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 |
|---|---|---|---|---|
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,253.12 | $7,296.00 | $370.49 – $7,296.00 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $4,539.60 | $6,305.00 | $370.49 – $6,305.00 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $3,751.20 | $5,210.00 | $219.59 – $5,210.00 | 15 |
| Shoulder X-ray CPT 73030 | $589.68 | $819.00 | $32.61 – $819.00 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $1,682.64 | $2,337.00 | $107.70 – $2,337.00 | 15 |
| Sickling rbc CPT 85660 | $111.60 | $155.00 | $4.38 – $155.00 | 15 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,470.40 | $4,820.00 | $187.96 – $4,820.00 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,783.52 | $3,866.00 | $174.08 – $3,866.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,476.08 | $3,439.00 | $97.12 – $3,439.00 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | $6,798.24 | $9,442.00 | $133.81 – $9,442.00 | 15 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $90.00 | $125.00 | $10.33 – $125.00 | 4 |
| Skel musc relaxant 3 or more CPT 80370 | $10.08 | $14.00 | $10.33 – $14.00 | 4 |
| Skin Biopsy CPT 11102 | $429.12 | $596.00 | $382.65 – $1,089.07 | 12 |
| Sleep Study (Polysomnography) CPT 95810 | $6,178.32 | $8,581.00 | $359.68 – $8,581.00 | 13 |
| Sleep study unattended CPT 95806 | $819.36 | $1,138.00 | $138.16 – $1,138.00 | 13 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,944.00 | $2,700.00 | $2,700.00 – $2,700.00 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | $187.92 | $261.00 | $189.00 – $261.00 | 6 |
| Slp ther svc non-spch gen CPT 92606 | $124.56 | $173.00 | $27.58 – $173.00 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | not published | 0 |
| Small bowel endoscopy CPT 44378 | not published | not published | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $72.00 | $100.00 | $5.39 – $100.00 | 15 |
| Smear gram stain CPT 87205 | $183.60 | $255.00 | $4.27 – $255.00 | 15 |
| Smear nasal eosinophil CPT 89190 | $147.60 | $205.00 | $3.66 – $205.00 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $149.04 | $207.00 | $5.99 – $207.00 | 15 |
| Smear wet mount CPT 87210 | $203.76 | $283.00 | $5.82 – $283.00 | 15 |
| Sodium 24 hour urine CPT 84300 | $146.16 | $203.00 | $3.99 – $203.00 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $70.56 | $98.00 | $3.28 – $86.00 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $90.72 | $126.00 | $2.13 – $110.00 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $66.24 | $92.00 | $1.09 – $92.00 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $3.45 | $4.79 | $0.17 – $0.22 | 4 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $42.07 | $58.43 | $3.65 – $58.43 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.04 | $82.00 | $3.99 – $82.00 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $3.82 | $5.30 | $0.88 – $5.30 | 13 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $2,304.00 | $3,200.00 | $265.21 – $3,200.00 | 14 |
| Somatosensory testing CPT 95927 | $1,433.52 | $1,991.00 | $120.64 – $1,991.00 | 12 |
| Special physics consult CPT 77370 | $876.24 | $1,217.00 | $57.61 – $1,217.00 | 15 |
| Special radiation treatment CPT 77470 | $2,427.84 | $3,372.00 | $40.44 – $3,372.00 | 15 |
| Specific gravity body fluid CPT 84315 | $62.64 | $87.00 | $3.28 – $87.00 | 15 |
| Speech audiometry complete CPT 92556 | $128.16 | $178.00 | $27.78 – $178.00 | 13 |
| Speech recep thresh CPT 92555 | $128.16 | $178.00 | $27.78 – $178.00 | 13 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,749.60 | $2,430.00 | $695.24 – $2,430.00 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $745.92 | $1,036.00 | $93.91 – $1,036.00 | 13 |
| Srs linear based CPT 77372 | $18,288.72 | $25,401.00 | $1,693.68 – $25,401.00 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $546.48 | $759.00 | $106.25 – $759.00 | 14 |
| Staph a dna amp probe CPT 87640 | $177.84 | $247.00 | $31.63 – $247.00 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $264.24 | $367.00 | $99.73 – $367.00 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $25,020.00 | $34,750.00 | $2,100.00 – $2,100.00 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $432.00 | $600.00 | $225.00 – $225.00 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $7,920.00 | $11,000.00 | $525.00 – $525.00 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $21,614.40 | $30,020.00 | $9,734.69 – $30,020.00 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $9,614.88 | $13,354.00 | $9,734.69 – $13,354.00 | 3 |
| Stent placemt retro carotid CPT 37217 | $8,285.76 | $11,508.00 | $11,508.00 – $12,794.83 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 3 |
| St evaluate speech sound production CPT 92522 | $546.48 | $759.00 | $108.61 – $759.00 | 14 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $546.48 | $759.00 | $189.00 – $759.00 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $493.20 | $685.00 | $88.45 – $685.00 | 14 |
| St evaluation swallow function CPT 92610 | $472.32 | $656.00 | $81.45 – $656.00 | 14 |
| Stimulants synthetic CPT 80371 | $70.56 | $98.00 | $10.33 – $98.00 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $340.56 | $473.00 | $68.88 – $473.00 | 12 |
| Strapping of elbow or wrist 29260 CPT 29260 | $810.72 | $1,126.00 | $63.22 – $1,126.00 | 12 |
| Strapping of hand or finger CPT 29280 | $457.92 | $636.00 | $63.22 – $636.00 | 12 |
| Strapping of knee CPT 29530 | $397.44 | $552.00 | $68.88 – $552.00 | 12 |
| Strapping of toes 29550 CPT 29550 | $423.00 | $423.00 | $63.22 – $423.00 | 12 |
| Strep a ag ia CPT 87430 | $192.96 | $268.00 | $7.78 – $268.00 | 15 |
| Strep a dna quant CPT 87652 | $75.60 | $105.00 | $31.63 – $105.00 | 15 |
| Strep b dna amp probe CPT 87653 | $252.00 | $350.00 | $31.63 – $350.00 | 15 |
| Stress test pulmonary CPT 94618 | $278.64 | $387.00 | $52.41 – $387.00 | 13 |
| Stress tte complete CPT 93351 | $2,482.56 | $3,448.00 | $394.09 – $3,448.00 | 13 |
| St treatment speech individual CPT 92507 | $382.32 | $531.00 | $73.52 – $531.00 | 14 |
| St treatment swallow dysfunction/oral CPT 92526 | $232.56 | $323.00 | $32.81 – $323.00 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $12.93 | $17.96 | $2.09 – $9.80 | 4 |
| Sugars single quant CPT 84378 | $361.44 | $502.00 | $8.82 – $502.00 | 15 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $217.01 | $301.40 | $301.40 – $301.40 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $166.32 | $231.00 | $10.33 – $231.00 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $178.56 | $248.00 | $15.66 – $248.00 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $226.80 | $315.00 | $29.34 – $315.00 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $398.88 | $554.00 | $29.34 – $554.00 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,763.28 | $2,449.00 | $29.34 – $139.61 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $749.52 | $1,041.00 | $119.73 – $960.29 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,020.96 | $1,418.00 | $119.73 – $2,158.45 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $78.48 | $109.00 | $4.75 – $109.00 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $117.36 | $163.00 | $4.75 – $163.00 | 15 |
| Susceptibility mic per plate CPT 87186 | $170.64 | $237.00 | $7.78 – $237.00 | 15 |
| Suscept studies macrobroth dilution ea CPT 87188 | $131.04 | $182.00 | $6.64 – $182.00 | 15 |
| Svc venogram s&i CPT 75827 | $3,355.20 | $4,660.00 | $124.31 – $4,660.00 | 15 |
| Synvisc or synvisc-one HCPCS J7325 | $68.17 | $94.68 | $7.56 – $94.68 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $68.40 | $95.00 | $4.40 – $95.00 | 15 |
| System pacing micra av HCPCS C1786 | $24,120.00 | $33,500.00 | $7,500.00 – $7,500.00 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,852.00 | $17,850.00 | $9,300.00 – $9,300.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $277.92 | $386.00 | $9.74 – $386.00 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $180.72 | $251.00 | $9.74 – $207.00 | 15 |
| T4 (thyroxine) free CPT 84439 | $167.76 | $233.00 | $9.02 – $233.00 | 15 |
| T4 (thyroxine) total CPT 84436 | $68.40 | $95.00 | $6.87 – $95.00 | 15 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $19.30 | $26.80 | $0.33 – $26.80 | 4 |
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.