HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
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 |
|---|---|---|---|---|
| 24 hr ambulatory b/p monitor CPT 93786 | $509.04 | $707.00 | $56.20 – $707.00 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,829.60 | $3,930.00 | $394.09 – $3,930.00 | 13 |
| 2nd order venous cath CPT 36012 | $1,194.48 | $1,659.00 | $622.30 – $1,659.00 | 3 |
| 3-d radiotherapy plan CPT 77295 | $7,422.48 | $10,309.00 | $313.00 – $10,309.00 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $1,458.72 | $2,026.00 | $20.87 – $2,026.00 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $93.60 | $130.00 | $8.82 – $130.00 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $385.20 | $535.00 | $22.78 – $535.00 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $147.67 | $205.10 | $44.77 – $205.10 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $41.04 | $57.00 | $8.50 – $57.00 | 15 |
| Abd aorta w/runoff s&i CPT 75630 | $6,798.24 | $9,442.00 | $122.64 – $9,442.00 | 15 |
| Abd/low ext cath 1st CPT 36245 | $2,384.64 | $3,312.00 | $622.30 – $3,312.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $2,484.72 | $3,451.00 | $622.30 – $3,451.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $1,749.60 | $2,430.00 | $622.30 – $2,430.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $902.16 | $1,253.00 | $622.30 – $1,253.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,874.32 | $5,381.00 | $187.96 – $5,381.00 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,484.80 | $4,840.00 | $75.19 – $4,840.00 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,831.04 | $3,932.00 | $97.12 – $3,932.00 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,299.92 | $7,361.00 | $149.54 – $7,361.00 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $4,037.04 | $5,607.00 | $370.49 – $5,607.00 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $3,751.20 | $5,210.00 | $102.28 – $5,210.00 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,743.92 | $3,811.00 | $656.61 – $3,811.00 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,376.64 | $1,912.00 | $44.81 – $1,912.00 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,051.20 | $1,460.00 | $44.81 – $1,460.00 | 15 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,060.64 | $2,862.00 | $656.61 – $2,862.00 | 12 |
| Abl1 gene CPT 81170 | $1,511.28 | $2,099.00 | $121.56 – $2,099.00 | 15 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $5,510.16 | $7,653.00 | $23.40 – $2,131.00 | 13 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $12,602.16 | $17,503.00 | $1,311.00 – $17,503.00 | 13 |
| Ablation cryo retro lymph node CPT 38999 | $4,266.00 | $5,925.00 | $472.77 – $5,925.00 | 12 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $839.52 | $1,166.00 | $328.94 – $1,166.00 | 13 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,001.12 | $6,946.00 | $623.00 – $6,946.00 | 13 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $646.56 | $898.00 | $898.00 – $14,939.16 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $168.48 | $234.00 | $8.50 – $234.00 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $9.31 | $12.93 | $0.61 – $6.27 | 4 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $30.96 | $43.00 | $14.03 – $43.00 | 13 |
| Acoustic refl threshold tst CPT 92568 | $84.96 | $118.00 | $27.78 – $118.00 | 13 |
| Actigraphy testing CPT 95803 | $336.24 | $467.00 | $56.20 – $467.00 | 13 |
| Acute hepatitis panel CPT 80074 | $707.04 | $982.00 | $6.67 – $618.00 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.94 | $1.30 | $0.20 – $1.30 | 4 |
| #acylcarnitineprfl CPT 82017 | $247.68 | $344.00 | $8.82 – $344.00 | 15 |
| Adapter b 8 channel 10cm HCPCS C1883 | $864.00 | $1,200.00 | $1,200.00 – $1,200.00 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $17.04 | $23.67 | $0.87 – $18.33 | 4 |
| Adenovirus ag ia CPT 87301 | $148.32 | $206.00 | $7.78 – $206.00 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | $126.72 | $176.00 | $8.50 – $176.00 | 15 |
| Adh-sendout CPT 84588 | $122.40 | $170.00 | $25.81 – $170.00 | 15 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $20.16 | $28.00 | $3.32 – $6.48 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $388.80 | $540.00 | $30.86 – $540.00 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $290.88 | $404.00 | $30.86 – $404.00 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $755.28 | $1,049.00 | $141.58 – $1,049.00 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $716.40 | $995.00 | $42.15 – $995.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $239.04 | $332.00 | $30.86 – $332.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $210.24 | $292.00 | $30.86 – $292.00 | 14 |
| Administration immunization 1 vaccine CPT 90471 | $133.92 | $186.00 | $35.36 – $192.89 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $47.52 | $66.00 | $35.36 – $66.00 | 5 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.36 | $138.00 | $35.36 – $138.00 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $99.36 | $138.00 | $35.36 – $138.00 | 13 |
| Administration vaccine pneumococcal HCPCS G0009 | $99.36 | $138.00 | $35.36 – $138.00 | 13 |
| Aep hearing status deter i&r CPT 92651 | $672.48 | $934.00 | $72.67 – $934.00 | 13 |
| Aep neurodiagnostic i&r CPT 92653 | $995.76 | $1,383.00 | $72.67 – $1,383.00 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $115.92 | $161.00 | $7.78 – $161.00 | 15 |
| #afb mycobacteria suscep. #1 CPT 87190 | $155.52 | $216.00 | $7.31 – $216.00 | 15 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $405.36 | $563.00 | $115.36 – $563.00 | 15 |
| Air conduction bilat CPT 92552 | $278.64 | $387.00 | $27.78 – $387.00 | 13 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $337.68 | $469.00 | $93.91 – $469.00 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $87.84 | $122.00 | $3.99 – $122.00 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $311.04 | $432.00 | $53.08 – $432.00 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $311.22 | $432.25 | $53.08 – $432.25 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $151.20 | $210.00 | $2.22 – $210.00 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $72.00 | $100.00 | $3.99 – $100.00 | 15 |
| Alkaline phosphatase CPT 84075 | $105.12 | $146.00 | $3.99 – $146.00 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $22.32 | $31.00 | $8.50 – $44.83 | 15 |
| Allergen egg white ige CPT 86003 | $49.68 | $69.00 | $5.22 – $69.00 | 15 |
| Allergy injections; 2 or more 95117 CPT 95117 | $99.36 | $138.00 | $22.81 – $138.00 | 13 |
| Allergy injection; single 95115 CPT 95115 | $99.36 | $138.00 | $22.81 – $138.00 | 13 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $157.68 | $219.00 | $133.36 – $333.39 | 13 |
| Alpha-fetoprotein amniotic CPT 82106 | $125.28 | $174.00 | $8.82 – $174.00 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $142.56 | $198.00 | $8.82 – $198.00 | 15 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $377.96 | $524.95 | $88.23 – $290.91 | 14 |
| Alt/sgpt CPT 84460 | $166.32 | $231.00 | $3.99 – $231.00 | 15 |
| Aluminum - quest CPT 82108 | $165.60 | $230.00 | $9.08 – $230.00 | 15 |
| Amantadine (symmetrel)-sendout CPT 80375 | $208.80 | $290.00 | $31.50 – $290.00 | 4 |
| Amino acid screen, urine CPT 82128 | $128.88 | $179.00 | $8.82 – $179.00 | 15 |
| Amino acids quant 2-5 CPT 82136 | $90.00 | $125.00 | $8.82 – $125.00 | 15 |
| Aminolevulinic acid delta CPT 82135 | $192.24 | $267.00 | $8.82 – $267.00 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $156.92 | $217.95 | $17.18 – $217.95 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $43.14 | $59.92 | $4.17 – $31.87 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $7.92 | $11.00 | $0.68 – $11.00 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | $160.56 | $223.00 | $7.32 – $223.00 | 4 |
| Ammonia CPT 82140 | $192.96 | $268.00 | $8.82 – $268.00 | 15 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,880.64 | $2,612.00 | $525.05 – $2,612.00 | 13 |
| Amphetamine confirm urine -sendout CPT 80324 | $45.36 | $63.00 | $10.33 – $63.00 | 4 |
| Amphetamines 5 or more CPT 80326 | $84.96 | $118.00 | $10.33 – $118.00 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $199.71 | $277.38 | $20.72 – $277.38 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $74.12 | $102.95 | $0.97 – $40.36 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $90.97 | $126.35 | $2.19 – $48.05 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $378.72 | $526.00 | $262.99 – $657.48 | 14 |
| Amputation thru metatarsal CPT 28805 | not published | not published | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $7,008.48 | $9,734.00 | $1,944.94 – $9,734.00 | 12 |
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.