HSHS St. Mary's Hospital — price list

← Hospital overviewVerified from HSHS St. Mary's Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

86 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Agent nos assay withoptic Inpatient & outpatient	87899 CPT	$158	$114	$7.78 – $158	$137
Anchor/screw bn/bn,tis/bn Inpatient & outpatient	C1713 HCPCS	$450	$324	$126 – $450	$300
Chlmyd pneum dna amp probe Inpatient & outpatient	87486 CPT	$288	$207	$31.63 – $288	$261
Cultr bacteria except blood Inpatient & outpatient	87075 CPT	$490	$353	$7.78 – $490	$490
Culture anaerobe ident each Inpatient & outpatient	87076 CPT	$204	$147	$7.78 – $204	$204
Culture screen only Inpatient & outpatientapprox. match	87081 CPT	$283	$204	$6.63 – $283	$283
Detect agent nos dna amp Inpatient & outpatient	87798 CPT	$172	$124	$31.63 – $172	$344
Dna/rna sequencing Inpatient & outpatient	87153 CPT	$563	$405	$115 – $563	—
Drill bit synthes 3.5 qc 160mm Inpatient & outpatient	272 RC	$2,100	$1,512	$588 – $2,100	—
Drill bit synthes 4.3 qc 180mm Inpatient & outpatient	272 RC	$375	$270	$105 – $375	—
Drill bit wright medical 2.0 Inpatient & outpatient	272 RC	$525	$378	$147 – $525	—
Drill bit zimmer 2.0mm qc Inpatient & outpatient	272 RC	$300	$216	$84.00 – $300	—
Drill bit zimmer 2mm straight Inpatient & outpatient	272 RC	$1,200	$864	$336 – $1,200	—
Drill bit zimmer 30mm Inpatient & outpatient	272 RC	$450	$324	$126 – $450	—
Drsg 6x3.5in mdpr pors clth nonadh adhes wht ster ltxfr 4 Inpatient & outpatient	272 RC	$10.00	$7.20	$2.80 – $10.00	—
Elctrod esurg 11cm 8mm letz utahloop ster 8x25mm disp tan Inpatient & outpatient	272 RC	$50.00	$36.00	$14.00 – $50.00	—
Electrode angle loop standard 12d-30d 24fr Inpatient & outpatient	272 RC	$1,350	$972	$378 – $1,350	—
Filiform urethral 18in 6fr dilation catheter woven spiral tip sterile latex free reusable Inpatient & outpatient	272 RC	$100	$72.00	$28.00 – $100	—
Giardia ag ia Inpatient & outpatient	87329 CPT	$150	$108	$7.78 – $150	—
Tiss koh slide samps skn/hr/nls fngi/ectoparasit (scabies) - 90 Inpatient & outpatient	87220 CPT	$108	$77.76	$4.27 – $108	—
4plex covid/rsv/flu pcr Inpatient & outpatient	87637 CPT	$550	$396	$31.63 – $550	$550
Aptima bv maaa spec code Inpatient & outpatient	81513 CPT	$328	$236	$91.84 – $357	$328
Body fluid culture Inpatient & outpatientapprox. match	87070 CPT	$18.00	$12.96	$5.04 – $21.55	$491
Body fluid culture -90 Inpatient & outpatientapprox. match	87070 CPT	$491	$354	$7.78 – $491	$491
Candida species dna screen Inpatient & outpatient	87480 CPT	$176	$127	$7.78 – $176	—
Carbapenem resistance genes, pcr (mayo) - 90 Inpatient & outpatient	87150 CPT	$634	$456	$31.63 – $634	—
Chlamydia pneum amp probe-90 Inpatient & outpatient	87486 CPT	$300	$216	$31.63 – $300	$261
Covid antigen test Inpatient & outpatient	87811 CPT	$168	$121	$7.78 – $168	—
Cul typ id bld pthgn 6+ trgt Inpatient & outpatient	87154 CPT	$1,018	$733	$151 – $1,018	$1,122
Culture bacterial any source anaerobic iso id -90 Inpatient & outpatient	87075 CPT	$283	$204	$7.78 – $283	$490