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 |
|---|---|---|---|---|
| Puncture spinal lumbar diagnostic CPT 62270 | $1,301.04 | $1,807.00 | $695.24 – $1,891.09 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $167.47 | $232.60 | $25.67 – $232.60 | 4 |
| Pyruvate CPT 84210 | $141.12 | $196.00 | $8.82 – $196.00 | 15 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,595.52 | $2,216.00 | $267.62 – $2,216.00 | 15 |
| Quest t3 uptake CPT 84479 | $120.96 | $168.00 | $6.47 – $168.00 | 15 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $587.95 | $816.60 | $279.95 – $816.59 | 14 |
| Radiation physics consult CPT 77336 | $726.48 | $1,009.00 | $57.61 – $1,009.00 | 15 |
| Radiation therapy dose plan CPT 77300 | $740.16 | $1,028.00 | $53.86 – $1,028.00 | 15 |
| Radiation treatment aid(s) CPT 77334 | $1,833.12 | $2,546.00 | $107.53 – $2,546.00 | 15 |
| Radiation treatment delivery CPT 77412 | $1,010.16 | $1,403.00 | $163.65 – $1,403.00 | 15 |
| Radiotherapy dose plan imrt CPT 77301 | $6,810.48 | $9,459.00 | $313.00 – $9,459.00 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,894.40 | $4,020.00 | $581.86 – $4,020.00 | 15 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,894.40 | $4,020.00 | $466.49 – $4,020.00 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,828.08 | $2,539.00 | $260.53 – $2,539.00 | 15 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $115.26 | $160.08 | $75.58 – $188.96 | 14 |
| Rbc count only automated CPT 85041 | $70.56 | $98.00 | $3.02 – $98.00 | 15 |
| Rbc serum pretx incubj drugs CPT 86975 | $502.56 | $698.00 | $1.68 – $1,196.80 | 15 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $1,248.48 | $1,734.00 | $867.00 – $14,907.52 | 12 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $5,410.80 | $7,515.00 | $3,636.50 – $7,515.00 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $388.80 | $540.00 | $113.98 – $540.00 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $342.00 | $475.00 | $113.98 – $475.00 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $480.24 | $667.00 | $113.98 – $667.00 | 13 |
| Red blood cells washed each unit HCPCS P9022 | $906.48 | $1,259.00 | $251.35 – $1,259.00 | 13 |
| Redo endovas vena cava filtr CPT 37192 | $6,798.24 | $9,442.00 | $3,352.93 – $9,442.00 | 12 |
| Refill maint impl spine pump CPT 95991 | $984.24 | $1,367.00 | $42.15 – $1,367.00 | 12 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $54.36 | $75.50 | $4.42 – $65.00 | 4 |
| Release of lower leg tendon CPT 27680 | not published | not published | not published | 0 |
| Relocation skin pocket aicd CPT 33223 | $3,951.36 | $5,488.00 | $1,427.46 – $5,527.62 | 12 |
| Relocation skin pocket pm CPT 33222 | $3,951.36 | $5,488.00 | $1,427.46 – $5,527.62 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $573.84 | $797.00 | $163.65 – $797.00 | 12 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $11.25 | $15.62 | $6.90 – $17.25 | 14 |
| Rem endovas vena cava filter CPT 37193 | $6,798.24 | $9,442.00 | $3,352.93 – $9,442.00 | 12 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $4,718.16 | $6,553.00 | $670.79 – $6,553.00 | 12 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $6,066.00 | $8,425.00 | $670.79 – $8,425.00 | 12 |
| Removal cerclage w/anes CPT 59871 | $6,868.08 | $9,539.00 | $1,541.38 – $9,539.00 | 12 |
| Removal cerumen impacted (both sides) CPT 69210 | $293.04 | $407.00 | $63.22 – $407.00 | 11 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $11,676.24 | $16,217.00 | $3,636.50 – $16,217.00 | 12 |
| Removal clot in graft xcp 35876 CPT 35876 | $11,676.24 | $16,217.00 | $3,636.50 – $16,217.00 | 12 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $622.80 | $865.00 | $189.00 – $865.00 | 7 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $2,025.36 | $2,813.00 | $971.94 – $2,813.00 | 12 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,519.92 | $2,111.00 | $382.65 – $2,111.00 | 12 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | not published | 0 |
| Removal of arm artery clot 34111 CPT 34111 | $11,676.24 | $16,217.00 | $3,636.50 – $16,217.00 | 12 |
| Removal of artery clot 34101 CPT 34101 | $11,676.24 | $16,217.00 | $3,636.50 – $16,217.00 | 12 |
| Removal of bone for graft CPT 20900 | not published | not published | not published | 0 |
| Removal of breast lesion CPT 19120 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28080 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28090 | not published | not published | not published | 0 |
| Removal of heel spur CPT 28119 | not published | not published | not published | 0 |
| Removal of hydrocele CPT 55040 | not published | not published | not published | 0 |
| Removal of implant deep CPT 20680 | not published | not published | not published | 0 |
| Removal of sesamoid bone CPT 28315 | not published | not published | not published | 0 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | not published | 0 |
| Removal of testis CPT 54520 | not published | not published | not published | 0 |
| Removal of toe lesions CPT 28108 | not published | not published | not published | 0 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $20,528.64 | $28,512.00 | $7,160.78 – $28,512.00 | 12 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $1,892.88 | $2,629.00 | $150.25 – $2,629.00 | 13 |
| Removal sutr and stapl no anes CPT 15854 | $0.72 | $1.00 | $1.00 – $1.00 | 1 |
| Removal sutr or stapl no anes CPT 15853 | $0.72 | $1.00 | $1.00 – $1.00 | 1 |
| Remove anal fist subq CPT 46270 | not published | not published | not published | 0 |
| Remove eyelid lesion CPT 67840 | not published | not published | not published | 0 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | not published | 0 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | not published | 0 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | not published | 0 |
| Remove limb nerve lesion CPT 64782 | not published | not published | not published | 0 |
| Remove nasal foreign body CPT 30310 | $7,004.88 | $9,729.00 | $1,272.97 – $9,729.00 | 12 |
| Remove spinal canal catheter 62355 CPT 62355 | $7,022.88 | $9,754.00 | $695.24 – $9,754.00 | 12 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | not published | 0 |
| Renal function panel CPT 80069 | $202.32 | $281.00 | $6.67 – $281.00 | 15 |
| Renal venogram bil s&i CPT 75833 | $6,798.24 | $9,442.00 | $139.04 – $9,442.00 | 15 |
| Repair achilles tendon CPT 27650 | not published | not published | not published | 0 |
| Repair av fistula ext 35190 CPT 35190 | $11,676.24 | $16,217.00 | $1,906.18 – $16,217.00 | 12 |
| Repair blood vessel dir lower extr CPT 35226 | $2,167.20 | $3,010.00 | $758.85 – $3,010.00 | 12 |
| Repair blood vessel dir upper extr CPT 35206 | $6,798.24 | $9,442.00 | $1,906.18 – $9,442.00 | 12 |
| Repair blood vessel lesion CPT 35266 | $11,676.24 | $16,217.00 | $1,906.18 – $16,217.00 | 12 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,149.84 | $1,597.00 | $382.65 – $1,597.00 | 12 |
| Repair defect arm art 35045 CPT 35045 | not published | not published | not published | 0 |
| Repair defect of artery CPT 35131 | $1,457.28 | $2,024.00 | $2,024.00 – $8,670.66 | 3 |
| Repair dental ellis ii fx CPT 41899 | $6,924.24 | $9,617.00 | $253.81 – $9,617.00 | 12 |
| Repair elbow w/deb open CPT 24358 | not published | not published | not published | 0 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | not published | 0 |
| Repair eyelid wound CPT 67935 | $5,039.28 | $6,999.00 | $1,203.63 – $6,999.00 | 12 |
| Repair finger/hand tendon CPT 26356 | $7,008.48 | $9,734.00 | $1,957.94 – $9,734.00 | 12 |
| Repair foot dislocation CPT 28555 | not published | not published | not published | 0 |
| Repair ing hernia sliding CPT 49525 | not published | not published | not published | 0 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $1,302.48 | $1,809.00 | $154.17 – $1,809.00 | 12 |
| Repair of ankle ligament CPT 27695 | not published | not published | not published | 0 |
| Repair of foot tendon CPT 28200 | not published | not published | not published | 0 |
| Repair of knee ligament CPT 27405 | not published | not published | not published | 0 |
| Repair of leg tendon each CPT 27658 | not published | not published | not published | 0 |
| Repair of metatarsals CPT 28322 | not published | not published | not published | 0 |
| Repair of ruptured tendon CPT 24342 | not published | not published | not published | 0 |
| Repair pm/icd lead dual CPT 33220 | $7,860.96 | $10,918.00 | $1,427.46 – $10,918.00 | 12 |
| Repair pm/icd lead sgl CPT 33218 | $7,860.96 | $10,918.00 | $1,427.46 – $10,918.00 | 12 |
| Repair rotator cuff acute CPT 23410 | not published | not published | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,456.56 | $2,023.00 | $154.17 – $2,023.00 | 12 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $7,008.48 | $9,734.00 | $1,944.94 – $9,734.00 | 12 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $7,008.48 | $9,734.00 | $1,546.21 – $9,734.00 | 12 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | not published | 0 |
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.