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 |
|---|---|---|---|---|
| Uric acid blood CPT 84550 | $97.90 | $178.00 | $4.52 – $4.75 | 3 |
| Uric acid urine CPT 84560 | $99.55 | $181.00 | $5.08 – $5.33 | 3 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.94 | 3 |
| Urinalysis microscopic only CPT 81015 | $42.90 | $78.00 | $3.05 – $3.20 | 3 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $25.85 | $47.00 | $2.17 – $2.28 | 3 |
| Urinalysis (with microscopy) CPT 81001 | $106.15 | $193.00 | $3.17 – $3.33 | 3 |
| Urinalysis (without microscopy) CPT 81003 | $67.65 | $123.00 | $2.25 – $2.36 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $63.22 – $66.38 | 3 |
| Urine Culture Test CPT 87086 | $99.55 | $181.00 | $8.07 – $8.47 | 3 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $142.58 – $149.71 | 3 |
| Urine pregnancy test CPT 81025 | $139.70 | $254.00 | $8.61 – $9.04 | 3 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $31.48 | 3 |
| Urography, antegrade CPT 74425 | $696.30 | $1,266.00 | $373.86 – $392.55 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $187.96 – $197.36 | 3 |
| Use 1st target lesion CPT 76982 | not published | not published | $112.03 – $117.63 | 3 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $190.85 | $347.00 | $13.54 – $14.22 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $234.30 | $426.00 | $13.54 – $14.22 | 3 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $36.84 | 3 |
| Varicella zoster antibody igg CPT 86787 | $45.10 | $82.00 | $12.88 – $13.52 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $920.24 – $966.25 | 3 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $231.39 – $242.96 | 3 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $137.89 – $144.78 | 3 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $137.89 – $144.78 | 3 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $231.39 – $242.96 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $380.05 | $691.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $14.30 | $26.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $3,475.45 | $6,319.00 | $1,686.89 – $1,771.24 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,738.00 | $3,160.00 | $1,686.89 – $1,771.24 | 3 |
| Venous mech thrombectomy CPT 37187 | $6,501.55 | $11,821.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $3,900.60 | $7,092.00 | $3,383.62 – $3,552.80 | 3 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $581.86 – $610.95 | 3 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $428.40 – $449.82 | 3 |
| Ventilator each subsequent day CPT 94003 | $435.60 | $792.00 | $662.03 – $695.14 | 3 |
| Ventilator initial day CPT 94002 | $479.60 | $872.00 | $662.03 – $695.14 | 3 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $947.82 – $995.21 | 3 |
| Version cephalic external CPT 59412 | $2,964.50 | $5,390.00 | $3,468.96 – $3,642.41 | 3 |
| Very long chain fatty acids CPT 82726 | $251.35 | $457.00 | $19.75 – $20.74 | 3 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $18.36 | 3 |
| Virus isolation addl studies ea CPT 87253 | $47.85 | $87.00 | $20.20 – $21.21 | 3 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $135.30 | $246.00 | $142.67 – $149.80 | 3 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $231.39 – $242.96 | 3 |
| Vital capacity test CPT 94150 | $156.20 | $284.00 | $137.89 – $144.78 | 3 |
| Vitamin b-12 CPT 82607 | $127.60 | $232.00 | $15.08 – $15.83 | 3 |
| Vitamin D Test CPT 82306 | $111.65 | $203.00 | $29.60 – $31.08 | 3 |
| Vkorc1 gene CPT 81355 | $479.05 | $871.00 | $88.20 – $92.61 | 3 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $182.57 – $191.70 | 3 |
| Volume deplete of harvest CPT 38214 | not published | not published | $472.77 – $496.41 | 3 |
| Volume measurement urine timed CPT 81050 | $31.35 | $57.00 | $3.64 – $3.82 | 3 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $474.65 | $863.00 | $40.75 – $42.79 | 3 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $39.60 | $72.00 | $27.80 – $29.19 | 3 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $231.00 | $420.00 | $12.90 – $13.54 | 3 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $458.70 | $834.00 | $25.25 – $26.51 | 3 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $47.30 | $86.00 | $15.50 – $16.28 | 3 |
| Warde 1015200 kappa light chain free CPT 83521 | $27.50 | $50.00 | $17.27 – $18.13 | 3 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $123.20 | $224.00 | $8.02 – $8.42 | 3 |
| Warde 3008005 oligoclonal bands CPT 83916 | $266.75 | $485.00 | $27.39 – $28.76 | 3 |
| Warde 3016000 west nile virus antibody CPT 86788 | $135.30 | $246.00 | $16.85 – $17.69 | 3 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $135.30 | $246.00 | $14.39 – $15.11 | 3 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $141.35 | $257.00 | $12.25 – $12.86 | 3 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $25.85 | $47.00 | $8.90 – $9.34 | 3 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $42.35 | $77.00 | $17.98 – $18.88 | 3 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $130.90 | $238.00 | $142.63 – $149.76 | 3 |
| Warde 3400852 arsenic CPT 82175 | $355.30 | $646.00 | $18.97 – $19.92 | 3 |
| Warde 3708165 mercury urine CPT 83825 | $287.65 | $523.00 | $16.26 – $17.07 | 3 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $71.50 | $130.00 | $18.40 – $19.32 | 3 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $27.50 | $50.00 | $12.05 – $12.65 | 3 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $195.25 | $355.00 | $8.10 – $8.50 | 3 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $491.15 | $893.00 | $38.62 – $40.55 | 3 |
| Warde aldolase CPT 82085 | $108.35 | $197.00 | $9.71 – $10.20 | 3 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $287.65 | $523.00 | $16.87 – $17.71 | 3 |
| Warde amiodarone therapeutic drug level CPT 80151 | $22.00 | $40.00 | $18.64 – $19.57 | 3 |
| Warde analysis gene hfe common variants CPT 81256 | $411.95 | $749.00 | $65.36 – $68.63 | 3 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $795.30 | $1,446.00 | $163.96 – $172.16 | 3 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $222.75 | $405.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $78.65 | $143.00 | $38.62 – $40.55 | 3 |
| Warde apolipoprotein b CPT 82172 | $56.10 | $102.00 | $21.09 – $22.14 | 3 |
| Warde bile acids CPT 82239 | $27.50 | $50.00 | $17.12 – $17.98 | 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.