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 |
|---|---|---|---|---|
| Trim nondyst nails CPT 11719 | $160.56 | $223.00 | $60.45 – $223.00 | 13 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $1,002.96 | $1,393.00 | $264.33 – $1,393.00 | 12 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,924.32 | $11,006.00 | $11,006.00 – $12,794.83 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $10,895.04 | $15,132.00 | $12,794.83 – $15,132.00 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $7,793.28 | $10,824.00 | $9,734.69 – $10,824.00 | 3 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $8,289.36 | $11,513.00 | $9,734.69 – $11,513.00 | 3 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $22,908.24 | $31,817.00 | $9,734.69 – $31,817.00 | 12 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,798.24 | $9,442.00 | $3,352.93 – $9,442.00 | 12 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $11,676.24 | $16,217.00 | $3,352.93 – $16,217.00 | 12 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $8,334.00 | $11,575.00 | $3,352.93 – $11,575.00 | 12 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $7,280.64 | $10,112.00 | $3,352.93 – $10,112.00 | 12 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $6,798.24 | $9,442.00 | $3,352.93 – $9,442.00 | 12 |
| Troponin quantitative CPT 84484 | $168.48 | $234.00 | $8.82 – $234.00 | 15 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,482.56 | $3,448.00 | $394.09 – $3,448.00 | 13 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,291.04 | $3,182.00 | $197.04 – $3,182.00 | 13 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,864.08 | $2,589.00 | $394.09 – $2,589.00 | 13 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,448.64 | $2,012.00 | $264.33 – $2,012.00 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $676.80 | $940.00 | $44.81 – $940.00 | 15 |
| Ultrasound breast complete CPT 76641 | $897.84 | $1,247.00 | $67.16 – $968.00 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $660.24 | $917.00 | $52.27 – $917.00 | 15 |
| Ultrasound chest CPT 76604 | $619.20 | $860.00 | $44.81 – $860.00 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $405.36 | $563.00 | $34.86 – $563.00 | 15 |
| Ultrasound elastography parenchyma CPT 76981 | $229.68 | $319.00 | $99.47 – $319.00 | 15 |
| Ultrasound encephalogram CPT 76506 | $385.20 | $535.00 | $99.47 – $535.00 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,146.24 | $1,592.00 | $99.47 – $1,592.00 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $865.44 | $1,202.00 | $78.46 – $1,202.00 | 15 |
| Ultrasound guidance for vascular access CPT 76937 | $846.00 | $1,175.00 | $30.76 – $1,175.00 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,137.60 | $1,580.00 | $29.11 – $968.00 | 6 |
| Ultrasound guide intraoperative CPT 76998 | $593.28 | $824.00 | $102.28 – $824.00 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $221.04 | $307.00 | $93.26 – $307.00 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $221.04 | $307.00 | $93.26 – $307.00 | 15 |
| Ultrasound joint complete left CPT 76881 | $979.20 | $1,360.00 | $32.09 – $1,360.00 | 15 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $682.56 | $948.00 | $44.81 – $948.00 | 15 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $532.80 | $740.00 | $67.09 – $740.00 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $532.80 | $740.00 | $34.10 – $740.00 | 6 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,157.04 | $1,607.00 | $91.63 – $1,607.00 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,110.24 | $1,542.00 | $91.63 – $1,542.00 | 15 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $698.40 | $970.00 | $81.27 – $970.00 | 15 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $532.80 | $740.00 | $91.63 – $740.00 | 15 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,102.32 | $1,531.00 | $44.81 – $1,531.00 | 15 |
| Ultrasound scrotum and contents CPT 76870 | $966.24 | $1,342.00 | $44.81 – $1,342.00 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $851.76 | $1,183.00 | $99.47 – $1,183.00 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $858.96 | $1,193.00 | $91.63 – $1,193.00 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,019.52 | $1,416.00 | $44.81 – $1,416.00 | 15 |
| Unlisted chemotherapy px CPT 96549 | $286.56 | $398.00 | $50.18 – $398.00 | 13 |
| Unlisted cytogenetic study CPT 88299 | $774.00 | $1,075.00 | $34.38 – $1,075.00 | 14 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $3,198.24 | $4,442.00 | $7.78 – $4,442.00 | 4 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | not published | 0 |
| Unlisted px foot/toes CPT 28899 | not published | not published | not published | 0 |
| Unlisted px male genital sys CPT 55899 | $525.60 | $730.00 | $267.74 – $730.00 | 12 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $208.80 | $290.00 | $3.27 – $290.00 | 14 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,599.84 | $2,222.00 | $707.20 – $2,222.00 | 13 |
| Upgrade pm system CPT 33214 | $22,605.12 | $31,396.00 | $7,160.78 – $31,396.00 | 12 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $6,492.96 | $9,018.00 | $149.54 – $9,018.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,287.60 | $5,955.00 | $360.45 – $5,955.00 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,047.84 | $5,622.00 | $102.28 – $5,622.00 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | not published | 0 |
| Urea nitrogen CPT 84520 | $73.44 | $102.00 | $3.95 – $9.88 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $70.56 | $98.00 | $3.99 – $98.00 | 15 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,442.16 | $2,003.00 | $107.70 – $2,003.00 | 15 |
| Urethrocystography void s&i CPT 74455 | $1,094.40 | $1,520.00 | $107.70 – $1,520.00 | 15 |
| Uric acid blood CPT 84550 | $106.56 | $148.00 | $3.99 – $148.00 | 15 |
| Uric acid urine CPT 84560 | $105.12 | $146.00 | $3.99 – $146.00 | 15 |
| Urinalysis microscopic only CPT 81015 | $80.64 | $112.00 | $2.22 – $112.00 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $64.08 | $89.00 | $2.17 – $89.00 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $118.80 | $165.00 | $2.22 – $7.93 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $73.44 | $102.00 | $2.22 – $102.00 | 15 |
| Urine Culture Test CPT 87086 | $165.60 | $230.00 | $7.78 – $230.00 | 15 |
| Urine pregnancy test CPT 81025 | $160.56 | $223.00 | $2.22 – $21.53 | 15 |
| Urography, antegrade CPT 74425 | $771.12 | $1,071.00 | $107.70 – $1,071.00 | 15 |
| Urography inf drip &/or bolus CPT 74410 | $1,442.16 | $2,003.00 | $107.70 – $2,003.00 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $145.58 | $202.20 | $19.34 – $202.20 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $161.53 | $224.35 | $19.34 – $224.35 | 14 |
| Vaccine rabies im CPT 90675 | $1,107.97 | $1,538.85 | $102.41 – $1,538.85 | 14 |
| Vaccine tdap >=7 years im CPT 90715 | $193.86 | $269.25 | $19.34 – $269.25 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $501.84 | $697.00 | $8.95 – $697.00 | 15 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1.33 | $1.85 | $0.05 – $1.00 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $310.32 | $431.00 | $8.95 – $431.00 | 15 |
| Varicella zoster antibody igg CPT 86787 | $133.92 | $186.00 | $8.50 – $186.00 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $26.78 | $37.19 | $0.87 – $20.50 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $53.91 | $74.88 | $21.37 – $74.88 | 14 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $2,082.24 | $2,892.00 | $301.54 – $2,892.00 | 13 |
| Vein x-ray kidney CPT 75831 | $6,798.24 | $9,442.00 | $127.66 – $9,442.00 | 15 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $216.72 | $301.00 | $68.36 – $301.00 | 3 |
| Venogram ext bil s&i CPT 75822 | $3,142.08 | $4,364.00 | $123.75 – $4,364.00 | 15 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $3,074.40 | $4,270.00 | $120.94 – $4,270.00 | 15 |
| Venous mech thrombectomy CPT 37187 | $21,300.48 | $29,584.00 | $3,352.93 – $30,927.42 | 12 |
| Venous m-thrombectomy add-on CPT 37188 | $6,798.24 | $9,442.00 | $3,352.93 – $9,442.00 | 12 |
| Venous thrombosis imaging CPT 78457 | $1,162.80 | $1,615.00 | $247.12 – $1,615.00 | 15 |
| Version cephalic external CPT 59412 | $6,868.08 | $9,539.00 | $525.05 – $9,539.00 | 13 |
| Very long chain fatty acids CPT 82726 | $334.80 | $465.00 | $8.82 – $465.00 | 15 |
| Virus isolation addl studies ea CPT 87253 | $225.36 | $313.00 | $7.78 – $313.00 | 15 |
| Visc & infraren abd 2 prosth CPT 34846 | $14,860.08 | $20,639.00 | $14,939.16 – $20,639.00 | 3 |
| Visual audiometry (vra) CPT 92579 | $337.68 | $469.00 | $72.67 – $578.47 | 13 |
| Vital capacity test CPT 94150 | $337.68 | $469.00 | $52.41 – $469.00 | 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.