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 |
|---|---|---|---|---|
| Trim nondyst nails CPT 11719 | $121.68 | $169.00 | $60.45 – $169.00 | 14 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,682.80 | $5,115.00 | $3,352.93 – $7,853.37 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | not published | 0 |
| Troponin quantitative CPT 84484 | $154.08 | $214.00 | $8.82 – $214.00 | 14 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,303.28 | $3,199.00 | $197.04 – $3,199.00 | 14 |
| Tx closed hip disl traumatic without anes CPT 27250 | $727.92 | $1,011.00 | $283.10 – $1,011.00 | 14 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $5,689.44 | $7,902.00 | $3,755.29 – $8,138.21 | 14 |
| Tympanic membrane repair CPT 69610 | not published | not published | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $524.16 | $728.00 | $121.56 – $728.00 | 14 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $679.68 | $944.00 | $44.81 – $944.00 | 14 |
| Ultrasound breast complete CPT 76641 | $760.32 | $1,056.00 | $67.16 – $299.97 | 14 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $604.80 | $840.00 | $52.27 – $249.70 | 14 |
| Ultrasound chest CPT 76604 | $868.32 | $1,206.00 | $44.81 – $1,206.00 | 14 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $313.92 | $436.00 | $91.63 – $436.00 | 14 |
| Ultrasound elastography ea l target les CPT 76983 | $209.52 | $291.00 | $99.47 – $291.00 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $295.92 | $411.00 | $99.47 – $411.00 | 14 |
| Ultrasound encephalogram CPT 76506 | $570.24 | $792.00 | $99.47 – $792.00 | 14 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $303.12 | $421.00 | $99.47 – $421.00 | 14 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $540.72 | $751.00 | $91.63 – $751.00 | 14 |
| Ultrasound guidance for vascular access CPT 76937 | $219.60 | $305.00 | $102.28 – $305.00 | 3 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $936.72 | $1,301.00 | $29.11 – $107.15 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $472.32 | $656.00 | $102.28 – $656.00 | 3 |
| Ultrasound hips infant dynamic CPT 76885 | $754.56 | $1,048.00 | $99.47 – $1,048.00 | 14 |
| Ultrasound infant hips ltd without stress CPT 76886 | $358.56 | $498.00 | $99.47 – $498.00 | 14 |
| Ultrasound joint complete left CPT 76881 | $815.76 | $1,133.00 | $99.47 – $1,133.00 | 14 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $709.20 | $985.00 | $44.81 – $985.00 | 14 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $1,042.56 | $1,448.00 | $91.63 – $1,448.00 | 3 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $190.80 | $265.00 | $91.63 – $265.00 | 3 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $581.04 | $807.00 | $91.63 – $807.00 | 14 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $319.68 | $444.00 | $91.63 – $401.00 | 14 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $377.28 | $524.00 | $91.63 – $524.00 | 14 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $889.20 | $1,235.00 | $91.63 – $1,235.00 | 14 |
| Ultrasound prostate/transrectal CPT 76872 | $690.48 | $959.00 | $99.47 – $959.00 | 14 |
| Ultrasound retroperitoneal limited CPT 76775 | $898.56 | $1,248.00 | $44.81 – $1,248.00 | 14 |
| Ultrasound scrotum and contents CPT 76870 | $1,092.96 | $1,518.00 | $44.81 – $1,518.00 | 14 |
| Ultrasound spinal canal and contents CPT 76800 | $499.68 | $694.00 | $99.47 – $694.00 | 14 |
| Ultrasound transabd ea addl gest CPT 76812 | $624.96 | $868.00 | $91.63 – $868.00 | 3 |
| Ultrasound transvaginal non obstetric CPT 76830 | $922.32 | $1,281.00 | $44.81 – $1,281.00 | 14 |
| Umbilical artery cath newborn 36660 CPT 36660 | $133.92 | $186.00 | $68.36 – $186.00 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | not published | 0 |
| Unlisted maaa CPT 81599 | $662.40 | $920.00 | $34.38 – $920.00 | 3 |
| Unlisted procedure microbiology CPT 87999 | $17.28 | $24.00 | $7.78 – $24.00 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $48.24 | $67.00 | $3.27 – $69.74 | 14 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $979.92 | $1,361.00 | $707.20 – $1,707.02 | 14 |
| Upgrade pm system CPT 33214 | $24,157.44 | $33,552.00 | $7,160.78 – $33,552.00 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,127.84 | $7,122.00 | $149.54 – $7,122.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,857.04 | $5,357.00 | $370.49 – $5,357.00 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,273.84 | $4,547.00 | $102.28 – $4,547.00 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | not published | 0 |
| Urea nitrogen CPT 84520 | $77.76 | $108.00 | $3.95 – $9.88 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $105.12 | $146.00 | $3.99 – $146.00 | 14 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $774.00 | $1,075.00 | $107.70 – $1,075.00 | 14 |
| Urethrocystography void s&i CPT 74455 | $1,329.12 | $1,846.00 | $107.70 – $1,846.00 | 14 |
| Uric acid blood CPT 84550 | $54.00 | $75.00 | $3.99 – $75.00 | 14 |
| Uric acid urine CPT 84560 | $51.84 | $72.00 | $3.99 – $72.00 | 14 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $43.20 | $60.00 | $2.17 – $60.00 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $74.16 | $103.00 | $2.22 – $7.93 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $46.08 | $64.00 | $2.22 – $64.00 | 14 |
| Urine Culture Test CPT 87086 | $93.60 | $130.00 | $7.78 – $130.00 | 14 |
| Urine pregnancy test CPT 81025 | $105.12 | $146.00 | $2.22 – $21.53 | 14 |
| Urography, antegrade CPT 74425 | $877.68 | $1,219.00 | $107.70 – $1,219.00 | 14 |
| Use 1st target lesion CPT 76982 | $305.28 | $424.00 | $99.47 – $424.00 | 14 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $308.30 | $428.20 | $19.34 – $428.20 | 15 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $219.67 | $305.10 | $19.34 – $305.10 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $1,033.16 | $1,434.95 | $19.34 – $1,434.95 | 5 |
| Vaccine rabies im CPT 90675 | $4,599.90 | $6,388.75 | $102.41 – $6,388.75 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $511.99 | $711.10 | $19.34 – $711.10 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | not published | 0 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | not published | 0 |
| Vaginal bx CPT 58999 | not published | not published | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $154.08 | $214.00 | $8.95 – $214.00 | 14 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1.70 | $2.36 | $0.05 – $0.66 | 3 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $1.70 | $2.36 | $0.17 – $1.90 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $216.72 | $301.00 | $8.95 – $301.00 | 14 |
| Varicella zoster antibody igg CPT 86787 | $100.80 | $140.00 | $8.50 – $140.00 | 14 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $55.62 | $77.25 | $0.87 – $13.24 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $107.83 | $149.76 | $21.37 – $149.76 | 15 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,379.76 | $6,083.00 | $1,540.53 – $7,853.37 | 14 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $7.20 | $10.00 | $10.00 – $10.00 | 3 |
| Venipuncture <3 yrs other vein CPT 36406 | $7.20 | $10.00 | $2.48 – $10.00 | 3 |
| Venogram ext bil s&i CPT 75822 | $2,192.40 | $3,045.00 | $977.50 – $3,915.28 | 14 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,817.28 | $2,524.00 | $977.50 – $3,915.28 | 14 |
| Venous sampling s&i CPT 75893 | $6,324.48 | $8,784.00 | $4,022.48 – $13,840.14 | 14 |
| Version cephalic external CPT 59412 | $3,643.20 | $5,060.00 | $525.05 – $8,051.47 | 14 |
| Very long chain fatty acids CPT 82726 | $205.92 | $286.00 | $8.82 – $286.00 | 14 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $229.68 | $319.00 | $57.07 – $319.00 | 13 |
| Vital capacity test CPT 94150 | $316.08 | $439.00 | $52.41 – $439.00 | 14 |
| Vitamin b-12 CPT 82607 | $95.76 | $133.00 | $9.74 – $133.00 | 14 |
| Vitamin D Test CPT 82306 | $123.84 | $172.00 | $20.78 – $172.00 | 14 |
| Vulvectomy simple partial CPT 56620 | not published | not published | not published | 0 |
| Warde 1003990 aldosterone CPT 82088 | $280.80 | $390.00 | $25.81 – $390.00 | 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.