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 |
|---|---|---|---|---|
| Measure ureter pressure CPT 50686 | not published | not published | $137.89 – $144.78 | 3 |
| #mec-opiates CPT 80356 | $303.60 | $552.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $157.50 | 3 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $554.26 | 3 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $126.00 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $399.88 – $419.88 | 3 |
| Meg evoked single CPT 95966 | not published | not published | $920.24 – $966.25 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $920.24 – $966.25 | 3 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $107.25 | $195.00 | $8.46 – $8.88 | 3 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $148.50 | $270.00 | $10.56 – $11.09 | 3 |
| Metabolic panel ionized ca CPT 80047 | $166.10 | $302.00 | $13.73 – $14.42 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $33.00 | $60.00 | $38.57 – $40.50 | 3 |
| Methylphenidate CPT 80360 | $200.75 | $365.00 | not published | 0 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $95.72 | 3 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $130.87 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $6.54 | 3 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $40.17 – $42.18 | 3 |
| Microdissection laser CPT 88380 | $1,338.15 | $2,433.00 | not published | 0 |
| Microdissection manual CPT 88381 | $575.85 | $1,047.00 | not published | 0 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $23.60 | 3 |
| Microsatellite instability CPT 81301 | $1,218.80 | $2,216.00 | $348.56 – $365.99 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $137.89 – $144.78 | 3 |
| Middle cerebral artery echo CPT 76821 | $303.60 | $552.00 | $112.03 – $117.63 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $3,490.20 | 3 |
| Mlh1 gene CPT 81288 | $562.10 | $1,022.00 | $192.32 – $201.94 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | $365.75 | $665.00 | $202.40 – $212.52 | 3 |
| Mlh1 gene full seq CPT 81292 | $1,223.75 | $2,225.00 | $675.40 – $709.17 | 3 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $347.55 | 3 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.80 – $18.69 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.31 – $5.58 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Mnl appl strs jt radiography CPT 77071 | $569.80 | $1,036.00 | $93.26 – $97.92 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Mnt subs tx for change dx HCPCS G0270 | $35.20 | $64.00 | $21.65 – $22.73 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $142.58 – $149.71 | 3 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $800.80 | $1,456.00 | $37.73 – $39.62 | 3 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,900.73 | $14,364.97 | not published | 0 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $142.67 – $149.80 | 3 |
| Mopath procedure level 1 CPT 81400 | $508.20 | $924.00 | $63.96 – $67.16 | 3 |
| Mopath procedure level 3 CPT 81402 | $880.55 | $1,601.00 | $150.33 – $157.85 | 3 |
| Mopath procedure level 5 CPT 81404 | $1,568.60 | $2,852.00 | $274.83 – $288.57 | 3 |
| Mopath procedure level 6 CPT 81405 | $2,065.80 | $3,756.00 | $301.35 – $316.42 | 3 |
| Mopath procedure level 7 CPT 81406 | $256.30 | $466.00 | $282.88 – $297.02 | 3 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $888.58 | 3 |
| Mopath procedure level 9 CPT 81408 | $3,612.40 | $6,568.00 | $2,000.00 – $2,100.00 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $443.85 | $807.00 | $182.57 – $191.70 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $334.95 | $609.00 | $384.12 – $403.32 | 3 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $381.15 | $693.00 | $182.57 – $191.70 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $399.88 – $419.88 | 3 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $920.24 – $966.25 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $419.65 | $763.00 | $182.57 – $191.70 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $182.57 – $191.70 | 3 |
| Mpl gene analysis common variants CPT 81338 | $672.10 | $1,222.00 | $150.33 – $157.85 | 3 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $21.05 | 3 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $317.75 | 3 |
| MRA chest w IV cont HCPCS C8909 | $2,995.85 | $5,447.00 | $373.86 – $392.55 | 3 |
| MRA chest wo IV cont HCPCS C8910 | $2,960.65 | $5,383.00 | $255.69 – $268.47 | 3 |
| MRA chest wwo IV cont HCPCS C8911 | $3,335.20 | $6,064.00 | $373.86 – $392.55 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | $1,850.75 | $3,365.00 | $373.86 – $392.55 | 3 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,828.20 | $3,324.00 | $255.69 – $268.47 | 3 |
| MRA w/cont, abd HCPCS C8900 | $2,846.80 | $5,176.00 | $373.86 – $392.55 | 3 |
| MRA w/cont, lwr ext HCPCS C8912 | $3,054.15 | $5,553.00 | $373.86 – $392.55 | 3 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $373.86 – $392.55 | 3 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $373.86 – $392.55 | 3 |
| MRA without cont, abd HCPCS C8901 | $2,031.15 | $3,693.00 | $255.69 – $268.47 | 3 |
| MRA without cont, lwr ext HCPCS C8913 | $2,846.80 | $5,176.00 | $255.69 – $268.47 | 3 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $255.69 – $268.47 | 3 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $255.69 – $268.47 | 3 |
| MRA without fol w/cont, abd HCPCS C8902 | $4,110.15 | $7,473.00 | $373.86 – $392.55 | 3 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,763.65 | $6,843.00 | $373.86 – $392.55 | 3 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,114.75 | $3,845.00 | $373.86 – $392.55 | 3 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $373.86 – $392.55 | 3 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,555.85 | $4,647.00 | $373.86 – $392.55 | 3 |
| Mr elastography CPT 76391 | not published | not published | $255.69 – $268.47 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $187.96 – $197.36 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $585.55 – $614.83 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $187.96 – $197.36 | 3 |
| MRI breast c- unilateral CPT 77046 | $2,643.30 | $4,806.00 | $255.69 – $268.47 | 3 |
| MRI breast without cont bi CPT 77047 | $2,104.85 | $3,827.00 | $255.69 – $268.47 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $839.30 | $1,526.00 | $255.69 – $268.47 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,343.10 | $2,442.00 | $373.86 – $392.55 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $840.06 – $882.07 | 3 |
| MRI chest without contrast CPT 71550 | $2,960.65 | $5,383.00 | $255.69 – $268.47 | 3 |
| MRI chest without & w/contrast CPT 71552 | $4,110.15 | $7,473.00 | $373.86 – $392.55 | 3 |
| MRI chest w IV cont CPT 71551 | $3,356.65 | $6,103.00 | $840.06 – $882.07 | 3 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $255.69 – $268.47 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | $3,239.50 | $5,890.00 | $373.86 – $392.55 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,027.75 | $5,505.00 | $255.69 – $268.47 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,895.65 | $7,083.00 | $373.86 – $392.55 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,630.65 | $4,783.00 | $255.69 – $268.47 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,704.15 | $8,553.00 | $373.86 – $392.55 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,143.25 | $5,715.00 | $373.86 – $392.55 | 3 |
| MRI tmj CPT 70336 | $2,938.10 | $5,342.00 | $255.69 – $268.47 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,960.65 | $5,383.00 | $255.69 – $268.47 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,110.15 | $7,473.00 | $373.86 – $392.55 | 3 |
| MRI upper extremity w/dye CPT 73219 | $3,239.50 | $5,890.00 | $373.86 – $392.55 | 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.