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 |
|---|---|---|---|---|
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $123.12 | $171.00 | $8.50 – $171.00 | 15 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $194.67 | $270.38 | $3.52 – $97.09 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $33.52 | $46.56 | $20.50 – $51.26 | 14 |
| Ercp biliary & pancreas CPT 74330 | $1,119.60 | $1,555.00 | $91.99 – $1,555.00 | 6 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $347.80 | $483.05 | $15.11 – $483.05 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $165.60 | $230.00 | $90.36 – $230.00 | 11 |
| ER Visit (level 2) CPT 99282 | $357.84 | $497.00 | $164.54 – $497.00 | 11 |
| ER Visit (level 3) CPT 99283 | $832.32 | $1,156.00 | $292.53 – $1,156.00 | 11 |
| ER Visit (level 4) CPT 99284 | $1,221.12 | $1,696.00 | $447.15 – $1,696.00 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $1,766.88 | $2,454.00 | $638.18 – $2,454.00 | 11 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $2.62 | $3.64 | $0.68 – $3.64 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $17.08 | $23.72 | $0.35 – $23.72 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $213.84 | $297.00 | $297.00 – $297.00 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $249.12 | $346.00 | $57.50 – $313.00 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $300.96 | $418.00 | $93.54 – $313.00 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $439.92 | $611.00 | $313.00 – $611.00 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $476.64 | $662.00 | $313.00 – $662.00 | 3 |
| Estradiol total CPT 82670 | $205.20 | $285.00 | $9.74 – $285.00 | 15 |
| Estrogens total-sendout CPT 82672 | $198.00 | $275.00 | $9.74 – $275.00 | 15 |
| Ethylene glycol -sendout CPT 82693 | $228.96 | $318.00 | $9.08 – $318.00 | 15 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $6.81 | $9.46 | $1.72 – $9.46 | 4 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $254.16 | $353.00 | $117.20 – $353.00 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $199.44 | $277.00 | $50.26 – $277.00 | 15 |
| Evaluation heart device CPT 93640 | $3,336.48 | $4,634.00 | $1,280.00 – $5,797.95 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $546.48 | $759.00 | $128.40 – $759.00 | 14 |
| Evaluation psychiatric diagnostic CPT 90791 | $347.04 | $482.00 | $190.21 – $482.00 | 13 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $4,579.20 | $6,360.00 | $3,180.00 – $14,939.16 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $12,067.92 | $16,761.00 | $14,939.16 – $16,761.00 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $10,743.84 | $14,922.00 | $14,922.00 – $14,939.16 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $2,886.48 | $4,009.00 | $4,009.00 – $14,939.16 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $22,070.16 | $30,653.00 | $14,939.16 – $30,653.00 | 4 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $6,517.44 | $9,052.00 | $9,052.00 – $14,939.16 | 3 |
| Event monitor CPT 93270 | $455.04 | $632.00 | $37.97 – $632.00 | 13 |
| Evoked oa emissions ltd CPT 92587 | $672.48 | $934.00 | $72.67 – $934.00 | 13 |
| Evoked potentials upper limbs CPT 95925 | $1,433.52 | $1,991.00 | $120.64 – $1,991.00 | 12 |
| Evoked potential visual not glaucoma CPT 95930 | $1,035.36 | $1,438.00 | $120.64 – $1,438.00 | 12 |
| Evok oa screening qual CPT 92558 | $172.08 | $239.00 | $27.78 – $239.00 | 5 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | not published | 0 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $7,622.64 | $10,587.00 | $623.00 – $10,587.00 | 13 |
| Exchange drainage catheter CPT 49423 | $4,097.52 | $5,691.00 | $623.00 – $5,691.00 | 13 |
| Exchange nephrostomy cath CPT 50435 | $4,425.12 | $6,146.00 | $623.00 – $6,146.00 | 13 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,760.56 | $5,223.00 | $1,100.63 – $5,223.00 | 12 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $3,692.88 | $5,129.00 | $382.65 – $5,129.00 | 12 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | not published | 0 |
| Excision breast lesion CPT 19125 | not published | not published | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | not published | 0 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | not published | 0 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $7,704.72 | $10,701.00 | $1,282.34 – $10,701.00 | 12 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,376.00 | $3,300.00 | $3,300.00 – $3,300.00 | 1 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $3,499.92 | $4,861.00 | $347.42 – $4,861.00 | 12 |
| Explore wound abdomen 20102 CPT 20102 | $5,486.40 | $7,620.00 | $924.24 – $7,620.00 | 12 |
| Expose endoprosth brachial 34834 CPT 34834 | $5,399.28 | $7,499.00 | $3,636.50 – $7,499.00 | 3 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $572.40 | $795.00 | $121.56 – $795.00 | 15 |
| External newborn metabolic screening panel HCPCS S3620 | $325.44 | $452.00 | $6.67 – $452.00 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $30.96 | $43.00 | $1.88 – $77.49 | 15 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $6,768.00 | $9,400.00 | $1,719.40 – $9,682.50 | 15 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $534.24 | $742.00 | $134.50 – $742.00 | 15 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $133.20 | $185.00 | $8.50 – $185.00 | 15 |
| Facial bones <3 CPT 70140 | $480.24 | $667.00 | $32.04 – $667.00 | 15 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | not published | 0 |
| Factor ix CPT 85250 | $326.88 | $454.00 | $18.69 – $454.00 | 15 |
| Factor viii CPT 85240 | $282.24 | $392.00 | $3.27 – $392.00 | 15 |
| Factor viii recombinant nos HCPCS J7192 | $4.10 | $5.70 | $1.59 – $5.70 | 14 |
| Family therapy without pt 50min 90846 CPT 90846 | $347.04 | $482.00 | $153.39 – $482.00 | 12 |
| Family therapy with patient 50 min 90847 CPT 90847 | $347.04 | $482.00 | $153.39 – $482.00 | 12 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.81 | $1.13 | $0.02 – $0.79 | 3 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $46.74 | $64.91 | $31.30 – $78.25 | 14 |
| Fat/lipids feces qualitative CPT 82705 | $7.20 | $10.00 | $3.99 – $12.75 | 15 |
| Fatty acids nonesterified CPT 82725 | $176.40 | $245.00 | $8.82 – $245.00 | 15 |
| Fecal microbiota prep instil HCPCS G0455 | $2,039.04 | $2,832.00 | $996.56 – $2,832.00 | 11 |
| #fecal-sodium CPT 84302 | $87.12 | $121.00 | $3.99 – $121.00 | 15 |
| Femoral endovas graft add-on 34813 CPT 34813 | $2,440.80 | $3,390.00 | $3,390.00 – $14,939.16 | 3 |
| Fem/popl revasc w/stent CPT 37226 | $23,392.08 | $32,489.00 | $9,734.69 – $32,489.00 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $65.12 | $90.45 | $1.96 – $15.53 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4.91 | $6.82 | $1.12 – $6.82 | 14 |
| Ferritin CPT 82728 | $200.88 | $279.00 | $8.82 – $279.00 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $5.63 | $7.82 | $0.36 – $5.96 | 14 |
| Fetal fibronectin CPT 82731 | $635.76 | $883.00 | $50.26 – $883.00 | 15 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $236.88 | $329.00 | $4.38 – $329.00 | 15 |
| Fetal hemoglobin rosette CPT 85461 | $145.44 | $202.00 | $4.38 – $202.00 | 15 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $239.76 | $333.00 | $8.82 – $333.00 | 15 |
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.