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 |
|---|---|---|---|---|
| Lipoprotein blood high res frac & quant CPT 83701 | $42.48 | $59.00 | $20.78 – $84.65 | 15 |
| Lipoprotein blood quant CPT 83704 | $110.16 | $153.00 | $20.78 – $153.00 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $183.60 | $255.00 | $3.99 – $255.00 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $100.80 | $140.00 | $3.99 – $124.00 | 15 |
| Lithium therapeutic drug level CPT 80178 | $329.04 | $457.00 | $6.61 – $457.00 | 15 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $10,743.84 | $14,922.00 | $7,462.92 – $14,922.00 | 3 |
| Liver Function Test CPT 80076 | $234.00 | $325.00 | $6.67 – $325.00 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,278.72 | $1,776.00 | $275.63 – $1,776.00 | 15 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $319.84 | $444.22 | $221.22 – $553.06 | 14 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $73.26 | $101.75 | $2.33 – $68.60 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,317.92 | $7,386.00 | $187.96 – $7,386.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,254.48 | $5,909.00 | $261.29 – $5,909.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,403.44 | $4,727.00 | $97.12 – $4,727.00 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,309.36 | $8,763.00 | $370.49 – $8,763.00 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,544.64 | $6,312.00 | $356.52 – $6,312.00 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,450.32 | $6,181.00 | $102.28 – $6,181.00 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $601.92 | $836.00 | $39.87 – $836.00 | 15 |
| L/s ratio fetal lung CPT 83661 | $290.16 | $403.00 | $8.82 – $403.00 | 15 |
| Lumbar diskogram s&i CPT 72295 | $4,217.76 | $5,858.00 | $93.55 – $5,858.00 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $293.76 | $408.00 | $52.41 – $578.47 | 13 |
| Lung perfusion imaging CPT 78580 | $1,061.28 | $1,474.00 | $326.50 – $1,474.00 | 15 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $312.75 | $434.37 | $210.78 – $526.96 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $97.84 | $135.89 | $42.77 – $135.89 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $1,645.20 | $2,285.00 | $481.59 – $2,285.00 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | $894.96 | $1,243.00 | $30.13 – $1,243.00 | 15 |
| Macro exam dissect molec study ea CPT 88387 | $108.00 | $150.00 | $9.36 – $150.00 | 7 |
| Macroscopic exam arthropod CPT 87168 | $87.12 | $121.00 | $4.27 – $121.00 | 15 |
| Macroscopic exam parasite CPT 87169 | $215.28 | $299.00 | $4.31 – $299.00 | 15 |
| Magnesium CPT 83735 | $149.76 | $208.00 | $3.99 – $208.00 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $39.38 | $54.70 | $0.68 – $2.56 | 4 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $278.64 | $387.00 | $52.41 – $387.00 | 13 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $278.64 | $387.00 | $52.41 – $387.00 | 13 |
| Mastectomy partial CPT 19301 | not published | not published | not published | 0 |
| Mastoids complete CPT 70130 | $252.72 | $351.00 | $51.11 – $351.00 | 15 |
| Mast simple complete CPT 19303 | not published | not published | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $106.56 | $148.00 | $8.82 – $148.00 | 15 |
| Mayo aathr protein s free CPT 85306 | $273.60 | $380.00 | $3.27 – $380.00 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $154.08 | $214.00 | $4.38 – $214.00 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $343.44 | $477.00 | $8.95 – $477.00 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $45.36 | $63.00 | $10.33 – $63.00 | 4 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $423.36 | $588.00 | $10.33 – $588.00 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $81.36 | $113.00 | $8.82 – $113.00 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $113.76 | $158.00 | $10.33 – $152.00 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $122.40 | $170.00 | $8.82 – $170.00 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $164.16 | $228.00 | $8.95 – $228.00 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $162.72 | $226.00 | $10.33 – $226.00 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $475.92 | $661.00 | $34.38 – $661.00 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $878.40 | $1,220.00 | $34.38 – $1,220.00 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $515.52 | $716.00 | $121.56 – $716.00 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,992.32 | $4,156.00 | $1,160.00 – $4,156.00 | 15 |
| Mayo androstenedione CPT 82157 | $239.76 | $333.00 | $9.74 – $333.00 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $123.84 | $172.00 | $8.82 – $172.00 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $198.72 | $276.00 | $3.27 – $276.00 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $104.40 | $145.00 | $8.50 – $145.00 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $437.04 | $607.00 | $18.69 – $607.00 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $45.36 | $63.00 | $10.33 – $63.00 | 4 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $49.68 | $69.00 | $8.50 – $69.00 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $540.00 | $750.00 | $121.56 – $750.00 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $616.32 | $856.00 | $121.56 – $856.00 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $75.60 | $105.00 | $8.50 – $105.00 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $43.20 | $60.00 | $10.33 – $60.00 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $105.84 | $147.00 | $8.50 – $147.00 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $82.80 | $115.00 | $8.50 – $115.00 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $162.72 | $226.00 | $8.50 – $226.00 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $45.36 | $63.00 | $10.33 – $63.00 | 4 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $245.52 | $341.00 | $8.82 – $341.00 | 15 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $113.04 | $157.00 | $26.78 – $157.00 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $366.48 | $509.00 | $34.38 – $509.00 | 15 |
| Mayo ceruloplasmin CPT 82390 | $75.60 | $105.00 | $3.99 – $105.00 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $253.44 | $352.00 | $8.82 – $352.00 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $127.44 | $177.00 | $8.50 – $177.00 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $41.04 | $57.00 | $8.50 – $57.00 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $41.04 | $57.00 | $8.50 – $57.00 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $907.20 | $1,260.00 | $116.49 – $1,260.00 | 15 |
| Mayo chromium CPT 82495 | $141.12 | $196.00 | $9.08 – $196.00 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $182.88 | $254.00 | $10.33 – $254.00 | 4 |
| Mayo coccidioides antibody CPT 86635 | $75.60 | $105.00 | $8.50 – $105.00 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $833.04 | $1,157.00 | $8.82 – $330.00 | 15 |
| Mayo cortisol free CPT 82530 | $87.84 | $122.00 | $8.82 – $122.00 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $99.36 | $138.00 | $8.50 – $138.00 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $156.24 | $217.00 | $8.50 – $217.00 | 15 |
| Mayo cyanide CPT 82600 | $182.16 | $253.00 | $9.08 – $253.00 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,009.44 | $1,402.00 | $134.50 – $1,402.00 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $66.24 | $92.00 | $8.50 – $92.00 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $187.92 | $261.00 | $8.82 – $261.00 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $157.68 | $219.00 | $9.74 – $219.00 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $498.96 | $693.00 | $3.99 – $693.00 | 15 |
| Mayo efpo chloride stool CPT 82438 | $177.84 | $247.00 | $3.99 – $247.00 | 15 |
| Mayo estriol CPT 82677 | $72.72 | $101.00 | $9.74 – $101.00 | 15 |
| Mayo estrone CPT 82679 | $107.28 | $149.00 | $9.74 – $149.00 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $209.52 | $291.00 | $8.95 – $291.00 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | $180.72 | $251.00 | $8.95 – $251.00 | 15 |
| Mayo factor ii CPT 85210 | $360.72 | $501.00 | $3.27 – $501.00 | 15 |
| Mayo factor v CPT 85220 | $326.88 | $454.00 | $3.27 – $454.00 | 15 |
| Mayo factor vii CPT 85230 | $326.88 | $454.00 | $3.27 – $454.00 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $251.28 | $349.00 | $18.69 – $349.00 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $336.96 | $468.00 | $18.69 – $468.00 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $238.32 | $331.00 | $18.69 – $331.00 | 15 |
| Mayo factor x CPT 85260 | $326.88 | $454.00 | $3.27 – $454.00 | 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.