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 |
|---|---|---|---|---|
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,240.00 | $4,500.00 | $4,500.00 – $4,500.00 | 1 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $208.08 | $289.00 | $15.10 – $289.00 | 14 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $72.72 | $101.00 | $8.50 – $101.00 | 14 |
| Screening Mammogram CPT 77067 | $488.16 | $678.00 | $21.73 – $208.68 | 14 |
| Screening prostate cancer PSA HCPCS G0103 | $345.60 | $480.00 | $8.50 – $480.00 | 14 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $10,584.00 | $14,700.00 | $20.00 – $20.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $36.72 | $51.00 | $2.70 – $51.00 | 14 |
| Semen analysis presence/motility CPT 89321 | $125.28 | $174.00 | $3.66 – $174.00 | 14 |
| Semen analysis w/count CPT 89310 | $226.80 | $315.00 | $3.66 – $315.00 | 14 |
| Serpina1 gene CPT 81332 | $271.44 | $377.00 | $34.38 – $377.00 | 14 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,810.32 | $6,681.00 | $370.49 – $6,681.00 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $4,198.32 | $5,831.00 | $370.49 – $5,831.00 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $3,339.36 | $4,638.00 | $219.59 – $4,638.00 | 15 |
| Shoulder X-ray CPT 73030 | $590.40 | $820.00 | $51.11 – $820.00 | 14 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,968.00 | $6,900.00 | $6,900.00 – $6,900.00 | 1 |
| Sialidase enzyme assay CPT 87905 | $66.96 | $93.00 | $7.78 – $93.00 | 14 |
| Sickling rbc CPT 85660 | $77.76 | $108.00 | $4.38 – $108.00 | 14 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,380.85 | $1,917.85 | $88.23 – $1,917.85 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,584.88 | $4,979.00 | $201.31 – $4,979.00 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $3,072.24 | $4,267.00 | $201.31 – $4,267.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,559.60 | $3,555.00 | $97.12 – $3,555.00 | 15 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $84.96 | $118.00 | $10.33 – $118.00 | 3 |
| Skin Biopsy CPT 11102 | $438.48 | $609.00 | $382.65 – $1,011.10 | 14 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | not published | 0 |
| Sleep study attended CPT 95807 | $2,147.04 | $2,982.00 | $214.14 – $2,982.00 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $4,080.24 | $5,667.00 | $359.68 – $5,667.00 | 14 |
| Sleep study unattended CPT 95806 | $352.80 | $490.00 | $138.16 – $537.05 | 14 |
| Sling suprapubic suburetheral HCPCS C1771 | $11,880.00 | $16,500.00 | $1,050.00 – $1,050.00 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | $437.76 | $608.00 | $207.30 – $608.00 | 3 |
| Slp ther svc non-spch gen CPT 92606 | $70.56 | $98.00 | $27.58 – $98.00 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $79.20 | $110.00 | $5.39 – $110.00 | 14 |
| Smear gram stain CPT 87205 | $38.16 | $53.00 | $4.27 – $53.00 | 14 |
| Smear nasal eosinophil CPT 89190 | $76.32 | $106.00 | $3.66 – $106.00 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $48.24 | $67.00 | $5.99 – $67.00 | 14 |
| Smear wet mount CPT 87210 | $64.80 | $90.00 | $5.82 – $90.00 | 14 |
| Snrpn/ube3a gene CPT 81331 | $472.32 | $656.00 | $34.38 – $656.00 | 14 |
| Sodium 24 hour urine CPT 84300 | $73.44 | $102.00 | $3.99 – $102.00 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $32.40 | $45.00 | $3.28 – $45.00 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $32.40 | $45.00 | $2.13 – $45.00 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.40 | $45.00 | $1.09 – $45.00 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $2.28 | $3.16 | $0.09 – $0.17 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $67.32 | $93.50 | $3.65 – $93.50 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.04 | $82.00 | $3.99 – $82.00 | 14 |
| Somatosensory testing CPT 95927 | $757.44 | $1,052.00 | $120.64 – $1,052.00 | 14 |
| Specific gravity body fluid CPT 84315 | $46.08 | $64.00 | $3.28 – $64.00 | 14 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,400.40 | $1,945.00 | $695.24 – $1,945.00 | 14 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $437.76 | $608.00 | $93.91 – $928.13 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $338.40 | $470.00 | $106.25 – $470.00 | 14 |
| Staph a dna amp probe CPT 87640 | $177.84 | $247.00 | $31.63 – $247.00 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $33,523.20 | $46,560.00 | $9,734.69 – $46,560.00 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $10,584.00 | $14,700.00 | $3,300.00 – $3,300.00 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $432.00 | $600.00 | $300.00 – $300.00 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $6,264.00 | $8,700.00 | $225.00 – $225.00 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $14,770.08 | $20,514.00 | $9,734.69 – $20,514.00 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,091.52 | $14,016.00 | $9,734.69 – $14,016.00 | 3 |
| St evaluate speech sound production CPT 92522 | $364.32 | $506.00 | $108.61 – $506.00 | 14 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $664.56 | $923.00 | $207.30 – $923.00 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $359.28 | $499.00 | $88.45 – $499.00 | 14 |
| St evaluation swallow function CPT 92610 | $277.20 | $385.00 | $81.45 – $385.00 | 14 |
| Strapping of knee CPT 29530 | $150.48 | $209.00 | $68.88 – $330.92 | 14 |
| Strapping of toes 29550 CPT 29550 | $119.52 | $166.00 | $67.71 – $166.00 | 14 |
| Strep a ag ia CPT 87430 | $52.56 | $73.00 | $7.78 – $73.00 | 14 |
| Strep a dna quant CPT 87652 | $75.60 | $105.00 | $31.63 – $105.00 | 14 |
| Strep b dna amp probe CPT 87653 | $68.40 | $95.00 | $31.63 – $95.00 | 14 |
| Stress test pulmonary CPT 94618 | $347.76 | $483.00 | $52.41 – $483.00 | 14 |
| Stress tte complete CPT 93351 | $2,516.40 | $3,495.00 | $394.09 – $3,495.00 | 14 |
| Str markers specimen anal CPT 81265 | $526.32 | $731.00 | $121.56 – $731.00 | 14 |
| St treatment speech individual CPT 92507 | $285.84 | $397.00 | $73.52 – $397.00 | 14 |
| St treatment swallow dysfunction/oral CPT 92526 | $198.72 | $276.00 | $32.81 – $276.00 | 14 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $20.51 | $28.49 | $2.56 – $5.75 | 3 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.83 | $1.15 | $0.07 – $1.15 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $239.76 | $333.00 | $10.33 – $333.00 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $540.25 | $750.35 | $161.70 – $312.68 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $120.24 | $167.00 | $29.34 – $167.00 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $163.44 | $227.00 | $29.34 – $227.00 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $289.44 | $402.00 | $29.34 – $402.00 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $289.44 | $402.00 | $29.34 – $139.61 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $889.20 | $1,235.00 | $119.73 – $960.29 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,426.32 | $1,981.00 | $119.73 – $1,981.00 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $77.04 | $107.00 | $4.75 – $28.00 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $25.92 | $36.00 | $4.75 – $36.00 | 14 |
| Susceptibility mic per plate CPT 87186 | $138.96 | $193.00 | $7.78 – $76.00 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $65.52 | $91.00 | $6.64 – $91.00 | 14 |
| Svc venogram s&i CPT 75827 | $2,314.80 | $3,215.00 | $977.50 – $3,915.28 | 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.