65 | $763.00 | $14.12 – $14.83 | 3 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $225.50 | $410.00 | $12.88 – $13.52 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $90.20 | $164.00 | $11.82 – $12.41 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $118.25 | $215.00 | $12.68 – $13.31 | 3 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,376.65 | $2,503.00 | $116.49 – $122.31 | 3 |
| Mayo chromium CPT 82495 | $24.20 | $44.00 | $20.28 – $21.29 | 3 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $135.85 | $247.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $208.45 | $379.00 | $11.47 – $12.04 | 3 |
| Mayo cocou cortisone urine CPT 82542 | $458.70 | $834.00 | $24.09 – $25.29 | 3 |
| Mayo cortisol free CPT 82530 | $235.40 | $428.00 | $16.71 – $17.55 | 3 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $72.60 | $132.00 | $42.13 – $44.24 | 3 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $237.60 | $432.00 | $12.12 – $12.73 | 3 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $130.35 | $237.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $95.15 | $173.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $47.30 | $86.00 | $19.40 – $20.37 | 3 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $182.57 – $191.70 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $107.80 | $196.00 | $13.25 – $13.91 | 3 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $352.00 | $640.00 | $25.27 – $26.53 | 3 |
| Mayo dihydrotestosterone CPT 82642 | $56.10 | $102.00 | $29.28 – $30.74 | 3 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $10.12 | 3 |
| Mayo efpo chloride stool CPT 82438 | $171.60 | $312.00 | $5.00 – $5.25 | 3 |
| Mayo estriol CPT 82677 | $135.30 | $246.00 | $24.18 – $25.39 | 3 |
| Mayo estrone CPT 82679 | $339.35 | $617.00 | $24.95 – $26.20 | 3 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $180.95 | $329.00 | $16.34 – $17.16 | 3 |
| Mayo everolimus therapeutic drug level CPT 80169 | $86.90 | $158.00 | $13.73 – $14.42 | 3 |
| Mayo factor ii CPT 85210 | $328.90 | $598.00 | $12.98 – $13.63 | 3 |
| Mayo factor v CPT 85220 | $446.05 | $811.00 | $17.65 – $18.53 | 3 |
| Mayo factor vii CPT 85230 | $457.60 | $832.00 | $17.90 – $18.80 | 3 |
| Mayo factor viii vw factor antigen CPT 85246 | $542.85 | $987.00 | $22.94 – $24.09 | 3 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $128.70 | $234.00 | $22.94 – $24.09 | 3 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $310.75 | $565.00 | $22.94 – $24.09 | 3 |
| Mayo factor x CPT 85260 | $189.20 | $344.00 | $17.90 – $18.80 | 3 |
| Mayo factor xi CPT 85270 | $160.60 | $292.00 | $17.90 – $18.80 | 3 |
| Mayo fat/lipids feces quantitative CPT 82710 | $231.00 | $420.00 | $16.80 – $17.64 | 3 |
| Mayo fbl culture fungi blood CPT 87103 | $91.85 | $167.00 | $20.46 – $21.48 | 3 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $84.48 | 3 |
| Mayo ffspg allergen clam igg CPT 86001 | $56.65 | $103.00 | $7.82 – $8.21 | 3 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $15.18 | 3 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $29.70 | $54.00 | $21.67 – $22.75 | 3 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,735.60 | $6,792.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $88.00 | $160.00 | $4.75 – $4.99 | 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.