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 |
|---|---|---|---|---|
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $27.91 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $6,937.47 – $7,284.34 | 3 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $11,391.13 – $11,960.68 | 3 |
| Bilicheck CPT 88720 | not published | not published | $5.02 – $5.27 | 3 |
| Bilirubin direct CPT 82248 | $103.40 | $188.00 | $5.02 – $5.27 | 3 |
| Bilirubin total CPT 82247 | $99.55 | $181.00 | $5.02 – $5.27 | 3 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $65.83 | $119.69 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,222.10 | $2,222.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,353.55 | $2,461.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $814.00 | $1,480.00 | $987.01 – $1,036.37 | 3 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Biopsy external ear 69100 CPT 69100 | $541.20 | $984.00 | not published | 0 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,470.15 | $2,673.00 | $3,112.75 – $3,268.38 | 3 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,656.60 | $3,012.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy needle liver percutaneous CPT 47000 | $1,045.00 | $1,900.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy needle lymph node superficial CPT 38505 | $1,279.30 | $2,326.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy of heart lining CPT 93505 | $2,781.90 | $5,058.00 | $3,383.62 – $3,552.80 | 3 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $971.94 – $1,020.54 | 3 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $758.85 – $796.79 | 3 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Biopsy of penis CPT 54105 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $1,769.88 – $1,858.38 | 3 |
| Biopsy of prostate CPT 55700 | $1,727.00 | $3,140.00 | not published | 0 |
| Biopsy of prostate CPT 55705 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,141.80 | $2,076.00 | $758.85 – $796.79 | 3 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,662.71 – $1,745.84 | 3 |
| Biopsy of testis CPT 54500 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy of testis CPT 54505 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Biopsy of urethra CPT 53200 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $182.57 – $191.70 | 3 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $182.57 – $191.70 | 3 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $4,195.85 – $4,405.64 | 3 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,198.35 | $3,997.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy roof of mouth CPT 42100 | $1,267.75 | $2,305.00 | $1,662.71 – $1,745.84 | 3 |
| Biopsy skin incisional single lesion CPT 11106 | $462.00 | $840.00 | $792.00 – $831.60 | 3 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,635.15 | $2,973.00 | $1,769.88 – $1,858.38 | 3 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Biopsy tongue anterior two-thirds CPT 41100 | $548.90 | $998.00 | not published | 0 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Biospy of bladder CPT 53899 | not published | not published | $267.74 – $281.13 | 3 |
| Biotinidase - quest CPT 82261 | $56.10 | $102.00 | $16.87 – $17.71 | 3 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $137.89 – $144.78 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $349.80 | $636.00 | $267.74 – $281.13 | 3 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $472.77 – $496.41 | 3 |
| Bld prd mix CPT 86965 | $168.85 | $307.00 | $182.57 – $191.70 | 3 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $472.77 – $496.41 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,211.05 – $2,321.60 | 3 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $12,370.97 – $12,989.52 | 3 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $399.88 – $419.88 | 3 |
| Blink reflex test CPT 95933 | not published | not published | $63.22 – $66.38 | 3 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $41.28 | 3 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $2,795.81 | $5,083.29 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $549.79 | $999.62 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,232.64 | $9,513.90 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $689.25 | $1,253.18 | not published | 0 |
| Block paracervical nrv CPT 64435 | not published | not published | $756.44 – $794.26 | 3 |
| Block plantar digital nerve CPT 64455 | $363.00 | $660.00 | $328.94 – $345.38 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $45.10 | $82.00 | $4.29 – $4.50 | 3 |
| Blood Clotting (PTT) Test CPT 85730 | $96.80 | $176.00 | $6.01 – $6.31 | 3 |
| Blood Count (CBC) Test CPT 85025 | $81.40 | $148.00 | $7.77 – $8.16 | 3 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $81.40 | $148.00 | $6.47 – $6.79 | 3 |
| Blood count spun microhematocrit CPT 85013 | $87.45 | $159.00 | $7.00 – $7.35 | 3 |
| Blood Culture Test CPT 87040 | $88.55 | $161.00 | $10.32 – $10.84 | 3 |
| Blood draw capillary 36416 CPT 36416 | $8.80 | $16.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $256.30 | $466.00 | $78.77 – $82.71 | 3 |
| Blood gases ph venous CPT 82800 | $125.95 | $229.00 | $11.00 – $11.55 | 3 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $72.05 | $131.00 | $15.92 – $16.72 | 3 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $44.00 | $80.00 | $4.23 – $4.44 | 3 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $88.00 | $160.00 | $4.38 – $4.60 | 3 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $67.10 | $122.00 | $5.32 – $5.59 | 3 |
| Blood smear interpretation CPT 85060 | $75.35 | $137.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $46.75 | $85.00 | $3.80 – $3.99 | 3 |
| Blood split unit HCPCS P9011 | $330.55 | $601.00 | 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.