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 |
|---|---|---|---|---|
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $35.94 | $49.92 | $0.25 – $49.92 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $9.19 | $12.77 | $9.81 – $24.52 | 12 |
| Methylphenidate CPT 80360 | $74.16 | $103.00 | $10.33 – $103.00 | 4 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $18.61 | $25.85 | $0.23 – $25.85 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $3.52 | $4.89 | $0.20 – $2.65 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $10.09 | $14.01 | $0.43 – $1.62 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $58.82 | $81.70 | $1.78 – $67.90 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $13.11 | $18.21 | $0.20 – $12.33 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $1.30 | $1.80 | $0.05 – $1.80 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | $954.00 | $1,325.00 | $34.38 – $1,325.00 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $7.63 | $10.60 | $0.41 – $4.00 | 4 |
| Microdissection laser CPT 88380 | $825.84 | $1,147.00 | $106.43 – $1,147.00 | 7 |
| Microdissection manual CPT 88381 | $524.88 | $729.00 | $29.34 – $729.00 | 7 |
| Microsatellite instability CPT 81301 | $827.28 | $1,149.00 | $121.56 – $1,149.00 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $24.12 | $33.50 | $0.23 – $2.34 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $1.92 | $2.66 | $0.30 – $2.66 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $29.74 | $41.30 | $2.23 – $41.30 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $100.41 | $139.46 | $71.17 – $177.92 | 14 |
| Mlh1 gene CPT 81288 | $720.72 | $1,001.00 | $121.56 – $1,001.00 | 15 |
| Mlh1 gene dup/delete variant CPT 81294 | $512.64 | $712.00 | $121.56 – $712.00 | 15 |
| Mlh1 gene full seq CPT 81292 | $1,416.96 | $1,968.00 | $483.95 – $1,968.00 | 15 |
| Mnl appl strs jt radiography CPT 77071 | $810.72 | $1,126.00 | $83.21 – $1,126.00 | 14 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $11,232.00 | $15,600.00 | $5,700.00 – $5,700.00 | 1 |
| Mopath procedure level 1 CPT 81400 | $866.88 | $1,204.00 | $34.38 – $1,204.00 | 15 |
| Mopath procedure level 3 CPT 81402 | $867.60 | $1,205.00 | $121.56 – $1,205.00 | 15 |
| Mopath procedure level 5 CPT 81404 | $1,342.80 | $1,865.00 | $121.56 – $1,865.00 | 15 |
| Mopath procedure level 6 CPT 81405 | $2,041.20 | $2,835.00 | $121.56 – $2,835.00 | 15 |
| Mopath procedure level 7 CPT 81406 | $2,936.88 | $4,079.00 | $121.56 – $4,079.00 | 15 |
| Mopath procedure level 8 CPT 81407 | $3,984.48 | $5,534.00 | $483.95 – $5,534.00 | 15 |
| Mopath procedure level 9 CPT 81408 | $4,003.20 | $5,560.00 | $1,719.40 – $5,560.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $211.14 | $293.25 | $5.02 – $50.27 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $95.54 | $132.70 | $11.17 – $91.30 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $445.68 | $619.00 | $119.73 – $619.00 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $453.60 | $630.00 | $73.78 – $960.29 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $494.64 | $687.00 | $78.75 – $456.43 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $331.92 | $461.00 | $29.34 – $461.00 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $441.36 | $613.00 | $119.73 – $613.00 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | $535.68 | $744.00 | $29.34 – $744.00 | 7 |
| MRA chest w IV cont HCPCS C8909 | $4,767.84 | $6,622.00 | $373.86 – $6,622.00 | 15 |
| MRA chest wo IV cont HCPCS C8910 | $3,813.84 | $5,297.00 | $255.69 – $5,297.00 | 15 |
| MRA chest wwo IV cont HCPCS C8911 | $5,959.44 | $8,277.00 | $373.86 – $8,277.00 | 15 |
| MRA pelvis w IV cont HCPCS C8918 | $4,767.84 | $6,622.00 | $373.86 – $6,622.00 | 15 |
| MRA pelvis wo IV cont HCPCS C8919 | $3,813.84 | $5,297.00 | $255.69 – $5,297.00 | 15 |
| MRA w/cont, lwr ext HCPCS C8912 | $4,176.00 | $5,800.00 | $373.86 – $5,800.00 | 15 |
| MRA without cont, abd HCPCS C8901 | $565.20 | $785.00 | $255.69 – $785.00 | 15 |
| MRA without cont, lwr ext HCPCS C8913 | $3,735.36 | $5,188.00 | $255.69 – $5,188.00 | 15 |
| Mra, without dye, upper extr HCPCS C8935 | $3,123.36 | $4,338.00 | $255.69 – $4,338.00 | 14 |
| MRA without fol w/cont, abd HCPCS C8902 | $4,278.24 | $5,942.00 | $373.86 – $5,942.00 | 15 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $6,555.60 | $9,105.00 | $373.86 – $9,105.00 | 15 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $5,959.44 | $8,277.00 | $373.86 – $8,277.00 | 15 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $3,751.20 | $5,210.00 | $373.86 – $5,210.00 | 14 |
| MRI breast without cont bi CPT 77047 | $3,877.20 | $5,385.00 | $146.24 – $2,000.00 | 15 |
| MRI chest without contrast CPT 71550 | $3,751.20 | $5,210.00 | $219.59 – $5,210.00 | 15 |
| MRI chest without & w/contrast CPT 71552 | $5,253.12 | $7,296.00 | $370.49 – $7,296.00 | 15 |
| MRI chest w IV cont CPT 71551 | $4,043.52 | $5,616.00 | $370.49 – $5,616.00 | 15 |
| MRI fetal sngl/1st gestation CPT 74712 | $522.00 | $725.00 | $219.59 – $725.00 | 15 |
| MRI loex nonjt w IV cont CPT 73719 | $4,127.04 | $5,732.00 | $359.89 – $5,732.00 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,928.32 | $5,456.00 | $219.59 – $5,456.00 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $5,253.12 | $7,296.00 | $370.49 – $7,296.00 | 15 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,696.48 | $5,134.00 | $219.59 – $5,134.00 | 15 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,178.24 | $7,192.00 | $370.49 – $7,192.00 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,862.08 | $5,364.00 | $368.28 – $5,364.00 | 15 |
| MRI tmj CPT 70336 | $5,060.88 | $7,029.00 | $219.59 – $7,029.00 | 14 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,757.68 | $5,219.00 | $219.59 – $5,219.00 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,592.96 | $7,768.00 | $370.49 – $7,768.00 | 15 |
| MRI upper extremity w/dye CPT 73219 | $4,133.52 | $5,741.00 | $370.49 – $5,741.00 | 15 |
| MRI without fol w/cont, breast HCPCS C8908 | $5,292.00 | $7,350.00 | $370.49 – $7,350.00 | 15 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $936.72 | $1,301.00 | $370.49 – $1,301.00 | 15 |
| Mr safety determination physician/other qhp CPT 76016 | $190.08 | $264.00 | $68.24 – $264.00 | 13 |
| Mr safety implant elec prepj CPT 76018 | $198.00 | $275.00 | $101.88 – $275.00 | 13 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $87.84 | $122.00 | $80.45 – $122.00 | 4 |
| Mr safety implt pos&/immoblj CPT 76019 | $128.16 | $178.00 | $63.22 – $178.00 | 13 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $52.56 | $73.00 | $16.70 – $77.49 | 13 |
| Mr sfty med physics xm cstmz CPT 76017 | $522.00 | $725.00 | $255.69 – $725.00 | 13 |
| Msh2 gene dup/delete variant CPT 81297 | $403.20 | $560.00 | $121.56 – $560.00 | 15 |
| Msh2 gene full seq CPT 81295 | $418.32 | $581.00 | $265.21 – $954.25 | 15 |
| Msh6 gene dup/delete variant CPT 81300 | $453.60 | $630.00 | $121.56 – $630.00 | 15 |
| Msh6 gene full seq CPT 81298 | $865.44 | $1,202.00 | $483.95 – $1,604.63 | 15 |
| Msh6 gene known variants CPT 81299 | $3,501.36 | $4,863.00 | $121.56 – $4,863.00 | 15 |
| Mthfr gene analy common variants CPT 81291 | $507.60 | $705.00 | $34.38 – $705.00 | 15 |
| Mucin synovial fluid CPT 83872 | $54.72 | $76.00 | $3.99 – $76.00 | 15 |
| Mucopolysaccharides CPT 83864 | $151.20 | $210.00 | $20.78 – $210.00 | 15 |
| Multiple sleep latency test CPT 95805 | $2,486.88 | $3,454.00 | $719.35 – $3,454.00 | 13 |
| Mumps antibody igg CPT 86735 | $151.20 | $210.00 | $8.50 – $210.00 | 15 |
| Muscle test cran nerv unilat CPT 95867 | $826.56 | $1,148.00 | $120.64 – $1,148.00 | 12 |
| Muscle test larynx CPT 95865 | $578.88 | $804.00 | $120.64 – $804.00 | 12 |
| Mycobacteria dna amp probe CPT 87551 | $337.68 | $469.00 | $31.63 – $469.00 | 15 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.76 | $9.39 | $0.25 – $9.39 | 4 |
| Mycoplasma antibody igm CPT 86738 | $98.64 | $137.00 | $8.50 – $137.00 | 15 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,964.48 | $8,284.00 | $508.85 – $8,284.00 | 13 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,805.20 | $5,285.00 | $508.85 – $5,285.00 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,805.20 | $5,285.00 | $508.85 – $5,285.00 | 13 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,805.20 | $5,285.00 | $508.85 – $5,285.00 | 13 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $142.56 | $198.00 | $8.82 – $168.00 | 15 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.22 | $1.69 | $0.12 – $1.50 | 3 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $49.18 | $68.30 | $24.51 – $68.30 | 14 |
| Natriuretic peptide CPT 83880 | $310.32 | $431.00 | $20.78 – $431.00 | 15 |
| Natural killer cells total count CPT 86357 | $113.04 | $157.00 | $30.13 – $157.00 | 15 |
| N block inj hypogas plxs CPT 64517 | $2,578.32 | $3,581.00 | $947.82 – $3,581.00 | 12 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $445.68 | $619.00 | $120.64 – $619.00 | 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.