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 |
|---|---|---|---|---|
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $23,760.00 | $33,000.00 | $33,000.00 – $33,000.00 | 1 |
| Asp & inj bone cyst CPT 20615 | $2,856.96 | $3,968.00 | $417.55 – $3,968.00 | 13 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $828.00 | $1,150.00 | $224.03 – $1,150.00 | 12 |
| Aspirate pleura without imaging 32554 CPT 32554 | $2,025.36 | $2,813.00 | $623.00 – $2,813.00 | 13 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,671.12 | $2,321.00 | $136.42 – $1,897.12 | 12 |
| Assay alkaline phosphatase CPT 84078 | $90.00 | $125.00 | $3.99 – $125.00 | 15 |
| Assay of breath ethanol CPT 82075 | $90.00 | $125.00 | $10.33 – $125.00 | 15 |
| Assay of endocrine hormone CPT 84235 | $304.56 | $423.00 | $25.81 – $423.00 | 15 |
| Assay of feces porphyrins CPT 84126 | $455.76 | $633.00 | $20.78 – $633.00 | 15 |
| Assay of glucosidase CPT 82963 | $284.40 | $395.00 | $8.82 – $395.00 | 15 |
| Assay of glutathione CPT 82978 | $165.60 | $230.00 | $8.82 – $230.00 | 15 |
| Assay of lrh hormone CPT 83727 | $406.80 | $565.00 | $9.74 – $565.00 | 15 |
| Assay of osteocalcin CPT 83937 | $157.68 | $219.00 | $25.81 – $219.00 | 15 |
| Assay of procainamide w/metab CPT 80192 | $194.40 | $270.00 | $8.95 – $270.00 | 15 |
| Assay of prostaglandin CPT 84150 | $361.44 | $502.00 | $25.81 – $502.00 | 15 |
| Assay of semen fructose CPT 82757 | $228.24 | $317.00 | $8.82 – $317.00 | 15 |
| Assay of somatostatin CPT 84307 | $227.52 | $316.00 | $9.74 – $316.00 | 15 |
| Assay of tyrosine CPT 84510 | $123.12 | $171.00 | $3.99 – $171.00 | 15 |
| Assay of urine sulfate CPT 84392 | $40.32 | $56.00 | $2.22 – $56.00 | 15 |
| Assay phosphatidylglycerol CPT 84081 | $177.12 | $246.00 | $8.82 – $246.00 | 15 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $520.56 | $723.00 | $94.91 – $723.00 | 14 |
| Assess cyst contrast inject CPT 49424 | $738.72 | $1,026.00 | $298.08 – $1,026.00 | 5 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $119.52 | $166.00 | $3.66 – $166.00 | 15 |
| Ast/sgot CPT 84450 | $178.56 | $248.00 | $3.99 – $248.00 | 15 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $146.46 | $203.41 | $93.91 – $234.78 | 14 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $38,786.40 | $53,870.00 | $9,734.69 – $53,870.00 | 3 |
| Atomic absorption CPT 82190 | $110.16 | $153.00 | $8.82 – $153.00 | 15 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $2.60 | $3.61 | $0.17 – $1.36 | 4 |
| Atxn2 gene detc abnor allele CPT 81179 | $303.12 | $421.00 | $121.56 – $421.00 | 15 |
| Audiometry air + bone CPT 92553 | $337.68 | $469.00 | $72.67 – $469.00 | 13 |
| Audit/dast 15-30 min CPT 99408 | $38.16 | $53.00 | $20.98 – $53.00 | 3 |
| Audit/dast over 30 min CPT 99409 | $69.84 | $97.00 | $20.98 – $97.00 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $15,430.32 | $21,431.00 | $1,311.00 – $21,431.00 | 13 |
| Autologous blood op salvage CPT 86891 | $1,029.60 | $1,430.00 | $7.50 – $2,158.45 | 15 |
| Autologous blood process CPT 86890 | $388.80 | $540.00 | $5.30 – $540.00 | 15 |
| Automated diff wbc count CPT 85004 | $369.36 | $513.00 | $4.38 – $513.00 | 15 |
| Autopsy (necropsy) complete CPT 88020 | $735.84 | $1,022.00 | $20.21 – $1,022.00 | 7 |
| Autopsy (necropsy) complete CPT 88025 | $1,464.48 | $2,034.00 | $19.55 – $2,034.00 | 7 |
| Av fistula revision CPT 36833 | $11,676.24 | $16,217.00 | $3,202.09 – $16,217.00 | 12 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | not published | 0 |
| Av fusion direct any site CPT 36821 | not published | not published | not published | 0 |
| Avul nail plate addl CPT 11732 | $161.28 | $224.00 | $60.45 – $224.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $596.00 | $596.00 | $60.45 – $596.00 | 12 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $91.44 | $127.00 | $3.37 – $127.00 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $25.42 | $35.31 | $3.68 – $21.38 | 4 |
| Baclofen eval charges CPT 97750 | $192.96 | $268.00 | $32.32 – $268.00 | 15 |
| Bacterial meningitis antigen CPT 86403 | $170.64 | $237.00 | $8.50 – $237.00 | 15 |
| Bacterial vaginosis pcr CPT 87801 | $419.04 | $582.00 | $31.63 – $582.00 | 15 |
| #bac vag cand-c. albicans naa CPT 87481 | $203.76 | $283.00 | $31.63 – $283.00 | 15 |
| Balloon dilate urtrl strix CPT 50706 | $6,582.24 | $9,142.00 | $6,201.06 – $9,142.00 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $509.04 | $707.00 | $31.63 – $707.00 | 15 |
| B cells total count CPT 86355 | $113.04 | $157.00 | $30.13 – $157.00 | 15 |
| Benign lesion paring 2-4 CPT 11056 | $429.12 | $596.00 | $150.25 – $596.00 | 13 |
| Benign lesion paring 4+ CPT 11057 | $429.12 | $596.00 | $150.25 – $596.00 | 13 |
| #_benzodiazconfur CPT 80346 | $144.00 | $200.00 | $10.33 – $200.00 | 4 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $134.34 | $186.58 | $22.80 – $186.58 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $123.12 | $171.00 | $8.50 – $171.00 | 15 |
| Beta-2 microglobulin CPT 82232 | $122.40 | $170.00 | $9.74 – $170.00 | 15 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $121.70 | $169.03 | $73.63 – $184.08 | 14 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $105.65 | $146.73 | $23.84 – $146.53 | 14 |
| B-hexosaminidase ea assay CPT 83080 | $313.20 | $435.00 | $8.82 – $435.00 | 15 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,923.12 | $2,671.00 | $947.82 – $2,671.00 | 13 |
| Bilateral n block inj occipital 64405 CPT 64405 | $3,722.40 | $5,170.00 | $328.94 – $5,170.00 | 13 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,507.68 | $2,094.00 | $328.94 – $2,094.00 | 12 |
| Bilicheck CPT 88720 | $22.32 | $31.00 | $4.38 – $31.00 | 15 |
| Bilirubin direct CPT 82248 | $105.12 | $146.00 | $3.99 – $146.00 | 15 |
| Bilirubin total CPT 82247 | $117.36 | $163.00 | $3.99 – $163.00 | 15 |
| Biopsy abdominal mass CPT 49180 | $3,499.92 | $4,861.00 | $656.61 – $4,861.00 | 12 |
| Biopsy, bone open deep CPT 20245 | not published | not published | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,043.44 | $4,227.00 | $621.45 – $4,424.71 | 12 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $6,181.92 | $8,586.00 | $1,507.65 – $8,586.00 | 12 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,499.92 | $4,861.00 | $621.45 – $4,861.00 | 12 |
| Biopsy needle liver percutaneous CPT 47000 | $3,499.92 | $4,861.00 | $656.61 – $4,861.00 | 13 |
| Biopsy needle lymph node superficial CPT 38505 | $3,105.36 | $4,313.00 | $174.74 – $4,424.71 | 12 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,342.24 | $4,642.00 | $1,311.00 – $4,642.00 | 13 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,929.76 | $5,458.00 | $1,769.88 – $5,458.00 | 12 |
| Biospy of bladder CPT 53899 | not published | not published | not published | 0 |
| Bivalirudin HCPCS J0583 | $6.55 | $9.10 | $0.26 – $88.23 | 6 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $525.60 | $730.00 | $78.42 – $730.00 | 12 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,560.00 | $10,500.00 | $38.40 – $75.00 | 3 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $432.00 | $600.00 | $51.20 – $100.00 | 3 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $11,556.00 | $16,050.00 | $1,500.00 – $1,500.00 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,375.92 | $1,911.00 | $363.04 – $1,911.00 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $98.64 | $137.00 | $3.27 – $137.00 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $157.68 | $219.00 | $3.27 – $219.00 | 15 |
| Blood Count (CBC) Test CPT 85025 | $99.36 | $138.00 | $4.38 – $19.43 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $100.80 | $140.00 | $4.38 – $16.18 | 15 |
| Blood count spun microhematocrit CPT 85013 | $43.20 | $60.00 | $4.38 – $60.00 | 15 |
| Blood Culture Test CPT 87040 | $403.92 | $561.00 | $7.78 – $561.00 | 15 |
| Blood draw capillary 36416 CPT 36416 | $29.52 | $41.00 | $2.48 – $41.00 | 6 |
| Blood gases o2 saturation direct measurement CPT 82805 | $257.04 | $357.00 | $50.26 – $357.00 | 15 |
| Blood gases ph venous CPT 82800 | $136.80 | $190.00 | $8.82 – $190.00 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $70.56 | $98.00 | $3.99 – $98.00 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $66.24 | $92.00 | $3.99 – $92.00 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $66.24 | $92.00 | $3.99 – $92.00 | 15 |
| Blood smear interpretation CPT 85060 | $253.44 | $352.00 | $4.38 – $352.00 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $108.72 | $151.00 | $3.80 – $151.00 | 15 |
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.