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 |
|---|---|---|---|---|
| X-ray cervical spine >= 6 views CPT 72052 | $967.68 | $1,344.00 | $51.11 – $1,344.00 | 15 |
| X-ray clavicle complete (both sides) CPT 73000 | $466.56 | $648.00 | $32.61 – $648.00 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $958.32 | $1,331.00 | $107.70 – $1,331.00 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,390.32 | $1,931.00 | $107.70 – $1,931.00 | 15 |
| X-ray elbow 2 views (both sides) CPT 73070 | $490.32 | $681.00 | $25.55 – $681.00 | 15 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $514.80 | $715.00 | $33.16 – $715.00 | 15 |
| Xray endovasc thor ao repr CPT 75956 | $1,586.16 | $2,203.00 | $183.97 – $2,203.00 | 5 |
| Xray endovasc thor ao repr CPT 75957 | $1,824.48 | $2,534.00 | $183.97 – $2,534.00 | 5 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $940.32 | $1,306.00 | $25.55 – $1,306.00 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $993.60 | $1,380.00 | $51.11 – $1,380.00 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $229.68 | $319.00 | $51.11 – $319.00 | 15 |
| X-ray exam of arm infant CPT 73092 | $529.92 | $736.00 | $32.61 – $736.00 | 15 |
| X-ray exam of eye sockets CPT 70200 | $609.12 | $846.00 | $47.13 – $846.00 | 15 |
| X-ray exam of femur 1 CPT 73551 | $460.08 | $639.00 | $31.49 – $639.00 | 15 |
| X-ray exam of sinuses CPT 70210 | $466.56 | $648.00 | $35.97 – $648.00 | 15 |
| X-ray exam si joints CPT 72200 | $519.12 | $721.00 | $34.86 – $721.00 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $810.72 | $1,126.00 | $44.81 – $1,126.00 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $310.32 | $431.00 | $33.16 – $431.00 | 15 |
| X-ray facial bones complete > 3 views CPT 70150 | $747.36 | $1,038.00 | $47.71 – $1,038.00 | 15 |
| X-ray femur >=2 views (both sides) CPT 73552 | $567.36 | $788.00 | $38.21 – $788.00 | 15 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $466.56 | $648.00 | $25.55 – $648.00 | 15 |
| X-ray foot 2 views (both sides) CPT 73620 | $514.80 | $715.00 | $25.55 – $715.00 | 15 |
| X-ray forearm 2 views (both sides) CPT 73090 | $497.52 | $691.00 | $30.92 – $691.00 | 15 |
| X-ray hand 2 views (both sides) CPT 73120 | $466.56 | $648.00 | $25.55 – $648.00 | 15 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $488.88 | $679.00 | $25.55 – $679.00 | 15 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $478.80 | $665.00 | $42.68 – $665.00 | 15 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $601.20 | $835.00 | $44.81 – $835.00 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $864.00 | $1,200.00 | $44.81 – $1,200.00 | 15 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $352.80 | $490.00 | $33.73 – $490.00 | 15 |
| X-ray humerus >= 2 views left CPT 73060 | $565.20 | $785.00 | $25.55 – $785.00 | 15 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $558.72 | $776.00 | $37.63 – $776.00 | 15 |
| X-ray knee 3 views (both sides) CPT 73562 | $618.48 | $859.00 | $43.80 – $859.00 | 15 |
| X-ray knee ap standing bilateral CPT 73565 | $515.52 | $716.00 | $44.91 – $716.00 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $785.52 | $1,091.00 | $32.61 – $1,091.00 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $810.72 | $1,126.00 | $49.93 – $1,126.00 | 15 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $931.68 | $1,294.00 | $44.81 – $1,294.00 | 15 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $974.88 | $1,354.00 | $51.11 – $1,354.00 | 15 |
| X-ray mandible complete > 4 views CPT 70110 | $529.92 | $736.00 | $43.24 – $736.00 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $529.92 | $736.00 | $39.87 – $736.00 | 15 |
| X-ray nasal bones complete > 3 views CPT 70160 | $528.48 | $734.00 | $25.55 – $734.00 | 15 |
| X-ray neck soft tissue CPT 70360 | $370.80 | $515.00 | $34.29 – $515.00 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $403.20 | $560.00 | $28.71 – $560.00 | 15 |
| X-ray of mammary ducts CPT 77054 | $924.48 | $1,284.00 | $82.38 – $1,284.00 | 15 |
| X-ray pelvis 1-2 views CPT 72170 | $565.20 | $785.00 | $38.21 – $785.00 | 15 |
| X-ray pelvis complete > 3 views CPT 72190 | $587.52 | $816.00 | $45.47 – $816.00 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,094.40 | $1,520.00 | $72.33 – $1,520.00 | 15 |
| X-ray ribs 2 views left CPT 71100 | $518.40 | $720.00 | $36.51 – $720.00 | 15 |
| X-ray ribs 3 views bilateral CPT 71110 | $574.56 | $798.00 | $41.56 – $798.00 | 15 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $568.08 | $789.00 | $40.44 – $789.00 | 15 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $678.24 | $942.00 | $44.81 – $942.00 | 15 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $565.20 | $785.00 | $39.87 – $785.00 | 15 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $563.04 | $782.00 | $34.29 – $782.00 | 15 |
| X-ray scapula complete (both sides) CPT 73010 | $561.60 | $780.00 | $35.97 – $780.00 | 15 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $466.56 | $648.00 | $24.78 – $648.00 | 15 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $714.24 | $992.00 | $41.56 – $992.00 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,275.84 | $1,772.00 | $48.82 – $1,645.00 | 15 |
| X-ray skull < 4 views CPT 70250 | $529.92 | $736.00 | $39.87 – $736.00 | 15 |
| X-ray skull > 4 views complete CPT 70260 | $822.24 | $1,142.00 | $47.13 – $1,142.00 | 15 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $784.08 | $1,089.00 | $107.70 – $1,089.00 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $1,082.88 | $1,504.00 | $74.24 – $1,504.00 | 6 |
| X-ray spine single view CPT 72020 | $473.04 | $657.00 | $24.25 – $657.00 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $466.56 | $648.00 | $41.56 – $648.00 | 15 |
| X-ray sternum > 2 views CPT 71120 | $556.56 | $773.00 | $33.16 – $773.00 | 15 |
| X-ray surgical specimen CPT 76098 | $1,029.60 | $1,430.00 | $13.59 – $1,463.87 | 15 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $606.96 | $843.00 | $107.70 – $843.00 | 15 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $192.96 | $268.00 | $51.11 – $268.00 | 15 |
| X-ray thoracic spine 2 views CPT 72070 | $540.72 | $751.00 | $35.97 – $751.00 | 15 |
| X-ray thoracic spine 3 views CPT 72072 | $725.76 | $1,008.00 | $39.87 – $1,008.00 | 15 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $198.00 | $275.00 | $35.40 – $275.00 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $601.92 | $836.00 | $42.11 – $836.00 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $923.76 | $1,283.00 | $51.11 – $1,283.00 | 15 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $569.52 | $791.00 | $25.55 – $791.00 | 15 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $648.00 | $648.00 | $34.86 – $648.00 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $917.28 | $1,274.00 | $107.70 – $1,274.00 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $953.28 | $1,324.00 | $107.70 – $1,324.00 | 15 |
| X-ray wrist 2 views (both sides) CPT 73100 | $483.12 | $671.00 | $25.55 – $671.00 | 15 |
| Yersinia antibody CPT 86793 | $113.04 | $157.00 | $8.50 – $157.00 | 15 |
| Zika virus dna/rna amp probe CPT 87662 | $330.48 | $459.00 | $31.63 – $459.00 | 15 |
| Zika virus igm antibody CPT 86794 | $271.44 | $377.00 | $8.50 – $377.00 | 15 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $129.67 | $180.10 | $15.10 – $180.10 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $423.96 | $588.84 | $8.38 – $91.25 | 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.