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 |
|---|---|---|---|---|
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $163.52 | $227.11 | $24.22 – $227.11 | 14 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $555.84 | $772.00 | $52.41 – $772.00 | 13 |
| Initiation & management bipap/cpap initial day CPT 94660 | $828.72 | $1,151.00 | $121.04 – $1,151.00 | 13 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $464.28 | $644.84 | $163.97 – $644.84 | 14 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $14.85 | $20.63 | $1.45 – $20.63 | 4 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $12.80 | $17.78 | $1.45 – $17.78 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $411.84 | $572.00 | $298.08 – $572.00 | 5 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,420.56 | $1,973.00 | $298.08 – $1,973.00 | 5 |
| Inj dx for sinogram CPT 20501 | $1,245.60 | $1,730.00 | $298.08 – $1,730.00 | 5 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,577.52 | $2,191.00 | $181.52 – $2,191.00 | 12 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $439.20 | $610.00 | $298.08 – $610.00 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $637.92 | $886.00 | $224.03 – $886.00 | 12 |
| Injection during cath supravalvular aortography CPT 93567 | $992.16 | $1,378.00 | $298.08 – $1,378.00 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,301.04 | $1,807.00 | $695.24 – $1,891.09 | 13 |
| Injection for arthrography wrist (both sides) CPT 25246 | $381.60 | $530.00 | $298.08 – $530.00 | 5 |
| Injection for bladder x-ray CPT 51600 | $72.00 | $100.00 | $100.00 – $298.08 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $439.20 | $610.00 | $298.08 – $610.00 | 5 |
| Injection for ureter x-ray CPT 50690 | $929.52 | $1,291.00 | $298.08 – $1,291.00 | 5 |
| Injection, fulvestrant HCPCS J9395 | $18.90 | $26.25 | $9.44 – $113.06 | 6 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $21.83 | $30.32 | $12.69 – $31.73 | 14 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,640.88 | $2,279.00 | $334.42 – $2,279.00 | 12 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $6,627.60 | $9,205.00 | $417.55 – $6,137.00 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,242.16 | $4,503.00 | $756.44 – $2,703.00 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $3,572.64 | $4,962.00 | $363.04 – $2,481.00 | 13 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $6,433.92 | $8,936.00 | $695.24 – $4,468.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,044.08 | $2,839.00 | $695.24 – $2,839.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $4,600.80 | $6,390.00 | $695.24 – $3,195.00 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,507.68 | $2,094.00 | $695.24 – $2,094.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $4,370.40 | $6,070.00 | $695.24 – $3,035.00 | 13 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,995.28 | $5,549.00 | $695.24 – $5,549.00 | 12 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,951.28 | $4,099.00 | $695.24 – $4,099.00 | 12 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $848.16 | $1,178.00 | $224.03 – $1,178.00 | 13 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $759.60 | $1,055.00 | $224.03 – $1,055.00 | 13 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,014.48 | $1,409.00 | $224.03 – $1,409.00 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $318.96 | $443.00 | $20.07 – $443.00 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $228.96 | $318.00 | $42.15 – $318.00 | 3 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $455.04 | $632.00 | $42.15 – $632.00 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $262.80 | $365.00 | $30.86 – $365.00 | 12 |
| Inject sacroiliac joint CPT 27096 | $1,532.88 | $2,129.00 | $417.55 – $2,129.00 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $55.16 | $76.61 | $34.12 – $85.29 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,956.24 | $2,717.00 | $695.24 – $2,717.00 | 12 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $47.88 | $66.50 | $12.19 – $66.50 | 4 |
| Inj for ext venography CPT 36005 | $884.16 | $1,228.00 | $622.30 – $1,228.00 | 5 |
| Inj for mammo ductogram CPT 19030 | $1,036.08 | $1,439.00 | $298.08 – $1,439.00 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,106.72 | $2,926.00 | $695.24 – $2,926.00 | 12 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $176.38 | $244.97 | $38.22 – $244.97 | 14 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $2.82 | $3.92 | $1.33 – $3.92 | 14 |
| Inj, levothyroxine, hikma HCPCS J0652 | $38.01 | $52.79 | $12.69 – $52.79 | 4 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.83 | $1.15 | $0.02 – $0.17 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | $11.75 | $16.32 | $2.59 – $16.32 | 4 |
| Inj multihance HCPCS A9577 | $17.94 | $24.91 | $2.97 – $22.07 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,754.64 | $2,437.00 | $367.22 – $2,437.00 | 13 |
| Inj ogivri 10 mg HCPCS Q5114 | $96.00 | $133.34 | $37.71 – $133.34 | 14 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,643.04 | $2,282.00 | $298.08 – $2,282.00 | 5 |
| Inj proc myelogram lumbar CPT 62284 | $870.48 | $1,209.00 | $298.08 – $1,209.00 | 5 |
| Inj retro urethrocysto CPT 51610 | $72.00 | $100.00 | $100.00 – $298.08 | 5 |
| Inj scleros sol sgl vein CPT 36470 | $1,740.96 | $2,418.00 | $435.63 – $2,418.00 | 12 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $310.38 | $431.08 | $123.79 – $431.08 | 14 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $1.31 | $1.82 | $0.21 – $1.26 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $527.04 | $732.00 | $227.94 – $732.00 | 13 |
| Ins cath ren art 1st bi CPT 36252 | $7,015.68 | $9,744.00 | $623.00 – $9,744.00 | 13 |
| Ins cath ren art 1st uni CPT 36251 | $6,798.24 | $9,442.00 | $623.00 – $9,442.00 | 13 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,798.24 | $9,442.00 | $3,383.62 – $9,442.00 | 12 |
| Ins cath ren art 2nd+ uni CPT 36253 | $11,676.24 | $16,217.00 | $4,022.48 – $16,217.00 | 12 |
| Insert cath pleura with image CPT 32557 | $4,839.12 | $6,721.00 | $623.00 – $6,721.00 | 13 |
| Insert cath pleura without image CPT 32556 | $4,097.52 | $5,691.00 | $906.66 – $5,691.00 | 12 |
| Insertion catheter bladder non indwelling CPT 51701 | $283.68 | $394.00 | $78.42 – $394.00 | 13 |
| Insertion catheter bladder temporary simple CPT 51702 | $332.64 | $462.00 | $78.42 – $462.00 | 13 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $7,622.64 | $10,587.00 | $906.66 – $10,587.00 | 12 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,865.60 | $3,980.00 | $3,980.00 – $7,160.78 | 3 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $11,676.24 | $16,217.00 | $623.00 – $16,217.00 | 13 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $6,798.24 | $9,442.00 | $998.55 – $9,442.00 | 12 |
| Insertion of heart electrode 33211 CPT 33211 | $17,876.16 | $24,828.00 | $1,427.46 – $24,828.00 | 12 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $20,852.64 | $28,962.00 | $7,160.78 – $28,962.00 | 12 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $22,605.12 | $31,396.00 | $7,160.78 – $31,396.00 | 12 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $4,884.48 | $6,784.00 | $6,784.00 – $7,160.78 | 3 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,418.56 | $4,748.00 | $998.55 – $4,748.00 | 12 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $4,047.12 | $5,621.00 | $674.76 – $5,621.00 | 12 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $69,253.20 | $96,185.00 | $20,170.69 – $96,185.00 | 12 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $17,876.16 | $24,828.00 | $1,427.46 – $24,828.00 | 12 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $17,876.16 | $24,828.00 | $1,427.46 – $24,828.00 | 12 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $15,544.80 | $21,590.00 | $7,160.78 – $22,170.15 | 12 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,883.20 | $9,560.00 | $1,928.40 – $9,560.00 | 12 |
| Insert pm/icd lead dual CPT 33217 | $17,876.16 | $24,828.00 | $1,427.46 – $24,828.00 | 12 |
| Insert swan-ganz cath CPT 93503 | $3,355.20 | $4,660.00 | $998.55 – $4,660.00 | 12 |
| Ins icd gen exist mlt leads CPT 33231 | $69,253.20 | $96,185.00 | $20,170.69 – $96,185.00 | 12 |
| Ins icd gen exist sgl lead CPT 33240 | $48,484.08 | $67,339.00 | $20,170.69 – $67,339.00 | 12 |
| Insitu hybridization auto CPT 88367 | $769.68 | $1,069.00 | $100.94 – $1,069.00 | 15 |
| Insitu hybridization manual CPT 88368 | $743.76 | $1,033.00 | $115.49 – $1,033.00 | 15 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $687.60 | $955.00 | $29.34 – $955.00 | 7 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $687.60 | $955.00 | $119.73 – $955.00 | 15 |
| Ins lv lead exist pm/icd CPT 33224 | $22,605.12 | $31,396.00 | $7,160.78 – $31,396.00 | 12 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | not published | 0 |
| Ins pm gen exist dual lead CPT 33230 | $48,484.08 | $67,339.00 | $20,170.69 – $67,339.00 | 12 |
| Ins pm gen w/exist mlt leads CPT 33221 | $41,193.36 | $57,213.00 | $7,160.78 – $57,213.00 | 13 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,622.64 | $10,587.00 | $3,326.46 – $10,587.00 | 12 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $22,605.12 | $31,396.00 | $7,160.78 – $31,396.00 | 12 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $17,876.16 | $24,828.00 | $7,160.78 – $24,828.00 | 12 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $22,605.12 | $31,396.00 | $7,160.78 – $31,396.00 | 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.