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 |
|---|---|---|---|---|
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $467.28 | $649.00 | $150.25 – $1,011.10 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $478.08 | $664.00 | $150.25 – $664.00 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $667.44 | $927.00 | $192.27 – $927.00 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $457.92 | $636.00 | $150.25 – $1,011.10 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $871.20 | $1,210.00 | $20.72 – $1,210.00 | 3 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | not published | 0 |
| Procalcitonin CPT 84145 | $210.24 | $292.00 | $9.74 – $144.00 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $190.51 | $264.60 | $4.16 – $67.50 | 3 |
| Progesterone CPT 84144 | $154.80 | $215.00 | $9.74 – $215.00 | 14 |
| Prolactin CPT 84146 | $188.64 | $262.00 | $9.74 – $262.00 | 14 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $3.28 | $4.55 | $0.15 – $1.82 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,584.00 | $2,200.00 | $119.73 – $2,200.00 | 14 |
| Prostatectomy (turp) CPT 52601 | not published | not published | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $22.41 | $31.12 | $2.59 – $31.12 | 3 |
| Protein c activity CPT 85303 | $64.08 | $89.00 | $3.27 – $89.00 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $142.56 | $198.00 | $3.99 – $198.00 | 14 |
| Protein s total CPT 85305 | $52.56 | $73.00 | $3.27 – $73.00 | 14 |
| Protein total 24 hour urine CPT 84156 | $101.52 | $141.00 | $3.67 – $141.00 | 14 |
| Protein total body fluid CPT 84157 | $138.24 | $192.00 | $3.99 – $192.00 | 14 |
| Protein total serum plasma whole blood CPT 84155 | $56.16 | $78.00 | $3.67 – $78.00 | 14 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $387.36 | $538.00 | $152.70 – $538.00 | 13 |
| Pr removal intrauterine device CPT 58301 | $1,704.96 | $2,368.00 | $192.27 – $2,368.00 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $751.68 | $1,044.00 | $347.42 – $1,044.00 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $289.44 | $402.00 | $165.87 – $499.02 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $289.44 | $402.00 | $165.87 – $499.02 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $310.32 | $431.00 | $165.87 – $499.02 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $335.52 | $466.00 | $165.87 – $499.02 | 14 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | $0.01 – $0.01 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $5,084.64 | $7,062.00 | $906.66 – $4,708.00 | 14 |
| PSA (Prostate) Test CPT 84153 | $155.52 | $216.00 | $8.82 – $216.00 | 14 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $131.76 | $183.00 | $14.36 – $183.00 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $182.88 | $254.00 | $18.35 – $254.00 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $182.88 | $254.00 | $13.94 – $254.00 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $150.48 | $209.00 | $14.03 – $209.00 | 15 |
| Pt evaluation high complexity patient/family CPT 97163 | $717.12 | $996.00 | $94.04 – $996.00 | 15 |
| Pt evaluation low complexity patient/family CPT 97161 | $441.36 | $613.00 | $94.04 – $613.00 | 15 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $513.36 | $713.00 | $94.04 – $713.00 | 15 |
| Pt re-evaluation patient/family CPT 97164 | $247.68 | $344.00 | $64.61 – $344.00 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $82.08 | $114.00 | $32.81 – $114.00 | 15 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $54.00 | $75.00 | $12.33 – $75.00 | 15 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $102.96 | $143.00 | $27.58 – $143.00 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $115.20 | $160.00 | $27.58 – $160.00 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $175.68 | $244.00 | $29.97 – $244.00 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $210.24 | $292.00 | $52.41 – $320.04 | 14 |
| Pulse ox single CPT 94760 | $61.20 | $85.00 | $85.00 – $85.00 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $131.04 | $182.00 | $68.36 – $320.80 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $471.60 | $655.00 | $150.25 – $1,011.10 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,099.44 | $1,527.00 | $695.24 – $1,755.69 | 14 |
| Pvb thoracic single inj site CPT 64461 | $1,675.44 | $2,327.00 | $695.24 – $2,327.00 | 14 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $230.04 | $319.50 | $25.67 – $319.50 | 3 |
| Pyruvate CPT 84210 | $18.00 | $25.00 | $8.82 – $32.58 | 14 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,493.28 | $2,074.00 | $458.82 – $2,074.00 | 14 |
| Quest t3 uptake CPT 84479 | $109.44 | $152.00 | $6.47 – $152.00 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,175.90 | $1,633.20 | $279.95 – $1,633.19 | 15 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,250.72 | $3,126.00 | $623.17 – $3,126.00 | 14 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,577.60 | $3,580.00 | $623.17 – $3,580.00 | 14 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,208.32 | $4,456.00 | $800.98 – $4,456.00 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,904.48 | $4,034.00 | $623.17 – $4,034.00 | 14 |
| Radphm lcl tumor plr sgl day CPT 78800 | $988.56 | $1,373.00 | $458.82 – $1,373.00 | 14 |
| Rbc count only automated CPT 85041 | $24.48 | $34.00 | $3.02 – $34.00 | 14 |
| Reconstruct finger joint CPT 26545 | $5,688.72 | $7,901.00 | $1,957.94 – $8,138.21 | 14 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $356.40 | $495.00 | $113.98 – $495.00 | 14 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $362.88 | $504.00 | $113.98 – $504.00 | 14 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $422.64 | $587.00 | $113.98 – $616.02 | 14 |
| Redo endovas vena cava filtr CPT 37192 | $3,682.80 | $5,115.00 | $3,352.93 – $7,853.37 | 14 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $79.38 | $110.25 | $4.42 – $73.50 | 3 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $22.49 | $31.23 | $6.90 – $31.23 | 15 |
| Rem endovas vena cava filter CPT 37193 | $3,682.80 | $5,115.00 | $3,352.93 – $7,853.37 | 14 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,292.40 | $1,795.00 | $670.79 – $1,795.00 | 14 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,817.28 | $2,524.00 | $670.79 – $3,915.28 | 14 |
| Removal cerumen impacted (both sides) CPT 69210 | $200.88 | $279.00 | $67.71 – $214.00 | 13 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $375.12 | $521.00 | $300.00 – $521.00 | 4 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | not published | not published | not published | 0 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | not published | 0 |
| Removal of adenoids CPT 42830 | not published | not published | not published | 0 |
| Removal of adenoids CPT 42831 | not published | not published | not published | 0 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | not published | 0 |
| Removal of breast lesion CPT 19120 | not published | not published | not published | 0 |
| Removal of eye lesion CPT 65400 | not published | not published | not published | 0 |
| Removal of eye lesion CPT 65420 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28080 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28090 | not published | not published | not published | 0 |
| Removal of heel spur CPT 28119 | not published | not published | not published | 0 |
| Removal of hydrocele CPT 55040 | not published | not published | not published | 0 |
| Removal of implant deep CPT 20680 | not published | not published | not published | 0 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | not published | 0 |
| Removal of tendon lesion CPT 27630 | not published | not published | not published | 0 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $24,157.44 | $33,552.00 | $7,160.78 – $33,552.00 | 14 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $362.88 | $504.00 | $150.25 – $504.00 | 14 |
| Removal sutr and stapl no anes CPT 15854 | $0.68 | $0.95 | $0.95 – $0.95 | 1 |
| Removal sutr or stapl no anes CPT 15853 | $0.78 | $1.09 | $1.09 – $1.09 | 1 |
| Removal tunnled intprtnl cath CPT 49422 | $4,014.72 | $5,576.00 | $656.61 – $7,853.37 | 14 |
| Remove anal fist subq CPT 46270 | not published | not published | not published | 0 |
| Remove bladder stone CPT 52317 | not published | not published | not published | 0 |
| Remove bladder stone CPT 52318 | not published | not published | not published | 0 |
| Remove epididymis lesion CPT 54840 | not published | not published | not published | 0 |
| Remove ext hem groups 2+ CPT 46250 | 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.