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 |
|---|---|---|---|---|
| Replace duod/jej tube perc CPT 49451 | $2,025.36 | $2,813.00 | $354.02 – $2,813.00 | 13 |
| Replace g/c tube perc CPT 49450 | $2,149.20 | $2,985.00 | $354.02 – $2,985.00 | 13 |
| Replace g-j tube perc CPT 49452 | $2,074.32 | $2,881.00 | $354.02 – $2,881.00 | 12 |
| Reposition intraocular lens CPT 66825 | not published | not published | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $6,798.24 | $9,442.00 | $1,427.46 – $9,442.00 | 12 |
| Repos lv lead pm/icd CPT 33226 | $6,798.24 | $9,442.00 | $3,383.62 – $9,442.00 | 12 |
| Reptilase test CPT 85635 | $60.48 | $84.00 | $4.38 – $84.00 | 15 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | not published | 0 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | not published | 0 |
| Resp virus 6-11 targets CPT 87632 | $950.40 | $1,320.00 | $150.51 – $1,320.00 | 15 |
| Resuscitation cardiopulmonary CPT 92950 | $735.12 | $1,021.00 | $231.39 – $1,021.00 | 13 |
| Resuscitation delivery/birthing room CPT 99465 | $1,413.36 | $1,963.00 | $639.62 – $1,963.00 | 13 |
| Reticulocyte automated CPT 85045 | $102.96 | $143.00 | $3.99 – $143.00 | 15 |
| Retrograde ejaculation anal CPT 89331 | $230.40 | $320.00 | $3.66 – $320.00 | 15 |
| Revasc intra lithotrip-ather HCPCS C9766 | $38,786.40 | $53,870.00 | $5,622.54 – $53,870.00 | 12 |
| Revasc intra lithotrip-stent HCPCS C9765 | $38,786.40 | $53,870.00 | $5,622.54 – $53,870.00 | 12 |
| Revasc intravasc lithotripsy HCPCS C9764 | $24,495.84 | $34,022.00 | $3,352.93 – $34,022.00 | 12 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 12 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 12 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $24,495.84 | $34,022.00 | $5,622.54 – $34,022.00 | 12 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 12 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 12 |
| Revise arm/leg nerve CPT 64708 | not published | not published | not published | 0 |
| Revise hip joint replacement CPT 27134 | not published | not published | not published | 0 |
| Revise knuckle joint CPT 26530 | not published | not published | not published | 0 |
| Revise lower leg tendon CPT 27690 | not published | not published | not published | 0 |
| Revise lower leg tendon CPT 27691 | not published | not published | not published | 0 |
| Revise/replace knee joint CPT 27487 | not published | not published | not published | 0 |
| Revise spine eltrd perq aray CPT 63663 | $14,176.08 | $19,689.00 | $5,564.71 – $19,689.00 | 12 |
| Revise spine eltrd plate CPT 63664 | not published | not published | not published | 0 |
| Revision of calf tendon CPT 27687 | not published | not published | not published | 0 |
| Revision of hip tendon CPT 27097 | not published | not published | not published | 0 |
| Revision of knee joint CPT 27446 | not published | not published | not published | 0 |
| Revision of thigh muscles CPT 27430 | not published | not published | not published | 0 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $4,217.76 | $5,858.00 | $1,225.32 – $5,858.00 | 12 |
| Rheumatoid factor qualitative CPT 86430 | $240.48 | $334.00 | $6.14 – $334.00 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $105.84 | $147.00 | $5.67 – $147.00 | 15 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $46.50 | $64.59 | $7.97 – $88.23 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $142.78 | $198.30 | $74.77 – $198.30 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $128.21 | $178.07 | $30.15 – $178.07 | 14 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $108.74 | $151.03 | $13.27 – $151.03 | 14 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $3,499.92 | $4,861.00 | $1,628.56 – $4,861.00 | 12 |
| Rmvl icd by tv extr CPT 33244 | $7,860.96 | $10,918.00 | $1,427.46 – $10,918.00 | 12 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $48,033.36 | $66,713.00 | $20,170.69 – $66,713.00 | 12 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $69,253.20 | $96,185.00 | $20,170.69 – $96,185.00 | 12 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $48,484.08 | $67,339.00 | $20,170.69 – $67,339.00 | 12 |
| Rmvl icd pulse gen only CPT 33241 | $7,860.96 | $10,918.00 | $4,004.60 – $10,918.00 | 12 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,670.48 | $3,709.00 | $672.23 – $3,709.00 | 12 |
| Rmvl perm pm pulse gen CPT 33233 | $17,876.16 | $24,828.00 | $6,575.47 – $24,828.00 | 12 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $41,193.36 | $57,213.00 | $7,160.78 – $57,213.00 | 12 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,876.16 | $24,828.00 | $7,160.78 – $24,828.00 | 12 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,358.72 | $3,276.00 | $758.85 – $3,276.00 | 12 |
| Rmvl tv pm lead dual CPT 33235 | $7,860.96 | $10,918.00 | $1,427.46 – $10,918.00 | 12 |
| Rmvl tv pm lead sgl CPT 33234 | $7,860.96 | $10,918.00 | $1,427.46 – $10,918.00 | 12 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $6,577.20 | $9,135.00 | $11.05 – $9,135.00 | 13 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $20.60 | $28.61 | $12.11 – $30.27 | 14 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,355.20 | $4,660.00 | $998.55 – $4,660.00 | 12 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,267.28 | $3,149.00 | $352.81 – $3,149.00 | 15 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $4,281.84 | $5,947.00 | $998.55 – $5,947.00 | 12 |
| Rpl tun-cvad w subq port CPT 36582 | $9,612.00 | $13,350.00 | $1,928.40 – $13,350.00 | 12 |
| Rpl tun cvc wo subq port CPT 36581 | $7,143.84 | $9,922.00 | $1,928.40 – $9,922.00 | 12 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | not published | 0 |
| Rubella antibody igg CPT 86762 | $129.60 | $180.00 | $8.50 – $152.00 | 15 |
| Rubeola antibody igg CPT 86765 | $144.00 | $200.00 | $8.50 – $200.00 | 15 |
| Russell viper venom diluted CPT 85613 | $164.88 | $229.00 | $3.27 – $229.00 | 15 |
| Salmonella antibody CPT 86768 | $92.88 | $129.00 | $8.50 – $129.00 | 15 |
| Sarscov coronavirus ag ia CPT 87426 | $79.20 | $110.00 | $7.78 – $88.33 | 15 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,619.36 | $3,638.00 | $153.26 – $3,638.00 | 14 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,497.60 | $2,080.00 | $112.03 – $2,080.00 | 14 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,334.16 | $1,853.00 | $153.26 – $1,853.00 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $904.32 | $1,256.00 | $99.47 – $1,256.00 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $637.92 | $886.00 | $99.47 – $886.00 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,381.68 | $1,919.00 | $99.47 – $1,919.00 | 13 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,666.08 | $2,314.00 | $153.26 – $2,314.00 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,223.28 | $1,699.00 | $99.47 – $1,699.00 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,269.36 | $1,763.00 | $99.47 – $1,470.00 | 13 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $220.32 | $306.00 | $15.10 – $79.00 | 15 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | not published | 0 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $486.72 | $676.00 | $30.13 – $280.00 | 15 |
| Screening Mammogram CPT 77067 | $301.68 | $419.00 | $21.73 – $331.00 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $180.72 | $251.00 | $8.50 – $251.00 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $10,260.00 | $14,250.00 | $10.00 – $10.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,570.48 | $4,959.00 | $4,959.00 – $9,734.69 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $134.64 | $187.00 | $2.70 – $187.00 | 15 |
| Semen analysis presence/motility CPT 89321 | $141.84 | $197.00 | $3.66 – $197.00 | 15 |
| Serpina1 gene CPT 81332 | $338.40 | $470.00 | $34.38 – $470.00 | 15 |
| Set radiation therapy field CPT 77290 | $2,004.48 | $2,784.00 | $160.50 – $2,784.00 | 15 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $15.84 | $22.00 | $22.00 – $22.00 | 1 |
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.