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 |
|---|---|---|---|---|
| Cath combo lt&rt heart w/inj/s CPT 93453 | $11,530.80 | $16,015.00 | $2,195.44 – $16,015.00 | 12 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,080.00 | $1,500.00 | $16.38 – $32.00 | 3 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $4,968.00 | $6,900.00 | $1,382.40 – $2,700.00 | 3 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $915.84 | $1,272.00 | $1,272.00 – $1,272.00 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $23.04 | $32.00 | $2.48 – $32.00 | 15 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,144.80 | $1,590.00 | $750.00 – $750.00 | 1 |
| Cath hawkone s directional HCPCS C1714 | $7,128.00 | $9,900.00 | $307.20 – $600.00 | 3 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,832.00 | $8,100.00 | $1,075.20 – $2,100.00 | 3 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $172.80 | $240.00 | $68.36 – $240.00 | 3 |
| Cath left heart/lv gram CPT 93452 | $9,441.36 | $13,113.00 | $2,195.44 – $13,113.00 | 12 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,808.00 | $3,900.00 | $5.12 – $10.00 | 3 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $16,920.00 | $23,500.00 | $5,100.00 – $5,100.00 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $1,329.12 | $1,846.00 | $622.30 – $1,846.00 | 3 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $12,206.88 | $16,954.00 | $2,195.44 – $16,954.00 | 12 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $10,376.64 | $14,412.00 | $2,195.44 – $14,412.00 | 12 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,578.32 | $16,081.00 | $2,195.44 – $16,081.00 | 12 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $11,556.00 | $16,050.00 | $4,349.55 – $16,050.00 | 12 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,171.92 | $9,961.00 | $2,195.44 – $9,961.00 | 12 |
| Cath right hrt mnpul art CPT 36013 | $673.20 | $935.00 | $622.30 – $935.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $82.80 | $115.00 | $115.00 – $298.08 | 5 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $756.00 | $1,050.00 | $375.00 – $375.00 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $270.00 | $375.00 | $5.12 – $10.00 | 3 |
| Cauterization chemical granulation tissue CPT 17250 | $692.64 | $962.00 | $150.25 – $962.00 | 12 |
| Cdna analysis for variants CPT 81403 | $918.00 | $1,275.00 | $121.56 – $920.00 | 15 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $26.57 | $36.90 | $1.37 – $32.20 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $37.71 | $52.38 | $1.44 – $24.03 | 4 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $96.19 | $133.60 | $7.82 – $67.00 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $23.60 | $32.78 | $4.24 – $21.85 | 14 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $25.63 | $35.60 | $2.43 – $35.60 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | $278.16 | $386.34 | $104.71 – $386.34 | 14 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $116.35 | $161.60 | $0.76 – $11.65 | 4 |
| Cell count w differential body fluid CPT 89051 | $209.52 | $291.00 | $3.66 – $291.00 | 15 |
| Cell function assay w/stim CPT 86352 | $477.36 | $663.00 | $30.13 – $663.00 | 15 |
| Cerebrospinal fld flw imag CPT 78645 | $1,065.60 | $1,480.00 | $480.47 – $1,480.00 | 15 |
| #cf-97variants CPT 81220 | $1,100.88 | $1,529.00 | $265.21 – $1,391.50 | 15 |
| Cftr gene known fam variants CPT 81221 | $139.68 | $194.00 | $34.38 – $243.05 | 15 |
| Change cystostomy tube simple CPT 51705 | $771.12 | $1,071.00 | $78.42 – $1,071.00 | 12 |
| Change nephroureteral cath CPT 50387 | $4,425.12 | $6,146.00 | $623.00 – $6,146.00 | 13 |
| Change of windpipe airway 31502 CPT 31502 | $819.36 | $1,138.00 | $154.17 – $1,138.00 | 13 |
| Chemo adm cns w/lmbr punct CPT 96450 | $716.40 | $995.00 | $136.58 – $995.00 | 14 |
| Chemo intralesional up to 7 96405 CPT 96405 | $766.80 | $1,065.00 | $42.15 – $1,065.00 | 14 |
| Chemotherapy injection 96542 CPT 96542 | $716.40 | $995.00 | $42.15 – $995.00 | 14 |
| Chest 2 vws w oblique CPT 71048 | $629.28 | $874.00 | $42.11 – $874.00 | 15 |
| Chest apical lordotic proj CPT 71047 | $524.16 | $728.00 | $40.44 – $728.00 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,525.84 | $4,897.00 | $75.19 – $4,897.00 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $3,209.76 | $4,458.00 | $75.19 – $4,458.00 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $2,765.52 | $3,841.00 | $97.12 – $3,841.00 | 15 |
| Chest X-ray CPT 71046 | $503.28 | $699.00 | $23.49 – $623.00 | 15 |
| Chest X-ray (single view) CPT 71045 | $431.28 | $599.00 | $17.53 – $599.00 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $128.16 | $178.00 | $31.11 – $178.00 | 13 |
| Chlamydia culture CPT 87110 | $84.24 | $117.00 | $7.78 – $117.00 | 15 |
| Chlamydia type CPT 87140 | $90.00 | $125.00 | $5.57 – $125.00 | 15 |
| Chloride CPT 82435 | $85.68 | $119.00 | $3.99 – $119.00 | 15 |
| Chloride 24 hour urine CPT 82436 | $72.00 | $100.00 | $3.99 – $100.00 | 15 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.29 | $0.40 | $0.07 – $0.40 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $236.20 | $328.05 | $39.22 – $290.25 | 4 |
| Cholangiogram percutaneous compl CPT 47532 | $7,622.64 | $10,587.00 | $623.00 – $10,587.00 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $926.64 | $1,287.00 | $55.13 – $1,287.00 | 6 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $7,622.64 | $10,587.00 | $2,015.85 – $10,587.00 | 12 |
| Cholesterol CPT 82465 | $156.24 | $217.00 | $3.99 – $217.00 | 15 |
| Cholesterol body fluid CPT 84999 | $262.80 | $365.00 | $8.82 – $365.00 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $245.52 | $341.00 | $6.67 – $341.00 | 15 |
| Cholinesterase CPT 82480 | $59.04 | $82.00 | $3.99 – $82.00 | 15 |
| Chrom analysis CPT 88273 | $88.56 | $123.00 | $34.38 – $123.00 | 15 |
| Chromatography CPT 83021 | $66.24 | $92.00 | $4.38 – $92.00 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | $735.84 | $1,022.00 | $34.38 – $1,022.00 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $673.20 | $935.00 | $34.38 – $935.00 | 15 |
| Chromosome karyotype study CPT 88280 | $88.56 | $123.00 | $33.47 – $123.00 | 15 |
| Chromosome study additional CPT 88289 | $1,660.32 | $2,306.00 | $34.38 – $2,306.00 | 15 |
| Chylomicron screen, bf - sendout CPT 82664 | $168.48 | $234.00 | $20.78 – $234.00 | 15 |
| Cilastatin sodium injection HCPCS J0743 | $108.68 | $150.95 | $11.72 – $150.95 | 4 |
| Cine/video x-rays add-on CPT 76125 | $606.96 | $843.00 | $50.48 – $843.00 | 6 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $64.80 | $90.00 | $3.30 – $54.40 | 4 |
| Circumcision (newborn) CPT 54150 | $4,425.12 | $6,146.00 | $1,793.58 – $6,146.00 | 12 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $33.91 | $47.10 | $3.48 – $35.24 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $16,020.00 | $22,250.00 | $384.00 – $750.00 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $78.55 | $109.10 | $3.15 – $52.87 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $540.00 | $750.00 | $75.00 – $75.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $501.84 | $697.00 | $154.17 – $697.00 | 12 |
| Closure paravalvlr leak pq CPT 33999 | $1,335.60 | $1,855.00 | $672.23 – $1,855.00 | 12 |
| Clot factor xii hageman CPT 85280 | $326.88 | $454.00 | $18.69 – $454.00 | 15 |
| Clot factor xiii fibrin scrn CPT 85291 | $87.84 | $122.00 | $3.27 – $122.00 | 15 |
| Clot factor xiii fibrin stab CPT 85290 | $211.68 | $294.00 | $3.27 – $294.00 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $707.76 | $983.00 | $264.33 – $983.00 | 12 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,068.48 | $1,484.00 | $264.33 – $1,484.00 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $627.84 | $872.00 | $264.33 – $872.00 | 12 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $450.72 | $626.00 | $264.33 – $660.83 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,033.20 | $1,435.00 | $264.33 – $1,435.00 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,456.72 | $4,801.00 | $418.59 – $4,801.00 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,456.72 | $4,801.00 | $209.30 – $4,801.00 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $614.16 | $853.00 | $264.33 – $853.00 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $741.60 | $1,030.00 | $264.33 – $1,030.00 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $518.40 | $720.00 | $264.33 – $720.00 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $980.64 | $1,362.00 | $264.33 – $1,362.00 | 12 |
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.