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 |
|---|---|---|---|---|
| Potassium 24 hour urine CPT 84133 | $92.95 | $169.00 | $4.73 – $4.97 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $6.12 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $52.25 | $95.00 | $4.76 – $5.00 | 3 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $143.85 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,340.90 | $2,438.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,081.60 | $16,512.00 | $7,775.89 – $8,164.69 | 3 |
| Pq thr inj ext pse CPT 36002 | $1,150.60 | $2,092.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Pr application of long arm splint CPT 29105 | $351.45 | $639.00 | $174.14 – $182.85 | 3 |
| Pr application splint static short arm CPT 29125 | $480.15 | $873.00 | $142.58 – $149.71 | 3 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.03 – $42.03 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $443.30 | $806.00 | $435.63 – $457.41 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $53.35 | $97.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,530.10 | $2,782.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,530.10 | $2,782.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $440.55 | $801.00 | $215.00 – $225.75 | 3 |
| Prealbumin CPT 84134 | $112.20 | $204.00 | $14.59 – $15.32 | 3 |
| Pregabalin - sendout CPT 80366 | $35.20 | $64.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $2,056.34 – $2,159.15 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $15.80 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,332.65 | $2,423.00 | $112.03 – $117.63 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $928.40 | $1,688.00 | $112.03 – $117.63 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $231.39 – $242.96 | 3 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $399.88 – $419.88 | 3 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $399.88 – $419.88 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $55.84 – $58.64 | 3 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $920.24 – $966.25 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $435.63 – $457.41 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $792.00 – $831.60 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $334.40 | $608.00 | $137.89 – $144.78 | 3 |
| Pressure velocity wire add ves CPT 93572 | $1,596.10 | $2,902.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $181.50 | $330.00 | $182.57 – $191.70 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $52.80 | $96.00 | $63.22 – $66.38 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $185.90 | $338.00 | $182.57 – $191.70 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $74.80 | $136.00 | $63.22 – $66.38 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $161.70 | $294.00 | $182.57 – $191.70 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $316.80 | $576.00 | $190.21 – $199.72 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $142.67 – $149.80 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,515.25 | $2,755.00 | $1,769.88 – $1,858.38 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,603.80 | $2,916.00 | $1,769.88 – $1,858.38 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $408.65 | $743.00 | $435.63 – $457.41 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $4,131.60 – $4,338.18 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.99 – $41.99 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.99 – $41.99 | 3 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.99 – $41.99 | 3 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.99 – $41.99 | 3 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.99 – $41.99 | 3 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.99 – $41.99 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,501.55 | $11,821.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,608.90 | $10,198.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $108.87 – $114.31 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,328.80 | $2,416.00 | $435.63 – $457.41 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $712.80 | $1,296.00 | $215.00 – $225.75 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $519.75 | $945.00 | $326.55 – $342.88 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $612.15 | $1,113.00 | $435.63 – $457.41 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $142.67 – $149.80 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $142.67 – $149.80 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $522.50 | $950.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,909.07 | $3,471.04 | not published | 0 |
| Procalcitonin CPT 84145 | $147.95 | $269.00 | $27.22 – $28.58 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $996.56 – $1,046.39 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Progesterone CPT 84144 | $47.30 | $86.00 | $20.86 – $21.90 | 3 |
| Prolactin CPT 84146 | $199.10 | $362.00 | $19.38 – $20.35 | 3 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $227.94 – $239.33 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| _propoxygc/msur CPT 80367 | $119.90 | $218.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $409.75 | $745.00 | $384.12 – $403.32 | 3 |
| Protein c activity CPT 85303 | $418.00 | $760.00 | $13.84 – $14.53 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $30.80 | $56.00 | $10.74 – $11.28 | 3 |
| Protein s total CPT 85305 | $479.05 | $871.00 | $11.61 – $12.19 | 3 |
| Protein total 24 hour urine CPT 84156 | $101.20 | $184.00 | $3.67 – $3.85 | 3 |
| Protein total body fluid CPT 84157 | $191.40 | $348.00 | $4.00 – $4.20 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $103.40 | $188.00 | $3.67 – $3.85 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $39.60 | $72.00 | $3.94 – $4.14 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $592.11 – $621.72 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $10.23 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $142.67 – $149.80 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $108.87 – $114.31 | 3 |
| Prq card angio/athrect addl CPT 92925 | $12,919.50 | $23,490.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $7,223.70 | $13,134.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $8,329.20 | $15,144.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $12,543.30 | $22,806.00 | not published | 0 |
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.