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 |
|---|---|---|---|---|
| Tacrolimus therapeutic drug level CPT 80197 | $318.96 | $443.00 | $8.95 – $443.00 | 15 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,732.48 | $5,184.00 | $483.95 – $5,184.00 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,750.80 | $10,765.00 | $1,719.40 – $10,765.00 | 15 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,072.51 | $1,489.60 | $0.25 – $1,489.60 | 14 |
| Tbp gene detc abnor alleles CPT 81344 | $287.28 | $399.00 | $121.56 – $399.00 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $270.72 | $376.00 | $30.13 – $371.00 | 15 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $21.60 | $30.00 | $16.50 – $30.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $176.40 | $245.00 | $30.13 – $245.00 | 15 |
| T cells total count CPT 86359 | $105.12 | $146.00 | $30.13 – $146.00 | 15 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $4,793.76 | $6,658.00 | $3,636.50 – $6,658.00 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $84.24 | $117.00 | $12.81 – $117.00 | 13 |
| Telethx isodose plan cplx CPT 77307 | $1,846.08 | $2,564.00 | $160.50 – $2,564.00 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $286.75 | $398.27 | $186.97 – $467.43 | 14 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $1,583.28 | $2,199.00 | $121.56 – $2,199.00 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $948.24 | $1,317.00 | $284.02 – $1,317.00 | 15 |
| Test stress cardiovascular tracing only CPT 93017 | $1,339.20 | $1,860.00 | $75.42 – $1,860.00 | 13 |
| Tetanus immune globulin inj HCPCS J1670 | $1,578.42 | $2,192.25 | $171.29 – $2,192.25 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,255.04 | $3,132.00 | $597.91 – $3,132.00 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $285.84 | $397.00 | $8.95 – $397.00 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $52.56 | $73.00 | $31.00 – $77.49 | 13 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $66.24 | $92.00 | $30.01 – $92.00 | 13 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $61.92 | $86.00 | $25.93 – $86.00 | 13 |
| Ther/proph/diag inj ia CPT 96373 | $455.04 | $632.00 | $42.15 – $632.00 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $66.10 | $91.80 | $2.99 – $37.35 | 4 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,473.20 | $3,435.00 | $623.00 – $3,435.00 | 13 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,696.00 | $9,300.00 | $3,413.00 – $7,462.92 | 3 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,315.60 | $17,105.00 | $3,352.93 – $17,105.00 | 12 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $24,495.84 | $34,022.00 | $5,622.54 – $34,022.00 | 12 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 12 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $7,192.80 | $9,990.00 | $3,781.52 – $9,990.00 | 3 |
| Thrombin time CPT 85670 | $74.16 | $103.00 | $3.27 – $103.00 | 15 |
| Thromboendarterectomy common femoral CPT 35371 | $10,018.08 | $13,914.00 | $3,636.50 – $6,957.00 | 3 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $4,824.00 | $6,700.00 | $6,700.00 – $8,670.66 | 3 |
| Thromboendarterectomy sfa CPT 35302 | $470.88 | $654.00 | $654.00 – $3,636.50 | 3 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $134.64 | $187.00 | $3.27 – $187.00 | 15 |
| Thyroglobulin antibody CPT 86800 | $133.92 | $186.00 | $8.50 – $186.00 | 15 |
| Thyroid imaging CPT 78013 | $867.60 | $1,205.00 | $281.22 – $1,205.00 | 15 |
| Thyroid (TSH) Test CPT 84443 | $254.88 | $354.00 | $9.74 – $354.00 | 15 |
| Thyroid Ultrasound CPT 76536 | $894.96 | $1,243.00 | $44.81 – $1,243.00 | 15 |
| Thyroid uptake measurement CPT 78012 | $867.60 | $1,205.00 | $116.10 – $1,205.00 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | $149.04 | $207.00 | $9.74 – $207.00 | 15 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 3 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,431.12 | $10,321.00 | $9,734.69 – $10,321.00 | 3 |
| Tigecycline injection HCPCS J3243 | $8.56 | $11.89 | $0.92 – $11.89 | 4 |
| Tilt table study CPT 93660 | $3,406.32 | $4,731.00 | $150.84 – $4,731.00 | 12 |
| Tissue culture placenta CPT 88235 | $1,059.12 | $1,471.00 | $134.50 – $1,471.00 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $673.20 | $935.00 | $134.50 – $935.00 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $77.76 | $108.00 | $4.27 – $108.00 | 15 |
| Tissue transglutaminase iga CPT 86364 | $95.76 | $133.00 | $8.50 – $131.00 | 15 |
| Tixagev and cilgav inj HCPCS M0220 | $325.44 | $452.00 | $42.15 – $452.00 | 5 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $27.00 | $37.50 | $3.42 – $37.50 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $348.48 | $484.00 | $8.95 – $484.00 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $14.34 | $19.92 | $5.61 – $19.92 | 14 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $154.80 | $215.00 | $10.43 – $215.00 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $142.56 | $198.00 | $19.22 – $198.00 | 15 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $17.26 | $23.97 | $2.06 – $23.64 | 4 |
| Total Hip Replacement CPT 27130 | not published | not published | not published | 0 |
| Total Knee Replacement CPT 27447 | not published | not published | not published | 0 |
| Total tau CPT 84394 | $511.20 | $710.00 | $128.92 – $710.00 | 12 |
| Toxoplasma antibody igg CPT 86777 | $109.44 | $152.00 | $8.50 – $152.00 | 15 |
| Toxoplasma antibody igm CPT 86778 | $152.64 | $212.00 | $8.50 – $212.00 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,349.28 | $1,874.00 | $121.56 – $1,874.00 | 15 |
| Tpmt gene com vrnts CPT 81335 | $220.32 | $306.00 | $121.56 – $437.03 | 15 |
| Transferrin CPT 84466 | $92.88 | $129.00 | $8.82 – $129.00 | 15 |
| Transfusion blood/blood component(s) CPT 36430 | $1,624.32 | $2,256.00 | $367.49 – $2,256.00 | 13 |
| Transparent film >16<=48 in HCPCS A6258 | $7.92 | $11.00 | $5.63 – $11.00 | 3 |
| Transparent film <= 16 sq in HCPCS A6257 | $7.92 | $11.00 | $5.63 – $11.00 | 3 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $122.07 | $169.54 | $8.21 – $169.54 | 14 |
| Treat elbow dislocation CPT 24605 | $3,237.12 | $4,496.00 | $878.36 – $4,496.00 | 12 |
| Treat elbow fracture CPT 24620 | $4,273.92 | $5,936.00 | $418.59 – $5,936.00 | 12 |
| Treat foot bone lesion CPT 28005 | not published | not published | not published | 0 |
| Treat fracture of radius CPT 25505 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Treat fracture of radius CPT 25520 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Treat fracture of ulna CPT 25535 | $4,890.24 | $6,792.00 | $264.33 – $6,792.00 | 12 |
| Treat humerus fracture CPT 24545 | not published | not published | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Treat knee fracture 27530 CPT 27530 | $538.56 | $748.00 | $264.33 – $748.00 | 12 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $330.48 | $459.00 | $52.41 – $459.00 | 13 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $261.36 | $363.00 | $52.41 – $363.00 | 5 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $469.44 | $652.00 | $52.41 – $652.00 | 13 |
| Treatment of ankle fracture CPT 27814 | not published | not published | not published | 0 |
| Treatment of ankle fracture 27786 CPT 27786 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Treat metatarsal fracture CPT 28485 | not published | not published | not published | 0 |
| Treat midfoot fracture each CPT 28465 | not published | not published | not published | 0 |
| Treat thigh fracture CPT 27235 | not published | not published | not published | 0 |
| Treat ulnar fracture CPT 24685 | not published | not published | not published | 0 |
| Treat wrist dislocation CPT 25675 | $824.40 | $1,145.00 | $264.33 – $1,145.00 | 12 |
| Treponema pallidum antibody CPT 86780 | $105.12 | $146.00 | $8.50 – $140.00 | 15 |
| Trg gene rearrangement anal CPT 81342 | $1,074.24 | $1,492.00 | $121.56 – $1,492.00 | 15 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $21.85 | $30.35 | $1.22 – $25.10 | 4 |
| Trichinella antibody CPT 86784 | $144.72 | $201.00 | $8.50 – $201.00 | 15 |
| #tricyclicantidprssnt CPT 80337 | $94.32 | $131.00 | $10.33 – $131.00 | 4 |
| Triglycerides CPT 84478 | $210.24 | $292.00 | $3.99 – $292.00 | 15 |
| Trimethobenzamide hcl inj HCPCS J3250 | $324.11 | $450.15 | $95.04 – $450.15 | 4 |
| Trim nail(s) HCPCS G0127 | $246.96 | $343.00 | $60.45 – $343.00 | 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.