Memorial Medical Center

701 N First St, Springfield, IL 62702 · (217) 788-3000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Springfield, IL metro Website ↗

Price file

Prices published

File dated 2026-09-17

8,477 price rows for 43 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $126

$210

cash

$4 to $210

77 negotiated rates

$210

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 8 lines · metro median $5,456

$7,822

cash

$265 to $7,822

312 negotiated rates

$7,822

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $2,258

$3,138

cash

$79 to $3,138

156 negotiated rates

$3,138

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $2,801

$4,521

cash

$133 to $4,521

234 negotiated rates

$4,521

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$2,800 to $18,725

23 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $207

$377

cash

$16 to $377

231 negotiated rates

$377

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $80

$163

cash

$4 to $163

156 negotiated rates

$163

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $153

$243

cash

$5 to $243

78 negotiated rates

$243

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $479

$696

cash

$45 to $696

234 negotiated rates

$696

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 14 lines · metro median $361

$361

cash

$81 to $361

469 negotiated rates

$361

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $207

$324

cash

$16 to $324

154 negotiated rates

$324

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,150 to $41,722

25 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,150 to $16,863

25 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,150 to $26,836

25 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $10,461

$10,461

cash

$819 to $12,229

78 negotiated rates

$10,461

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $186

$332

cash

$6 to $332

77 negotiated rates

$332

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $111

$228

cash

$4 to $228

77 negotiated rates

$228

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 6 lines · metro median $5,458

$7,994

cash

$265 to $7,994

234 negotiated rates

$7,994

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 6 lines · metro median $4,510

$6,922

cash

$179 to $6,922

234 negotiated rates

$6,922

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $3,989

$6,218

cash

$178 to $6,218

156 negotiated rates

$6,218

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,150 to $52,805

25 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $3,579

$5,053

cash

$247 to $6,866

312 negotiated rates

$5,053

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 12 lines · metro median $359

$359

cash

$81 to $359

402 negotiated rates

$359

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 12 lines · metro median $384

$384

cash

$86 to $384

402 negotiated rates

$384

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 10 lines · metro median $407

$407

cash

$92 to $407

335 negotiated rates

$407

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $102

$321

cash

$8 to $321

154 negotiated rates

$321

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $77

$205

cash

$3 to $205

234 negotiated rates

$205

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 12 lines · metro median $176

$255

cash

$20 to $255

468 negotiated rates

$255

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $1,446

$1,561

cash

$79 to $1,561

78 negotiated rates

$1,561

list

Prostate biopsy

CPT 55700 · lowest of 6 lines · metro median $4,001

$4,001

cash

$1,000 to $7,885

231 negotiated rates

$4,001

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $55

$65

cash

$2 to $65

234 negotiated rates

$65

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $370

$578

cash

$37 to $578

156 negotiated rates

$578

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 8 lines · metro median $5,300

$7,700

cash

$618 to $7,700

312 negotiated rates

$7,700

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$1,150 to $79,729

22 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,851

$1,851

cash

$139 to $6,866

156 negotiated rates

$1,851

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 12 lines · metro median $2,548

$4,138

cash

$254 to $6,866

468 negotiated rates

$4,138

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $159

$337

cash

$8 to $337

154 negotiated rates

$337

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $915

$1,387

cash

$79 to $1,387

78 negotiated rates

$1,387

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,295

$2,096

cash

$79 to $2,096

78 negotiated rates

$2,096

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,900

$1,900

cash

$389 to $7,724

78 negotiated rates

$1,900

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $60

$146

cash

$1 to $146

154 negotiated rates

$146

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,150 to $13,167

23 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $868

$1,176

cash

$49 to $1,176

78 negotiated rates

$1,176

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://memorial.health/Resources/452b1df1-ad01-4063-a729-31a091660635/370661220_Springfield_Memorial_Hospital_standardcharges.csv?v=2
Springfield Memorial Hospital · parsed · wide v3.0.0 · file dated 2026-09-17 · 588.7 MB · 8477 price rows read · read Nov 2026