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 |
|---|---|---|---|---|
| Hand X-ray CPT 73130 | $517.68 | $719.00 | $51.11 – $719.00 | 14 |
| Haptoglobin quantitative CPT 83010 | $172.80 | $240.00 | $8.82 – $185.00 | 14 |
| Hbot, full body chamber, 30m HCPCS G0277 | $468.72 | $651.00 | $157.93 – $651.00 | 14 |
| Hcg qualitative CPT 84703 | $125.28 | $174.00 | $3.99 – $174.00 | 14 |
| Hcg quantitative CPT 84702 | $306.00 | $425.00 | $9.74 – $425.00 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $2,869.20 | $3,985.00 | $201.31 – $3,985.00 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,587.68 | $3,594.00 | $201.31 – $3,594.00 | 15 |
| Head CT scan (without contrast) CPT 70450 | $2,113.92 | $2,936.00 | $119.99 – $2,936.00 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $84.96 | $118.00 | $8.50 – $118.00 | 14 |
| Hematocrit CPT 85014 | $29.52 | $41.00 | $2.37 – $5.93 | 14 |
| Hemoglobin CPT 85018 | $29.52 | $41.00 | $2.37 – $5.93 | 14 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $16.56 | $23.00 | $3.99 – $23.00 | 14 |
| Hemoglobin plasma CPT 83051 | $25.20 | $35.00 | $3.99 – $35.00 | 14 |
| Hemophilus influenza antibdy CPT 86684 | $178.56 | $248.00 | $8.50 – $248.00 | 14 |
| Heparin assay CPT 85520 | $194.40 | $270.00 | $3.27 – $270.00 | 14 |
| Heparin bolus from bag HCPCS J1644 | $65.52 | $91.00 | $0.30 – $5.12 | 3 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.11 | $0.15 | $0.03 – $0.15 | 3 |
| Hepatitis a antibody igm CPT 86709 | $156.24 | $217.00 | $8.50 – $217.00 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $81.36 | $113.00 | $8.50 – $113.00 | 14 |
| Hepatitis b core antibody total CPT 86704 | $79.92 | $111.00 | $8.50 – $111.00 | 14 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,673.05 | $2,323.68 | $137.83 – $2,323.68 | 15 |
| Hepatitis b surface antibody CPT 86706 | $123.84 | $172.00 | $8.50 – $172.00 | 14 |
| Hepatitis c antibody CPT 86803 | $125.28 | $174.00 | $8.50 – $174.00 | 14 |
| Hepatobiliary system imaging CPT 78226 | $1,731.60 | $2,405.00 | $334.42 – $2,405.00 | 14 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $97.20 | $135.00 | $8.50 – $135.00 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $130.32 | $181.00 | $8.50 – $181.00 | 14 |
| Herpes simplex virus isolation CPT 87255 | $37.44 | $52.00 | $31.63 – $76.19 | 14 |
| Heterophile antibodies screening CPT 86308 | $160.56 | $223.00 | $5.18 – $223.00 | 14 |
| Hhv-6 dna quant CPT 87533 | $482.40 | $670.00 | $31.63 – $670.00 | 14 |
| Hip X-ray CPT 73502 | $288.00 | $400.00 | $37.30 – $400.00 | 14 |
| Histamine CPT 83088 | $253.44 | $352.00 | $20.78 – $352.00 | 14 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $106.13 | $147.40 | $1.34 – $147.40 | 14 |
| Hla ii typing 1 loc hr CPT 81382 | $497.52 | $691.00 | $34.38 – $691.00 | 14 |
| Hla i low res one antigen equiv ea CPT 81374 | $259.20 | $360.00 | $34.38 – $360.00 | 14 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $298.08 | $414.00 | $121.56 – $414.00 | 14 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $2.17 | $3.01 | $0.36 – $3.01 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,103.76 | $1,533.00 | $138.16 – $1,533.00 | 14 |
| Home sleep test/type 4 porta HCPCS G0400 | $909.36 | $1,263.00 | $138.16 – $1,263.00 | 14 |
| Homocysteine CPT 83090 | $172.80 | $240.00 | $9.74 – $240.00 | 14 |
| Homogenization tissue CPT 87176 | $54.72 | $76.00 | $5.88 – $76.00 | 14 |
| Homovanillic acid (hva) CPT 83150 | $102.96 | $143.00 | $9.74 – $143.00 | 14 |
| Hpv types 16 & 18 only CPT 87625 | $151.20 | $210.00 | $31.63 – $101.38 | 14 |
| H pylori (c-13) breath CPT 83013 | $244.08 | $339.00 | $50.26 – $339.00 | 14 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,643.04 | $2,282.00 | $483.95 – $2,933.89 | 14 |
| Hrdtry cardmypy gene panel CPT 81439 | $2,542.32 | $3,531.00 | $265.21 – $3,531.00 | 14 |
| Hrdtry perph neurphy panel CPT 81448 | $2,268.00 | $3,150.00 | $265.21 – $3,150.00 | 14 |
| Htt gene detc abnor alleles CPT 81271 | $439.92 | $611.00 | $121.56 – $611.00 | 14 |
| Human epididymis protein 4 (he4) CPT 86305 | $145.44 | $202.00 | $8.50 – $202.00 | 14 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $10.89 | $15.12 | $1.71 – $15.12 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $180.40 | $250.55 | $7.24 – $100.00 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $170.64 | $237.00 | $20.07 – $237.00 | 14 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $465.12 | $646.00 | $91.17 – $646.00 | 14 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | $72.00 | $100.00 | $100.00 – $100.00 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $185.05 | $257.01 | $36.40 – $257.01 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $8.79 | $12.21 | $0.23 – $0.28 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $178.40 | $247.78 | $21.45 – $247.78 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | $1,692.00 | $2,350.00 | $2,350.00 – $2,350.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $1,221.84 | $1,697.00 | $107.70 – $1,697.00 | 14 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $157.68 | $219.00 | $31.63 – $131.00 | 14 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,470.01 | $2,041.68 | $21.68 – $2,041.68 | 5 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $34,020.00 | $47,250.00 | $33,500.00 – $33,500.00 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $11,880.00 | $16,500.00 | $16,500.00 – $16,500.00 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,128.00 | $9,900.00 | $6,900.00 – $6,900.00 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $5,697.36 | $7,913.00 | $1,272.97 – $8,246.30 | 14 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $809.28 | $1,124.00 | $121.56 – $1,124.00 | 14 |
| Igh@ var region somatic mutation analy CPT 81263 | $893.52 | $1,241.00 | $121.56 – $1,241.00 | 14 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $889.20 | $1,235.00 | $29.34 – $68.50 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $672.48 | $934.00 | $119.73 – $934.00 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $808.56 | $1,123.00 | $78.42 – $456.43 | 14 |
| Iliac/fem angio cath insert HCPCS G0278 | $5,924.88 | $8,229.00 | $4,022.48 – $8,229.00 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | $8,458.56 | $11,748.00 | $9,734.69 – $11,748.00 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $159.12 | $221.00 | $100.80 – $233.96 | 13 |
| Immune complex assay CPT 86332 | $462.24 | $642.00 | $8.50 – $642.00 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $301.72 | $419.06 | $47.29 – $419.06 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $172.80 | $240.00 | $8.50 – $240.00 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $140.40 | $195.00 | $8.50 – $195.00 | 14 |
| Immunodiffusion nes CPT 86329 | $94.32 | $131.00 | $8.50 – $131.00 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $202.32 | $281.00 | $8.50 – $281.00 | 14 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $229.68 | $319.00 | $29.34 – $319.00 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $259.92 | $361.00 | $119.73 – $410.79 | 14 |
| Impedence cardiogram CPT 93701 | $253.44 | $352.00 | $56.20 – $352.00 | 14 |
| Implant ureth bulk agent HCPCS L8606 | $1,944.00 | $2,700.00 | $750.00 – $750.00 | 1 |
| Impl neurostim electr perc CPT 63650 | $9,050.40 | $12,570.00 | $5,564.71 – $15,851.08 | 14 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,117.60 | $4,330.00 | $976.26 – $4,330.00 | 14 |
| Incision of breast lesion CPT 19020 | $5,955.12 | $8,271.00 | $1,210.68 – $8,271.00 | 14 |
| Incision of finger tendon CPT 26455 | not published | not published | not published | 0 |
| Incision of foot fascia CPT 28008 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28306 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28308 | not published | not published | not published | 0 |
| Incision of tongue fold CPT 41010 | $2,848.32 | $3,956.00 | $1,272.97 – $3,956.00 | 14 |
| Incision of urethra CPT 53000 | not published | not published | not published | 0 |
| Incision tendon sheath CPT 26055 | not published | not published | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $342.72 | $476.00 | $130.35 – $476.00 | 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.