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 |
|---|---|---|---|---|
| Bebtelovimab injection HCPCS M0222 | $410.40 | $570.00 | $42.15 – $570.00 | 3 |
| Benign lesion paring 2-4 CPT 11056 | $241.92 | $336.00 | $150.25 – $499.02 | 14 |
| Benign lesion paring 4+ CPT 11057 | $241.92 | $336.00 | $150.25 – $499.02 | 14 |
| #_benzodiazconfur CPT 80346 | $140.40 | $195.00 | $10.33 – $195.00 | 3 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $330.75 | $459.38 | $22.80 – $459.38 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $147.60 | $205.00 | $8.50 – $205.00 | 14 |
| Beta-2 microglobulin CPT 82232 | $111.60 | $155.00 | $9.74 – $155.00 | 14 |
| Beta-amyloid 1-40 CPT 82233 | $468.00 | $650.00 | $128.92 – $650.00 | 13 |
| Beta-amyloid 1-42 CPT 82234 | $468.00 | $650.00 | $128.92 – $650.00 | 13 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $116.50 | $161.80 | $11.40 – $161.80 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,445.04 | $2,007.00 | $1,015.11 – $2,199.88 | 14 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,001.52 | $1,391.00 | $352.29 – $927.00 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $631.44 | $877.00 | $352.29 – $877.00 | 14 |
| Bilicheck CPT 88720 | $90.72 | $126.00 | $4.38 – $126.00 | 14 |
| Bilirubin direct CPT 82248 | $88.56 | $123.00 | $3.99 – $123.00 | 14 |
| Bilirubin total CPT 82247 | $102.96 | $143.00 | $3.99 – $143.00 | 14 |
| Biopsy abdominal mass CPT 49180 | $1,895.76 | $2,633.00 | $656.61 – $4,107.90 | 14 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,895.76 | $2,633.00 | $621.45 – $4,107.90 | 14 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $5,154.48 | $7,159.00 | $1,507.65 – $7,224.69 | 14 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,895.76 | $2,633.00 | $621.45 – $4,107.90 | 14 |
| Biopsy needle liver percutaneous CPT 47000 | $1,895.76 | $2,633.00 | $656.61 – $4,107.90 | 14 |
| Biopsy needle lymph node superficial CPT 38505 | $1,648.08 | $2,289.00 | $174.74 – $4,107.90 | 14 |
| Biopsy of penis CPT 54105 | not published | not published | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | not published | 0 |
| Biopsy of prostate CPT 55700 | not published | not published | not published | 0 |
| Biopsy oocyte polar body CPT 89291 | $216.00 | $300.00 | $88.62 – $410.79 | 14 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,895.76 | $2,633.00 | $1,332.50 – $4,107.90 | 14 |
| Biopsy skin incisional single lesion CPT 11106 | $716.40 | $995.00 | $382.65 – $1,838.24 | 14 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,047.76 | $4,233.00 | $1,895.54 – $4,233.00 | 14 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $468.00 | $650.00 | $78.42 – $650.00 | 14 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | not published | 0 |
| Blm gene CPT 81209 | $119.52 | $166.00 | $34.38 – $166.00 | 14 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,560.00 | $10,500.00 | $10.00 – $10.00 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $864.00 | $1,200.00 | $18.00 – $18.00 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,512.00 | $2,100.00 | $2,100.00 – $2,100.00 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $11,556.00 | $16,050.00 | $1,500.00 – $1,500.00 | 1 |
| Bln press regulation 71-80cm HCPCS C1815 | $14,220.00 | $19,750.00 | $10,500.00 – $10,500.00 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,634.48 | $3,659.00 | $1,015.11 – $3,659.00 | 14 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,629.36 | $2,263.00 | $1,015.11 – $2,263.00 | 14 |
| Block tap inj(s) w/wo img bi CPT 64488 | $2,444.40 | $3,395.00 | $1,164.48 – $3,395.00 | 3 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,629.36 | $2,263.00 | $363.04 – $2,263.00 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $47.52 | $66.00 | $3.27 – $66.00 | 14 |
| Blood Clotting (PTT) Test CPT 85730 | $41.76 | $58.00 | $3.27 – $58.00 | 14 |
| Blood Count (CBC) Test CPT 85025 | $38.88 | $54.00 | $4.38 – $19.43 | 14 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $31.68 | $44.00 | $4.38 – $16.18 | 14 |
| Blood Culture Test CPT 87040 | $81.36 | $113.00 | $7.78 – $113.00 | 14 |
| Blood draw capillary 36416 CPT 36416 | $7.20 | $10.00 | $2.48 – $10.00 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $390.96 | $543.00 | $50.26 – $543.00 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $111.60 | $155.00 | $8.82 – $155.00 | 14 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $57.60 | $80.00 | $3.99 – $80.00 | 14 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $23.04 | $32.00 | $3.80 – $32.00 | 14 |
| Blood typing abo CPT 86900 | $141.12 | $196.00 | $3.27 – $320.80 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $453.60 | $630.00 | $3.27 – $864.26 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $393.84 | $547.00 | $3.27 – $864.26 | 14 |
| Blood typing rh (d) CPT 86901 | $43.20 | $60.00 | $3.27 – $90.06 | 14 |
| Blood typing rh phenotype complete reference CPT 86906 | $131.04 | $182.00 | $3.27 – $182.00 | 14 |
| Bone biopsy open superficial CPT 20240 | not published | not published | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $729.36 | $1,013.00 | $44.81 – $1,013.00 | 14 |
| Bone imaging multiple areas CPT 78305 | $1,225.44 | $1,702.00 | $334.42 – $1,702.00 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $1,031.04 | $1,432.00 | $334.42 – $1,432.00 | 14 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,852.64 | $3,962.00 | $1,507.65 – $4,107.90 | 14 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $144.00 | $200.00 | $8.50 – $200.00 | 14 |
| Borrelia miyamotoi amp prb CPT 87478 | $200.88 | $279.00 | $31.63 – $279.00 | 14 |
| (both sides) smear without diff wbc count CPT 85008 | $61.20 | $85.00 | $3.43 – $85.00 | 14 |
| Bowel imaging CPT 78290 | $1,013.04 | $1,407.00 | $334.42 – $1,407.00 | 14 |
| Brach/thor cath 1st CPT 36215 | $2,594.16 | $3,603.00 | $622.30 – $3,603.00 | 3 |
| Brach/thor cath 2nd CPT 36216 | $2,641.68 | $3,669.00 | $622.30 – $3,669.00 | 3 |
| Brach/thor cath 3rd CPT 36217 | $2,925.36 | $4,063.00 | $622.30 – $4,063.00 | 3 |
| Brach/thor cath addl CPT 36218 | $1,329.84 | $1,847.00 | $622.30 – $1,847.00 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,145.04 | $5,757.00 | $400.40 – $5,757.00 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,090.24 | $4,292.00 | $400.40 – $4,292.00 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,962.08 | $4,114.00 | $273.84 – $4,114.00 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $4,812.48 | $6,684.00 | $149.54 – $6,684.00 | 15 |
| Brain MRI (with contrast) CPT 70552 | $3,391.20 | $4,710.00 | $370.49 – $4,710.00 | 15 |
| Brain MRI (without contrast) CPT 70551 | $3,178.08 | $4,414.00 | $102.28 – $4,414.00 | 15 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $45.36 | $63.00 | $50.00 – $120.00 | 13 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,827.52 | $5,316.00 | $1,719.40 – $5,316.00 | 14 |
| Breast augmentation 19325 CPT 19325 | not published | not published | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,897.92 | $2,636.00 | $484.55 – $4,107.90 | 14 |
| Breast prosthesis w adhesive HCPCS L8031 | $406.80 | $565.00 | $457.31 – $1,061.42 | 13 |
| Breast prosthes without adhesive HCPCS L8030 | $401.04 | $557.00 | $307.00 – $941.66 | 13 |
| Breast punct aspir cyst, bil CPT 19000 | $822.96 | $1,143.00 | $99.72 – $1,761.29 | 14 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | not published | 0 |
| Breast reduction CPT 19318 | not published | not published | not published | 0 |
| Bronchial challenge CPT 94070 | $1,090.80 | $1,515.00 | $93.91 – $1,515.00 | 14 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $443.52 | $616.00 | $229.09 – $616.00 | 14 |
| Br punct aspir ea add, l CPT 19001 | $146.88 | $204.00 | $26.88 – $204.00 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.97 | $22.18 | $0.59 – $8.82 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $208.08 | $289.00 | $29.34 – $289.00 | 14 |
| Bundled special stain group 2 CPT 88313 | $208.08 | $289.00 | $29.34 – $320.80 | 14 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.84 | $2.55 | $0.02 – $0.13 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $195.84 | $272.00 | $10.33 – $181.00 | 3 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,560.00 | $10,500.00 | $750.00 – $750.00 | 1 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $120.06 | $166.75 | $9.14 – $166.75 | 3 |
| Bx bone trocar/ndl deep CPT 20225 | $2,468.16 | $3,428.00 | $1,628.56 – $4,107.90 | 14 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,427.92 | $4,761.00 | $490.72 – $4,738.86 | 14 |
| Bx breast add lesion strtctc CPT 19082 | $1,970.64 | $2,737.00 | $370.94 – $1,268.34 | 3 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $995.04 | $1,382.00 | $364.04 – $1,268.34 | 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.