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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 3) CPT 99213 | $246.96 | $343.00 | $93.54 – $93.54 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $310.32 | $431.00 | $431.00 – $431.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $393.12 | $546.00 | $546.00 – $546.00 | 1 |
| Estradiol total CPT 82670 | $283.68 | $394.00 | $9.74 – $394.00 | 14 |
| Estrogens total-sendout CPT 82672 | $92.16 | $128.00 | $9.74 – $128.00 | 14 |
| Ethylene glycol -sendout CPT 82693 | $172.08 | $239.00 | $9.08 – $239.00 | 14 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $498.96 | $693.00 | $117.20 – $693.00 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $267.12 | $371.00 | $50.26 – $371.00 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $393.12 | $546.00 | $128.40 – $546.00 | 14 |
| Event monitor CPT 93270 | $1,080.00 | $1,500.00 | $37.97 – $1,500.00 | 14 |
| Evoked oa emissions ltd CPT 92587 | $364.32 | $506.00 | $72.67 – $537.05 | 14 |
| Evoked potentials upper limbs CPT 95925 | $460.08 | $639.00 | $120.64 – $639.00 | 14 |
| Evok oa screening qual CPT 92558 | $192.96 | $268.00 | $27.78 – $268.00 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | not published | 0 |
| Exchange drainage catheter CPT 49423 | $2,219.76 | $3,083.00 | $656.61 – $4,772.76 | 14 |
| Exchange nephrostomy cath CPT 50435 | $3,633.12 | $5,046.00 | $1,332.50 – $5,199.26 | 14 |
| Excise anal ext tag/papilla CPT 46220 | $5,022.00 | $6,975.00 | $1,308.85 – $6,975.00 | 14 |
| Excise inferior turbinate CPT 30130 | not published | not published | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | not published | 0 |
| Excision breast lesion CPT 19125 | not published | not published | not published | 0 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | not published | 0 |
| Excision olecranon bursa CPT 24105 | not published | not published | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | not published | 0 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | not published | 0 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | not published | 0 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | not published | 0 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | not published | 0 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | not published | 0 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | not published | 0 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | not published | 0 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | not published | 0 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | not published | 0 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | not published | 0 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | not published | 0 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | not published | 0 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | not published | 0 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,240.00 | $4,500.00 | $375.00 – $375.00 | 1 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | not published | 0 |
| Exploration maxillary sinus CPT 31256 | not published | not published | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $673.20 | $935.00 | $121.56 – $935.00 | 14 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $612.00 | $850.00 | $134.50 – $850.00 | 14 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $125.28 | $174.00 | $8.50 – $174.00 | 14 |
| Facial bones <3 CPT 70140 | $267.84 | $372.00 | $51.11 – $372.00 | 14 |
| Factor ix CPT 85250 | $85.68 | $119.00 | $18.69 – $119.00 | 14 |
| Factor viii CPT 85240 | $127.44 | $177.00 | $3.27 – $177.00 | 14 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.17 | $0.23 | $0.02 – $0.23 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $39.60 | $55.00 | $3.99 – $55.00 | 14 |
| Fatty acids nonesterified CPT 82725 | $23.76 | $33.00 | $8.82 – $42.23 | 14 |
| #fecal-sodium CPT 84302 | $43.20 | $60.00 | $3.99 – $60.00 | 14 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $28.80 | $40.00 | $8.95 – $41.94 | 14 |
| Fem/popl revasc w/stent CPT 37226 | $21,382.56 | $29,698.00 | $9,734.69 – $29,698.00 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $10.58 | $14.70 | $1.96 – $14.70 | 3 |
| Ferritin CPT 82728 | $197.28 | $274.00 | $8.82 – $217.00 | 14 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,159.92 | $1,611.00 | $483.95 – $1,707.86 | 14 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $1,305.36 | $1,813.00 | $176.13 – $1,208.00 | 14 |
| Fetal fibronectin CPT 82731 | $547.20 | $760.00 | $50.26 – $760.00 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $203.04 | $282.00 | $4.38 – $282.00 | 14 |
| Fetal hemoglobin rosette CPT 85461 | $50.40 | $70.00 | $4.38 – $70.00 | 14 |
| Fetal non stress test CPT 59025 | $971.28 | $1,349.00 | $176.13 – $1,035.00 | 14 |
| #_fet/norfentcnfrmur CPT 80354 | $164.16 | $228.00 | $10.33 – $50.00 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $81.36 | $113.00 | $3.27 – $113.00 | 14 |
| Fibrin degradation products CPT 85362 | $63.36 | $88.00 | $3.27 – $88.00 | 14 |
| Fibrinogen activity CPT 85384 | $120.96 | $168.00 | $3.27 – $115.00 | 14 |
| Fibrinolytic antiplasmin CPT 85410 | $144.00 | $200.00 | $3.27 – $200.00 | 14 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $3,240.00 | $4,500.00 | $750.00 – $750.00 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $2,808.00 | $3,900.00 | $3,300.00 – $3,300.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $624.24 | $867.00 | $62.26 – $651.05 | 3 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | not published | 0 |
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.