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 |
|---|---|---|---|---|
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,324.08 | $1,839.00 | $107.70 – $1,839.00 | 14 |
| X-ray elbow 2 views (both sides) CPT 73070 | $398.88 | $554.00 | $25.55 – $554.00 | 14 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $501.12 | $696.00 | $51.11 – $696.00 | 14 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $793.44 | $1,102.00 | $25.55 – $1,102.00 | 14 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $731.52 | $1,016.00 | $51.11 – $1,016.00 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | $738.72 | $1,026.00 | $51.11 – $1,026.00 | 14 |
| X-ray exam of arm infant CPT 73092 | $251.28 | $349.00 | $51.11 – $349.00 | 14 |
| X-ray exam of eye sockets CPT 70200 | $607.68 | $844.00 | $51.11 – $844.00 | 14 |
| X-ray exam of femur 1 CPT 73551 | $250.56 | $348.00 | $51.11 – $348.00 | 14 |
| X-ray exam of sinuses CPT 70210 | $227.52 | $316.00 | $51.11 – $316.00 | 14 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $545.76 | $758.00 | $37.30 – $758.00 | 14 |
| X-ray facial bones complete > 3 views CPT 70150 | $781.20 | $1,085.00 | $51.11 – $1,085.00 | 14 |
| X-ray femur >=2 views (both sides) CPT 73552 | $365.76 | $508.00 | $51.11 – $508.00 | 14 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $347.04 | $482.00 | $25.55 – $482.00 | 14 |
| X-ray foot 2 views (both sides) CPT 73620 | $362.16 | $503.00 | $25.55 – $503.00 | 14 |
| X-ray forearm 2 views (both sides) CPT 73090 | $396.00 | $550.00 | $51.11 – $550.00 | 14 |
| X-ray hand 2 views (both sides) CPT 73120 | $288.72 | $401.00 | $25.55 – $401.00 | 14 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $370.80 | $515.00 | $25.55 – $515.00 | 14 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $332.64 | $462.00 | $44.81 – $462.00 | 14 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $465.12 | $646.00 | $51.11 – $646.00 | 14 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $478.08 | $664.00 | $44.81 – $664.00 | 14 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $534.96 | $743.00 | $44.81 – $743.00 | 14 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $250.56 | $348.00 | $51.11 – $348.00 | 14 |
| X-ray humerus >= 2 views left CPT 73060 | $517.68 | $719.00 | $25.55 – $719.00 | 14 |
| X-ray joint survey 1 view CPT 77077 | $285.84 | $397.00 | $51.11 – $397.00 | 14 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $306.72 | $426.00 | $51.11 – $426.00 | 14 |
| X-ray knee 3 views (both sides) CPT 73562 | $501.12 | $696.00 | $51.11 – $696.00 | 14 |
| X-ray knee ap standing bilateral CPT 73565 | $313.92 | $436.00 | $51.11 – $436.00 | 14 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $278.64 | $387.00 | $51.11 – $387.00 | 14 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $594.72 | $826.00 | $51.11 – $826.00 | 14 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $910.08 | $1,264.00 | $44.81 – $1,264.00 | 14 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,058.40 | $1,470.00 | $51.11 – $1,470.00 | 14 |
| X-ray mandible complete > 4 views CPT 70110 | $821.52 | $1,141.00 | $51.11 – $1,141.00 | 14 |
| X-ray mandible ltd <4 views CPT 70100 | $441.36 | $613.00 | $51.11 – $613.00 | 14 |
| X-ray nasal bones complete > 3 views CPT 70160 | $564.48 | $784.00 | $25.55 – $784.00 | 14 |
| X-ray neck soft tissue CPT 70360 | $448.56 | $623.00 | $51.11 – $623.00 | 14 |
| X-ray nose to rectum for foreign body child CPT 76010 | $354.96 | $493.00 | $51.11 – $493.00 | 14 |
| X-ray pelvis 1-2 views CPT 72170 | $406.80 | $565.00 | $51.11 – $565.00 | 14 |
| X-ray pelvis complete > 3 views CPT 72190 | $496.80 | $690.00 | $51.11 – $690.00 | 14 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,103.76 | $1,533.00 | $107.70 – $1,533.00 | 14 |
| X-ray ribs 2 views left CPT 71100 | $527.04 | $732.00 | $51.11 – $732.00 | 14 |
| X-ray ribs 3 views bilateral CPT 71110 | $875.52 | $1,216.00 | $44.81 – $1,216.00 | 14 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $629.28 | $874.00 | $51.11 – $874.00 | 14 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $909.36 | $1,263.00 | $44.81 – $1,263.00 | 14 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $562.32 | $781.00 | $51.11 – $781.00 | 14 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $538.56 | $748.00 | $37.30 – $748.00 | 14 |
| X-ray scapula complete (both sides) CPT 73010 | $491.76 | $683.00 | $51.11 – $683.00 | 14 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $272.88 | $379.00 | $51.11 – $379.00 | 14 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $655.20 | $910.00 | $51.11 – $910.00 | 14 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,151.28 | $1,599.00 | $107.70 – $1,599.00 | 14 |
| X-ray skull < 4 views CPT 70250 | $372.24 | $517.00 | $51.11 – $517.00 | 14 |
| X-ray skull > 4 views complete CPT 70260 | $771.84 | $1,072.00 | $51.11 – $1,072.00 | 14 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $813.60 | $1,130.00 | $107.70 – $1,130.00 | 14 |
| X-ray small intestine follow-through study CPT 74248 | $1,399.68 | $1,944.00 | $107.70 – $1,944.00 | 3 |
| X-ray spine single view CPT 72020 | $521.28 | $724.00 | $51.11 – $724.00 | 14 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $347.04 | $482.00 | $51.11 – $482.00 | 14 |
| X-ray sternum > 2 views CPT 71120 | $560.16 | $778.00 | $51.11 – $778.00 | 14 |
| X-ray surgical specimen CPT 76098 | $705.60 | $980.00 | $28.12 – $1,359.06 | 14 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,074.96 | $1,493.00 | $107.70 – $1,493.00 | 14 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $579.60 | $805.00 | $51.11 – $805.00 | 14 |
| X-ray thoracic spine 2 views CPT 72070 | $363.60 | $505.00 | $51.11 – $505.00 | 14 |
| X-ray thoracic spine 3 views CPT 72072 | $768.96 | $1,068.00 | $44.81 – $1,068.00 | 14 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $396.72 | $551.00 | $51.11 – $551.00 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $250.56 | $348.00 | $51.11 – $348.00 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $412.56 | $573.00 | $51.11 – $573.00 | 14 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $419.04 | $582.00 | $25.55 – $582.00 | 14 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $499.00 | $499.00 | $37.30 – $499.00 | 14 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $2,006.64 | $2,787.00 | $107.70 – $786.00 | 14 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,399.68 | $1,944.00 | $107.70 – $1,944.00 | 14 |
| X-ray wrist 2 views (both sides) CPT 73100 | $348.48 | $484.00 | $25.55 – $484.00 | 14 |
| Zika virus igm antibody CPT 86794 | $211.68 | $294.00 | $8.50 – $294.00 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $248.72 | $345.45 | $15.10 – $345.45 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $234.96 | $326.34 | $8.38 – $294.00 | 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.