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 |
|---|---|---|---|---|
| Insertion catheter bladder non indwelling CPT 51701 | $336.96 | $468.00 | $78.42 – $468.00 | 14 |
| Insertion catheter bladder temporary simple CPT 51702 | $387.36 | $538.00 | $78.42 – $538.00 | 14 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,849.92 | $6,736.00 | $906.66 – $8,905.27 | 14 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $5,374.08 | $7,464.00 | $7,160.78 – $7,464.00 | 3 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,412.40 | $10,295.00 | $3,352.93 – $13,840.14 | 14 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,682.80 | $5,115.00 | $998.55 – $7,853.37 | 14 |
| Insertion of heart electrode 33211 CPT 33211 | $9,682.56 | $13,448.00 | $1,427.46 – $20,582.77 | 14 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $17,498.16 | $24,303.00 | $7,160.78 – $25,996.48 | 14 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $9,884.16 | $13,728.00 | $7,160.78 – $13,728.00 | 3 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,606.32 | $2,231.00 | $998.55 – $3,915.28 | 14 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,817.28 | $2,524.00 | $674.76 – $2,524.00 | 14 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $37,512.00 | $52,100.00 | $20,170.69 – $78,071.22 | 14 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $9,682.56 | $13,448.00 | $1,427.46 – $20,582.77 | 14 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $17,447.04 | $24,232.00 | $1,427.46 – $24,232.00 | 14 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $19,073.52 | $26,491.00 | $7,160.78 – $26,491.00 | 14 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,113.44 | $7,102.00 | $1,928.40 – $7,853.37 | 14 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | not published | 0 |
| Insert pm/icd lead dual CPT 33217 | $17,447.04 | $24,232.00 | $1,427.46 – $24,232.00 | 14 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $3,915.36 | $5,438.00 | $998.55 – $5,438.00 | 14 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $319.68 | $444.00 | $29.34 – $444.00 | 3 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $565.92 | $786.00 | $119.73 – $786.00 | 14 |
| Ins lv lead exist pm/icd CPT 33224 | $24,157.44 | $33,552.00 | $7,160.78 – $33,552.00 | 14 |
| Ins picad w subq port 5yr> CPT 36571 | $3,682.80 | $5,115.00 | $998.55 – $7,853.37 | 14 |
| Ins pm gen w/exist mlt leads CPT 33221 | $44,061.84 | $61,197.00 | $7,160.78 – $61,197.00 | 14 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,258.16 | $7,303.00 | $3,326.46 – $8,905.27 | 14 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $69,081.84 | $95,947.00 | $17,172.44 – $95,947.00 | 14 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $24,157.44 | $33,552.00 | $7,160.78 – $33,552.00 | 14 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $17,447.04 | $24,232.00 | $7,160.78 – $24,232.00 | 14 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $16,063.92 | $22,311.00 | $7,160.78 – $25,996.48 | 14 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $781.20 | $1,085.00 | $367.22 – $1,734.34 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,211.28 | $5,849.00 | $1,928.40 – $7,853.37 | 14 |
| Ins tun intraperit dia cath CPT 49421 | $5,343.84 | $7,422.00 | $3,326.46 – $8,905.27 | 14 |
| Insulin total CPT 83525 | $100.80 | $140.00 | $9.74 – $140.00 | 14 |
| Intens cardiac rehab no exer HCPCS G0423 | $277.20 | $385.00 | $142.01 – $385.00 | 14 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $280.08 | $389.00 | $142.01 – $389.00 | 14 |
| Intrinsic factor antibody CPT 86340 | $87.12 | $121.00 | $8.50 – $121.00 | 14 |
| Intro cath dialysis circuit CPT 36901 | $2,212.56 | $3,073.00 | $1,540.53 – $3,915.28 | 14 |
| Intro cath dialysis circuit w/pta CPT 36902 | $13,590.72 | $18,876.00 | $3,352.93 – $18,876.00 | 14 |
| Intro catheter aorta CPT 36200 | $2,504.16 | $3,478.00 | $622.30 – $3,478.00 | 3 |
| Intro cath svc/ivc CPT 36010 | $1,962.72 | $2,726.00 | $622.30 – $2,726.00 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | $759.60 | $1,055.00 | $183.97 – $1,055.00 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $9,349.92 | $12,986.00 | $12,986.00 – $12,986.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $8,324.64 | $11,562.00 | $11,562.00 – $11,562.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $501.12 | $696.00 | $271.83 – $589.10 | 14 |
| Ionm in operatng room 15 min CPT 95940 | $104.40 | $145.00 | $145.00 – $145.00 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | $450.00 | $625.00 | $625.00 – $625.00 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $11.89 | $16.52 | $0.66 – $16.52 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $15.39 | $21.37 | $0.25 – $1.71 | 3 |
| Iron CPT 83540 | $84.24 | $117.00 | $3.99 – $117.00 | 14 |
| Iron binding capacity CPT 83550 | $103.68 | $144.00 | $3.99 – $144.00 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $6.88 | $9.55 | $0.40 – $8.63 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $247.68 | $344.00 | $25.29 – $344.00 | 14 |
| Ivc venogram s&i CPT 75825 | $3,682.80 | $5,115.00 | $1,540.53 – $7,853.37 | 14 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $72.72 | $101.00 | $30.86 – $101.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $119.52 | $166.00 | $166.00 – $166.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $185.76 | $258.00 | $20.07 – $258.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $493.92 | $686.00 | $91.17 – $686.00 | 14 |
| Jak2 targeted sequence analysis CPT 81279 | $563.76 | $783.00 | $121.56 – $783.00 | 14 |
| John cunningham antibody CPT 86711 | $2,156.40 | $2,995.00 | $8.50 – $2,995.00 | 14 |
| Ketamine and metabolite screen - quest CPT 80357 | $25.20 | $35.00 | $10.33 – $35.00 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $92.88 | $129.00 | $3.99 – $129.00 | 14 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $34.56 | $48.00 | $0.33 – $7.35 | 14 |
| Kidney imaging morphology CPT 78700 | $973.44 | $1,352.00 | $334.42 – $1,352.00 | 14 |
| Kidney imag w/bld flow multi CPT 78709 | $1,380.24 | $1,917.00 | $334.42 – $1,917.00 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,103.04 | $1,532.00 | $334.42 – $1,532.00 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $922.32 | $1,281.00 | $44.81 – $1,281.00 | 14 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,128.00 | $9,900.00 | $375.00 – $375.00 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $5,343.12 | $7,421.00 | $370.49 – $7,421.00 | 15 |
| Knee MRI (with contrast) CPT 73722 | $4,198.32 | $5,831.00 | $370.49 – $5,831.00 | 15 |
| Knee MRI (without contrast) CPT 73721 | $3,465.36 | $4,813.00 | $219.59 – $4,813.00 | 15 |
| Knee X-ray CPT 73564 | $591.84 | $822.00 | $51.11 – $822.00 | 14 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $276.48 | $384.00 | $2.48 – $384.00 | 3 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $276.48 | $384.00 | $2.48 – $384.00 | 3 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $3.24 | $4.50 | $0.58 – $3.00 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $129.60 | $180.00 | $3.99 – $180.00 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $32.40 | $45.00 | $3.93 – $45.00 | 3 |
| Lactic acid CPT 83605 | $164.16 | $228.00 | $8.82 – $228.00 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $115.92 | $161.00 | $8.82 – $161.00 | 14 |
| Lactoferrin fecal quant CPT 83631 | $180.72 | $251.00 | $8.82 – $251.00 | 14 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | not published | 0 |
| Laparoscopy aspiration CPT 49322 | not published | not published | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | not published | 0 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | not published | 0 |
| Lap ing hernia repair init CPT 49650 | not published | not published | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | not published | 0 |
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.