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 |
|---|---|---|---|---|
| Fetal non stress test CPT 59025 | $1,006.56 | $1,398.00 | $176.13 – $1,398.00 | 13 |
| #_fet/norfentcnfrmur CPT 80354 | $45.36 | $63.00 | $10.33 – $63.00 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $181.44 | $252.00 | $3.27 – $252.00 | 15 |
| Fibrin degradation products CPT 85362 | $174.24 | $242.00 | $3.27 – $242.00 | 15 |
| Fibrinogen activity CPT 85384 | $172.80 | $240.00 | $3.27 – $240.00 | 15 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $154.80 | $215.00 | $3.27 – $215.00 | 15 |
| Fibrinolytic plasminogen CPT 85415 | $221.76 | $308.00 | $3.27 – $308.00 | 15 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,560.00 | $10,500.00 | $537.60 – $1,050.00 | 3 |
| Filter vena cava fem denali HCPCS C1880 | $3,240.00 | $4,500.00 | $2,100.00 – $2,100.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $628.56 | $873.00 | $62.26 – $651.05 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $871.92 | $1,211.00 | $104.23 – $1,089.07 | 12 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $104.40 | $145.00 | $8.95 – $145.00 | 15 |
| Fl exam g/colon tube w contrast CPT 49465 | $956.88 | $1,329.00 | $107.70 – $1,329.00 | 13 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $337.68 | $469.00 | $24.25 – $469.00 | 7 |
| Flow cytometry marker each additional CPT 88185 | $127.44 | $177.00 | $24.25 – $177.00 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $393.84 | $547.00 | $91.40 – $960.29 | 15 |
| #flow interp 9 - 15 markers CPT 88188 | $522.00 | $725.00 | $24.25 – $725.00 | 7 |
| Flt3 gene CPT 81245 | $634.32 | $881.00 | $121.56 – $881.00 | 15 |
| Flt3 gene analysis CPT 81246 | $480.96 | $668.00 | $34.38 – $668.00 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $82.66 | $114.80 | $7.39 – $75.40 | 4 |
| Fluidotherapy charges pt CPT 97022 | $169.92 | $236.00 | $15.04 – $236.00 | 15 |
| Fluorescent antibody titer dna CPT 86256 | $173.52 | $241.00 | $8.50 – $241.00 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,118.88 | $1,554.00 | $106.97 – $1,554.00 | 6 |
| Fluoroguide needle placement CPT 77002 | $501.84 | $697.00 | $115.92 – $697.00 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | $668.88 | $929.00 | $49.93 – $929.00 | 15 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $183.31 | $254.60 | $10.23 – $209.75 | 4 |
| Folic acid CPT 82746 | $178.56 | $248.00 | $8.82 – $248.00 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $4.21 | $5.85 | $0.08 – $5.62 | 3 |
| Follow-up angiography CPT 75898 | $6,798.24 | $9,442.00 | $133.36 – $9,442.00 | 15 |
| Foot X-ray CPT 73630 | $558.72 | $776.00 | $35.97 – $776.00 | 15 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $2,027.52 | $2,816.00 | $267.74 – $2,816.00 | 12 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $6.31 | $8.76 | $0.18 – $7.83 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $140.27 | $194.82 | $1.34 – $36.35 | 13 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $144.72 | $201.00 | $73.77 – $201.00 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $182.16 | $253.00 | $85.98 – $253.00 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $370.08 | $514.00 | $1.05 – $514.00 | 15 |
| Fructosamine glycated protein CPT 82985 | $75.60 | $105.00 | $8.82 – $105.00 | 15 |
| Ftl cgen abnor five anal CPT 81512 | $583.92 | $811.00 | $34.38 – $811.00 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $475.20 | $660.00 | $121.56 – $660.00 | 15 |
| Ftl cgen abnor two proteins CPT 81508 | $393.12 | $546.00 | $34.38 – $546.00 | 15 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $2.32 | $3.22 | $0.03 – $0.79 | 3 |
| Fusion of ankle joint open CPT 27870 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28750 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28755 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28730 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28740 | not published | not published | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,537.20 | $2,135.00 | $483.95 – $2,135.00 | 15 |
| Gabapentin non-blood CPT 80355 | $73.44 | $102.00 | $10.33 – $102.00 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1.07 | $1.48 | $0.17 – $0.94 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $181.44 | $252.00 | $8.82 – $252.00 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $87.84 | $122.00 | $3.99 – $122.00 | 15 |
| Gammaglobulin ige CPT 82785 | $120.24 | $167.00 | $8.82 – $167.00 | 15 |
| Gamma glutamyltransferase CPT 82977 | $133.20 | $185.00 | $3.99 – $185.00 | 15 |
| Gastroesophageal reflux study CPT 78262 | $988.56 | $1,373.00 | $334.42 – $1,373.00 | 15 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $7.92 | $11.00 | $5.63 – $11.00 | 3 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $38.83 | $53.93 | $5.92 – $48.32 | 4 |
| General health panel CPT 80050 | $685.44 | $952.00 | $6.67 – $952.00 | 7 |
| Generator barostim neo2 2014 HCPCS C1767 | $27,000.00 | $37,500.00 | $37,500.00 – $37,500.00 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $34,020.00 | $47,250.00 | $26,000.00 – $26,000.00 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $4,466.16 | $6,203.00 | $1,719.40 – $6,203.00 | 15 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $68.11 | $94.60 | $3.58 – $44.67 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $414.72 | $576.00 | $8.95 – $576.00 | 15 |
| Ghs abscess perianal iandd CPT 46050 | $1,969.20 | $2,735.00 | $996.56 – $2,735.00 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,541.92 | $9,086.00 | $313.00 – $9,086.00 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $59.04 | $82.00 | $3.99 – $82.00 | 15 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $131.04 | $182.00 | $8.82 – $182.00 | 15 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,015.20 | $1,410.00 | $34.38 – $1,410.00 | 15 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $617.76 | $858.00 | $129.60 – $858.00 | 13 |
| Ghs antibodies (torch) igm CPT 86694 | $85.68 | $119.00 | $8.50 – $119.00 | 15 |
| Ghs bladder cath - complex-foley CPT 51703 | $337.68 | $469.00 | $78.42 – $469.00 | 13 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,844.64 | $2,562.00 | $363.04 – $2,562.00 | 13 |
| Ghs change cysto/gastrost CPT 43762 | $951.12 | $1,321.00 | $267.74 – $1,321.00 | 12 |
| Ghs chemo >8 hrs CPT 96416 | $716.40 | $995.00 | $141.58 – $995.00 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $414.00 | $575.00 | $30.86 – $575.00 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $216.00 | $300.00 | $31.63 – $288.00 | 15 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $707.76 | $983.00 | $264.33 – $983.00 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | $635.04 | $882.00 | $264.33 – $882.00 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $635.04 | $882.00 | $264.33 – $882.00 | 12 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $760.32 | $1,056.00 | $264.33 – $1,056.00 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $614.88 | $854.00 | $264.33 – $854.00 | 12 |
| Ghs community re-entry 15 minutes CPT 97537 | $242.64 | $337.00 | $30.89 – $337.00 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $799.92 | $1,111.00 | $34.28 – $1,111.00 | 12 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $928.80 | $1,290.00 | $68.56 – $1,290.00 | 12 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $442.80 | $615.00 | $68.56 – $615.00 | 12 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $143.28 | $199.00 | $8.50 – $199.00 | 15 |
| Ghs dislocation elbow closed treatment CPT 24600 | $2,442.24 | $3,392.00 | $132.17 – $3,392.00 | 12 |
| Ghs electrostagmgraphy CPT 92537 | $432.72 | $601.00 | $125.28 – $601.00 | 13 |
| Ghs elect vertical elct CPT 92547 | $211.68 | $294.00 | $125.28 – $294.00 | 5 |
| Ghs excision ingrown nail CPT 11765 | $941.76 | $1,308.00 | $60.45 – $1,308.00 | 12 |
| Ghs fb removal foot - deep - left CPT 28192 | $5,743.44 | $7,977.00 | $1,628.56 – $7,977.00 | 12 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $175.68 | $244.00 | $6.98 – $244.00 | 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.