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 |
|---|---|---|---|---|
| Repair defect arm art 35045 CPT 35045 | not published | not published | $5,963.01 – $6,261.16 | 3 |
| Repair defect of artery 35011 CPT 35011 | not published | not published | $5,963.01 – $6,261.16 | 3 |
| Repair deformity of toe CPT 28313 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair dental ellis ii fx CPT 41899 | $286.00 | $520.00 | not published | 0 |
| Repair eardrum structures CPT 69631 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair elbow perc CPT 24357 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair esophagus opening CPT 43420 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Repair extns tendon finger without grft ea CPT 26418 | $2,802.80 | $5,096.00 | $1,723.15 – $1,809.31 | 3 |
| Repair extra toe(s) CPT 28344 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair facial nerve CPT 69740 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Repair facial nerve CPT 69745 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Repair fibula nonunion CPT 27726 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair finger deformity CPT 26590 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Repair finger/hand tendon CPT 26350 | $3,146.00 | $5,720.00 | $3,506.34 – $3,681.65 | 3 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair finger tendon CPT 26433 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair foot dislocation CPT 28555 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair foot dislocation CPT 28585 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair foot dislocation CPT 28615 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft femur head/neck CPT 27170 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of thigh CPT 27472 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of tibia CPT 27722 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft of tibia CPT 27724 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair hand joint CPT 26540 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair hand joint with graft CPT 26541 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair hand joint with graft CPT 26542 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair humerus with graft CPT 24435 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $3,836.82 – $4,028.66 | 3 |
| Repair leg fascia defect CPT 27656 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $619.30 | $1,126.00 | not published | 0 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,248.50 | $2,270.00 | $1,662.71 – $1,745.84 | 3 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair lower leg tendons CPT 27675 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair lower leg tendons CPT 27676 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair lumbar hernia CPT 49540 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Repair middle ear structures CPT 69666 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Repair middle ear structures CPT 69667 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Repair muscles of hand CPT 26591 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair nasal septum defect CPT 30630 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Repair nasal stenosis CPT 30465 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Repair nonunion carpal bone CPT 25431 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair nonunion hand CPT 26546 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Repair of achilles tendon CPT 27654 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of anal sphincter CPT 46760 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Repair of anal sphincter CPT 46761 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Repair of anal stricture CPT 46700 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Repair of ankle ligament CPT 27695 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of ankle ligament CPT 27698 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of bladder opening CPT 51880 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Repair of body cast CPT 29720 | not published | not published | $174.14 – $182.85 | 3 |
| Repair of circumcision CPT 54163 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Repair of enterocele vaginal approach 57268 CPT 57268 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Repair of fibula epiphysis CPT 27732 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair of foot bones CPT 28320 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Repair of foot tendon CPT 28200 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair of humerus CPT 24430 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of knee cartilage CPT 27403 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of knee ligament CPT 27405 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of knee ligament CPT 27407 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of knee ligaments CPT 27409 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of leg epiphyses CPT 27740 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair of leg epiphyses CPT 27742 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair of leg tendon each CPT 27658 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Repair of leg tendon each CPT 27659 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Repair of leg tendon each CPT 27665 | not published | not published | $7,775.89 – $8,164.69 | 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.