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 |
|---|---|---|---|---|
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,441.44 | $2,002.00 | $367.22 – $2,002.00 | 12 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $11,676.24 | $16,217.00 | $1,928.40 – $16,217.00 | 12 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $7,876.80 | $10,940.00 | $1,928.40 – $10,940.00 | 12 |
| Insulin total CPT 83525 | $105.12 | $146.00 | $9.74 – $146.00 | 15 |
| Intens cardiac rehab no exer HCPCS G0423 | $272.16 | $378.00 | $138.14 – $378.00 | 13 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $272.16 | $378.00 | $138.14 – $378.00 | 13 |
| Interdiscal perq aspir dx CPT 62267 | $1,814.40 | $2,520.00 | $695.24 – $2,520.00 | 12 |
| Interrog evl pm/ldls pm ip CPT 93288 | $241.92 | $336.00 | $32.94 – $336.00 | 12 |
| Intracranial angioplasty CPT 61630 | $3,791.52 | $5,266.00 | $5,266.00 – $12,794.83 | 3 |
| Intracranial complete study CPT 93886 | $1,242.72 | $1,726.00 | $153.26 – $1,726.00 | 13 |
| Intracranial limited study CPT 93888 | $262.08 | $364.00 | $99.47 – $364.00 | 13 |
| Intrinsic factor antibody CPT 86340 | $163.44 | $227.00 | $8.50 – $227.00 | 15 |
| Intro cath dialysis circuit CPT 36901 | $2,917.44 | $4,052.00 | $1,540.53 – $4,217.23 | 12 |
| Intro cath dialysis circuit w/pta CPT 36902 | $10,709.28 | $14,874.00 | $3,352.93 – $15,247.96 | 12 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $24,495.84 | $34,022.00 | $9,734.69 – $34,022.00 | 12 |
| Intro catheter aorta CPT 36200 | $4,932.72 | $6,851.00 | $622.30 – $6,851.00 | 3 |
| Intro cath svc/ivc CPT 36010 | $2,229.84 | $3,097.00 | $622.30 – $3,097.00 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,608.08 | $7,789.00 | $7,789.00 – $7,789.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $4,746.24 | $6,592.00 | $6,592.00 – $6,592.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,056.24 | $1,467.00 | $253.81 – $1,467.00 | 12 |
| Ionm in operatng room 15 min CPT 95940 | $175.68 | $244.00 | $244.00 – $244.00 | 3 |
| Ionm remote/>1 pt or per hr CPT 95941 | $311.04 | $432.00 | $432.00 – $432.00 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $19.55 | $27.15 | $0.66 – $5.60 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.76 | $2.44 | $2.44 – $2.44 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $274.54 | $381.30 | $186.91 – $467.29 | 14 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $73.80 | $102.50 | $2.95 – $102.50 | 4 |
| Iron CPT 83540 | $126.72 | $176.00 | $3.99 – $176.00 | 15 |
| Iron binding capacity CPT 83550 | $149.04 | $207.00 | $3.99 – $207.00 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $120.28 | $167.05 | $18.08 – $167.05 | 14 |
| Iron stain peripheral blood CPT 85536 | $113.76 | $158.00 | $4.38 – $158.00 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $3.15 | $4.38 | $0.40 – $4.04 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $138.24 | $192.00 | $40.03 – $192.00 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $150.48 | $209.00 | $25.29 – $209.00 | 13 |
| Ivc venogram s&i CPT 75825 | $6,372.72 | $8,851.00 | $117.61 – $8,851.00 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $133.92 | $186.00 | $30.86 – $192.89 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $100.80 | $140.00 | $140.00 – $268.08 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $261.36 | $363.00 | $20.07 – $363.00 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $605.52 | $841.00 | $91.17 – $841.00 | 12 |
| Jak2 targeted sequence analysis CPT 81279 | $545.04 | $757.00 | $121.56 – $757.00 | 15 |
| John cunningham antibody CPT 86711 | $1,409.76 | $1,958.00 | $8.50 – $1,958.00 | 15 |
| Ketamine and metabolite screen - quest CPT 80357 | $10.08 | $14.00 | $10.33 – $14.00 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $176.40 | $245.00 | $3.99 – $245.00 | 15 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $50.80 | $70.55 | $0.33 – $19.70 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,512.00 | $2,100.00 | $300.81 – $2,100.00 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,203.12 | $1,671.00 | $44.81 – $1,671.00 | 15 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,908.00 | $15,150.00 | $5,376.00 – $10,500.00 | 3 |
| Kit gene analys d816 variant CPT 81273 | $876.24 | $1,217.00 | $34.38 – $1,217.00 | 15 |
| Kit lead specify 5-6-5 HCPCS C1778 | $19,440.00 | $27,000.00 | $2,700.00 – $2,700.00 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | not published | 0 |
| Knee arthroscopy dx CPT 29870 | not published | not published | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $5,202.00 | $7,225.00 | $370.49 – $7,225.00 | 15 |
| Knee MRI (with contrast) CPT 73722 | $3,858.48 | $5,359.00 | $370.49 – $5,359.00 | 15 |
| Knee MRI (without contrast) CPT 73721 | $3,795.84 | $5,272.00 | $219.59 – $5,272.00 | 15 |
| Knee X-ray CPT 73564 | $634.32 | $881.00 | $47.71 – $881.00 | 15 |
| Kras gene addl variants CPT 81276 | $1,511.28 | $2,099.00 | $121.56 – $2,099.00 | 15 |
| Kras gene variants exon 2 CPT 81275 | $793.44 | $1,102.00 | $121.56 – $1,102.00 | 15 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $20.16 | $28.00 | $0.58 – $28.00 | 4 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.48 | $3.44 | $0.48 – $2.41 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $155.52 | $216.00 | $3.99 – $216.00 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $70.56 | $98.00 | $3.93 – $98.00 | 4 |
| Lactation class HCPCS S9443 | $301.68 | $419.00 | $65.42 – $279.00 | 5 |
| Lactic acid CPT 83605 | $183.60 | $255.00 | $8.82 – $255.00 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $136.08 | $189.00 | $8.82 – $189.00 | 15 |
| Lactoferrin fecal quant CPT 83631 | $218.88 | $304.00 | $8.82 – $304.00 | 15 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | not published | 0 |
| Laparoscopy aspiration CPT 49322 | not published | not published | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $838.80 | $1,165.00 | $419.13 – $1,165.00 | 12 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,400.00 | $7,500.00 | $5,100.00 – $5,100.00 | 1 |
| Lead capillary CPT 83655 | $92.16 | $128.00 | $9.08 – $128.00 | 15 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,944.00 | $2,700.00 | $1,050.00 – $1,050.00 | 1 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $6,264.00 | $8,700.00 | $8,700.00 – $8,700.00 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,690.56 | $2,348.00 | $153.26 – $2,348.00 | 13 |
| Leishmania antibody CPT 86717 | $193.68 | $269.00 | $8.50 – $269.00 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $3,708.86 | $5,151.20 | $170.78 – $1,084.06 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $2.69 | $3.74 | $0.07 – $1.06 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $70.56 | $98.00 | $8.95 – $98.00 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $67.10 | $93.20 | $3.56 – $40.67 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $53.78 | $74.69 | $9.87 – $74.69 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $3.27 | $4.54 | $0.02 – $0.23 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.04 | $0.06 | $0.02 – $0.06 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $77.04 | $107.00 | $8.95 – $107.00 | 15 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $44.83 | $62.27 | $4.52 – $50.27 | 4 |
| Lipase CPT 83690 | $195.12 | $271.00 | $3.99 – $271.00 | 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.