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 |
|---|---|---|---|---|
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,343.52 | $1,866.00 | $347.42 – $1,980.01 | 12 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $975.60 | $1,355.00 | $347.42 – $1,355.00 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $715.68 | $994.00 | $264.33 – $994.00 | 12 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Ghs urine, porphyrins quant CPT 84120 | $165.60 | $230.00 | $8.82 – $230.00 | 15 |
| Ghs vaginal delivery only CPT 59409 | $6,868.08 | $9,539.00 | $1,960.03 – $9,539.00 | 12 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $4,165.20 | $5,785.00 | $399.88 – $5,785.00 | 13 |
| Ghs windowing of cast CPT 29730 | $437.04 | $607.00 | $163.65 – $607.00 | 12 |
| Giardia lamblia antibody CPT 86674 | $140.40 | $195.00 | $8.50 – $195.00 | 15 |
| Gi inhouse confirmation CPT 87045 | $210.24 | $292.00 | $7.78 – $292.00 | 15 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,995.20 | $4,160.00 | $354.02 – $4,160.00 | 12 |
| Gjb2 gene full sequence CPT 81252 | $967.68 | $1,344.00 | $34.38 – $1,344.00 | 15 |
| Gjb6 gene com variants CPT 81254 | $967.68 | $1,344.00 | $34.38 – $1,344.00 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $800.14 | $1,111.30 | $105.42 – $1,111.30 | 14 |
| Glucagon plasma - sendout CPT 82943 | $138.24 | $192.00 | $9.74 – $192.00 | 15 |
| Glucose 1 hr post dose CPT 82950 | $151.20 | $210.00 | $3.99 – $210.00 | 15 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $51.12 | $71.00 | $3.99 – $71.00 | 15 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $42.48 | $59.00 | $3.28 – $59.00 | 15 |
| Glucose blood quantitative CPT 82947 | $84.24 | $117.00 | $3.93 – $117.00 | 15 |
| Glucose body fluid CPT 82945 | $120.24 | $167.00 | $3.93 – $167.00 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $342.00 | $475.00 | $8.82 – $475.00 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $101.52 | $141.00 | $3.92 – $141.00 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $58.95 | $81.88 | $0.63 – $16.48 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $95.18 | $132.20 | $11.63 – $132.20 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $242.64 | $337.00 | $9.74 – $246.00 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $242.64 | $337.00 | $9.74 – $108.00 | 15 |
| Goniotomy CPT 65820 | not published | not published | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,781.17 | $2,473.85 | $777.50 – $2,473.85 | 14 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $93.60 | $130.00 | $72.55 – $333.39 | 13 |
| Graft axiofill 1000mg HCPCS J3590 | $396.14 | $550.20 | $0.13 – $0.13 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $8,856.00 | $12,300.00 | $1,350.00 – $1,350.00 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $11,880.00 | $16,500.00 | $450.00 – $1,689.60 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $443.52 | $616.00 | $133.36 – $616.00 | 13 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,944.00 | $2,700.00 | $133.36 – $2,700.00 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $8,856.00 | $12,300.00 | $225.00 – $225.00 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $270.00 | $375.00 | $375.00 – $375.00 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | $3,353.76 | $4,658.00 | $758.85 – $4,658.00 | 12 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,376.00 | $3,300.00 | $5.12 – $10.00 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,512.00 | $2,100.00 | $76.80 – $150.00 | 3 |
| Guid loc target vol rad tx CPT 77387 | $551.52 | $766.00 | $109.34 – $766.00 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $4,968.00 | $6,900.00 | $15.36 – $30.00 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $170.46 | $236.75 | $6.50 – $234.80 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $48.46 | $67.30 | $1.20 – $67.30 | 4 |
| Hand X-ray CPT 73130 | $565.20 | $785.00 | $38.76 – $785.00 | 15 |
| Haptoglobin quantitative CPT 83010 | $136.08 | $189.00 | $8.82 – $153.00 | 15 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $681.12 | $946.00 | $121.56 – $946.00 | 15 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $892.80 | $1,240.00 | $107.70 – $1,240.00 | 15 |
| Hcg qualitative CPT 84703 | $178.56 | $248.00 | $3.99 – $248.00 | 15 |
| Hcg quantitative CPT 84702 | $208.80 | $290.00 | $9.74 – $290.00 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $3,117.60 | $4,330.00 | $187.96 – $4,330.00 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,407.68 | $3,344.00 | $167.35 – $3,344.00 | 15 |
| Head CT scan (without contrast) CPT 70450 | $2,386.08 | $3,314.00 | $112.03 – $3,314.00 | 15 |
| Heart image spect CPT 78494 | $1,436.40 | $1,995.00 | $272.29 – $1,995.00 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $146.88 | $204.00 | $8.50 – $204.00 | 15 |
| Hematocrit CPT 85014 | $51.84 | $72.00 | $2.37 – $5.93 | 15 |
| Hemoglobin CPT 85018 | $47.52 | $66.00 | $2.37 – $5.93 | 15 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $93.60 | $130.00 | $3.99 – $130.00 | 15 |
| Hemoglobin plasma CPT 83051 | $60.48 | $84.00 | $3.99 – $84.00 | 15 |
| Hemolysins/agglutinins auto CPT 86940 | $46.08 | $64.00 | $3.27 – $64.00 | 15 |
| Hemophilus influenza antibdy CPT 86684 | $133.20 | $185.00 | $8.50 – $185.00 | 15 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $3,103.20 | $4,310.00 | $996.56 – $4,310.00 | 12 |
| Heparin assay CPT 85520 | $296.64 | $412.00 | $3.27 – $412.00 | 15 |
| Heparin bolus from bag HCPCS J1644 | $55.30 | $76.80 | $0.30 – $5.12 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.14 | $0.20 | $0.03 – $0.20 | 3 |
| Hepatitis a antibody igm CPT 86709 | $160.56 | $223.00 | $8.50 – $181.00 | 15 |
| Hepatitis b core antibody igm CPT 86705 | $283.68 | $394.00 | $8.50 – $183.00 | 15 |
| Hepatitis b core antibody total CPT 86704 | $118.08 | $164.00 | $8.50 – $161.00 | 15 |
| Hepatitis b surface antibody CPT 86706 | $252.00 | $350.00 | $8.50 – $180.00 | 15 |
| Hepatitis c antibody CPT 86803 | $344.88 | $479.00 | $8.50 – $221.00 | 15 |
| Hepatobiliary system imaging CPT 78226 | $1,169.28 | $1,624.00 | $334.42 – $1,624.00 | 15 |
| Hereditary colon ca dsordrs CPT 81435 | $1,702.08 | $2,364.00 | $265.21 – $3,259.88 | 15 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $98.64 | $137.00 | $8.50 – $137.00 | 15 |
| Herpes simplex type 2 antibody igg CPT 86696 | $85.68 | $119.00 | $8.50 – $119.00 | 15 |
| Herpes simplex virus isolation CPT 87255 | $244.08 | $339.00 | $31.63 – $339.00 | 15 |
| Heterophile antibodies screening CPT 86308 | $202.32 | $281.00 | $5.18 – $281.00 | 15 |
| Hhv-6 dna quant CPT 87533 | $638.64 | $887.00 | $31.63 – $887.00 | 15 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | not published | 0 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | not published | 0 |
| Hip X-ray CPT 73502 | $478.80 | $665.00 | $37.30 – $665.00 | 15 |
| Histamine CPT 83088 | $231.12 | $321.00 | $20.78 – $321.00 | 15 |
| Histochemical stains add-on CPT 88314 | $303.84 | $422.00 | $29.34 – $422.00 | 7 |
| Hla class i high defin qual CPT 86832 | $653.04 | $907.00 | $119.60 – $907.00 | 15 |
| Hla class i&ii antibody qual CPT 86828 | $152.64 | $212.00 | $46.07 – $212.00 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | $442.08 | $614.00 | $34.38 – $614.00 | 15 |
| Hla i typing complete lr CPT 81372 | $1,080.72 | $1,501.00 | $265.21 – $1,501.00 | 15 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $608.40 | $845.00 | $121.56 – $845.00 | 15 |
| Hla typing dr/dq CPT 86816 | $443.52 | $616.00 | $30.17 – $616.00 | 15 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $1.59 | $2.21 | $0.43 – $2.21 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $2.79 | $3.87 | $0.36 – $3.87 | 3 |
| Home sleep test/type 4 porta HCPCS G0400 | $715.68 | $994.00 | $138.16 – $994.00 | 13 |
| Homocysteine CPT 83090 | $189.36 | $263.00 | $9.74 – $263.00 | 15 |
| Homogenization tissue CPT 87176 | $87.84 | $122.00 | $5.88 – $122.00 | 15 |
| Homovanillic acid (hva) CPT 83150 | $164.88 | $229.00 | $9.74 – $229.00 | 15 |
| Hpv types 16 & 18 only CPT 87625 | $215.28 | $299.00 | $31.63 – $101.38 | 15 |
| H pylori (c-13) breath CPT 83013 | $182.88 | $254.00 | $50.26 – $254.00 | 15 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $4,577.04 | $6,357.00 | $483.95 – $6,357.00 | 15 |
| Htt gene detc abnor alleles CPT 81271 | $838.08 | $1,164.00 | $121.56 – $1,164.00 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | $220.32 | $306.00 | $8.50 – $306.00 | 15 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $6.80 | $9.45 | $1.71 – $9.45 | 13 |
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.