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Ssm Health St Mary's Hospital -Centralia

400 North Pleasant Avenue, Centralia, IL 62801 · (618) 436-8000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 3/5Centralia, IL metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

2,947 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $79

$79
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,309

$2,309
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,019

$1,019
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,019

$1,019
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $42

$42
cash
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Colonoscopy with polyp removal

CPT 45385 · metro median $1,391

$1,391
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $45

$45
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $94

$94
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $358

$358
cash
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cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $184

$184
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $250

$250
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $250

$250
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $57

$57
cash
Group psychotherapy

CPT 90853 · lowest of 16 lines · metro median $123

$123
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,276

$5,276
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $32

$32
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $79

$79
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,359

$2,359
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,695

$1,695
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $1,613

$1,613
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,570

$1,570
cash
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Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,967

$1,967
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $132

$132
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $205

$205
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $227

$227
cash
PSA test (prostate)

CPT 84153 · lowest of 5 lines · metro median $28

$28
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 11 lines · metro median $21

$21
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $95

$95
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $520

$520
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $31

$31
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · metro median $31

$31
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,727

$1,727
cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 16 lines · metro median $15

$15
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines · metro median $179

$179
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 5 lines · metro median $151

$151
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $235

$235
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $3,502

$3,502
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $119

$119
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,878

$3,878
cash
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$1,772
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$1,977
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TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $39

$39
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $458

$458
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $636

$636
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 3 lines · metro median $1,129

$1,129
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $494

$494
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $37

$37
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $358

$358
cash

Source files

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