SSM Health Good Samaritan Hospital - Mt. Vernon
1 Good Samaritan Way, Mount Vernon, IL · SSM Health · · NPI 1609897339
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 |
|---|---|---|---|---|
| Removal of skin tags each add'l 10 CPT 11201 | $135.30 | $246.00 | not published | 0 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Removal of tail bone CPT 27080 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal of tendon for graft CPT 20924 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Removal of tendon lesion CPT 27630 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal of testis CPT 54520 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Removal of testis CPT 54530 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Removal of thyroid CPT 60240 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Removal of thyroid CPT 60252 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Removal of thyroid CPT 60271 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Removal of toe lesions CPT 28092 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Removal of ureter stone CPT 51060 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Removal of urethra CPT 53210 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Removal of urethra CPT 53215 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Removal of urethra gland CPT 53250 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Removal of urethra gland CPT 53270 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Removal of urethra lesion CPT 53230 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Removal of urethra lesion CPT 53235 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Removal of vein clot CPT 34421 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Removal of vein clot CPT 34471 | not published | not published | $672.23 – $705.84 | 3 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Removal of wrist bone CPT 25210 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal of wrist bones CPT 25215 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal of wrist lesion CPT 25130 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal prosth radial head CPT 24164 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $17,741.90 | $32,258.00 | $11,200.55 – $11,760.58 | 3 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $238.15 | $433.00 | $215.00 – $225.75 | 3 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Removal tunnled intprtnl cath CPT 49422 | $2,887.50 | $5,250.00 | $3,383.62 – $3,552.80 | 3 |
| Remove anal fist complex CPT 46280 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove anal fist inter CPT 46275 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove anal fist subq CPT 46270 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove ankle joint lining CPT 27625 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove ankle joint lining CPT 27626 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Remove bladder stone CPT 52317 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Remove bladder stone CPT 52318 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Remove brain canal fluid CPT 61050 | not published | not published | $328.94 – $345.38 | 3 |
| Remove cartilage for graft CPT 20910 | not published | not published | $792.00 – $831.60 | 3 |
| Remove cartilage for graft CPT 20912 | not published | not published | $3,797.52 – $3,987.40 | 3 |
| Remove collar bone lesion CPT 23170 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove coronoid process CPT 21070 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove cranial cavity fluid CPT 61001 | not published | not published | $756.44 – $794.26 | 3 |
| Remove cva lumen obstruct CPT 75902 | $498.85 | $907.00 | not published | 0 |
| Remove ear canal lesion(s) CPT 69145 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove epididymis lesion CPT 54830 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Remove epididymis lesion CPT 54840 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Remove ext hem groups 2+ CPT 46250 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove femur lesion CPT 27355 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove finger bone CPT 26185 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $7,115.73 – $7,471.51 | 3 |
| Remove hand bone lesion CPT 26200 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Remove hip bone les deep CPT 27066 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove hip bone les super CPT 27065 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove hip foreign body 27086 CPT 27086 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Remove humerus lesion CPT 23174 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove humerus lesion CPT 23184 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove inner ear CPT 69905 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove inner ear lesion CPT 69970 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove intact mammary implant CPT 19328 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove knee cyst CPT 27347 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove knee joint lining CPT 27334 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove knee joint lining CPT 27335 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Remove mastoid air cells CPT 69670 | not published | not published | $6,343.80 – $6,660.99 | 3 |
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.