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 |
|---|---|---|---|---|
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $500.54 | $695.20 | $45.00 – $45.00 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $13,268.16 | $18,428.00 | $5,622.54 – $18,428.00 | 3 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $454.32 | $631.00 | $51.11 – $631.00 | 14 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $681.12 | $946.00 | $129.60 – $946.00 | 14 |
| Anora (draw only) CPT 99001 | $56.16 | $78.00 | $2.48 – $78.00 | 3 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $31.68 | $44.00 | $8.50 – $44.00 | 14 |
| Antibody elution rbc reference CPT 86860 | $216.00 | $300.00 | $119.60 – $410.79 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $106.56 | $148.00 | $8.50 – $148.00 | 14 |
| Antibody id rbc panel CPT 86870 | $393.84 | $547.00 | $119.60 – $864.26 | 14 |
| Antibody influenza virus CPT 86710 | $79.92 | $111.00 | $8.50 – $111.00 | 14 |
| Antibody screen rbc CPT 86850 | $80.64 | $112.00 | $3.27 – $125.65 | 14 |
| Antibody tetanus CPT 86774 | $85.68 | $119.00 | $8.50 – $119.00 | 14 |
| Antidepressant not specified CPT 80338 | $252.00 | $350.00 | $10.33 – $350.00 | 3 |
| Anti mog serum - sendout CPT 86362 | $956.88 | $1,329.00 | $8.50 – $1,329.00 | 14 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $23.76 | $33.00 | $8.50 – $33.00 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $86.40 | $120.00 | $8.50 – $120.00 | 14 |
| Antinuclear antibodies CPT 86038 | $102.96 | $143.00 | $8.50 – $143.00 | 14 |
| Antinuclear antibodies titer CPT 86039 | $84.96 | $118.00 | $8.50 – $118.00 | 14 |
| Antiphosphatidylserine antibody CPT 86148 | $56.88 | $79.00 | $8.50 – $79.00 | 14 |
| Antistreptolysin o titer CPT 86060 | $79.20 | $110.00 | $7.30 – $110.00 | 14 |
| Antithrombin iii activity CPT 85300 | $137.52 | $191.00 | $3.27 – $191.00 | 14 |
| Appendectomy CPT 44950 | not published | not published | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,139.84 | $2,972.00 | $1,767.04 – $5,131.85 | 14 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $871.92 | $1,211.00 | $1,211.00 – $1,211.00 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $320.40 | $445.00 | $445.00 – $445.00 | 3 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,283.28 | $5,949.00 | $1,767.04 – $5,949.00 | 14 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $871.92 | $1,211.00 | $1,211.00 – $1,211.00 | 3 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $320.40 | $445.00 | $445.00 – $445.00 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $154.08 | $214.00 | $68.88 – $330.92 | 14 |
| Application long leg splint 29505 CPT 29505 | $354.24 | $492.00 | $68.88 – $492.00 | 14 |
| Application lower leg splint 29515 CPT 29515 | $330.48 | $459.00 | $68.88 – $459.00 | 14 |
| Application multi layer compression below knee (both sides) CPT 29581 | $470.16 | $653.00 | $163.65 – $468.00 | 14 |
| Application of paste boot 29580 CPT 29580 | $438.48 | $609.00 | $163.65 – $407.00 | 14 |
| Application short leg cast 29405 CPT 29405 | $537.84 | $747.00 | $163.65 – $747.00 | 14 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,082.24 | $2,892.00 | $848.24 – $2,892.00 | 14 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,139.84 | $2,972.00 | $848.24 – $2,972.00 | 14 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $108.00 | $150.00 | $80.00 – $80.00 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $101.52 | $141.00 | $5.88 – $141.00 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $337.68 | $469.00 | $11.72 – $469.00 | 15 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $259.92 | $361.00 | $68.88 – $361.00 | 14 |
| Apply of finger splint 29131 CPT 29131 | $326.88 | $454.00 | $67.71 – $375.00 | 14 |
| Apply rigid leg cast 29445 CPT 29445 | $724.32 | $1,006.00 | $163.65 – $1,006.00 | 14 |
| #aptt mix-1:1 incubated CPT 87532 | $195.12 | $271.00 | $31.63 – $271.00 | 14 |
| Aquaporin-4 antibody cba each CPT 86052 | $425.52 | $591.00 | $8.50 – $591.00 | 14 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $222.48 | $309.00 | $32.81 – $309.00 | 15 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,407.60 | $1,955.00 | $622.30 – $1,955.00 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $2,219.04 | $3,082.00 | $3,082.00 – $3,082.00 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $6,324.48 | $8,784.00 | $4,022.48 – $13,840.14 | 14 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $4,641.12 | $6,446.00 | $1,540.53 – $7,853.37 | 14 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $5,186.88 | $7,204.00 | $1,540.53 – $7,853.37 | 14 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $6,324.48 | $8,784.00 | $4,022.48 – $13,840.14 | 14 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,001.52 | $1,391.00 | $224.03 – $1,066.00 | 14 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,398.96 | $1,943.00 | $352.29 – $1,943.00 | 14 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $812.88 | $1,129.00 | $336.05 – $1,145.19 | 14 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,152.00 | $1,600.00 | $224.03 – $1,066.00 | 14 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | not published | 0 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $216.00 | $300.00 | $300.00 – $300.00 | 1 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,268.96 | $7,318.00 | $1,417.01 – $7,318.00 | 14 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,254.24 | $1,742.00 | $719.96 – $1,742.00 | 14 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,102.32 | $1,531.00 | $136.42 – $1,761.29 | 14 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $874.08 | $1,214.00 | $621.45 – $1,761.29 | 14 |
| Assay acid phosphatase CPT 84060 | $185.76 | $258.00 | $3.99 – $258.00 | 14 |
| Assay dir meas fr estradiol CPT 82681 | $136.08 | $189.00 | $9.74 – $189.00 | 14 |
| Assay free hydroxyproline CPT 83500 | $125.28 | $174.00 | $9.74 – $174.00 | 14 |
| Assay myeloperoxidase CPT 83876 | $64.08 | $89.00 | $20.78 – $114.44 | 14 |
| Assay of breath ethanol CPT 82075 | $79.20 | $110.00 | $10.33 – $110.00 | 14 |
| Assay of glucosidase CPT 82963 | $852.48 | $1,184.00 | $8.82 – $1,184.00 | 14 |
| Assay of glutathione CPT 82978 | $158.40 | $220.00 | $8.82 – $220.00 | 14 |
| Assay of interleukin-6 (il-6) CPT 83529 | $129.60 | $180.00 | $8.82 – $180.00 | 14 |
| Assay of osteocalcin CPT 83937 | $153.36 | $213.00 | $25.81 – $213.00 | 14 |
| Assay of procainamide w/metab CPT 80192 | $123.84 | $172.00 | $8.95 – $172.00 | 14 |
| Assay of prostaglandin CPT 84150 | $738.00 | $1,025.00 | $25.81 – $1,025.00 | 14 |
| Assay of somatostatin CPT 84307 | $389.52 | $541.00 | $9.74 – $541.00 | 14 |
| Assay of tyrosine CPT 84510 | $156.24 | $217.00 | $3.99 – $217.00 | 14 |
| Assay of urine sulfate CPT 84392 | $36.00 | $50.00 | $2.22 – $50.00 | 14 |
| Assess cyst contrast inject CPT 49424 | $1,285.20 | $1,785.00 | $298.08 – $1,785.00 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $69.84 | $97.00 | $3.66 – $92.00 | 14 |
| Ast/sgot CPT 84450 | $105.84 | $147.00 | $3.99 – $147.00 | 14 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $21,252.24 | $29,517.00 | $9,734.69 – $29,517.00 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $21,009.60 | $29,180.00 | $9,734.69 – $29,180.00 | 3 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $1.79 | $2.49 | $0.17 – $1.29 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | not published | 0 |
| Av fusion direct any site CPT 36821 | not published | not published | not published | 0 |
| Avul nail plate addl CPT 11732 | $599.76 | $833.00 | $60.45 – $833.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $521.00 | $521.00 | $60.45 – $521.00 | 14 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $152.60 | $211.95 | $3.37 – $88.20 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $38.80 | $53.89 | $3.68 – $42.04 | 3 |
| Baclofen eval charges CPT 97750 | $128.88 | $179.00 | $32.32 – $179.00 | 15 |
| Bacterial meningitis antigen CPT 86403 | $100.08 | $139.00 | $8.50 – $139.00 | 14 |
| Bacterial vaginosis pcr CPT 87801 | $300.96 | $418.00 | $31.63 – $418.00 | 14 |
| #bac vag cand-c. albicans naa CPT 87481 | $125.28 | $174.00 | $31.63 – $174.00 | 14 |
| Bausch health Ultrasound surg HCPCS V2788 | $763.20 | $1,060.00 | $775.00 – $775.00 | 1 |
| B cells total count CPT 86355 | $136.08 | $189.00 | $30.13 – $189.00 | 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.