Supplies, drugs & other prices at St. Anthonys Memorial Hospital

Effingham, IL · every code in this section with a posted price and a Medicare benchmark.

49 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,659.60 $2,305 4.4×
Admin hepatitis b vaccine (G0010) $95.04 $132 1.9×
Admin influenza virus vac (G0008) $95.04 $132 1.9×
Admin pneumococcal vaccine (G0009) $95.04 $132 1.9×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$110.88–$255.60 $154–$355 varies
Diab manage trn per indiv (G0108) $88.56 $123 1.6×
Diab manage trn ind/group (G0109) $44.64 $62 2.8×
Direct refer hospital observ (G0379) $1,607.76 $2,233 2.5×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$172.80–$182.88 $240–$254 varies
Drug test def 22+ classes (G0483) $616.32 $856 2.5×
Elec stim other than wound (G0283) $54 $75 4.3×
Fecal blood scrn immunoassay (G0328) $72.72 $101 4.0×
Hbot, full body chamber, 30m (G0277) $468.72 $651 3.2×
Home sleep test/type 3 porta (G0399) $1,103.76 $1,533 4.8×
Home sleep test/type 4 porta (G0400) $909.36 $1,263 3.9×
Hospital outpt clinic visit (G0463) $229.68 $319 1.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $180 $250 4.1×
Inj for sacroiliac jt anesth (G0260)
range across 3 matching MRF lines
$2,735.28–$3,629.52 $3,799–$5,041 varies
Intens cardiac rehab no exer (G0423) $277.20 $385 2.0×
Intens cardiac rehab w/exerc (G0422) $280.08 $389 2.0×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $1,056.24 $1,467 2.1×
Mra w/cont, abd (C8900) $1,881.36 $2,613 5.0×
Mra w/cont, chest (C8909) $2,376 $3,300 6.4×
Mra w/cont, lwr ext (C8912) $1,964.16 $2,728 5.3×
Mra w/cont, pelvis (C8918) $1,774.80 $2,465 4.7×
Mra w/o cont, abd (C8901) $1,612.80 $2,240 6.3×
Mra w/o cont, chest (C8910) $2,354.40 $3,270 9.2×
Mra w/o cont, lwr ext (C8913) $1,786.32 $2,481 7.0×
Mra w/o fol w/cont, abd (C8902) $2,746.80 $3,815 7.3×
Mra w/o fol w/cont, chest (C8911) $3,452.40 $4,795 9.2×
Mra w/o fol w/cont, lwr ext (C8914) $2,392.56 $3,323 6.4×
Mra w/o fol w/cont, pelvis (C8920) $1,820.88 $2,529 4.9×
Mra, w/dye, upper extremity (C8934) $1,786.32 $2,481 4.8×
Mri w/cont, breast, bi (C8906) $2,329.92 $3,236 6.2×
Mri w/o fol w/cont, breast, (C8908) $3,440.88 $4,779 9.2×
Mri w/o fol w/cont, brst, un (C8905) $1,175.76 $1,633 3.1×
Neuro csf prion prtn qual (0035U) $681.84 $947 1.3×
Oth resp proc, group (G0239) $70.56 $98 1.8×
Oth resp proc, indiv (G0238) $59.76 $83 1.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $12,316.32 $17,106 1.0×
Prostate biopsy, any mthd (G0416) $1,584 $2,200 4.1×
Psa screening (G0103) $345.60 $480 17.9×
Scr c/v cyto,thinlayer,rescr (G0145) $208.08 $289 7.9×
Therapeutic procd strg endur (G0237) $46.08 $64 1.5×
Tomosynthesis, mammo (G0279) $140.40 $195 11.1×
Trluml Perip Athrc Iliac Art (0238T) $35,326.80 $49,065 1.8×
Tte w or w/o fol w/con,stres (C8928) $2,303.28 $3,199 2.7×
Tte w or wo fol wcon,doppler (C8929) $2,180.88 $3,029 2.6×
Unsched dialysis esrd pt hos (G0257) $979.92 $1,361 1.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.