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 |
|---|---|---|---|---|
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $19,644.52 – $20,626.75 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,506.34 – $3,681.65 | 3 |
| Vasectomy CPT 55250 | not published | not published | $2,240.09 – $2,352.10 | 3 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $920.24 – $966.25 | 3 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $399.88 – $419.88 | 3 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $231.39 – $242.96 | 3 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $672.23 – $705.84 | 3 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $672.23 – $705.84 | 3 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,383.62 – $3,552.80 | 3 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $137.89 – $144.78 | 3 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $137.89 – $144.78 | 3 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $231.39 – $242.96 | 3 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $380.05 | $691.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $14.30 | $26.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $3,475.45 | $6,319.00 | $1,686.89 – $1,771.24 | 3 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,738.00 | $3,160.00 | $1,686.89 – $1,771.24 | 3 |
| Venous mech thrombectomy CPT 37187 | $6,501.55 | $11,821.00 | $12,370.97 – $12,989.52 | 3 |
| Venous m-thrombectomy add-on CPT 37188 | $3,900.60 | $7,092.00 | $3,383.62 – $3,552.80 | 3 |
| Venous sampling s&i CPT 75893 | not published | not published | $5,963.01 – $6,261.16 | 3 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $581.86 – $610.95 | 3 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $428.40 – $449.82 | 3 |
| Ventilator each subsequent day CPT 94003 | $435.60 | $792.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $479.60 | $872.00 | not published | 0 |
| Version cephalic external CPT 59412 | $2,964.50 | $5,390.00 | $3,468.96 – $3,642.41 | 3 |
| Very long chain fatty acids CPT 82726 | $251.35 | $457.00 | $19.75 – $20.74 | 3 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $3,552.91 – $3,730.55 | 3 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.49 – $18.36 | 3 |
| Virus isolation addl studies ea CPT 87253 | $47.85 | $87.00 | $20.20 – $21.21 | 3 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $135.30 | $246.00 | $142.67 – $149.80 | 3 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $231.39 – $242.96 | 3 |
| Vital capacity test CPT 94150 | $156.20 | $284.00 | $137.89 – $144.78 | 3 |
| Vitamin b-12 CPT 82607 | $127.60 | $232.00 | $15.08 – $15.83 | 3 |
| Vitamin D Test CPT 82306 | $111.65 | $203.00 | $29.60 – $31.08 | 3 |
| Vkorc1 gene CPT 81355 | $479.05 | $871.00 | $88.20 – $92.61 | 3 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $182.57 – $191.70 | 3 |
| Volume deplete of harvest CPT 38214 | not published | not published | $472.77 – $496.41 | 3 |
| Volume measurement urine timed CPT 81050 | $31.35 | $57.00 | $3.64 – $3.82 | 3 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $5,360.72 – $5,628.75 | 3 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $3,468.96 – $3,642.41 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $474.65 | $863.00 | $40.75 – $42.79 | 3 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $39.60 | $72.00 | $27.80 – $29.19 | 3 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $231.00 | $420.00 | $12.90 – $13.54 | 3 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $458.70 | $834.00 | $25.25 – $26.51 | 3 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $47.30 | $86.00 | $15.50 – $16.28 | 3 |
| Warde 1015200 kappa light chain free CPT 83521 | $27.50 | $50.00 | $17.27 – $18.13 | 3 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $123.20 | $224.00 | $8.02 – $8.42 | 3 |
| Warde 3008005 oligoclonal bands CPT 83916 | $266.75 | $485.00 | $27.39 – $28.76 | 3 |
| Warde 3016000 west nile virus antibody CPT 86788 | $135.30 | $246.00 | $16.85 – $17.69 | 3 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $135.30 | $246.00 | $14.39 – $15.11 | 3 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $141.35 | $257.00 | $12.25 – $12.86 | 3 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $25.85 | $47.00 | $8.90 – $9.34 | 3 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $42.35 | $77.00 | $17.98 – $18.88 | 3 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $130.90 | $238.00 | $142.63 – $149.76 | 3 |
| Warde 3400852 arsenic CPT 82175 | $355.30 | $646.00 | $18.97 – $19.92 | 3 |
| Warde 3708165 mercury urine CPT 83825 | $287.65 | $523.00 | $16.26 – $17.07 | 3 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $71.50 | $130.00 | $18.40 – $19.32 | 3 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $27.50 | $50.00 | $12.05 – $12.65 | 3 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $195.25 | $355.00 | $8.10 – $8.50 | 3 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $491.15 | $893.00 | $38.62 – $40.55 | 3 |
| Warde aldolase CPT 82085 | $108.35 | $197.00 | $9.71 – $10.20 | 3 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $287.65 | $523.00 | $16.87 – $17.71 | 3 |
| Warde amiodarone therapeutic drug level CPT 80151 | $22.00 | $40.00 | $18.64 – $19.57 | 3 |
| Warde analysis gene hfe common variants CPT 81256 | $411.95 | $749.00 | $65.36 – $68.63 | 3 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $795.30 | $1,446.00 | $163.96 – $172.16 | 3 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $222.75 | $405.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $78.65 | $143.00 | $38.62 – $40.55 | 3 |
| Warde apolipoprotein b CPT 82172 | $56.10 | $102.00 | $21.09 – $22.14 | 3 |
| Warde bile acids CPT 82239 | $27.50 | $50.00 | $17.12 – $17.98 | 3 |
| Warde cadmium blood CPT 82300 | $314.60 | $572.00 | $23.64 – $24.82 | 3 |
| Warde calcitonin CPT 82308 | $399.30 | $726.00 | $26.79 – $28.13 | 3 |
| Warde calculus (stone) infrared CPT 82365 | $30.25 | $55.00 | $12.90 – $13.54 | 3 |
| Warde clozapine therapeutic drug level CPT 80159 | $35.20 | $64.00 | $20.15 – $21.16 | 3 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $255.20 | $464.00 | $21.96 – $23.06 | 3 |
| Warde collagen cross links c-telopeptide CPT 82523 | $231.00 | $420.00 | $18.68 – $19.61 | 3 |
| Warde complement total hemolytic CPT 86162 | $440.00 | $800.00 | $20.32 – $21.34 | 3 |
| Warde copper CPT 82525 | $255.20 | $464.00 | $12.41 – $13.03 | 3 |
| Warde cryoglobulin CPT 82595 | $144.10 | $262.00 | $6.47 – $6.79 | 3 |
| Warde erythropoietin CPT 82668 | $215.60 | $392.00 | $18.79 – $19.73 | 3 |
| Warde estrogen fractionated CPT 82671 | $39.60 | $72.00 | $32.30 – $33.92 | 3 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $27.50 | $50.00 | $12.09 – $12.69 | 3 |
| Warde folic acid rbc CPT 82747 | $223.85 | $407.00 | $17.65 – $18.53 | 3 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $183.70 | $334.00 | $9.70 – $10.18 | 3 |
| Warde gastrin CPT 82941 | $247.50 | $450.00 | $17.63 – $18.51 | 3 |
| Warde growth hormone (hgh) CPT 83003 | $203.50 | $370.00 | $16.67 – $17.50 | 3 |
| Warde haloperidol therapeutic drug level CPT 80173 | $339.35 | $617.00 | $15.78 – $16.57 | 3 |
| Warde helminth antibody strongyloides igg CPT 86682 | $243.10 | $442.00 | $13.01 – $13.66 | 3 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $151.80 | $276.00 | $12.87 – $13.51 | 3 |
| Warde hepatitis a antibody CPT 86708 | $202.40 | $368.00 | $12.39 – $13.01 | 3 |
| Warde hepatitis be antibody CPT 86707 | $39.60 | $72.00 | $11.57 – $12.15 | 3 |
| Warde hepatitis delta agent antibody CPT 86692 | $243.10 | $442.00 | $17.16 – $18.02 | 3 |
| Warde immunofixation electrophoresis urine CPT 86335 | $400.40 | $728.00 | $29.35 – $30.82 | 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.