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 |
|---|---|---|---|---|
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $238.14 | $330.75 | $13.23 – $330.75 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $15.00 | $20.83 | $1.32 – $20.83 | 3 |
| Doppler echo complete CPT 93320 | $393.84 | $547.00 | $394.09 – $547.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $930.96 | $1,293.00 | $75.42 – $1,293.00 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $487.44 | $677.00 | $49.73 – $677.00 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $2.79 | $3.87 | $0.17 – $3.70 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,457.28 | $2,024.00 | $812.73 – $2,024.00 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $1,267.20 | $1,760.00 | $154.17 – $1,761.29 | 14 |
| Drainage of arm bursa 23931 CPT 23931 | $3,515.76 | $4,883.00 | $1,628.56 – $4,883.00 | 14 |
| Drainage of kidney lesion CPT 50390 | $1,440.00 | $2,000.00 | $367.22 – $2,000.00 | 14 |
| Drainage of mouth lesion CPT 41018 | $2,941.92 | $4,086.00 | $1,654.11 – $4,086.00 | 14 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,208.32 | $4,456.00 | $2,047.22 – $6,903.70 | 14 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,396.88 | $3,329.00 | $2,399.14 – $5,199.26 | 14 |
| Drain blood from under nail 11740 CPT 11740 | $131.04 | $182.00 | $60.45 – $330.92 | 14 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,730.32 | $5,181.00 | $656.61 – $5,181.00 | 14 |
| Drain cath image guided visceral pq CPT 49405 | $2,566.08 | $3,564.00 | $656.61 – $4,107.90 | 14 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $27.36 | $38.00 | $38.00 – $38.00 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $489.60 | $680.00 | $150.25 – $680.00 | 14 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,819.68 | $6,694.00 | $1,628.56 – $7,224.69 | 14 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $406.08 | $564.00 | $165.87 – $564.00 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $496.08 | $689.00 | $165.87 – $689.00 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $406.80 | $565.00 | $347.42 – $1,011.10 | 14 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,904.48 | $4,034.00 | $976.26 – $4,107.90 | 14 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $112.57 | $156.35 | $11.85 – $156.30 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,649.52 | $2,291.00 | $2,291.00 – $2,291.00 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $15.12 | $21.00 | $21.00 – $309.52 | 14 |
| Drug assay posaconazole CPT 80187 | $233.28 | $324.00 | $8.95 – $324.00 | 14 |
| Drug assay rufinamide CPT 80210 | $125.28 | $174.00 | $8.95 – $174.00 | 14 |
| Drug assay vedolizumab CPT 80280 | $286.56 | $398.00 | $8.95 – $398.00 | 14 |
| Drug assay voriconazole CPT 80285 | $226.80 | $315.00 | $8.95 – $315.00 | 14 |
| Drug asy hydroxychloroquine CPT 80220 | $225.36 | $313.00 | $8.95 – $313.00 | 14 |
| Drug of abuse screen urine CPT 80305 | $95.76 | $133.00 | $10.33 – $133.00 | 14 |
| Drug screening tapentadol CPT 80372 | $107.28 | $149.00 | $10.33 – $149.00 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | $182.88 | $254.00 | $51.50 – $257.47 | 14 |
| Drug test def 22+ classes HCPCS G0483 | $616.32 | $856.00 | $119.86 – $856.00 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $87.84 | $122.00 | $10.33 – $122.00 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $301.68 | $419.00 | $51.50 – $325.00 | 14 |
| Drvvt confirm - quest CPT 85597 | $70.56 | $98.00 | $3.27 – $98.00 | 14 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,851.28 | $5,349.00 | $1,164.48 – $5,349.00 | 14 |
| Duplex scan bilateral study 93985 CPT 93985 | $767.52 | $1,066.00 | $99.47 – $1,066.00 | 14 |
| Duplex scan unilateral study 93986 CPT 93986 | $383.76 | $533.00 | $99.47 – $533.00 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $415.44 | $577.00 | $99.47 – $577.00 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,108.08 | $1,539.00 | $99.47 – $1,539.00 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,177.92 | $1,636.00 | $99.47 – $1,636.00 | 14 |
| Dx laryngoscopy newborn CPT 31520 | $992.88 | $1,379.00 | $448.89 – $1,379.00 | 14 |
| Ear cartilage graft CPT 21235 | not published | not published | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $179.28 | $249.00 | $67.71 – $191.00 | 13 |
| Ecg 12 lead tracing only CPT 93005 | $277.92 | $386.00 | $23.40 – $386.00 | 14 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $175.68 | $244.00 | $23.40 – $244.00 | 14 |
| Ecg external < 48 hours recording CPT 93225 | $747.36 | $1,038.00 | $56.20 – $1,038.00 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $738.00 | $1,025.00 | $56.20 – $1,025.00 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,183.76 | $3,033.00 | $234.22 – $3,033.00 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $624.96 | $868.00 | $49.73 – $868.00 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,180.88 | $3,029.00 | $394.09 – $3,029.00 | 14 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $851.04 | $1,182.00 | $273.84 – $1,182.00 | 14 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,659.60 | $2,305.00 | $394.09 – $2,305.00 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $403.20 | $560.00 | $197.04 – $560.00 | 3 |
| Echo guide for amniocentesis CPT 76946 | $499.68 | $694.00 | $102.28 – $694.00 | 3 |
| Echo guide for artery repair CPT 76936 | $769.68 | $1,069.00 | $183.97 – $1,069.00 | 14 |
| Echo stress CPT 93350 | $3,594.96 | $4,993.00 | $394.09 – $4,993.00 | 14 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,945.52 | $4,091.00 | $394.09 – $4,091.00 | 14 |
| Echo transthoracic CPT 93303 | $2,329.92 | $3,236.00 | $394.09 – $3,236.00 | 14 |
| Echo transthoracic CPT 93304 | $935.28 | $1,299.00 | $394.09 – $1,359.06 | 14 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $87.84 | $122.00 | $65.42 – $122.00 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $923.76 | $1,283.00 | $247.82 – $1,283.00 | 14 |
| Eeg recording awake and asleep CPT 95819 | $1,062.72 | $1,476.00 | $247.82 – $1,476.00 | 14 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Egd remove lesion snare CPT 43251 | not published | not published | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $193.68 | $269.00 | $31.63 – $269.00 | 14 |
| Electrolyte panel CPT 80051 | $155.52 | $216.00 | $6.67 – $216.00 | 14 |
| Embolization s&i CPT 75894 | $7,752.24 | $10,767.00 | $183.97 – $10,767.00 | 3 |
| Embo or occlude vascular venous s&i CPT 37241 | $23,633.28 | $32,824.00 | $9,734.69 – $32,824.00 | 14 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $234.72 | $326.00 | $120.64 – $330.92 | 14 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $182.88 | $254.00 | $120.64 – $320.04 | 14 |
| Emg needle test 1-extremity CPT 95860 | $214.56 | $298.00 | $120.64 – $330.92 | 14 |
| Emg needle test 4-extremities CPT 95864 | $315.36 | $438.00 | $120.64 – $438.00 | 14 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $6,582.24 | $9,142.00 | $2,475.29 – $9,142.00 | 14 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $7,630.56 | $10,598.00 | $2,475.29 – $10,598.00 | 14 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $3,291.12 | $4,571.00 | $2,475.29 – $4,571.00 | 3 |
| Endovenous rf abl vein addl CPT 36476 | $3,275.28 | $4,549.00 | $2,475.29 – $4,549.00 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $22.62 | $31.42 | $0.87 – $9.98 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,451.60 | $3,405.00 | $695.24 – $3,405.00 | 3 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $14.55 | $20.21 | $4.95 – $20.21 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $15.44 | $21.44 | $1.83 – $21.44 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $282.86 | $392.86 | $7.74 – $392.86 | 15 |
| Epstein barr early antigen antibody CPT 86663 | $90.72 | $126.00 | $8.50 – $126.00 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $125.28 | $174.00 | $8.50 – $174.00 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $143.28 | $199.00 | $8.50 – $199.00 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $65.25 | $90.63 | $20.50 – $90.63 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $734.54 | $1,020.20 | $15.11 – $860.45 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $238.32 | $331.00 | $96.78 – $331.00 | 13 |
| ER Visit (level 2) CPT 99282 | $398.88 | $554.00 | $176.22 – $554.00 | 13 |
| ER Visit (level 3) CPT 99283 | $738.72 | $1,026.00 | $313.30 – $1,026.00 | 13 |
| ER Visit (level 4) CPT 99284 | $1,144.08 | $1,589.00 | $478.89 – $1,589.00 | 13 |
| ER Visit (level 5, high severity) CPT 99285 | $1,476.00 | $2,050.00 | $683.49 – $2,050.00 | 13 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $17.80 | $24.72 | $0.35 – $7.62 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $131.76 | $183.00 | $0.01 – $0.01 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $200.16 | $278.00 | $57.50 – $57.50 | 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.