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 |
|---|---|---|---|---|
| Ndl insj without njx 1 or 2 musc CPT 20560 | $57.60 | $80.00 | $12.40 – $80.00 | 15 |
| Ndl insj without njx 3+ musc CPT 20561 | $72.00 | $100.00 | $27.58 – $100.00 | 15 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $5,198.40 | $7,220.00 | $187.96 – $7,220.00 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $4,158.72 | $5,776.00 | $260.73 – $5,776.00 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,345.84 | $4,647.00 | $97.12 – $4,647.00 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $6,391.44 | $8,877.00 | $149.54 – $8,877.00 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,255.20 | $5,910.00 | $362.70 – $5,910.00 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,898.80 | $5,415.00 | $102.28 – $5,415.00 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $6,034.32 | $8,381.00 | $373.86 – $8,381.00 | 15 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $4,827.60 | $6,705.00 | $364.93 – $6,705.00 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,862.08 | $5,364.00 | $255.69 – $5,364.00 | 15 |
| Nerve conduction 7-8 studies CPT 95910 | $2,785.68 | $3,869.00 | $120.64 – $3,869.00 | 12 |
| Nerve conduction studies 11-12 CPT 95912 | $4,176.00 | $5,800.00 | $120.64 – $5,800.00 | 12 |
| Nerve conduction studies 1-2 CPT 95907 | $694.80 | $965.00 | $120.64 – $965.00 | 12 |
| Nerve conduction studies 13+ CPT 95913 | $6,961.68 | $9,669.00 | $120.64 – $9,669.00 | 12 |
| Nerve conduction studies 3-4 CPT 95908 | $1,392.48 | $1,934.00 | $120.64 – $1,934.00 | 12 |
| Nerve conduction studies 5-6 CPT 95909 | $2,088.72 | $2,901.00 | $120.64 – $2,901.00 | 12 |
| Nerve conduction studies 9-10 CPT 95911 | $3,481.20 | $4,835.00 | $120.64 – $4,835.00 | 12 |
| Nerve repair w/allograft CPT 64910 | not published | not published | not published | 0 |
| Nerve teasing preparations CPT 88362 | $1,029.60 | $1,430.00 | $119.73 – $2,158.45 | 15 |
| Neurolysis celiac plexus CPT 64680 | $4,390.56 | $6,098.00 | $947.82 – $6,098.00 | 13 |
| Neurolysis trigeminal nerve CPT 64600 | $6,508.80 | $9,040.00 | $947.82 – $9,040.00 | 12 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $401.04 | $557.00 | $120.64 – $557.00 | 13 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $250.56 | $348.00 | $73.25 – $313.00 | 3 |
| New Patient Office Visit (level 3) CPT 99203 | $340.56 | $473.00 | $115.84 – $313.00 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $460.80 | $640.00 | $173.49 – $313.00 | 3 |
| New Patient Office Visit (level 5) CPT 99205 | $568.80 | $790.00 | $229.84 – $313.00 | 3 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $2.29 | $3.18 | $0.12 – $88.23 | 6 |
| N-invas est c ffr sw aly cta CPT 75580 | $4,030.56 | $5,598.00 | $338.01 – $5,598.00 | 13 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $40.97 | $56.90 | $2.51 – $21.20 | 4 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $50.12 | $69.61 | $33.57 – $83.93 | 14 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,496.16 | $2,078.00 | $756.44 – $2,078.00 | 12 |
| Njx interlaminar crv/thrc CPT 62324 | $2,948.40 | $4,095.00 | $695.24 – $4,095.00 | 12 |
| Njx interlaminar crv/thrc CPT 62325 | $4,682.16 | $6,503.00 | $695.24 – $6,503.00 | 12 |
| Njx interlaminar lmbr/sac CPT 62326 | $3,501.36 | $4,863.00 | $695.24 – $4,863.00 | 12 |
| Njx interlaminar lmbr/sac CPT 62327 | $3,501.36 | $4,863.00 | $695.24 – $4,863.00 | 12 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,746.72 | $2,426.00 | $334.42 – $2,426.00 | 15 |
| Nm imaging bone/joint whole body CPT 78306 | $1,654.56 | $2,298.00 | $334.42 – $2,298.00 | 15 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,652.40 | $2,295.00 | $292.41 – $2,295.00 | 15 |
| Nm imaging gastric emptying study CPT 78264 | $2,036.88 | $2,829.00 | $334.42 – $2,829.00 | 15 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,540.08 | $2,139.00 | $428.40 – $2,139.00 | 15 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,789.92 | $2,486.00 | $334.42 – $2,486.00 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,512.00 | $2,100.00 | $191.37 – $2,100.00 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,029.60 | $1,430.00 | $334.42 – $1,430.00 | 15 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $3,352.32 | $4,656.00 | $79.20 – $4,656.00 | 15 |
| Npm1 gene CPT 81310 | $743.76 | $1,033.00 | $121.56 – $1,033.00 | 15 |
| Nras gene variants exon 2&3 CPT 81311 | $1,398.24 | $1,942.00 | $121.56 – $1,942.00 | 15 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $6,750.72 | $9,376.00 | $766.44 – $9,376.00 | 14 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $3,011.76 | $4,183.00 | $313.00 – $4,183.00 | 7 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,618.64 | $3,637.00 | $313.00 – $3,637.00 | 7 |
| Nuclear rx IV admin CPT 79101 | $1,307.52 | $1,816.00 | $78.46 – $1,816.00 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,095.44 | $7,077.00 | $636.26 – $7,077.00 | 15 |
| Nushield 1 square cm HCPCS Q4160 | $995.76 | $1,383.00 | $133.36 – $1,383.00 | 13 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $136.45 | $189.51 | $81.63 – $204.06 | 14 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,151.28 | $1,599.00 | $1,599.00 – $1,599.00 | 1 |
| Observation per hour HCPCS G0378 | $64.80 | $90.00 | $75.00 – $75.00 | 1 |
| Obstetrical care 59410 CPT 59410 | $2,327.76 | $3,233.00 | $998.00 – $3,233.00 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $118.89 | $165.13 | $59.32 – $165.13 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $508.28 | $705.95 | $1.09 – $115.00 | 4 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $11.94 | $16.59 | $1.34 – $6.13 | 4 |
| Onco (ovar) two proteins CPT 81500 | $925.92 | $1,286.00 | $121.56 – $1,286.00 | 15 |
| Oncoprotein dcp CPT 83951 | $306.72 | $426.00 | $20.78 – $426.00 | 15 |
| Oncoprotein her-2/neu CPT 83950 | $1,756.80 | $2,440.00 | $20.78 – $2,440.00 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $11.47 | $15.93 | $0.15 – $7.98 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $11,676.24 | $16,217.00 | $3,202.09 – $16,217.00 | 12 |
| Optx radial shaft fracture CPT 25515 | not published | not published | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $410.40 | $570.00 | $9.08 – $570.00 | 15 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $130.36 | $181.05 | $10.54 – $150.80 | 4 |
| Oscillation chest wall mechanical per session CPT 94669 | $443.52 | $616.00 | $52.41 – $616.00 | 13 |
| Osmolality blood CPT 83930 | $116.64 | $162.00 | $3.99 – $162.00 | 15 |
| Osmolality urine CPT 83935 | $110.16 | $153.00 | $3.99 – $153.00 | 15 |
| Ot evaluation high complexity patient/family CPT 97167 | $499.68 | $694.00 | $96.48 – $694.00 | 15 |
| Ot evaluation low complexity patient/family CPT 97165 | $316.08 | $439.00 | $96.48 – $439.00 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $398.88 | $554.00 | $96.48 – $554.00 | 15 |
| Oth resp proc, group HCPCS G0239 | $84.96 | $118.00 | $31.11 – $118.00 | 13 |
| Oth resp proc, indiv HCPCS G0238 | $52.56 | $73.00 | $31.00 – $77.49 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $104.40 | $145.00 | $32.81 – $145.00 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $256.32 | $356.00 | $32.81 – $356.00 | 15 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $209.52 | $291.00 | $26.78 – $291.00 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $145.44 | $202.00 | $65.52 – $202.00 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $231.84 | $322.00 | $32.81 – $322.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $318.24 | $442.00 | $20.61 – $442.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $383.76 | $533.00 | $22.10 – $533.00 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $225.36 | $313.00 | $28.06 – $313.00 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $237.60 | $330.00 | $31.56 – $330.00 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $208.80 | $290.00 | $27.58 – $290.00 | 15 |
| Ovulation tests CPT 84830 | $100.08 | $139.00 | $9.74 – $139.00 | 15 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $22.16 | $30.78 | $0.94 – $30.78 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $71.78 | $99.70 | $3.43 – $99.70 | 4 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.17 | $1.63 | $0.17 – $1.21 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $36.40 | $50.55 | $15.11 – $50.55 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $66.82 | $92.80 | $4.63 – $92.80 | 4 |
| Papaverin hcl injection HCPCS J2440 | $286.45 | $397.85 | $75.80 – $365.00 | 4 |
| Parathormone (pth) intact CPT 83970 | $309.60 | $430.00 | $25.81 – $421.00 | 15 |
| Parathyroid planar imaging CPT 78070 | $1,247.04 | $1,732.00 | $419.89 – $1,732.00 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,676.88 | $2,329.00 | $334.42 – $2,329.00 | 15 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $429.12 | $596.00 | $150.25 – $596.00 | 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.