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 |
|---|---|---|---|---|
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,146.40 | $4,370.00 | $201.31 – $4,370.00 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,823.12 | $3,921.00 | $201.31 – $3,921.00 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,362.32 | $3,281.00 | $97.12 – $3,281.00 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,996.08 | $6,939.00 | $149.54 – $6,939.00 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $4,591.44 | $6,377.00 | $370.49 – $6,377.00 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $3,936.24 | $5,467.00 | $102.28 – $5,467.00 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,526.40 | $2,120.00 | $72.45 – $299.97 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $807.12 | $1,121.00 | $44.81 – $1,121.00 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $325.49 | $452.07 | $31.97 – $452.07 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $14.96 | $20.78 | $1.29 – $20.77 | 3 |
| Penile injection CPT 54235 | $549.36 | $763.00 | $78.42 – $763.00 | 14 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $339.44 | $471.45 | $66.35 – $471.45 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,702.24 | $5,142.00 | $906.66 – $5,142.00 | 14 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $114.48 | $159.00 | $67.71 – $159.00 | 14 |
| Perq dev breast 1st strtctc CPT 19283 | $881.28 | $1,224.00 | $258.21 – $1,761.29 | 14 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $687.60 | $955.00 | $286.75 – $955.00 | 14 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,942.88 | $8,254.00 | $1,214.21 – $8,254.00 | 15 |
| Pet CT whole body initial CPT 78816 | $6,088.32 | $8,456.00 | $1,214.21 – $8,456.00 | 15 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $12,204.00 | $16,950.00 | $150.00 – $150.00 | 1 |
| Ph body fluid CPT 83986 | $64.08 | $89.00 | $3.58 – $68.00 | 14 |
| Phencyclidine (pcp) CPT 83992 | $253.44 | $352.00 | $9.08 – $352.00 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $361.98 | $502.75 | $47.98 – $387.35 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.68 | $119.00 | $8.95 – $119.00 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $1.68 | $2.33 | $0.02 – $0.03 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $154.08 | $214.00 | $8.95 – $214.00 | 14 |
| Phlebotomy therapeutic CPT 99195 | $131.04 | $182.00 | $57.03 – $182.00 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $5,496.48 | $7,634.00 | $2,475.29 – $7,853.37 | 14 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $6,153.84 | $8,547.00 | $2,475.29 – $8,547.00 | 14 |
| Phosphorus CPT 84100 | $65.52 | $91.00 | $3.99 – $91.00 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $90.72 | $126.00 | $3.99 – $126.00 | 14 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $51.83 | $71.99 | $4.64 – $62.87 | 3 |
| Pin caspar distraction 12mm HCPCS C1821 | $5,832.00 | $8,100.00 | $8,100.00 – $8,100.00 | 1 |
| Pinworm exam CPT 87172 | $47.52 | $66.00 | $4.27 – $66.00 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $50.52 | $70.17 | $1.80 – $22.05 | 3 |
| Place cath intracranial art CPT 36228 | $6,588.72 | $9,151.00 | $4,022.48 – $9,151.00 | 3 |
| Place cath xtrnl carotid CPT 36227 | $7,478.64 | $10,387.00 | $4,022.48 – $10,387.00 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,895.76 | $2,633.00 | $241.69 – $4,107.90 | 14 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $382.32 | $531.00 | $168.50 – $531.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,270.80 | $1,765.00 | $355.03 – $1,765.00 | 14 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,865.76 | $6,758.00 | $1,332.50 – $5,199.26 | 14 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $822.96 | $1,143.00 | $1,143.00 – $1,143.00 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $7,830.00 | $10,875.00 | $3,623.85 – $10,875.00 | 14 |
| Place slctv cath carotd art uni CPT 36224 | $15,392.16 | $21,378.00 | $4,022.48 – $21,378.00 | 14 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $10,769.04 | $14,957.00 | $3,623.85 – $14,957.00 | 14 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $12,043.44 | $16,727.00 | $4,022.48 – $16,727.00 | 14 |
| Place slctv cath subclavian art CPT 36225 | $9,306.72 | $12,926.00 | $3,623.85 – $12,926.00 | 14 |
| Place slctv cath vertebral art uni CPT 36226 | $12,677.76 | $17,608.00 | $4,022.48 – $17,608.00 | 14 |
| Platelet automated CPT 85049 | $57.60 | $80.00 | $4.38 – $80.00 | 14 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,304.64 | $1,812.00 | $251.35 – $1,812.00 | 14 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $951.84 | $1,322.00 | $154.50 – $1,322.00 | 14 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $951.84 | $1,322.00 | $203.05 – $1,322.00 | 14 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,108.08 | $1,539.00 | $251.35 – $1,539.00 | 14 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,033.20 | $1,435.00 | $251.35 – $1,579.70 | 14 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $819.36 | $1,138.00 | $251.35 – $1,409.85 | 14 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,668.24 | $2,317.00 | $2,317.00 – $2,317.00 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,589.28 | $6,374.00 | $2,634.69 – $8,767.43 | 14 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,589.28 | $6,374.00 | $2,634.69 – $8,767.43 | 14 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $561.60 | $780.00 | $286.71 – $780.00 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $316.80 | $440.00 | $93.91 – $928.13 | 14 |
| Pmp22 gene full sequence CPT 81325 | $1,661.04 | $2,307.00 | $483.95 – $2,307.00 | 14 |
| Pms2 gene dup/delet variants CPT 81319 | $523.44 | $727.00 | $121.56 – $727.00 | 14 |
| #pnh-flow cytometry interp CPT 88187 | $139.68 | $194.00 | $24.25 – $194.00 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $287.28 | $399.00 | $20.78 – $399.00 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,778.00 | $8,025.00 | $359.68 – $8,025.00 | 14 |
| Positioner proc acufex leg acs HCPCS E0190 | $138.96 | $193.00 | $193.00 – $193.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $67.68 | $94.00 | $3.99 – $94.00 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $65.52 | $91.00 | $0.20 – $33.70 | 3 |
| Potassium serum/plasma/whole blood CPT 84132 | $64.08 | $89.00 | $3.99 – $89.00 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,753.92 | $2,436.00 | $183.97 – $2,436.00 | 3 |
| Pq thr inj ext pse CPT 36002 | $1,149.12 | $1,596.00 | $719.96 – $1,560.24 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,411.20 | $1,960.00 | $1,960.00 – $1,960.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,934.32 | $9,631.00 | $3,755.29 – $9,631.00 | 14 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,689.44 | $7,902.00 | $1,187.29 – $8,138.21 | 14 |
| Pr application of long arm splint CPT 29105 | $354.24 | $492.00 | $68.88 – $492.00 | 14 |
| Pr application splint static short arm CPT 29125 | $365.04 | $507.00 | $68.88 – $507.00 | 14 |
| Pr biopsy skin punch single lesion CPT 11104 | $503.28 | $699.00 | $382.65 – $1,011.10 | 14 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $650.88 | $904.00 | $904.00 – $904.00 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $462.24 | $642.00 | $165.87 – $642.00 | 14 |
| Prealbumin CPT 84134 | $124.56 | $173.00 | $8.82 – $173.00 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1.44 | $2.00 | $1.52 – $2.00 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.16 | $3.00 | $0.02 – $0.06 | 3 |
| Pregabalin - sendout CPT 80366 | $120.96 | $168.00 | $10.33 – $168.00 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,042.56 | $1,448.00 | $91.63 – $1,448.00 | 14 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $793.44 | $1,102.00 | $91.63 – $1,102.00 | 14 |
| Pressure treatment esophagus CPT 43460 | $1,376.64 | $1,912.00 | $1,912.00 – $1,912.00 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $105.12 | $146.00 | $63.22 – $146.00 | 14 |
| Pretreat rbc density gradient separation reference CPT 86972 | $216.00 | $300.00 | $77.12 – $410.79 | 14 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $105.12 | $146.00 | $63.22 – $146.00 | 14 |
| Pretreat rbc w enzyme reference CPT 86971 | $216.00 | $300.00 | $77.12 – $410.79 | 14 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,329.12 | $1,846.00 | $382.65 – $1,846.00 | 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.