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 |
|---|---|---|---|---|
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $112.20 | $204.00 | $35.09 – $36.84 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $62.70 | $114.00 | $35.09 – $36.84 | 3 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $45.10 | $82.00 | $13.79 – $14.48 | 3 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $395.45 | $719.00 | $25.81 – $27.10 | 3 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $178.75 | $325.00 | $8.89 – $9.33 | 3 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $180.95 | $329.00 | $13.52 – $14.20 | 3 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $116.05 | $211.00 | $27.17 – $28.53 | 3 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $393.25 | $715.00 | $17.27 – $18.13 | 3 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $845.35 | $1,537.00 | $14.99 – $15.74 | 3 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $463.10 | $842.00 | $20.81 – $21.85 | 3 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $310.20 | $564.00 | $20.81 – $21.85 | 3 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $36.84 | 3 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $84.15 | $153.00 | $16.07 – $16.87 | 3 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $90.20 | $164.00 | $11.98 – $12.58 | 3 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $118.80 | $216.00 | $35.09 – $36.84 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $92.95 | $169.00 | $35.09 – $36.84 | 3 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $112.20 | $204.00 | $35.09 – $36.84 | 3 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $229.90 | $418.00 | $35.09 – $36.84 | 3 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $289.85 | $527.00 | $42.84 – $44.98 | 3 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $401.50 | $730.00 | $72.19 – $75.80 | 3 |
| Mayo infliximab therapeutic drug level CPT 80230 | $194.70 | $354.00 | $38.57 – $40.50 | 3 |
| Mayo inhab inhibin a CPT 86336 | $237.60 | $432.00 | $15.59 – $16.37 | 3 |
| Mayo insft insulin free CPT 83527 | $24.20 | $44.00 | $12.95 – $13.60 | 3 |
| Mayo insulin antibodies CPT 86337 | $198.00 | $360.00 | $21.41 – $22.48 | 3 |
| Mayo iodine CPT 83789 | $462.55 | $841.00 | $24.11 – $25.32 | 3 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $46.20 | $84.00 | $27.11 – $28.47 | 3 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $70.40 | $128.00 | $27.11 – $28.47 | 3 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $29.70 | $54.00 | $13.25 – $13.91 | 3 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $147.40 | $268.00 | $12.79 – $13.43 | 3 |
| Mayo legionella antibody CPT 86713 | $260.15 | $473.00 | $15.30 – $16.06 | 3 |
| Mayo leptospira antibody igm CPT 86720 | $102.30 | $186.00 | $16.20 – $17.01 | 3 |
| Mayo lipoprotein electrophoresis CPT 83700 | $155.65 | $283.00 | $11.26 – $11.82 | 3 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $102.30 | $186.00 | $15.49 – $16.26 | 3 |
| Mayo manganese CPT 83785 | $108.35 | $197.00 | $26.65 – $27.98 | 3 |
| Mayo metanephrines plasma CPT 83835 | $135.30 | $246.00 | $16.94 – $17.79 | 3 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $194.70 | $354.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $243.10 | $442.00 | $12.05 – $12.65 | 3 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $31.90 | $58.00 | $18.40 – $19.32 | 3 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $360.80 | $656.00 | $14.55 – $15.28 | 3 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $395.45 | $719.00 | $18.64 – $19.57 | 3 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,179.20 | $2,144.00 | $137.00 – $143.85 | 3 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $194.46 | 3 |
| Mayo muramidase CPT 85549 | $168.30 | $306.00 | $18.75 – $19.69 | 3 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $467.50 | $850.00 | $18.40 – $19.32 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $15.40 | $28.00 | $18.05 – $18.95 | 3 |
| Mayo myoglobin CPT 83874 | $191.40 | $348.00 | $12.92 – $13.57 | 3 |
| Mayo nickel CPT 83885 | not published | not published | $24.51 – $25.74 | 3 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $143.55 | $261.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $15.40 | $28.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $130.35 | $237.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $355.30 | $646.00 | $21.21 – $22.27 | 3 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $17.27 | 3 |
| Mayo oxalate 24 hour urine CPT 83945 | $263.45 | $479.00 | $14.45 – $15.17 | 3 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $370.70 | $674.00 | $11.53 – $12.11 | 3 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $192.50 | $350.00 | $15.03 – $15.78 | 3 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $749.65 | $1,363.00 | $12.05 – $12.65 | 3 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $346.50 | $630.00 | $35.09 – $36.84 | 3 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $64.90 | $118.00 | $17.98 – $18.88 | 3 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $129.80 | $236.00 | $13.76 – $14.45 | 3 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $127.60 | $232.00 | $8.44 – $8.86 | 3 |
| Mayo pregnenolone CPT 84140 | $52.25 | $95.00 | $20.67 – $21.70 | 3 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $185.90 | $338.00 | $16.59 – $17.42 | 3 |
| Mayo proinsulin CPT 84206 | $378.95 | $689.00 | $26.69 – $28.02 | 3 |
| Mayo psaft prostate specific antigen free CPT 84154 | $267.30 | $486.00 | $18.39 – $19.31 | 3 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $466.40 | $848.00 | $18.40 – $19.32 | 3 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $14.03 | 3 |
| Mayo receptor assay transferrin soluble CPT 84238 | $370.70 | $674.00 | $36.57 – $38.40 | 3 |
| Mayo renin CPT 84244 | $101.20 | $184.00 | $21.99 – $23.09 | 3 |
| Mayo repu protein electrophoresis urine CPT 84166 | $187.55 | $341.00 | $17.83 – $18.72 | 3 |
| Mayo selenium CPT 84255 | $59.95 | $109.00 | $25.53 – $26.81 | 3 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $16.28 | 3 |
| Mayo serotonin CPT 84260 | $770.00 | $1,400.00 | $30.98 – $32.53 | 3 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $339.35 | $617.00 | $19.35 – $20.32 | 3 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $112.20 | $204.00 | $13.73 – $14.42 | 3 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $83.05 | $151.00 | $92.03 – $96.63 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $202.40 | $368.00 | $4.27 – $4.48 | 3 |
| Mayo tau phosphorylated 217 each CPT 84393 | $330.00 | $600.00 | $128.92 – $135.37 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $947.65 | $1,723.00 | $208.92 – $219.37 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $108.35 | $197.00 | $25.47 – $26.74 | 3 |
| Mayo tgrp testosterone total CPT 84403 | $251.35 | $457.00 | $25.81 – $27.10 | 3 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $92.95 | $169.00 | $22.17 – $23.28 | 3 |
| Mayo thyroglobulin CPT 84432 | $163.90 | $298.00 | $16.06 – $16.86 | 3 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $260.15 | $473.00 | $10.18 – $10.69 | 3 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $208.45 | $379.00 | $12.39 – $13.01 | 3 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $132.55 | $241.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $53.84 | 3 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $107.80 | $196.00 | $14.16 – $14.87 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $84.70 | $154.00 | $13.54 – $14.22 | 3 |
| Mayo vasoactive intestinal peptide CPT 84586 | $407.00 | $740.00 | $35.33 – $37.10 | 3 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $147.40 | $268.00 | $20.24 – $21.25 | 3 |
| Mayo vitamin b3 (niacin) CPT 84591 | $127.60 | $232.00 | $17.06 – $17.91 | 3 |
| Mayo vitamin k CPT 84597 | $111.65 | $203.00 | $13.72 – $14.41 | 3 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $46.20 | $84.00 | $13.25 – $13.91 | 3 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $41.28 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $399.88 – $419.88 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $172.70 | $314.00 | $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.