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 |
|---|---|---|---|---|
| Revision of pelvis CPT 27158 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of radius CPT 25350 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of radius CPT 25355 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of toe CPT 28312 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $33,067.68 – $34,721.07 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $10,702.45 | $19,459.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $147.40 | $268.00 | $6.14 – $6.45 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $56.65 | $103.00 | $5.67 – $5.95 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $758.85 – $796.79 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,282.34 – $1,346.46 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Rmvl icd by tv extr CPT 33244 | $9,291.70 | $16,894.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $40,989.30 | $74,526.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $34,901.90 | $63,458.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $40,989.30 | $74,526.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $14,539.80 | $26,436.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $913.55 | $1,661.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $9,582.10 | $17,422.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,780.55 | $39,601.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $10,837.20 | $19,704.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $2,963.40 | $5,388.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,405.80 | $2,556.00 | not published | 0 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $8,570.10 | $15,582.00 | $758.85 – $796.79 | 3 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $4,026.55 | $7,321.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $7,898.55 | $14,361.00 | not published | 0 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $33,067.68 – $34,721.07 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Robot lin-radsurg com, first HCPCS G0339 | $14,691.05 | $26,711.00 | not published | 0 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | $14,691.05 | $26,711.00 | not published | 0 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $19.14 | 3 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $215.00 – $225.75 | 3 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,488.30 | $2,706.00 | $1,686.89 – $1,771.24 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,813.90 | $3,298.00 | $428.40 – $449.82 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,387.37 – $1,456.74 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,532.36 – $1,608.98 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,298.55 | $2,361.00 | $1,686.89 – $1,771.24 | 3 |
| Rpl tun-cvad w subq port CPT 36582 | $2,971.10 | $5,402.00 | $3,383.62 – $3,552.80 | 3 |
| Rpl tun cvc wo subq port CPT 36581 | $3,380.30 | $6,146.00 | $3,383.62 – $3,552.80 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $63.22 – $66.38 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Rsv assay w/optic CPT 87807 | $121.00 | $220.00 | $13.10 – $13.76 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $142.67 – $149.80 | 3 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $39.99 – $41.99 | 3 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $39.99 – $41.99 | 3 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $39.99 – $41.99 | 3 |
| Rubella antibody igg CPT 86762 | $118.25 | $215.00 | $14.39 – $15.11 | 3 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $63.84 | 3 |
| Rubeola antibody igg CPT 86765 | $45.10 | $82.00 | $12.88 – $13.52 | 3 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $345.99 | 3 |
| Russell viper venom diluted CPT 85613 | $254.10 | $462.00 | $9.58 – $10.06 | 3 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $962.93 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $428.40 – $449.82 | 3 |
| Salivary gland imaging CPT 78230 | $950.40 | $1,728.00 | $428.40 – $449.82 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $428.40 – $449.82 | 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.