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 |
|---|---|---|---|---|
| Conversion ext bil drg cath CPT 47535 | $5,393.52 | $7,491.00 | $2,015.85 – $8,905.27 | 14 |
| Convert nephrostomy catheter CPT 50434 | $3,731.04 | $5,182.00 | $1,332.50 – $5,199.26 | 14 |
| Coombs direct CPT 86880 | $64.80 | $90.00 | $3.27 – $142.24 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $187.92 | $261.00 | $3.27 – $410.79 | 14 |
| Core ndl bx lng/med perq CPT 32408 | $2,904.48 | $4,034.00 | $906.66 – $4,107.90 | 14 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $12,233.52 | $16,991.00 | $2,195.44 – $16,991.00 | 14 |
| Coronary angio/lv gram/lt heart CPT 93458 | $10,246.32 | $14,231.00 | $1,097.72 – $14,231.00 | 14 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $13,218.48 | $18,359.00 | $2,195.44 – $18,359.00 | 14 |
| Coronary art/grft angio s&i CPT 93455 | $10,141.20 | $14,085.00 | $2,195.44 – $14,085.00 | 14 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $8,955.36 | $12,438.00 | $2,195.44 – $12,438.00 | 14 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $865.44 | $1,202.00 | $419.97 – $1,202.00 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | not published | 0 |
| Correction of astigmatism CPT 65772 | not published | not published | not published | 0 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | not published | 0 |
| Cortisol total am CPT 82533 | $201.60 | $280.00 | $9.74 – $280.00 | 14 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,128.06 | $1,566.75 | $34.07 – $1,566.75 | 3 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,376.00 | $3,300.00 | $1,500.00 – $1,500.00 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $45.36 | $63.00 | $8.50 – $63.00 | 14 |
| C-peptide CPT 84681 | $195.12 | $271.00 | $8.82 – $271.00 | 14 |
| C-reactive protein CPT 86140 | $145.44 | $202.00 | $5.18 – $202.00 | 14 |
| C-reactive protein high sensitivity CPT 86141 | $122.40 | $170.00 | $8.50 – $170.00 | 14 |
| C-reactive protein, quantitative CPT 86406 | $56.16 | $78.00 | $8.50 – $78.00 | 14 |
| Create eardrum opening CPT 69436 | not published | not published | not published | 0 |
| Creatine kinase CPT 82550 | $94.32 | $131.00 | $3.99 – $131.00 | 14 |
| Creatine kinase isoenzymes CPT 82552 | $92.16 | $128.00 | $8.82 – $128.00 | 14 |
| Creatine kinase mb CPT 82553 | $218.88 | $304.00 | $8.82 – $304.00 | 14 |
| Creatinine CPT 82565 | $61.20 | $85.00 | $3.99 – $12.80 | 14 |
| Creatinine 24 hour urine CPT 82570 | $125.28 | $174.00 | $3.99 – $174.00 | 14 |
| Creatinine clearance urine CPT 82575 | $182.16 | $253.00 | $3.99 – $253.00 | 14 |
| #creutz-prot.,western blot CPT 84182 | $182.16 | $253.00 | $29.21 – $253.00 | 14 |
| Critical care 30-74 minutes CPT 99291 | $2,249.28 | $3,124.00 | $948.04 – $3,124.00 | 13 |
| Critical care each additional 30 minutes CPT 99292 | $1,087.92 | $1,511.00 | $1,511.00 – $1,511.00 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $44.64 | $62.00 | $8.82 – $62.00 | 14 |
| Cryoprecipitate each unit HCPCS P9012 | $106.56 | $148.00 | $77.06 – $167.00 | 14 |
| Cryptococcus abs qn - sendout CPT 86641 | $90.72 | $126.00 | $8.50 – $126.00 | 14 |
| Crystal identification light microscopy CPT 89060 | $84.96 | $118.00 | $3.66 – $118.00 | 14 |
| Csf leakage imaging CPT 78650 | $3,209.04 | $4,457.00 | $800.98 – $4,457.00 | 14 |
| CT 3d report other modality w/workstation CPT 76377 | $897.12 | $1,246.00 | $1,246.00 – $1,246.00 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,059.28 | $4,249.00 | $201.31 – $4,249.00 | 15 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $4,887.36 | $6,788.00 | $75.19 – $6,788.00 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $5,018.40 | $6,970.00 | $201.31 – $6,970.00 | 15 |
| Cta neck without &/or w/contrast CPT 70498 | $2,334.96 | $3,243.00 | $201.31 – $3,243.00 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,999.76 | $8,333.00 | $149.54 – $8,333.00 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $4,502.88 | $6,254.00 | $75.19 – $6,254.00 | 15 |
| CT Angiogram of the Head CPT 70496 | $4,331.52 | $6,016.00 | $201.31 – $6,016.00 | 15 |
| CT angio hrt w/3d image CPT 75574 | $2,366.64 | $3,287.00 | $338.01 – $3,287.00 | 14 |
| CT angio pelvis CPT 72191 | $4,276.80 | $5,940.00 | $201.31 – $5,940.00 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $4,170.24 | $5,792.00 | $201.31 – $5,792.00 | 15 |
| CT guidance for needle placement CPT 77012 | $3,738.96 | $5,193.00 | $74.96 – $5,193.00 | 4 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,964.88 | $2,729.00 | $183.97 – $2,729.00 | 3 |
| CT hrt w/3d image CPT 75572 | $1,807.20 | $2,510.00 | $276.64 – $2,510.00 | 14 |
| CT limited or localized follow-up study CPT 76380 | $1,233.36 | $1,713.00 | $97.12 – $1,713.00 | 15 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,500.56 | $3,473.00 | $201.31 – $3,473.00 | 15 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,273.04 | $3,157.00 | $97.12 – $3,157.00 | 15 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,658.24 | $3,692.00 | $201.31 – $3,692.00 | 15 |
| CT neck soft tissue w/contrast CPT 70491 | $2,841.84 | $3,947.00 | $201.31 – $3,947.00 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $2,060.64 | $2,862.00 | $97.12 – $2,862.00 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,743.28 | $5,199.00 | $201.31 – $5,199.00 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,295.44 | $4,577.00 | $201.31 – $4,577.00 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,895.84 | $4,022.00 | $201.31 – $4,022.00 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,493.36 | $3,463.00 | $97.12 – $3,463.00 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $437.04 | $607.00 | $154.17 – $607.00 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,193.52 | $9,991.00 | $149.54 – $9,991.00 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,604.48 | $7,784.00 | $138.32 – $7,784.00 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,636.00 | $5,050.00 | $102.28 – $5,050.00 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $3,547.44 | $4,927.00 | $201.31 – $4,927.00 | 15 |
| CT thoracic spine without contrast CPT 72128 | $2,957.04 | $4,107.00 | $97.12 – $4,107.00 | 15 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $248.40 | $345.00 | $44.81 – $345.00 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $3,793.68 | $5,269.00 | $201.31 – $5,269.00 | 15 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,380.32 | $3,306.00 | $276.64 – $3,306.00 | 15 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,062.08 | $2,864.00 | $97.12 – $2,864.00 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,903.76 | $4,033.00 | $201.31 – $4,033.00 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $80.64 | $112.00 | $7.78 – $112.00 | 14 |
| Culture afb any source CPT 87116 | $82.80 | $115.00 | $7.78 – $115.00 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $89.28 | $124.00 | $7.78 – $124.00 | 14 |
| Culture anaerobic except blood CPT 87075 | $202.32 | $281.00 | $7.78 – $281.00 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $82.80 | $115.00 | $7.78 – $115.00 | 14 |
| Culture body fluid CPT 87070 | $104.40 | $145.00 | $7.78 – $19.40 | 14 |
| Culture fungi definitive id mold CPT 87107 | $90.00 | $125.00 | $7.78 – $125.00 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $75.60 | $105.00 | $7.78 – $105.00 | 14 |
| Culture fungi other (except blood) CPT 87102 | $118.08 | $164.00 | $7.78 – $164.00 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $65.52 | $91.00 | $7.71 – $91.00 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $92.16 | $128.00 | $7.78 – $128.00 | 14 |
| Culture mycoplasma any source CPT 87109 | $102.96 | $143.00 | $7.78 – $143.00 | 14 |
| Culture screening strep group a CPT 87081 | $89.28 | $124.00 | $6.63 – $121.00 | 14 |
| Culture typing immunologic CPT 87147 | $15.12 | $21.00 | $5.18 – $21.00 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $150.51 – $851.00 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $189.36 | $263.00 | $31.63 – $78.95 | 14 |
| Culture urine each isolate CPT 87088 | $42.48 | $59.00 | $7.78 – $59.00 | 14 |
| Cutter lead HCPCS C1773 | $864.00 | $1,200.00 | $225.00 – $225.00 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $20.16 | $28.00 | $8.82 – $32.22 | 14 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $77.11 | $107.10 | $1.06 – $107.10 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $239.04 | $332.00 | $8.50 – $332.00 | 14 |
| Cyclosporine 2 hour CPT 80158 | $200.88 | $279.00 | $8.95 – $279.00 | 14 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.98 | $2.75 | $0.87 – $2.75 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | $7.92 | $11.00 | $2.99 – $11.00 | 3 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $25,020.00 | $34,750.00 | $5,700.00 – $5,700.00 | 1 |
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.