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 |
|---|---|---|---|---|
| Stenger test pure tone CPT 92565 | not published | not published | $63.22 – $66.38 | 3 |
| Stenger test speech CPT 92577 | not published | not published | $399.88 – $419.88 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $21,568.80 | $39,216.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $10,837.20 | $19,704.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $204.80 | $372.37 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,783.26 | $6,878.65 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $13,849.55 | $25,181.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,499.50 | $19,090.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $18,611.45 | $33,839.00 | not published | 0 |
| Sternal debridement CPT 21627 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| St evaluate speech sound production CPT 92522 | $294.25 | $535.00 | $114.30 – $120.02 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $790.35 | $1,437.00 | $218.13 – $229.04 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $416.90 | $758.00 | $94.22 – $98.93 | 3 |
| St evaluation swallow function CPT 92610 | $232.10 | $422.00 | $56.75 – $59.59 | 3 |
| Stimulants synthetic CPT 80371 | $171.05 | $311.00 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $182.57 – $191.70 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $182.57 – $191.70 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $182.57 – $191.70 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $182.57 – $191.70 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $226.60 | $412.00 | $174.14 – $182.85 | 3 |
| Strapping of chest CPT 29200 | not published | not published | $174.14 – $182.85 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | $84.15 | $153.00 | $63.22 – $66.38 | 3 |
| Strapping of hand or finger CPT 29280 | $84.15 | $153.00 | $63.22 – $66.38 | 3 |
| Strapping of hip CPT 29520 | not published | not published | $142.58 – $149.71 | 3 |
| Strapping of knee CPT 29530 | $67.65 | $123.00 | $142.58 – $149.71 | 3 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $63.22 – $66.38 | 3 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $17.65 | 3 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $21.05 | 3 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $43.85 | 3 |
| Strep b assay w/optic CPT 87802 | $107.25 | $195.00 | $12.73 – $13.37 | 3 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $36.84 | 3 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $13.29 | 3 |
| Stress test pulmonary CPT 94618 | $242.55 | $441.00 | $142.58 – $149.71 | 3 |
| Stress tte complete CPT 93351 | not published | not published | $585.55 – $614.83 | 3 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $320.05 | 3 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $244.72 | 3 |
| St treatment speech individual CPT 92507 | $234.85 | $427.00 | $73.52 – $77.20 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | $307.45 | $559.00 | $80.96 – $85.01 | 3 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $756.44 – $794.26 | 3 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $215.00 – $225.75 | 3 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $792.00 – $831.60 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $12.11 | 3 |
| Sugars single quant CPT 84378 | $44.00 | $80.00 | $11.53 – $12.11 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $111.10 | $202.00 | not published | 0 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $50.18 – $52.69 | 3 |
| Supply of digital device HCPCS G0552 | not published | not published | $142.67 – $149.80 | 3 |
| Surg dx exam anorectal CPT 45990 | $2,263.80 | $4,116.00 | $2,974.45 – $3,123.17 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $971.94 – $1,020.54 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $109.45 | $199.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $268.95 | $489.00 | $40.03 – $42.03 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $319.00 | $580.00 | $55.84 – $58.64 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $458.70 | $834.00 | $55.84 – $58.64 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $977.90 | $1,778.00 | $384.12 – $403.32 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,074.15 | $1,953.00 | $863.38 – $906.55 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $78.65 | $143.00 | $4.75 – $4.99 | 3 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $47.30 | $86.00 | $4.75 – $4.99 | 3 |
| Susceptibility mic per plate CPT 87186 | $86.35 | $157.00 | $8.65 – $9.08 | 3 |
| Suscept studies macrobroth dilution ea CPT 87188 | $36.30 | $66.00 | $6.64 – $6.97 | 3 |
| Svc venogram s&i CPT 75827 | $1,746.80 | $3,176.00 | $1,686.89 – $1,771.24 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $225.50 | $410.00 | $55.84 – $58.64 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,092.58 – $2,197.21 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.03 – $42.03 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $79.20 | $144.00 | $4.40 – $4.62 | 3 |
| System pacing micra av HCPCS C1786 | $10,195.78 | $18,537.78 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $14,188.91 | $25,798.01 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $27.50 | $50.00 | $16.94 – $17.79 | 3 |
| T3 (triiodothyronine) total CPT 84480 | $187.55 | $341.00 | $14.18 – $14.89 | 3 |
| T4 (thyroxine) free CPT 84439 | $161.70 | $294.00 | $9.02 – $9.47 | 3 |
| T4 (thyroxine) total CPT 84436 | $251.35 | $457.00 | $6.87 – $7.21 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $236.50 | $430.00 | $13.73 – $14.42 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $797.51 | 3 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,590.65 | $11,983.00 | $2,919.60 – $3,065.58 | 3 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $627.81 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $792.00 – $831.60 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $143.85 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $93.26 – $97.92 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $93.26 – $97.92 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $225.50 | $410.00 | $100.00 – $105.00 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $310.20 | $564.00 | $61.98 – $65.08 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,581.05 | $6,511.00 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $2,493.70 | $4,534.00 | not published | 0 |
| Tc-99m fanolesomab diag HCPCS A9566 | $2,422.20 | $4,404.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $561.00 | $1,020.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $129.25 | $235.00 | 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.