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 |
|---|---|---|---|---|
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Partial removal foot fascia CPT 28060 | not published | not published | not published | 0 |
| Partial removal of eye fluid CPT 67005 | not published | not published | not published | 0 |
| Partial removal of foot bone CPT 28288 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28113 | not published | not published | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $228.96 | $318.00 | $181.90 – $454.76 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,420.00 | $4,750.00 | $187.96 – $4,750.00 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,107.52 | $4,316.00 | $187.96 – $4,316.00 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,728.08 | $3,789.00 | $97.12 – $3,789.00 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,647.68 | $7,844.00 | $149.54 – $7,844.00 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,911.76 | $5,433.00 | $359.89 – $5,433.00 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $3,842.64 | $5,337.00 | $102.28 – $5,337.00 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,140.48 | $1,584.00 | $72.45 – $968.00 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $407.52 | $566.00 | $37.63 – $566.00 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $65.81 | $91.40 | $3.59 – $34.60 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $82.71 | $114.88 | $31.97 – $106.06 | 14 |
| Penile injection CPT 54235 | $525.60 | $730.00 | $78.42 – $730.00 | 12 |
| Penile vascular study CPT 93980 | $1,316.16 | $1,828.00 | $112.03 – $1,828.00 | 13 |
| Perc d-e cor revasc chro add HCPCS C9608 | $7,804.08 | $10,839.00 | $7,462.92 – $10,839.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $38,786.40 | $53,870.00 | $7,462.92 – $53,870.00 | 12 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $14,696.64 | $20,412.00 | $7,462.92 – $20,412.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $24,495.84 | $34,022.00 | $7,462.92 – $34,022.00 | 12 |
| Perc d-e cor stent ather br HCPCS C9603 | $16,943.04 | $23,532.00 | $7,462.92 – $23,532.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $38,786.40 | $53,870.00 | $7,462.92 – $53,870.00 | 12 |
| Perc drug-el cor stent bran HCPCS C9601 | $9,495.36 | $13,188.00 | $7,462.92 – $13,188.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,669.12 | $30,096.00 | $7,462.92 – $30,927.42 | 12 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $424.30 | $589.30 | $66.35 – $589.30 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,355.20 | $4,660.00 | $906.66 – $4,660.00 | 12 |
| Peripheral vascular rehab CPT 93668 | $160.56 | $223.00 | $63.22 – $223.00 | 13 |
| Peritoneogram rs&i CPT 74190 | $1,184.40 | $1,645.00 | $98.27 – $1,645.00 | 15 |
| Perq dev breast 1st strtctc CPT 19283 | $2,697.84 | $3,747.00 | $258.21 – $1,897.12 | 13 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $800.64 | $1,112.00 | $267.74 – $1,112.00 | 12 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,556.24 | $7,717.00 | $1,214.21 – $7,717.00 | 14 |
| Pet CT whole body initial CPT 78816 | $6,604.56 | $9,173.00 | $1,214.21 – $9,173.00 | 14 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,219.84 | $4,472.00 | $1,214.21 – $4,472.00 | 14 |
| Pet image w/ct lmtd CPT 78814 | $5,434.56 | $7,548.00 | $1,214.21 – $7,548.00 | 14 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $17,280.00 | $24,000.00 | $150.00 – $150.00 | 1 |
| Ph body fluid CPT 83986 | $55.44 | $77.00 | $3.58 – $77.00 | 15 |
| Phencyclidine (pcp) CPT 83992 | $100.08 | $139.00 | $2.05 – $139.00 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $265.54 | $368.80 | $47.98 – $211.88 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $203.04 | $282.00 | $8.95 – $282.00 | 15 |
| Phentolaine mesylate inj HCPCS J2760 | $1,200.17 | $1,666.90 | $105.42 – $1,666.90 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $72.00 | $100.00 | $0.02 – $0.09 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $266.40 | $370.00 | $8.95 – $370.00 | 15 |
| Phlebotomy therapeutic CPT 99195 | $326.88 | $454.00 | $57.03 – $454.00 | 12 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | not published | 0 |
| Phosphorus CPT 84100 | $136.80 | $190.00 | $3.99 – $190.00 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $55.44 | $77.00 | $3.99 – $77.00 | 15 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $23.93 | $33.23 | $4.64 – $33.23 | 4 |
| Pinworm exam CPT 87172 | $252.72 | $351.00 | $4.27 – $99.00 | 15 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $40.87 | $56.77 | $1.80 – $34.27 | 4 |
| Place cath intracranial art CPT 36228 | $3,191.76 | $4,433.00 | $4,022.48 – $4,433.00 | 3 |
| Place cath xtrnl carotid CPT 36227 | $2,821.68 | $3,919.00 | $3,919.00 – $6,033.72 | 3 |
| Place duod/jej tube perc CPT 49441 | $4,358.16 | $6,053.00 | $354.02 – $6,053.00 | 13 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,499.92 | $4,861.00 | $241.69 – $4,424.71 | 13 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,589.76 | $2,208.00 | $168.50 – $1,268.34 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,147.04 | $2,982.00 | $355.03 – $1,897.12 | 12 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $12,208.32 | $16,956.00 | $623.00 – $8,478.00 | 13 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $2,073.60 | $2,880.00 | $1,280.00 – $2,880.00 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $21,300.48 | $29,584.00 | $9,734.69 – $30,927.42 | 12 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,847.20 | $9,510.00 | $3,383.62 – $9,510.00 | 12 |
| Placental lactogen CPT 83632 | $125.28 | $174.00 | $8.82 – $174.00 | 15 |
| Place slctv cath carotd art uni CPT 36224 | $11,676.24 | $16,217.00 | $4,022.48 – $16,217.00 | 12 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $11,646.00 | $16,175.00 | $3,383.62 – $10,783.00 | 12 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $11,676.24 | $16,217.00 | $4,022.48 – $16,217.00 | 12 |
| Place slctv cath subclavian art CPT 36225 | $7,653.60 | $10,630.00 | $3,383.62 – $10,630.00 | 12 |
| Place slctv cath vertebral art uni CPT 36226 | $11,676.24 | $16,217.00 | $4,022.48 – $16,217.00 | 12 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $318.24 | $442.00 | $113.98 – $442.00 | 13 |
| Platelet aggregation each agent teg CPT 85576 | $185.04 | $257.00 | $18.69 – $257.00 | 15 |
| Platelet automated CPT 85049 | $148.32 | $206.00 | $4.38 – $206.00 | 15 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $271.44 | $377.00 | $144.26 – $377.00 | 13 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,289.60 | $3,180.00 | $251.35 – $3,180.00 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,051.92 | $1,461.00 | $251.35 – $1,461.00 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,459.44 | $2,027.00 | $251.35 – $2,027.00 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,870.56 | $2,598.00 | $251.35 – $2,598.00 | 13 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $7,622.64 | $10,587.00 | $623.00 – $10,587.00 | 13 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $11,100.96 | $15,418.00 | $5,622.54 – $15,418.00 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,449.84 | $10,347.00 | $623.00 – $10,347.00 | 13 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $715.68 | $994.00 | $994.00 – $14,939.16 | 3 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,519.92 | $2,111.00 | $758.85 – $2,111.00 | 12 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $715.68 | $994.00 | $994.00 – $14,939.16 | 3 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $2,697.84 | $3,747.00 | $184.70 – $1,268.34 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $584.64 | $812.00 | $93.91 – $999.71 | 13 |
| Plmt ureteral stent prq CPT 50694 | $7,449.84 | $10,347.00 | $2,634.69 – $10,347.00 | 12 |
| Pmp22 gene dup/delet CPT 81324 | $955.44 | $1,327.00 | $483.95 – $1,895.90 | 15 |
| Pmp22 gene full sequence CPT 81325 | $1,661.04 | $2,307.00 | $483.95 – $2,307.00 | 15 |
| Pm phone r-strip device eval CPT 93293 | $192.96 | $268.00 | $32.94 – $268.00 | 12 |
| Pms2 gene dup/delet variants CPT 81319 | $529.92 | $736.00 | $121.56 – $736.00 | 15 |
| Pms2 gene full seq analysis CPT 81317 | $1,342.80 | $1,865.00 | $483.95 – $1,865.00 | 15 |
| #pnh-flow cytometry interp CPT 88187 | $132.48 | $184.00 | $24.25 – $184.00 | 7 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $277.20 | $385.00 | $20.78 – $385.00 | 15 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,178.32 | $8,581.00 | $359.68 – $8,581.00 | 13 |
| Potassium 24 hour urine CPT 84133 | $182.16 | $253.00 | $3.99 – $117.00 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $106.56 | $148.00 | $0.20 – $83.00 | 4 |
| Potassium serum/plasma/whole blood CPT 84132 | $92.88 | $129.00 | $3.99 – $129.00 | 15 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,005.12 | $1,396.00 | $106.42 – $1,396.00 | 6 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $15,430.32 | $21,431.00 | $1,311.00 – $21,431.00 | 13 |
| Pq thr inj ext pse CPT 36002 | $1,507.68 | $2,094.00 | $623.00 – $2,094.00 | 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.