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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $169.92 | $236.00 | $6.67 – $236.00 | 14 |
| Chromatography CPT 83021 | $109.44 | $152.00 | $4.38 – $152.00 | 14 |
| Chromosome analysis 15-20 cell count CPT 88262 | $835.20 | $1,160.00 | $34.38 – $957.00 | 14 |
| Chromosome study additional CPT 88289 | $133.20 | $185.00 | $34.38 – $185.00 | 14 |
| Chronic urticaria - sendout CPT 86343 | $163.44 | $227.00 | $8.50 – $227.00 | 14 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.04 | $51.45 | $3.30 – $45.50 | 3 |
| Circum 28 days or older CPT 54161 | $3,860.64 | $5,362.00 | $896.79 – $5,362.00 | 14 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $781.20 | $1,085.00 | $800.29 – $1,734.34 | 14 |
| Circumcision (newborn) CPT 54150 | $2,084.40 | $2,895.00 | $1,793.58 – $5,199.26 | 14 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,376.00 | $3,300.00 | $750.00 – $750.00 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $65.51 | $90.98 | $3.15 – $63.92 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $756.00 | $1,050.00 | $30.00 – $30.00 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $465.70 | $646.80 | $28.43 – $382.85 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $627.84 | $872.00 | $283.10 – $872.00 | 14 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,093.84 | $4,297.00 | $418.59 – $4,297.00 | 14 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,914.56 | $4,048.00 | $418.59 – $4,048.00 | 14 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $547.92 | $761.00 | $283.10 – $761.00 | 14 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $423.36 | $588.00 | $154.17 – $589.10 | 14 |
| Clot factor xii hageman CPT 85280 | $87.12 | $121.00 | $18.69 – $121.00 | 14 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $630.00 | $875.00 | $283.10 – $875.00 | 14 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $442.08 | $614.00 | $283.10 – $614.00 | 14 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $468.72 | $651.00 | $283.10 – $651.00 | 14 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $591.84 | $822.00 | $283.10 – $822.00 | 14 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $547.92 | $761.00 | $283.10 – $761.00 | 14 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $425.52 | $591.00 | $283.10 – $613.52 | 14 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,103.12 | $2,921.00 | $418.59 – $3,999.44 | 14 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,036.96 | $4,218.00 | $209.30 – $4,218.00 | 14 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $464.40 | $645.00 | $283.10 – $645.00 | 14 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $499.68 | $694.00 | $283.10 – $694.00 | 14 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $447.84 | $622.00 | $283.10 – $622.00 | 14 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,986.56 | $4,148.00 | $418.59 – $4,148.00 | 14 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $433.44 | $602.00 | $283.10 – $613.52 | 14 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,874.24 | $3,992.00 | $418.59 – $3,999.44 | 14 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,817.36 | $3,913.00 | $418.59 – $3,999.44 | 14 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $332.64 | $462.00 | $154.17 – $613.52 | 14 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $447.84 | $622.00 | $283.10 – $622.00 | 14 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $425.52 | $591.00 | $283.10 – $613.52 | 14 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,242.80 | $3,115.00 | $418.59 – $3,999.44 | 14 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,874.24 | $3,992.00 | $418.59 – $3,999.44 | 14 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,874.24 | $3,992.00 | $418.59 – $3,999.44 | 14 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,874.24 | $3,992.00 | $418.59 – $3,999.44 | 14 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $620.64 | $862.00 | $120.64 – $928.13 | 14 |
| C motor evoked uppr limbs CPT 95928 | $1,190.16 | $1,653.00 | $120.64 – $2,135.88 | 14 |
| #cmvcul-virus inoculation shell CPT 87254 | $162.00 | $225.00 | $7.78 – $128.00 | 14 |
| Cmv pcr-sendout CPT 87496 | $143.28 | $199.00 | $31.63 – $199.00 | 14 |
| Coagulation time activated teg CPT 85347 | $95.04 | $132.00 | $3.27 – $132.00 | 14 |
| Cold agglutinin titer CPT 86157 | $133.20 | $185.00 | $8.06 – $185.00 | 14 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $61.20 | $85.00 | $85.00 – $85.00 | 1 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $78.48 | $109.00 | $47.81 – $110.96 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $170.64 | $237.00 | $68.36 – $320.80 | 14 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $150.48 | $209.00 | $68.36 – $320.80 | 14 |
| Collection of venous blood by venipuncture CPT 36415 | $23.04 | $32.00 | $2.48 – $23.35 | 14 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | not published | 0 |
| Colonoscopy w/injection CPT 44404 | not published | not published | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | not published | 0 |
| Colonoscopy w/resection CPT 45390 | not published | not published | not published | 0 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $4,860.00 | $6,750.00 | $2,216.94 – $8,051.47 | 14 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $187.92 | $261.00 | $119.60 – $410.79 | 14 |
| Compatibility test each unit immediate spin technique CPT 86920 | $195.84 | $272.00 | $119.60 – $410.79 | 14 |
| Compatibility test incubate CPT 86921 | $216.00 | $300.00 | $119.60 – $410.79 | 14 |
| Complement antigen each component c3 CPT 86160 | $118.08 | $164.00 | $8.50 – $164.00 | 14 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,102.32 | $1,531.00 | $382.65 – $1,838.24 | 14 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | not published | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,033.92 | $1,436.00 | $382.65 – $1,436.00 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | $13.68 | $19.00 | $19.00 – $19.00 | 1 |
| Concentration infection agents any type CPT 87015 | $61.20 | $85.00 | $6.68 – $85.00 | 14 |
| Condylomata destruction 56420 CPT 56420 | $344.88 | $479.00 | $192.27 – $502.85 | 14 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | not published | 0 |
| Conization of cervix CPT 57520 | not published | not published | not published | 0 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $3,988.94 | $5,540.20 | $171.29 – $5,540.20 | 15 |
| Consultation pathology during surgery CPT 88329 | $141.84 | $197.00 | $63.22 – $197.00 | 14 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,355.04 | $1,882.00 | $76.01 – $1,942.61 | 14 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $118.80 | $165.00 | $25.14 – $79.63 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $889.20 | $1,235.00 | $40.69 – $456.43 | 14 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $315.36 | $438.00 | $55.84 – $438.00 | 14 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $134.64 | $187.00 | $40.03 – $187.00 | 14 |
| Contrast baths charges CPT 97034 | $89.28 | $124.00 | $13.64 – $124.00 | 15 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,811.04 | $6,682.00 | $1,540.53 – $7,853.37 | 14 |
| Contrast exam thoracic aorta CPT 75600 | $4,477.68 | $6,219.00 | $1,540.53 – $7,853.37 | 14 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $6,324.48 | $8,784.00 | $4,022.48 – $13,840.14 | 14 |
| Contrast x-ray of ankle CPT 73615 | $516.24 | $717.00 | $107.70 – $867.73 | 14 |
| Contrast x-ray of elbow CPT 73085 | $454.32 | $631.00 | $107.70 – $867.73 | 14 |
| Contrast x-ray of hip CPT 73525 | $820.08 | $1,139.00 | $107.70 – $1,139.00 | 14 |
| Contrast x-ray of knee joint CPT 73580 | $784.08 | $1,089.00 | $107.70 – $1,089.00 | 14 |
| Contrast x-ray of wrist CPT 73115 | $593.28 | $824.00 | $107.70 – $867.73 | 14 |
| Controller infinity pt dbs HCPCS C1787 | $2,808.00 | $3,900.00 | $2,700.00 – $2,700.00 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $332.64 | $462.00 | $152.70 – $462.00 | 14 |
| Control of nosebleed ant comp 30903 CPT 30903 | $231.12 | $321.00 | $152.70 – $330.92 | 14 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $387.36 | $538.00 | $152.70 – $538.00 | 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.