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 |
|---|---|---|---|---|
| Myringoplasty CPT 69620 | not published | not published | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $68.22 | $94.75 | $5.69 – $42.82 | 3 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $4.19 | $5.82 | $0.12 – $2.21 | 3 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | not published | 0 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | not published | 0 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | not published | 0 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | not published | 0 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | not published | 0 |
| Natriuretic peptide CPT 83880 | $198.72 | $276.00 | $20.78 – $276.00 | 14 |
| Natural killer cells total count CPT 86357 | $158.40 | $220.00 | $30.13 – $220.00 | 14 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $197.28 | $274.00 | $120.64 – $330.92 | 14 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $0.01 | $0.01 | $0.01 – $12.40 | 14 |
| Ndl insj without njx 3+ musc CPT 20561 | $80.64 | $112.00 | $27.58 – $112.00 | 14 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $4,223.52 | $5,866.00 | $201.31 – $5,866.00 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,512.16 | $4,878.00 | $276.64 – $4,878.00 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,082.32 | $4,281.00 | $97.12 – $4,281.00 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,406.48 | $7,509.00 | $149.54 – $7,509.00 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $5,157.36 | $7,163.00 | $370.49 – $7,163.00 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $4,232.88 | $5,879.00 | $102.28 – $5,879.00 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,631.68 | $5,044.00 | $400.40 – $5,044.00 | 15 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,688.48 | $3,734.00 | $400.40 – $3,734.00 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,239.20 | $3,110.00 | $273.84 – $3,110.00 | 15 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $26.46 | $36.75 | $2.33 – $36.75 | 3 |
| Nerve conduction 7-8 studies CPT 95910 | $3,646.80 | $5,065.00 | $120.64 – $5,065.00 | 14 |
| Nerve conduction studies 11-12 CPT 95912 | $5,469.84 | $7,597.00 | $120.64 – $7,597.00 | 14 |
| Nerve conduction studies 1-2 CPT 95907 | $911.52 | $1,266.00 | $120.64 – $1,266.00 | 14 |
| Nerve conduction studies 13+ CPT 95913 | $6,380.64 | $8,862.00 | $120.64 – $8,862.00 | 14 |
| Nerve conduction studies 3-4 CPT 95908 | $1,823.04 | $2,532.00 | $120.64 – $2,532.00 | 14 |
| Nerve conduction studies 5-6 CPT 95909 | $2,735.28 | $3,799.00 | $120.64 – $3,799.00 | 14 |
| Nerve conduction studies 9-10 CPT 95911 | $4,558.32 | $6,331.00 | $120.64 – $6,331.00 | 14 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $239.04 | $332.00 | $73.25 – $73.25 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $310.32 | $431.00 | $115.84 – $115.84 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $393.12 | $546.00 | $173.49 – $173.49 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $560.16 | $778.00 | $229.84 – $229.84 | 1 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $4.31 | $5.98 | $0.12 – $5.98 | 5 |
| N-invas est c ffr sw aly cta CPT 75580 | $3,707.28 | $5,149.00 | $338.01 – $5,149.00 | 14 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $23.82 | $33.08 | $2.51 – $33.08 | 3 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,057.68 | $1,469.00 | $695.24 – $2,199.88 | 14 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $4,716.72 | $6,551.00 | $367.22 – $6,551.00 | 14 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,672.56 | $2,323.00 | $334.42 – $2,236.00 | 14 |
| Nm imaging bone/joint whole body CPT 78306 | $1,589.76 | $2,208.00 | $334.42 – $2,208.00 | 14 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,270.88 | $3,154.00 | $334.42 – $3,154.00 | 14 |
| Nm imaging gastric emptying study CPT 78264 | $1,908.72 | $2,651.00 | $334.42 – $2,651.00 | 14 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $840.24 | $1,167.00 | $458.82 – $1,167.00 | 14 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,825.20 | $2,535.00 | $334.42 – $2,535.00 | 14 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,452.24 | $2,017.00 | $334.42 – $2,017.00 | 14 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,555.20 | $2,160.00 | $334.42 – $2,160.00 | 14 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,061.28 | $1,474.00 | $247.37 – $1,474.00 | 14 |
| Npm1 gene CPT 81310 | $580.32 | $806.00 | $121.56 – $806.00 | 14 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,960.16 | $8,278.00 | $800.98 – $8,278.00 | 14 |
| Nushield 1 square cm HCPCS Q4160 | $528.48 | $734.00 | $142.83 – $734.00 | 14 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,607.76 | $2,233.00 | $2,233.00 – $2,233.00 | 1 |
| Observation per hour HCPCS G0378 | $87.84 | $122.00 | $122.00 – $122.00 | 1 |
| Obstetrics panel CPT 80055 | $476.64 | $662.00 | $6.67 – $662.00 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $26.31 | $36.54 | $1.09 – $36.53 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $797.70 | $1,107.91 | $199.17 – $1,107.91 | 15 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $3.41 | $4.74 | $1.34 – $4.15 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $254.49 | $353.46 | $45.50 – $353.46 | 15 |
| Onco (ovar) two proteins CPT 81500 | $924.48 | $1,284.00 | $121.56 – $1,284.00 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $3.24 | $4.50 | $0.15 – $4.50 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | not published | 0 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | not published | 0 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | not published | 0 |
| Optx radial shaft fracture CPT 25515 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $59.04 | $82.00 | $9.08 – $82.00 | 14 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $165.13 | $229.35 | $10.54 – $229.35 | 3 |
| Orthopantogram CPT 70355 | $316.08 | $439.00 | $51.11 – $439.00 | 14 |
| Oscillation chest wall mechanical per session CPT 94669 | $295.20 | $410.00 | $52.41 – $544.65 | 14 |
| Osmolality blood CPT 83930 | $97.92 | $136.00 | $3.99 – $136.00 | 14 |
| Osmolality urine CPT 83935 | $96.48 | $134.00 | $3.99 – $134.00 | 14 |
| Ot evaluation high complexity patient/family CPT 97167 | $717.12 | $996.00 | $96.48 – $996.00 | 15 |
| Ot evaluation low complexity patient/family CPT 97165 | $441.36 | $613.00 | $96.48 – $613.00 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $590.40 | $820.00 | $96.48 – $820.00 | 15 |
| Other immunoelectrophoresis CPT 86325 | $64.08 | $89.00 | $8.50 – $89.00 | 14 |
| Oth resp proc, group HCPCS G0239 | $70.56 | $98.00 | $31.11 – $98.00 | 14 |
| Oth resp proc, indiv HCPCS G0238 | $59.76 | $83.00 | $31.11 – $83.00 | 14 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $100.08 | $139.00 | $32.81 – $139.00 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $119.52 | $166.00 | $32.81 – $166.00 | 15 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $153.36 | $213.00 | $26.78 – $213.00 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $247.68 | $344.00 | $65.52 – $344.00 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $258.48 | $359.00 | $32.81 – $183.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $187.92 | $261.00 | $20.61 – $261.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $231.12 | $321.00 | $22.10 – $321.00 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $83.52 | $116.00 | $28.06 – $116.00 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $150.48 | $209.00 | $31.56 – $209.00 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $98.64 | $137.00 | $27.58 – $137.00 | 15 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $31.98 | $44.41 | $0.94 – $16.54 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $36.54 | $50.75 | $4.44 – $15.05 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $330.08 | $458.45 | $18.63 – $458.45 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $74.99 | $104.15 | $14.34 – $43.70 | 3 |
| Parathormone (pth) intact CPT 83970 | $256.32 | $356.00 | $25.81 – $356.00 | 14 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,221.92 | $3,086.00 | $334.42 – $3,086.00 | 14 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $241.92 | $336.00 | $150.25 – $499.02 | 14 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Partial removal of thyroid CPT 60225 | not published | not published | not published | 0 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Path clin consltj sf 5-20 CPT 80503 | $180.00 | $250.00 | $55.84 – $250.00 | 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.