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 |
|---|---|---|---|---|
| Mayo tau phosphorylated 217 each CPT 84393 | $324.00 | $450.00 | $128.92 – $450.00 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $128.16 | $178.00 | $9.74 – $178.00 | 14 |
| Mayo tgrp testosterone total CPT 84403 | $185.04 | $257.00 | $9.74 – $257.00 | 14 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $335.52 | $466.00 | $8.82 – $466.00 | 14 |
| Mayo thyroglobulin CPT 84432 | $82.80 | $115.00 | $9.74 – $115.00 | 14 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $82.80 | $115.00 | $8.50 – $115.00 | 14 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $96.48 | $134.00 | $8.50 – $134.00 | 14 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $154.80 | $215.00 | $10.33 – $215.00 | 3 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $102.24 | $142.00 | $8.95 – $142.00 | 14 |
| Mayo vasoactive intestinal peptide CPT 84586 | $191.52 | $266.00 | $25.81 – $266.00 | 14 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $52.56 | $73.00 | $8.82 – $73.00 | 14 |
| Mayo vitamin b3 (niacin) CPT 84591 | $152.64 | $212.00 | $8.82 – $212.00 | 14 |
| Mayo vitamin k CPT 84597 | $100.80 | $140.00 | $8.82 – $140.00 | 14 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $90.72 | $126.00 | $8.95 – $126.00 | 14 |
| Measurement post void urine by ultrasound CPT 51798 | $171.36 | $238.00 | $67.71 – $238.00 | 14 |
| #mec-opiates CPT 80356 | $174.24 | $242.00 | $10.33 – $242.00 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $63.97 | $88.85 | $13.45 – $37.40 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $31.75 | $44.10 | $0.63 – $8.68 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $108.00 | $150.00 | $6.67 – $21.15 | 14 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $115.92 | $161.00 | $6.67 – $26.40 | 14 |
| Metabolic panel ionized ca CPT 80047 | $196.56 | $273.00 | $6.67 – $273.00 | 14 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $8.99 | $12.48 | $0.25 – $7.18 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $17.78 | $24.70 | $9.81 – $24.70 | 14 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $331.09 | $459.85 | $35.24 – $459.85 | 3 |
| Methylphenidate CPT 80360 | $43.20 | $60.00 | $10.33 – $60.00 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $3.12 | $4.33 | $0.23 – $4.33 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $3.01 | $4.18 | $0.20 – $3.00 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $4.93 | $6.85 | $0.43 – $5.07 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $13.18 | $18.30 | $1.78 – $18.30 | 3 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $4.67 | $6.49 | $0.20 – $3.60 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $1.31 | $1.82 | $0.05 – $1.82 | 3 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $19.79 | $27.49 | $0.41 – $7.80 | 3 |
| Microdissection manual CPT 88381 | $319.68 | $444.00 | $29.34 – $444.00 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $1.46 | $2.03 | $0.23 – $1.76 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $30.03 | $41.71 | $2.23 – $22.85 | 3 |
| Mlh1 gene dup/delete variant CPT 81294 | $398.88 | $554.00 | $121.56 – $554.00 | 14 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,584.00 | $14,700.00 | $14,700.00 – $14,700.00 | 1 |
| Mopath procedure level 1 CPT 81400 | $607.68 | $844.00 | $34.38 – $844.00 | 14 |
| Mopath procedure level 5 CPT 81404 | $833.76 | $1,158.00 | $121.56 – $1,158.00 | 14 |
| Mopath procedure level 6 CPT 81405 | $932.40 | $1,295.00 | $121.56 – $1,295.00 | 14 |
| Mopath procedure level 7 CPT 81406 | $1,972.08 | $2,739.00 | $121.56 – $2,739.00 | 14 |
| Mopath procedure level 8 CPT 81407 | $1,598.40 | $2,220.00 | $483.95 – $2,220.00 | 14 |
| Mopath procedure level 9 CPT 81408 | $3,985.92 | $5,536.00 | $1,719.40 – $5,536.00 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $223.96 | $311.05 | $5.02 – $25.75 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $507.60 | $705.00 | $119.73 – $705.00 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $453.60 | $630.00 | $73.78 – $864.26 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $627.84 | $872.00 | $78.75 – $456.43 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $599.04 | $832.00 | $119.73 – $832.00 | 14 |
| MRA chest w IV cont HCPCS C8909 | $2,376.00 | $3,300.00 | $400.40 – $3,300.00 | 15 |
| MRA chest wo IV cont HCPCS C8910 | $2,354.40 | $3,270.00 | $273.84 – $3,270.00 | 15 |
| MRA chest wwo IV cont HCPCS C8911 | $3,452.40 | $4,795.00 | $400.40 – $4,795.00 | 15 |
| MRA pelvis w IV cont HCPCS C8918 | $1,774.80 | $2,465.00 | $400.40 – $2,465.00 | 15 |
| MRA w/cont, abd HCPCS C8900 | $1,881.36 | $2,613.00 | $400.40 – $2,613.00 | 15 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,964.16 | $2,728.00 | $400.40 – $2,728.00 | 15 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,786.32 | $2,481.00 | $400.40 – $2,481.00 | 15 |
| MRA without cont, abd HCPCS C8901 | $1,612.80 | $2,240.00 | $273.84 – $2,240.00 | 15 |
| MRA without cont, lwr ext HCPCS C8913 | $1,786.32 | $2,481.00 | $273.84 – $2,481.00 | 15 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,746.80 | $3,815.00 | $400.40 – $3,815.00 | 15 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,392.56 | $3,323.00 | $400.40 – $3,323.00 | 15 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,820.88 | $2,529.00 | $400.40 – $2,529.00 | 15 |
| MRI breast without cont bi CPT 77047 | $2,237.76 | $3,108.00 | $146.24 – $2,862.00 | 15 |
| MRI chest without contrast CPT 71550 | $2,983.68 | $4,144.00 | $219.59 – $4,144.00 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,597.12 | $4,996.00 | $370.49 – $4,996.00 | 15 |
| MRI chest w IV cont CPT 71551 | $3,478.32 | $4,831.00 | $370.49 – $4,831.00 | 15 |
| MRI loex nonjt w IV cont CPT 73719 | $4,198.32 | $5,831.00 | $370.49 – $5,831.00 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,816.72 | $5,301.00 | $219.59 – $5,301.00 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,811.04 | $6,682.00 | $370.49 – $6,682.00 | 15 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,704.32 | $3,756.00 | $219.59 – $3,756.00 | 15 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,892.32 | $5,406.00 | $370.49 – $5,406.00 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,826.72 | $3,926.00 | $370.49 – $3,926.00 | 15 |
| MRI tmj CPT 70336 | $2,564.64 | $3,562.00 | $219.59 – $3,562.00 | 14 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,816.72 | $5,301.00 | $219.59 – $5,301.00 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $5,343.12 | $7,421.00 | $370.49 – $7,421.00 | 15 |
| MRI upper extremity w/dye CPT 73219 | $4,198.32 | $5,831.00 | $370.49 – $5,831.00 | 15 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,329.92 | $3,236.00 | $370.49 – $3,236.00 | 15 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,440.88 | $4,779.00 | $370.49 – $4,779.00 | 15 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,175.76 | $1,633.00 | $370.49 – $1,633.00 | 15 |
| Mr safety determination physician/other qhp CPT 76016 | $203.76 | $283.00 | $99.88 – $283.00 | 13 |
| Mr safety implant elec prepj CPT 76018 | $229.68 | $319.00 | $109.11 – $319.00 | 13 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $67.68 | $94.00 | $94.00 – $94.00 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $142.56 | $198.00 | $67.71 – $198.00 | 13 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $61.92 | $86.00 | $33.20 – $86.00 | 13 |
| Mr sfty med physics xm cstmz CPT 76017 | $1,417.68 | $1,969.00 | $273.84 – $1,969.00 | 13 |
| Msh2 gene dup/delete variant CPT 81297 | $422.64 | $587.00 | $121.56 – $587.00 | 14 |
| Msh6 gene dup/delete variant CPT 81300 | $442.08 | $614.00 | $121.56 – $614.00 | 14 |
| Msh6 gene known variants CPT 81299 | $3,027.60 | $4,205.00 | $121.56 – $4,205.00 | 14 |
| Mthfr gene analy common variants CPT 81291 | $150.48 | $209.00 | $34.38 – $209.00 | 14 |
| Mucopolysaccharides CPT 83864 | $275.04 | $382.00 | $20.78 – $382.00 | 14 |
| Multiple sleep latency test CPT 95805 | $3,800.16 | $5,278.00 | $719.35 – $5,278.00 | 14 |
| Mumps antibody igg CPT 86735 | $87.12 | $121.00 | $8.50 – $121.00 | 14 |
| Mycobacteria dna amp probe CPT 87551 | $157.68 | $219.00 | $31.63 – $219.00 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.16 | $3.00 | $0.25 – $3.00 | 3 |
| Mycoplasma antibody igm CPT 86738 | $169.92 | $236.00 | $8.50 – $236.00 | 14 |
| Myelography l-s spine CPT 72265 | $1,708.56 | $2,373.00 | $508.85 – $2,373.00 | 14 |
| Myelography neck spine CPT 72240 | $1,708.56 | $2,373.00 | $508.85 – $2,373.00 | 14 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,316.96 | $3,218.00 | $508.85 – $3,218.00 | 14 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,548.72 | $2,151.00 | $508.85 – $2,151.00 | 14 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,730.16 | $2,403.00 | $508.85 – $2,403.00 | 14 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,477.44 | $2,052.00 | $508.85 – $2,052.00 | 14 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $976.32 | $1,356.00 | $8.82 – $196.00 | 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.