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 |
|---|---|---|---|---|
| Transperi needle place pros CPT 55875 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Transplant femur ridge CPT 27140 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,963.01 – $6,261.16 | 3 |
| Transurethral rf treatment CPT 53860 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $220.56 | $401.02 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $1,376.65 | $2,503.00 | $49.59 – $52.07 | 3 |
| Treat ankle dislocation CPT 27842 | $1,408.55 | $2,561.00 | $1,723.15 – $1,809.31 | 3 |
| Treat ankle dislocation CPT 27846 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat ankle dislocation CPT 27848 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat ankle fracture CPT 28445 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $264.33 – $277.55 | 3 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $6,478.50 – $6,802.42 | 3 |
| Treat elbow dislocation CPT 24605 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat elbow dislocation CPT 24615 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat elbow fracture CPT 24586 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat elbow fracture CPT 24620 | $1,394.25 | $2,535.00 | $1,723.15 – $1,809.31 | 3 |
| Treat elbow fracture CPT 24635 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat finger fracture each CPT 26727 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat finger fracture each CPT 26742 | $1,526.25 | $2,775.00 | $1,723.15 – $1,809.31 | 3 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat foot dislocation CPT 28540 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28545 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat foot dislocation CPT 28546 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat foot dislocation CPT 28570 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28576 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat foot dislocation CPT 28600 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28605 | not published | not published | $264.33 – $277.55 | 3 |
| Treat foot dislocation CPT 28606 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat fracture of radius CPT 25505 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat fracture of radius CPT 25520 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat fracture of ulna CPT 25535 | $318.45 | $579.00 | $264.33 – $277.55 | 3 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat hand bone lesion CPT 26034 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hand dislocation CPT 26675 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hand dislocation CPT 26686 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat heel fracture CPT 28415 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat hip dislocation CPT 27252 | $1,735.80 | $3,156.00 | $1,723.15 – $1,809.31 | 3 |
| Treat hip dislocation CPT 27257 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat hip dislocation CPT 27258 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hip dislocation CPT 27253 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hip dislocation CPT 27254 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat hip dislocation CPT 27259 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat hip fracture(s) CPT 27227 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat hip fracture(s) CPT 27228 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat hip socket fracture CPT 27222 | $1,808.95 | $3,289.00 | $264.33 – $277.55 | 3 |
| Treat hip wall fracture CPT 27226 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat humerus fracture CPT 24515 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24516 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24535 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat humerus fracture CPT 24545 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24546 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24565 | $1,588.95 | $2,889.00 | $1,723.15 – $1,809.31 | 3 |
| Treat humerus fracture CPT 24575 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24579 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat humerus fracture CPT 24582 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat kneecap dislocation CPT 27562 | not published | not published | $264.33 – $277.55 | 3 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat kneecap fracture CPT 27524 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee dislocation CPT 27552 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat knee dislocation CPT 27556 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee dislocation CPT 27557 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee dislocation CPT 27558 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee fracture CPT 27535 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee fracture CPT 27536 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee fracture CPT 27540 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat knee fracture 27530 CPT 27530 | not published | not published | $264.33 – $277.55 | 3 |
| Treat knee fracture(s) CPT 27538 | not published | not published | $264.33 – $277.55 | 3 |
| Treat knuckle dislocation CPT 26705 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $6,343.80 – $6,660.99 | 3 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat lower leg dislocation CPT 27830 | $231.00 | $420.00 | $264.33 – $277.55 | 3 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat lower leg fracture CPT 27826 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat lower leg fracture CPT 27827 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat lower leg fracture CPT 27828 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat lower leg joint CPT 27829 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $2,644.95 | $4,809.00 | $3,468.96 – $3,642.41 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $166.10 | $302.00 | $142.58 – $149.71 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $166.10 | $302.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $78.65 | $143.00 | $234.66 – $246.39 | 3 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Treatment mouth roof lesion CPT 42160 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Treatment of anal fissure CPT 46942 | not published | not published | $996.56 – $1,046.39 | 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.