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 |
|---|---|---|---|---|
| Cryptococcus abs qn - sendout CPT 86641 | $123.12 | $171.00 | $8.50 – $171.00 | 15 |
| Cryptosporidium antigen CPT 87272 | $136.08 | $189.00 | $7.78 – $189.00 | 15 |
| Crystal identification light microscopy CPT 89060 | $264.24 | $367.00 | $3.66 – $367.00 | 15 |
| Csf leakage imaging CPT 78650 | $2,819.52 | $3,916.00 | $401.64 – $3,916.00 | 15 |
| CT 3d report other modality w/workstation CPT 76377 | $244.08 | $339.00 | $49.40 – $339.00 | 4 |
| Cta abdomen without & /or w/contrast CPT 74175 | $4,507.20 | $6,260.00 | $187.96 – $6,260.00 | 15 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,264.48 | $4,534.00 | $75.19 – $4,534.00 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,648.88 | $3,679.00 | $187.96 – $3,679.00 | 15 |
| Cta neck without &/or w/contrast CPT 70498 | $3,100.32 | $4,306.00 | $187.96 – $4,306.00 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $7,108.56 | $9,873.00 | $149.54 – $9,873.00 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,940.56 | $5,473.00 | $75.19 – $5,473.00 | 15 |
| CT Angiogram of the Head CPT 70496 | $3,876.48 | $5,384.00 | $187.96 – $5,384.00 | 15 |
| CT angio hrt w/3d image CPT 75574 | $3,279.60 | $4,555.00 | $338.01 – $4,555.00 | 13 |
| CT angio pelvis CPT 72191 | $3,107.52 | $4,316.00 | $187.96 – $4,316.00 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,518.56 | $3,498.00 | $187.96 – $3,498.00 | 15 |
| CT guidance for needle placement CPT 77012 | $3,083.04 | $4,282.00 | $74.96 – $4,282.00 | 7 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,997.28 | $2,774.00 | $99.15 – $2,774.00 | 6 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | not published | 0 |
| CT hrt w/3d image CPT 75572 | $2,322.00 | $3,225.00 | $276.64 – $3,225.00 | 13 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,409.92 | $4,736.00 | $187.96 – $4,736.00 | 15 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,728.08 | $3,789.00 | $97.12 – $3,789.00 | 15 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,262.40 | $5,920.00 | $187.96 – $5,920.00 | 15 |
| CT neck soft tissue w/contrast CPT 70491 | $2,317.68 | $3,219.00 | $187.96 – $3,219.00 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $2,221.20 | $3,085.00 | $97.12 – $3,085.00 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,530.08 | $3,514.00 | $187.96 – $3,514.00 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,981.52 | $4,141.00 | $187.96 – $4,141.00 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,594.16 | $3,603.00 | $187.96 – $3,603.00 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,587.68 | $3,594.00 | $97.12 – $3,594.00 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $787.68 | $1,094.00 | $154.17 – $1,094.00 | 12 |
| CT scan for localization CPT 77011 | $2,039.04 | $2,832.00 | $74.96 – $2,832.00 | 7 |
| CT scan for therapy guide CPT 77014 | $425.52 | $591.00 | $74.96 – $591.00 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,182.72 | $9,976.00 | $149.54 – $9,976.00 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,911.92 | $8,211.00 | $138.32 – $8,211.00 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,957.92 | $6,886.00 | $102.28 – $6,886.00 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $4,157.28 | $5,774.00 | $187.96 – $5,774.00 | 15 |
| CT thoracic spine without contrast CPT 72128 | $3,325.68 | $4,619.00 | $97.12 – $4,619.00 | 15 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $199.44 | $277.00 | $44.81 – $280.08 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $5,196.96 | $7,218.00 | $187.96 – $7,218.00 | 15 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,409.92 | $4,736.00 | $258.51 – $4,736.00 | 15 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,728.08 | $3,789.00 | $97.12 – $3,789.00 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $4,262.40 | $5,920.00 | $187.96 – $5,920.00 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $156.24 | $217.00 | $7.78 – $217.00 | 15 |
| Culture afb any source CPT 87116 | $100.08 | $139.00 | $7.78 – $139.00 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $146.88 | $204.00 | $7.78 – $204.00 | 15 |
| Culture anaerobic except blood CPT 87075 | $352.80 | $490.00 | $7.78 – $283.00 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | $99.36 | $138.00 | $7.78 – $138.00 | 15 |
| Culture body fluid CPT 87070 | $353.52 | $491.00 | $7.78 – $21.55 | 15 |
| Culture fungi definitive id mold CPT 87107 | $108.72 | $151.00 | $7.78 – $151.00 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $283.68 | $394.00 | $7.78 – $394.00 | 15 |
| Culture fungi other (except blood) CPT 87102 | $220.32 | $306.00 | $7.78 – $306.00 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $211.68 | $294.00 | $7.71 – $294.00 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $159.12 | $221.00 | $7.78 – $221.00 | 15 |
| Culture screening strep group a CPT 87081 | $203.76 | $283.00 | $6.63 – $283.00 | 15 |
| Culture typing immunologic CPT 87147 | $56.16 | $78.00 | $5.18 – $78.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $150.51 – $1,018.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $456.48 | $634.00 | $31.63 – $263.00 | 15 |
| Culture urine each isolate CPT 87088 | $378.72 | $526.00 | $7.78 – $526.00 | 15 |
| Cutter lead HCPCS C1773 | $1,512.00 | $2,100.00 | $384.00 – $750.00 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $128.16 | $178.00 | $8.82 – $178.00 | 15 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $86.36 | $119.95 | $1.06 – $99.00 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $159.84 | $222.00 | $8.50 – $222.00 | 15 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $4.77 | $6.63 | $0.59 – $4.05 | 13 |
| Cyclosporine 2 hour CPT 80158 | $187.20 | $260.00 | $8.95 – $260.00 | 15 |
| Cyp2c19 gene com variants CPT 81225 | $550.80 | $765.00 | $121.56 – $765.00 | 15 |
| Cyp2d6 gene com variants CPT 81226 | $1,530.00 | $2,125.00 | $265.21 – $2,125.00 | 15 |
| Cystatin c CPT 82610 | $145.44 | $202.00 | $8.82 – $202.00 | 15 |
| Cystine urine quantitative CPT 82131 | $231.84 | $322.00 | $8.82 – $322.00 | 15 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,153.44 | $1,602.00 | $36.51 – $1,602.00 | 15 |
| Cystoscopy and treatment CPT 52234 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52235 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52310 | not published | not published | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $6,006.24 | $8,342.00 | $313.00 – $8,342.00 | 13 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,425.12 | $6,146.00 | $1,417.01 – $6,146.00 | 12 |
| Cytogenetics 25-99 CPT 88274 | $644.40 | $895.00 | $34.38 – $895.00 | 15 |
| Cytogenomic neo microra alys CPT 81277 | $3,465.36 | $4,813.00 | $1,160.00 – $4,813.00 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $185.04 | $257.00 | $8.50 – $257.00 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $185.04 | $257.00 | $8.50 – $257.00 | 15 |
| Cytomegalovirus dfa CPT 87271 | $101.52 | $141.00 | $7.78 – $141.00 | 15 |
| Cyto/molecular report CPT 88291 | $340.56 | $473.00 | $48.08 – $225.00 | 7 |
| Cytopath fl nongyn filter CPT 88106 | $182.88 | $254.00 | $24.25 – $254.00 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $261.36 | $363.00 | $24.25 – $363.00 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $169.20 | $235.00 | $15.10 – $66.53 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $173.52 | $241.00 | $15.10 – $50.65 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $308.16 | $428.00 | $24.25 – $428.00 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $289.44 | $402.00 | $24.25 – $402.00 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $95.04 | $132.00 | $8.60 – $25.40 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $370.08 | $514.00 | $22.16 – $456.43 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $529.20 | $735.00 | $55.84 – $186.96 | 15 |
| Cytopath smear other source CPT 88160 | $425.52 | $591.00 | $24.25 – $591.00 | 15 |
| Cytopath tbs c/v manual CPT 88164 | $123.12 | $171.00 | $15.10 – $46.35 | 15 |
| Cytotoxic antibody screening CPT 86807 | $513.36 | $713.00 | $46.07 – $713.00 | 15 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $1,185.84 | $1,647.00 | $134.50 – $1,647.00 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $4.32 | $6.00 | $0.05 – $0.40 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $89.01 | $123.62 | $55.06 – $137.65 | 14 |
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.