HSHS St. Anthony's Memorial Hospital
101 Coles Centre Dr., Mattoon, IL · Hshs · · NPI 1306800602
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $102.96 | $143.00 | $9.74 – $143.00 | 14 |
| 17-hydroxypregnenolone CPT 84143 | $190.80 | $265.00 | $9.74 – $265.00 | 14 |
| 17-ketosteroids CPT 83586 | $87.84 | $122.00 | $9.74 – $122.00 | 14 |
| 2nd order venous cath CPT 36012 | $1,944.00 | $2,700.00 | $622.30 – $2,700.00 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $807.12 | $1,121.00 | $1,121.00 – $1,121.00 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $67.68 | $94.00 | $8.82 – $94.00 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $216.72 | $301.00 | $76.01 – $301.00 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $321.41 | $446.40 | $44.77 – $446.40 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $48.24 | $67.00 | $8.50 – $67.00 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $5,402.16 | $7,503.00 | $1,540.53 – $7,853.37 | 14 |
| Abd/low ext cath 1st CPT 36245 | $4,763.52 | $6,616.00 | $622.30 – $4,410.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $3,195.36 | $4,438.00 | $622.30 – $4,438.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $3,609.36 | $5,013.00 | $622.30 – $5,013.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $1,483.20 | $2,060.00 | $622.30 – $2,060.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $4,007.52 | $5,566.00 | $201.31 – $5,566.00 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,072.96 | $4,268.00 | $75.19 – $4,268.00 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,575.44 | $3,577.00 | $97.12 – $3,577.00 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,335.84 | $6,022.00 | $149.54 – $6,022.00 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,876.40 | $3,995.00 | $102.28 – $3,995.00 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,267.20 | $1,760.00 | $656.61 – $2,255.88 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,301.04 | $1,807.00 | $44.81 – $1,807.00 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,239.12 | $1,721.00 | $44.81 – $1,721.00 | 14 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,022.48 | $2,809.00 | $656.61 – $2,809.00 | 14 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $307.44 | $427.00 | $23.40 – $427.00 | 14 |
| Ablation of upper extremity nerves rf CPT 64999 | $5,590.08 | $7,764.00 | $352.29 – $763.46 | 14 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,548.16 | $4,928.00 | $656.61 – $4,928.00 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $3.92 | $5.44 | $0.10 – $1.10 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $420.19 | $583.60 | $42.22 – $482.45 | 3 |
| Acetone qualitative CPT 82009 | $66.24 | $92.00 | $3.99 – $92.00 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $99.36 | $138.00 | $8.50 – $138.00 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $19.40 | $26.95 | $0.61 – $9.07 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $43.92 | $61.00 | $14.03 – $61.00 | 14 |
| Acute hepatitis panel CPT 80074 | $460.80 | $640.00 | $6.67 – $640.00 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $1.41 | $1.96 | $0.20 – $1.84 | 3 |
| #acylcarnitineprfl CPT 82017 | $322.56 | $448.00 | $8.82 – $448.00 | 14 |
| Adapter b 8 channel 10cm HCPCS C1883 | $9,288.00 | $12,900.00 | $12,900.00 – $12,900.00 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $11.03 | $15.32 | $0.87 – $15.19 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $74.16 | $103.00 | $8.50 – $103.00 | 14 |
| Adh-sendout CPT 84588 | $139.68 | $194.00 | $25.81 – $194.00 | 14 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $14.54 | $20.19 | $4.10 – $4.10 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $246.24 | $342.00 | $30.86 – $342.00 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $219.60 | $305.00 | $30.86 – $305.00 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $798.48 | $1,109.00 | $141.58 – $1,109.00 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $337.68 | $469.00 | $42.15 – $469.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $145.44 | $202.00 | $30.86 – $202.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $145.44 | $202.00 | $30.86 – $202.00 | 14 |
| Administration immunization 1 vaccine CPT 90471 | $100.08 | $139.00 | $35.36 – $179.08 | 14 |
| Administration immunization each additional vaccine CPT 90472 | $87.12 | $121.00 | $35.36 – $121.00 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $95.04 | $132.00 | $35.36 – $132.00 | 14 |
| Administration vaccine influenza virus HCPCS G0008 | $95.04 | $132.00 | $35.36 – $132.00 | 14 |
| Administration vaccine pneumococcal HCPCS G0009 | $95.04 | $132.00 | $35.36 – $132.00 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $123.84 | $172.00 | $7.78 – $172.00 | 14 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $1,014.48 | $1,409.00 | $115.36 – $1,409.00 | 14 |
| After cataract laser surgery CPT 66821 | $1,441.44 | $2,002.00 | $517.87 – $2,002.00 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $59.04 | $82.00 | $3.99 – $82.00 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $612.56 | $850.78 | $53.08 – $684.18 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $141.12 | $196.00 | $2.22 – $196.00 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $68.40 | $95.00 | $3.99 – $85.00 | 14 |
| Alginate dressing <=16 sq in HCPCS A6196 | $12.96 | $18.00 | $18.00 – $18.00 | 1 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $87.84 | $122.00 | $122.00 – $122.00 | 1 |
| Alkaline phosphatase CPT 84075 | $61.92 | $86.00 | $3.99 – $86.00 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $58.32 | $81.00 | $8.50 – $81.00 | 14 |
| Allergen egg white ige CPT 86003 | $23.04 | $32.00 | $5.22 – $32.00 | 14 |
| Allergy injections; 2 or more 95117 CPT 95117 | $51.12 | $71.00 | $22.81 – $116.47 | 14 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $1,512.00 | $2,100.00 | $142.83 – $2,100.00 | 13 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $2,808.00 | $3,900.00 | $142.83 – $3,900.00 | 14 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $864.00 | $1,200.00 | $142.83 – $513.00 | 14 |
| Alpha-fetoprotein tumor marker CPT 82105 | $197.28 | $274.00 | $8.82 – $274.00 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $979.91 | $1,360.98 | $88.23 – $420.76 | 15 |
| Alt/sgpt CPT 84460 | $105.84 | $147.00 | $3.99 – $147.00 | 14 |
| Aluminum - quest CPT 82108 | $174.24 | $242.00 | $9.08 – $242.00 | 14 |
| Ambl bp mntr w/sw a/r CPT 93788 | $136.80 | $190.00 | $56.20 – $330.92 | 14 |
| Aminolevulinic acid delta CPT 82135 | $124.56 | $173.00 | $8.82 – $173.00 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $68.10 | $94.58 | $17.18 – $94.58 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $73.38 | $101.92 | $4.17 – $56.55 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $4.41 | $6.13 | $0.68 – $6.13 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $90.00 | $125.00 | $10.33 – $125.00 | 3 |
| Ammonia CPT 82140 | $176.40 | $245.00 | $8.82 – $245.00 | 14 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,018.80 | $1,415.00 | $525.05 – $2,290.86 | 14 |
| Amphetamine confirm urine -sendout CPT 80324 | $35.28 | $49.00 | $10.33 – $49.00 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $38.92 | $54.05 | $0.97 – $40.43 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $84.42 | $117.25 | $2.19 – $23.53 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $378.72 | $526.00 | $262.99 – $591.73 | 13 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $7,662.00 | $7,662.00 | $1,944.94 – $8,138.21 | 14 |
| Amylase CPT 82150 | $93.60 | $130.00 | $3.99 – $130.00 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $354.96 | $493.00 | $34.38 – $493.00 | 14 |
| Analysis gene f5 leiden variant CPT 81241 | $410.40 | $570.00 | $34.38 – $570.00 | 14 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $136.80 | $190.00 | $31.63 – $190.00 | 14 |
| Anca screen with reflex to titer -quest CPT 86021 | $87.12 | $121.00 | $8.50 – $121.00 | 14 |
| An cholangiogram percutaneous compl CPT 47531 | $4,129.20 | $5,735.00 | $1,540.53 – $8,905.27 | 14 |
| An fluoro guide for cvp CPT 77001 | $259.20 | $360.00 | $183.97 – $360.00 | 3 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,212.56 | $3,073.00 | $3,073.00 – $3,073.00 | 3 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $11,726.64 | $16,287.00 | $5,622.54 – $16,287.00 | 3 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $10,939.68 | $15,194.00 | $5,622.54 – $15,194.00 | 3 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $8,573.76 | $11,908.00 | $9,734.69 – $11,908.00 | 3 |
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.