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 |
|---|---|---|---|---|
| Cyp2c19 gene com variants CPT 81225 | $526.32 | $731.00 | $121.56 – $731.00 | 14 |
| Cystatin c CPT 82610 | $102.96 | $143.00 | $8.82 – $143.00 | 14 |
| Cystic fibrosis cftr CPT 81223 | $3,049.92 | $4,236.00 | $265.21 – $4,236.00 | 14 |
| Cystine urine quantitative CPT 82131 | $127.44 | $177.00 | $8.82 – $177.00 | 14 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $719.28 | $999.00 | $107.70 – $999.00 | 14 |
| Cystoscopy and treatment CPT 52214 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52224 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52234 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52235 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52240 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52260 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52276 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52310 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52315 | not published | not published | not published | 0 |
| Cystoscopy and treatment CPT 52320 | not published | not published | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,435.68 | $1,994.00 | $800.29 – $1,994.00 | 14 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | not published | 0 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | not published | 0 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,480.56 | $6,223.00 | $1,417.01 – $6,223.00 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $129.60 | $180.00 | $8.50 – $180.00 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $117.36 | $163.00 | $8.50 – $163.00 | 14 |
| Cyto/molecular report CPT 88291 | $76.32 | $106.00 | $76.01 – $106.00 | 3 |
| Cytopath fl nongyn filter CPT 88106 | $79.92 | $111.00 | $24.25 – $111.00 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $185.76 | $258.00 | $24.25 – $258.00 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $180.00 | $250.00 | $15.10 – $66.53 | 14 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $116.64 | $162.00 | $15.10 – $50.65 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $160.56 | $223.00 | $24.25 – $223.00 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $133.20 | $185.00 | $24.25 – $185.00 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $54.72 | $76.00 | $8.60 – $25.40 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $187.92 | $261.00 | $22.16 – $410.79 | 14 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $427.68 | $594.00 | $55.84 – $139.61 | 14 |
| Cytopath smear other source CPT 88160 | $54.00 | $75.00 | $24.25 – $75.00 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.76 | $1.05 | $0.05 – $0.57 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | not published | 0 |
| Dch validity tests CPT 81002 | $43.20 | $60.00 | $2.22 – $60.00 | 14 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $30.96 | $43.00 | $8.50 – $43.00 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $435.60 | $605.00 | $46.33 – $605.00 | 15 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,620.80 | $3,640.00 | $924.24 – $4,107.90 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $722.16 | $1,003.00 | $924.24 – $1,003.00 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,381.76 | $3,308.00 | $924.24 – $3,308.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $842.40 | $1,170.00 | $347.42 – $1,170.00 | 14 |
| Debride nail1-5 11720 CPT 11720 | $241.92 | $336.00 | $60.45 – $336.00 | 14 |
| Debride nail6 or more 11721 CPT 11721 | $241.92 | $336.00 | $60.45 – $336.00 | 14 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $842.40 | $1,170.00 | $924.24 – $1,170.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $994.32 | $1,381.00 | $347.42 – $1,838.24 | 14 |
| Decalcification CPT 88311 | $109.44 | $152.00 | $29.34 – $152.00 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $639.36 | $888.00 | $141.58 – $888.00 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $108.03 | $150.04 | $29.46 – $150.03 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $415.44 | $577.00 | $152.70 – $577.00 | 14 |
| Dermagraft HCPCS Q4106 | $132.48 | $184.00 | $84.05 – $184.00 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $104.52 | $145.16 | $5.63 – $116.50 | 5 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,983.20 | $8,310.00 | $1,164.48 – $5,540.00 | 14 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $770.40 | $1,070.00 | $363.04 – $820.00 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | $371.52 | $516.00 | $150.25 – $516.00 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,229.76 | $1,708.00 | $1,137.00 – $1,137.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,983.20 | $8,310.00 | $1,164.48 – $6,371.00 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $528.48 | $734.00 | $37.30 – $734.00 | 14 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.27 | $0.38 | $0.02 – $0.19 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $7.94 | $11.03 | $0.18 – $1.83 | 3 |
| Dextran 40 infusion HCPCS J7100 | $736.49 | $1,022.90 | $628.63 – $1,022.90 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $32.40 | $45.00 | $9.98 – $45.00 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $32.40 | $45.00 | $2.89 – $45.00 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $32.40 | $45.00 | $4.85 – $45.00 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $106.56 | $148.00 | $9.74 – $148.00 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $120.96 | $168.00 | $3.99 – $130.00 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $44.64 | $62.00 | $15.58 – $62.00 | 14 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $432.00 | $600.00 | $154.17 – $600.00 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $562.32 | $781.00 | $43.46 – $253.43 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $476.64 | $662.00 | $43.46 – $197.23 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,212.56 | $3,073.00 | $3,073.00 – $3,073.00 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.50 | $0.69 | $0.12 – $0.69 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $178.13 | $247.40 | $11.04 – $137.03 | 3 |
| Dicyclomine injection HCPCS J0500 | $412.78 | $573.30 | $18.69 – $356.40 | 3 |
| Diffusing capacity CPT 94729 | $178.56 | $248.00 | $52.41 – $248.00 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $58.21 | $80.85 | $15.79 – $80.85 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $148.32 | $206.00 | $8.95 – $206.00 | 14 |
| Dilate urethra stricture CPT 53600 | not published | not published | not published | 0 |
| Dilate urethra stricture CPT 53605 | not published | not published | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $864.00 | $1,200.00 | $150.00 – $150.00 | 1 |
| Dilat xst trc new access rcs CPT 50437 | $4,684.32 | $6,506.00 | $1,332.50 – $8,767.43 | 14 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $0.73 | $1.01 | $0.05 – $0.83 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $31.86 | $44.25 | $1.17 – $44.25 | 3 |
| Disaccharidases CPT 82657 | $335.52 | $466.00 | $8.82 – $466.00 | 14 |
| #d/lmeth-l-methamphetamine CPT 80374 | $218.16 | $303.00 | $10.33 – $303.00 | 3 |
| Dna antibody native/double stranded CPT 86225 | $136.80 | $190.00 | $8.50 – $190.00 | 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.