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 |
|---|---|---|---|---|
| Flecainide (tambocor)-sendout CPT 80181 | $98.64 | $137.00 | $8.95 – $137.00 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $511.92 | $711.00 | $107.70 – $711.00 | 14 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $638.64 | $887.00 | $24.25 – $887.00 | 3 |
| Flow cytometry marker each additional CPT 88185 | $72.00 | $100.00 | $24.25 – $100.00 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $453.60 | $630.00 | $134.50 – $864.26 | 14 |
| #flow interp 9 - 15 markers CPT 88188 | $207.36 | $288.00 | $24.25 – $288.00 | 3 |
| Flt3 gene CPT 81245 | $468.00 | $650.00 | $121.56 – $650.00 | 14 |
| Flt3 gene analysis CPT 81246 | $293.04 | $407.00 | $34.38 – $407.00 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $110.25 | $153.13 | $7.39 – $102.90 | 3 |
| Fluidotherapy charges pt CPT 97022 | $156.96 | $218.00 | $15.04 – $218.00 | 15 |
| Fluorescent antibody titer dna CPT 86256 | $129.60 | $180.00 | $8.50 – $180.00 | 14 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,124.64 | $1,562.00 | $183.97 – $1,562.00 | 3 |
| Fluoroguide needle placement CPT 77002 | $651.60 | $905.00 | $183.97 – $905.00 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $792.72 | $1,101.00 | $107.70 – $1,101.00 | 14 |
| Fna bx w/ct gdn 1st les CPT 10009 | $958.32 | $1,331.00 | $420.87 – $1,761.29 | 14 |
| Fna bx w/ct gdn ea addl CPT 10010 | $882.72 | $1,226.00 | $238.86 – $651.05 | 3 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $65.52 | $91.00 | $91.00 – $91.00 | 1 |
| Folic acid CPT 82746 | $151.92 | $211.00 | $8.82 – $209.00 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.35 | $1.88 | $0.08 – $1.88 | 3 |
| Fondaparinux sodium HCPCS J1652 | $96.41 | $133.90 | $1.45 – $133.90 | 3 |
| Foot X-ray CPT 73630 | $501.12 | $696.00 | $51.11 – $696.00 | 14 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $512.64 | $712.00 | $286.75 – $712.00 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $78.33 | $108.79 | $1.34 – $108.79 | 14 |
| Fragmenting of kidney stone CPT 50590 | $12,939.84 | $17,972.00 | $2,634.69 – $16,338.00 | 14 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $197.28 | $274.00 | $79.01 – $274.00 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $240.48 | $334.00 | $92.08 – $334.00 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $174.24 | $242.00 | $77.12 – $410.79 | 14 |
| Fructosamine glycated protein CPT 82985 | $102.96 | $143.00 | $8.82 – $143.00 | 14 |
| Ftl cgen abnor five anal CPT 81512 | $192.24 | $267.00 | $34.38 – $267.00 | 14 |
| Ftl cgen abnor four anal CPT 81511 | $289.44 | $402.00 | $121.56 – $402.00 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | not published | 0 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | not published | 0 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $1.12 | $1.55 | $0.03 – $0.41 | 3 |
| Fusion of big toe joint CPT 28755 | not published | not published | not published | 0 |
| Gabapentin non-blood CPT 80355 | $60.48 | $84.00 | $10.33 – $84.00 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $15.25 | $21.18 | $2.41 – $19.61 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1.35 | $1.88 | $0.17 – $1.88 | 3 |
| Galectin-3 CPT 82777 | $105.84 | $147.00 | $20.78 – $147.00 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $138.24 | $192.00 | $3.99 – $192.00 | 14 |
| Gammaglobulin ige CPT 82785 | $127.44 | $177.00 | $8.82 – $177.00 | 14 |
| Gamma glutamyltransferase CPT 82977 | $92.88 | $129.00 | $3.99 – $112.00 | 14 |
| Generator barostim neo2 2014 HCPCS C1767 | $25,920.00 | $36,000.00 | $29,750.00 – $29,750.00 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $34,020.00 | $47,250.00 | $31,000.00 – $31,000.00 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $65.52 | $91.00 | $3.58 – $45.26 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $208.80 | $290.00 | $8.95 – $290.00 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $1,883.52 | $2,616.00 | $1,067.32 – $2,616.00 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,984.72 | $9,701.00 | $924.24 – $9,701.00 | 14 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $605.52 | $841.00 | $34.38 – $841.00 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $91.44 | $127.00 | $8.50 – $127.00 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $512.64 | $712.00 | $78.42 – $712.00 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $3,205.44 | $4,452.00 | $363.04 – $1,755.69 | 14 |
| Ghs central line insert < age 5, failed CPT 36555 | $6,224.40 | $8,645.00 | $998.55 – $8,645.00 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $537.84 | $747.00 | $286.75 – $747.00 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $292.32 | $406.00 | $30.86 – $406.00 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $207.36 | $288.00 | $31.63 – $78.95 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $442.80 | $615.00 | $283.10 – $615.00 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $547.92 | $761.00 | $283.10 – $761.00 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,817.36 | $3,913.00 | $418.59 – $3,999.44 | 14 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $425.52 | $591.00 | $283.10 – $613.52 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,242.80 | $3,115.00 | $418.59 – $3,999.44 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,442.24 | $3,392.00 | $418.59 – $3,999.44 | 14 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,898.00 | $4,025.00 | $418.59 – $4,025.00 | 14 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $425.52 | $591.00 | $283.10 – $613.52 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $447.84 | $622.00 | $283.10 – $622.00 | 14 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $914.40 | $1,270.00 | $68.56 – $1,270.00 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $373.68 | $519.00 | $34.28 – $519.00 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $406.08 | $564.00 | $68.56 – $1,111.10 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $373.68 | $519.00 | $68.56 – $519.00 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $164.16 | $228.00 | $8.50 – $228.00 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $569.52 | $791.00 | $141.55 – $791.00 | 14 |
| Ghs excision ingrown nail CPT 11765 | $820.80 | $1,140.00 | $60.45 – $1,140.00 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,105.20 | $1,535.00 | $262.92 – $1,535.00 | 14 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $82.08 | $114.00 | $6.98 – $114.00 | 14 |
| Ghs fish cytogen CPT 88271 | $161.28 | $224.00 | $21.42 – $224.00 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $243.36 | $338.00 | $34.38 – $338.00 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $424.08 | $589.00 | $247.82 – $589.00 | 13 |
| Ghs hcv amplificaiton CPT 87521 | $174.96 | $243.00 | $31.63 – $243.00 | 14 |
| Ghs histoplasma antigen CPT 87385 | $124.56 | $173.00 | $7.78 – $173.00 | 14 |
| Ghs HIV antibody CPT 86703 | $231.12 | $321.00 | $8.50 – $321.00 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,682.08 | $5,114.00 | $2,153.42 – $5,199.26 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,086.56 | $2,898.00 | $1,308.85 – $2,976.32 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,614.24 | $2,242.00 | $812.73 – $2,242.00 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $715.68 | $994.00 | $150.25 – $1,761.29 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $573.12 | $796.00 | $286.75 – $796.00 | 14 |
| Ghs inf midline insertion CPT 36140 | $1,974.96 | $2,743.00 | $622.30 – $2,743.00 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $458.64 | $637.00 | $165.87 – $637.00 | 14 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,723.04 | $3,782.00 | $1,015.11 – $3,782.00 | 14 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,129.84 | $4,347.00 | $1,015.11 – $4,347.00 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $543.60 | $755.00 | $224.03 – $763.46 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,311.84 | $1,822.00 | $695.24 – $1,822.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $4,968.72 | $6,901.00 | $695.24 – $4,601.00 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $686.16 | $953.00 | $224.03 – $1,111.10 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,109.52 | $1,541.00 | $347.42 – $1,541.00 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,289.52 | $1,791.00 | $347.42 – $1,838.24 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $279.36 | $388.00 | $68.36 – $388.00 | 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.