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 |
|---|---|---|---|---|
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $2,974.45 – $3,123.17 | 3 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of ankle fracture 27786 CPT 27786 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of fibula fracture 27780 CPT 27780 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of foot infection CPT 28002 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treatment of foot infection CPT 28003 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treatment of gum lesion CPT 41850 | not published | not published | $1,662.71 – $1,745.84 | 3 |
| Treatment of heel fracture 28400 CPT 28400 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of miscarriage CPT 59821 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Treatment of penis lesion CPT 54110 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Treatment of penis lesion CPT 54115 | not published | not published | $3,112.75 – $3,268.38 | 3 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $996.56 – $1,046.39 | 3 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of thigh fracture CPT 27508 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of thigh fracture CPT 27510 | $1,735.80 | $3,156.00 | $1,723.15 – $1,809.31 | 3 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treatment of thigh fracture CPT 27507 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of thigh fracture CPT 27513 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treatment of thigh fracture CPT 27514 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treatment of toe fracture 28510 CPT 28510 | not published | not published | $264.33 – $277.55 | 3 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $3,777.44 – $3,966.31 | 3 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Treatment radiation delivery level 2 CPT 77407 | $568.70 | $1,034.00 | not published | 0 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat neck spine fracture CPT 22326 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat penis lesion graft CPT 54111 | not published | not published | $5,745.80 – $6,033.09 | 3 |
| Treat radius fracture CPT 24665 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat radius fracture CPT 24666 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat skull fracture CPT 62000 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat spine fracture CPT 22325 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat sternum fracture CPT 21820 | not published | not published | $264.33 – $277.55 | 3 |
| Treat tail bone fracture CPT 27202 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat thigh fracture CPT 27230 | not published | not published | $264.33 – $277.55 | 3 |
| Treat thigh fracture CPT 27235 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thigh fracture CPT 27236 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thigh fracture CPT 27238 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat thigh fracture CPT 27245 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thigh fracture CPT 27246 | not published | not published | $264.33 – $277.55 | 3 |
| Treat thigh fracture CPT 27248 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thigh fracture CPT 27240 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat thigh fracture CPT 27244 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $264.33 – $277.55 | 3 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,723.15 – $1,809.31 | 3 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Treat thumb fracture CPT 26650 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat thumb fracture CPT 26665 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat toe dislocation CPT 28636 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat toe dislocation CPT 28666 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Treat toe fracture CPT 28525 | $5,351.50 | $9,730.00 | $3,506.34 – $3,681.65 | 3 |
| Treat ulnar fracture CPT 24675 | $2,578.40 | $4,688.00 | $1,723.15 – $1,809.31 | 3 |
| Treat ulnar fracture CPT 24685 | not published | not published | $7,775.89 – $8,164.69 | 3 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $216.65 – $227.48 | 3 |
| Treat wrist bone fracture CPT 25635 | $1,588.95 | $2,889.00 | $1,723.15 – $1,809.31 | 3 |
| Treat wrist dislocation CPT 25675 | $253.55 | $461.00 | $264.33 – $277.55 | 3 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.18 – $12.79 | 3 |
| Treponema pallidum antibody CPT 86780 | $56.65 | $103.00 | $13.24 – $13.90 | 3 |
| Trg gene rearrangement anal CPT 81342 | $1,032.90 | $1,878.00 | $201.50 – $211.58 | 3 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $70.57 | 3 |
| Trichinella antibody CPT 86784 | $118.25 | $215.00 | $12.56 – $13.19 | 3 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $16.05 | 3 |
| #tricyclicantidprssnt CPT 80337 | $1,085.15 | $1,973.00 | not published | 0 |
| Triglycerides CPT 84478 | $108.90 | $198.00 | $5.74 – $6.03 | 3 |
| Trim nail(s) HCPCS G0127 | not published | not published | $63.22 – $66.38 | 3 |
| Trim nondyst nails CPT 11719 | $111.65 | $203.00 | $63.22 – $66.38 | 3 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $13,758.17 – $14,446.08 | 3 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $264.33 – $277.55 | 3 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $10,223.40 | $18,588.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $13,032.80 | $23,696.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $8,786.80 | $15,976.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,145.70 | $11,174.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $13,275.90 | $24,138.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $12,719.85 | $23,127.00 | $12,370.97 – $12,989.52 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,858.25 | $7,015.00 | $3,383.62 – $3,552.80 | 3 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,592.85 | $11,987.00 | $5,963.01 – $6,261.16 | 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.