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 |
|---|---|---|---|---|
| Tib/per revasc stent & ather 37231 CPT 37231 | $24,231.35 | $44,057.00 | not published | 0 |
| Tib/per revasc stnt & ather CPT 37235 | $15,762.45 | $28,659.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $12,192.40 | $22,168.00 | not published | 0 |
| Tilt table study CPT 93660 | $880.00 | $1,600.00 | $399.88 – $419.88 | 3 |
| Tissue culture placenta CPT 88235 | $2,742.85 | $4,987.00 | $150.30 – $157.82 | 3 |
| Tissue culture skin/biopsy CPT 88233 | $847.00 | $1,540.00 | $140.73 – $147.77 | 3 |
| Tissue culture tumor CPT 88239 | not published | not published | $147.52 – $154.90 | 3 |
| Tissue exam koh skin/hair/nails CPT 87220 | $31.35 | $57.00 | $4.27 – $4.48 | 3 |
| Tissue transglutaminase iga CPT 86364 | $27.50 | $50.00 | $11.53 – $12.11 | 3 |
| Tixagev and cilgav inj HCPCS M0220 | $179.30 | $326.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $87.45 | $159.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $225.50 | $410.00 | $16.13 – $16.94 | 3 |
| Toe joint transfer CPT 26556 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $13.04 – $13.69 | 3 |
| Tomosynthesis breast screen bilateral CPT 77063 | $74.80 | $136.00 | $21.51 – $22.59 | 3 |
| Tone decay hearing test CPT 92563 | not published | not published | $40.03 – $42.03 | 3 |
| Total hip arthroplasty CPT 27132 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Total tau CPT 84394 | not published | not published | $128.92 – $135.37 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $18,789.56 – $19,729.04 | 3 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $58.68 | 3 |
| Toxoplasma antibody igg CPT 86777 | $185.90 | $338.00 | $14.39 – $15.11 | 3 |
| Toxoplasma antibody igm CPT 86778 | $270.60 | $492.00 | $14.41 – $15.13 | 3 |
| Tp53 gene full gene sequence CPT 81351 | $579.70 | $1,054.00 | $641.85 – $673.94 | 3 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $323.40 | 3 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,689.60 | $3,072.00 | $329.51 – $345.99 | 3 |
| Tpmt gene com vrnts CPT 81335 | $637.45 | $1,159.00 | $174.81 – $183.55 | 3 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $267.74 – $281.13 | 3 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $642.40 | $1,168.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $107.25 | $195.00 | $57.84 – $60.73 | 3 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $326.55 – $342.88 | 3 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $3,063.50 | $5,570.00 | $3,383.62 – $3,552.80 | 3 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $9.37 – $9.84 | 3 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $5.27 | 3 |
| Transcutaneous methb CPT 88741 | not published | not published | $9.37 – $9.84 | 3 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transfer of embryo CPT 58976 | not published | not published | $326.55 – $342.88 | 3 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transferrin CPT 84466 | $59.95 | $109.00 | $12.76 – $13.40 | 3 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transfusion blood/blood component(s) CPT 36430 | $751.85 | $1,367.00 | $472.77 – $496.41 | 3 |
| Transplant femur ridge CPT 27140 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $220.56 | $401.02 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $1,376.65 | $2,503.00 | $49.59 – $52.07 | 3 |
| Treat ankle dislocation CPT 27842 | $1,408.55 | $2,561.00 | $1,723.15 – $1,809.31 | 3 |
| Treat ankle dislocation CPT 27846 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat ankle dislocation CPT 27848 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat ankle fracture CPT 28445 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $264.33 – $277.55 | 3 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Treat elbow dislocation CPT 24605 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat elbow dislocation CPT 24615 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat elbow fracture CPT 24586 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat elbow fracture CPT 24620 | $1,394.25 | $2,535.00 | $1,723.15 – $1,809.31 | 3 |
| Treat elbow fracture CPT 24635 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat finger fracture each CPT 26727 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat finger fracture each CPT 26742 | $1,526.25 | $2,775.00 | $1,723.15 – $1,809.31 | 3 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat foot dislocation CPT 28540 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28545 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat foot dislocation CPT 28546 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat foot dislocation CPT 28570 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28576 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat foot dislocation CPT 28600 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28605 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28606 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat fracture of radius CPT 25505 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat fracture of radius CPT 25520 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat fracture of ulna CPT 25535 | $318.45 | $579.00 | $264.33 – $277.55 | 3 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat hand bone lesion CPT 26034 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hand dislocation CPT 26675 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hand dislocation CPT 26686 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat heel fracture CPT 28415 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat hip dislocation CPT 27252 | $1,735.80 | $3,156.00 | $1,723.15 – $1,809.31 | 3 |
| Treat hip dislocation CPT 27257 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hip dislocation CPT 27258 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hip dislocation CPT 27253 | not published | not published | $3,506.34 – $3,681.65 | 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.