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 |
|---|---|---|---|---|
| Synvisc or synvisc-one HCPCS J7325 | $147.92 | $205.44 | $7.56 – $205.44 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $54.00 | $75.00 | $4.40 – $75.00 | 14 |
| System pacing micra av HCPCS C1786 | $7,560.00 | $10,500.00 | $5,700.00 – $5,700.00 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,880.00 | $16,500.00 | $7,500.00 – $7,500.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $164.16 | $228.00 | $9.74 – $228.00 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $231.12 | $321.00 | $9.74 – $321.00 | 14 |
| T4 (thyroxine) free CPT 84439 | $118.80 | $165.00 | $9.02 – $165.00 | 14 |
| T4 (thyroxine) total CPT 84436 | $97.20 | $135.00 | $6.87 – $135.00 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $6.44 | $8.95 | $0.33 – $8.95 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $147.60 | $205.00 | $8.95 – $205.00 | 14 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,061.44 | $4,252.00 | $483.95 – $4,252.00 | 14 |
| Target gsa panel organ neop CPT 81445 | $2,489.76 | $3,458.00 | $265.21 – $3,458.00 | 14 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $5,049.65 | $7,013.40 | $0.25 – $5,878.35 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $109.44 | $152.00 | $30.13 – $225.00 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $258.48 | $359.00 | $30.13 – $359.00 | 14 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $18.72 | $26.00 | $16.50 – $26.00 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $187.92 | $261.00 | $30.13 – $261.00 | 14 |
| T cells absolute cd 4 count CPT 86361 | $33.84 | $47.00 | $26.78 – $60.26 | 14 |
| T cells total count CPT 86359 | $136.08 | $189.00 | $30.13 – $189.00 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $66.96 | $93.00 | $12.81 – $93.00 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $573.51 | $796.54 | $186.97 – $796.54 | 15 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $42.34 | $58.80 | $4.08 – $58.80 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $1,306.80 | $1,815.00 | $75.42 – $1,815.00 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,255.04 | $3,132.00 | $597.91 – $3,132.00 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $152.64 | $212.00 | $8.95 – $212.00 | 14 |
| Therapeutic procd strg endur HCPCS G0237 | $46.08 | $64.00 | $31.11 – $71.94 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $47.52 | $66.00 | $30.01 – $66.00 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $34.56 | $48.00 | $25.93 – $48.00 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $52.67 | $73.15 | $2.99 – $44.10 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,588.32 | $2,206.00 | $719.96 – $2,206.00 | 14 |
| Thrombin time CPT 85670 | $32.40 | $45.00 | $3.27 – $45.00 | 14 |
| Thrombin time titer CPT 85675 | $8.64 | $12.00 | $3.27 – $15.41 | 14 |
| Thyroglobulin antibody CPT 86800 | $103.68 | $144.00 | $8.50 – $144.00 | 14 |
| Thyroid mets imag whole body CPT 78018 | $1,509.84 | $2,097.00 | $334.42 – $2,097.00 | 14 |
| Thyroid (TSH) Test CPT 84443 | $137.52 | $191.00 | $9.74 – $191.00 | 14 |
| Thyroid Ultrasound CPT 76536 | $1,052.64 | $1,462.00 | $44.81 – $1,462.00 | 14 |
| Thyroxine binding globulin (tbg) CPT 84442 | $103.68 | $144.00 | $9.74 – $144.00 | 14 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $30,451.68 | $42,294.00 | $9,734.69 – $42,294.00 | 3 |
| Tib/per revasc stnt & ather CPT 37235 | $18,007.92 | $25,011.00 | $9,734.69 – $25,011.00 | 3 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $17,150.40 | $23,820.00 | $9,734.69 – $23,820.00 | 3 |
| Tissue culture skin/biopsy CPT 88233 | $750.96 | $1,043.00 | $134.50 – $1,043.00 | 14 |
| Tissue culture tumor CPT 88239 | $1,638.00 | $2,275.00 | $134.50 – $2,275.00 | 14 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $46.80 | $65.00 | $8.50 – $65.00 | 14 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $13.44 | $18.66 | $3.42 – $18.66 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $167.76 | $233.00 | $8.95 – $233.00 | 14 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $22.95 | $31.87 | $5.61 – $31.87 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $140.40 | $195.00 | $10.43 – $45.53 | 14 |
| Tomosynthesis breast screen bilateral CPT 77063 | $140.40 | $195.00 | $19.22 – $53.38 | 14 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | not published | 0 |
| Total Hip Replacement CPT 27130 | not published | not published | not published | 0 |
| Total hysterectomy CPT 58150 | $14,797.44 | $20,552.00 | $5,296.03 – $20,552.00 | 3 |
| Total Knee Replacement CPT 27447 | not published | not published | not published | 0 |
| Total tau CPT 84394 | $511.20 | $710.00 | $128.92 – $710.00 | 13 |
| Toxoplasma antibody igg CPT 86777 | $83.52 | $116.00 | $8.50 – $116.00 | 14 |
| Toxoplasma antibody igm CPT 86778 | $83.52 | $116.00 | $8.50 – $116.00 | 14 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,349.28 | $1,874.00 | $121.56 – $1,874.00 | 14 |
| Tpmt gene com vrnts CPT 81335 | $519.12 | $721.00 | $121.56 – $721.00 | 14 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $88.56 | $123.00 | $54.41 – $126.29 | 14 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $1.06 | $1.47 | $0.21 – $1.47 | 3 |
| Transcatheter bx s&i CPT 75970 | $5,098.32 | $7,081.00 | $183.97 – $7,081.00 | 3 |
| Transferrin CPT 84466 | $200.16 | $278.00 | $8.82 – $278.00 | 14 |
| Transfusion blood/blood component(s) CPT 36430 | $799.20 | $1,110.00 | $367.49 – $1,110.00 | 14 |
| Transparent film >16<=48 in HCPCS A6258 | $14.40 | $20.00 | $10.00 – $10.00 | 1 |
| Treat ankle dislocation CPT 27842 | not published | not published | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | not published | 0 |
| Treat elbow fracture CPT 24620 | $2,912.40 | $4,045.00 | $418.59 – $4,045.00 | 14 |
| Treat fracture of radius CPT 25505 | $2,874.24 | $3,992.00 | $418.59 – $3,999.44 | 14 |
| Treat fracture of radius CPT 25520 | $3,479.04 | $4,832.00 | $418.59 – $4,832.00 | 14 |
| Treat humerus fracture CPT 24516 | not published | not published | not published | 0 |
| Treat humerus fracture CPT 24546 | not published | not published | not published | 0 |
| Treat lower leg fracture CPT 27827 | not published | not published | not published | 0 |
| Treat lower leg joint CPT 27829 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | not published | 0 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $241.92 | $336.00 | $52.41 – $336.00 | 14 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $242.64 | $337.00 | $52.41 – $337.00 | 3 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $206.64 | $287.00 | $52.41 – $544.65 | 14 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27792 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27814 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27822 | not published | not published | not published | 0 |
| Treatment of penis lesion CPT 54115 | $4,892.40 | $6,795.00 | $1,793.58 – $7,224.69 | 14 |
| Treatment of thigh fracture CPT 27503 | $3,410.64 | $4,737.00 | $418.59 – $4,737.00 | 14 |
| Treat metacarpal fracture CPT 26608 | not published | not published | not published | 0 |
| Treat metacarpal fracture CPT 26615 | not published | not published | not published | 0 |
| Treat metatarsal fracture CPT 28485 | not published | not published | not published | 0 |
| Treat ulnar fracture CPT 24685 | not published | not published | not published | 0 |
| Treat vaginal bleeding CPT 57180 | not published | not published | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $79.20 | $110.00 | $8.50 – $110.00 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $24.76 | $34.39 | $1.22 – $29.74 | 3 |
| Trichomonas assay w/optic CPT 87808 | $64.80 | $90.00 | $7.78 – $90.00 | 14 |
| Triglycerides CPT 84478 | $72.00 | $100.00 | $3.99 – $100.00 | 14 |
| Trimethobenzamide hcl inj HCPCS J3250 | $641.66 | $891.20 | $95.04 – $891.20 | 3 |
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.