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 |
|---|---|---|---|---|
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | not published | 0 |
| Remove intact mammary implant CPT 19328 | not published | not published | not published | 0 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | not published | 0 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | not published | 0 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | not published | 0 |
| Remove renal tube w/fluoro CPT 50389 | $1,132.56 | $1,573.00 | $367.22 – $1,734.34 | 14 |
| Remove self-contd penis pros CPT 54415 | not published | not published | not published | 0 |
| Remove skin nerve lesion CPT 64774 | not published | not published | not published | 0 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | not published | 0 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | not published | 0 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | not published | 0 |
| Renal function panel CPT 80069 | $219.60 | $305.00 | $6.67 – $305.00 | 14 |
| Reopen fallopian tube CPT 58350 | not published | not published | not published | 0 |
| Repair achilles tendon CPT 27650 | not published | not published | not published | 0 |
| Repair biceps tendon CPT 23430 | not published | not published | not published | 0 |
| Repair bladder defect CPT 57288 | not published | not published | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,764.72 | $2,451.00 | $382.65 – $2,451.00 | 14 |
| Repair dental ellis ii fx CPT 41899 | $568.80 | $790.00 | $271.83 – $790.00 | 14 |
| Repair eardrum structures CPT 69631 | not published | not published | not published | 0 |
| Repair eyelid defect CPT 67904 | not published | not published | not published | 0 |
| Repair eyelid wound CPT 67935 | $4,868.64 | $6,762.00 | $1,203.63 – $6,762.00 | 14 |
| Repair foot dislocation CPT 28615 | not published | not published | not published | 0 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | not published | 0 |
| Repair ing hernia sliding CPT 49525 | not published | not published | not published | 0 |
| Repair lower leg tendons CPT 27675 | not published | not published | not published | 0 |
| Repair nasal stenosis CPT 30465 | not published | not published | not published | 0 |
| Repair of ankle ligament CPT 27698 | not published | not published | not published | 0 |
| Repair of circumcision CPT 54163 | not published | not published | not published | 0 |
| Repair of foot tendon CPT 28200 | not published | not published | not published | 0 |
| Repair of humerus CPT 24430 | not published | not published | not published | 0 |
| Repair of leg tendon each CPT 27658 | not published | not published | not published | 0 |
| Repair of metatarsals CPT 28322 | not published | not published | not published | 0 |
| Repair of nasal septum CPT 30520 | not published | not published | not published | 0 |
| Repair of ruptured tendon CPT 24342 | not published | not published | not published | 0 |
| Repair of thigh muscle CPT 27385 | not published | not published | not published | 0 |
| Repair rotator cuff acute CPT 23410 | not published | not published | not published | 0 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | not published | 0 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,584.72 | $2,201.00 | $154.17 – $2,201.00 | 14 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | not published | 0 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $1,734.48 | $2,409.00 | $354.02 – $2,409.00 | 14 |
| Replace g/c tube perc CPT 49450 | $1,326.24 | $1,842.00 | $354.02 – $2,255.88 | 14 |
| Replace g-j tube perc CPT 49452 | $1,583.28 | $2,199.00 | $354.02 – $2,255.88 | 14 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | not published | 0 |
| Repos lv lead pm/icd CPT 33226 | $6,535.44 | $9,077.00 | $3,623.85 – $9,077.00 | 14 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | not published | 0 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | not published | 0 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | not published | 0 |
| Resect inferior turbinate CPT 30140 | not published | not published | not published | 0 |
| Resp virus 6-11 targets CPT 87632 | $950.40 | $1,320.00 | $150.51 – $1,320.00 | 14 |
| Resuscitation cardiopulmonary CPT 92950 | $596.16 | $828.00 | $247.82 – $828.00 | 14 |
| Reticulocyte direct measurement automated CPT 85046 | $47.52 | $66.00 | $4.38 – $66.00 | 14 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | not published | 0 |
| Revise finger joint each CPT 26140 | not published | not published | not published | 0 |
| Revise/replace knee joint CPT 27486 | not published | not published | not published | 0 |
| Revise/replace knee joint CPT 27487 | not published | not published | not published | 0 |
| Revise spermatic cord veins CPT 55530 | not published | not published | not published | 0 |
| Revise spine eltrd perq aray CPT 63663 | $12,988.08 | $18,039.00 | $5,564.71 – $18,039.00 | 14 |
| Revision of cervix CPT 59320 | $5,621.76 | $7,808.00 | $1,541.38 – $8,051.47 | 14 |
| Revision of knee joint CPT 27446 | not published | not published | not published | 0 |
| Revision of radius CPT 25350 | not published | not published | not published | 0 |
| Revision of scrotum CPT 55175 | not published | not published | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $165.60 | $230.00 | $5.67 – $230.00 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $120.06 | $166.75 | $7.97 – $166.75 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $324.70 | $450.97 | $74.77 – $450.97 | 15 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $247.72 | $344.06 | $13.27 – $344.06 | 15 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $27,231.84 | $37,822.00 | $20,170.69 – $55,324.82 | 14 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,371.60 | $1,905.00 | $719.96 – $1,905.00 | 14 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $44,061.84 | $61,197.00 | $7,160.78 – $61,197.00 | 14 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,447.04 | $24,232.00 | $7,160.78 – $24,232.00 | 14 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,453.04 | $3,407.00 | $812.73 – $3,407.00 | 14 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.63 | $0.87 | $0.08 – $0.78 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,342.16 | $3,253.00 | $998.55 – $3,915.28 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,211.76 | $1,683.00 | $458.82 – $1,683.00 | 14 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,208.32 | $4,456.00 | $800.98 – $4,456.00 | 14 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,817.28 | $2,524.00 | $998.55 – $3,915.28 | 14 |
| Rpl tun-cvad w subq port CPT 36582 | $4,837.68 | $6,719.00 | $1,928.40 – $7,853.37 | 14 |
| Rpl tun cvc wo subq port CPT 36581 | $3,682.80 | $5,115.00 | $1,928.40 – $7,853.37 | 14 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | not published | 0 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | not published | 0 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | not published | 0 |
| Rsv assay w/optic CPT 87807 | $113.04 | $157.00 | $7.78 – $157.00 | 14 |
| Rubella antibody igg CPT 86762 | $113.76 | $158.00 | $8.50 – $158.00 | 14 |
| Rubeola antibody igg CPT 86765 | $123.84 | $172.00 | $8.50 – $172.00 | 14 |
| Russell viper venom diluted CPT 85613 | $41.76 | $58.00 | $3.27 – $58.00 | 14 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,797.12 | $2,496.00 | $153.26 – $2,496.00 | 14 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,152.72 | $1,601.00 | $119.99 – $1,601.00 | 14 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,241.28 | $1,724.00 | $153.26 – $1,724.00 | 14 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $905.04 | $1,257.00 | $99.47 – $1,257.00 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $747.36 | $1,038.00 | $99.47 – $1,038.00 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $943.92 | $1,311.00 | $99.47 – $1,311.00 | 14 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $2,172.96 | $3,018.00 | $153.26 – $3,018.00 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $984.96 | $1,368.00 | $99.47 – $1,368.00 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $872.64 | $1,212.00 | $99.47 – $1,212.00 | 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.