SSM Health DePaul Hospital - St. Louis
12303 Depaul Drive, Bridgeton, MO · SSM Health · · NPI 1598835308
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 |
|---|---|---|---|---|
| Actinotherapy uv light CPT 96900 | not published | not published | $20.81 – $44.89 | 5 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $28.97 – $34.76 | 5 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $28.97 – $34.76 | 5 |
| Acute hepatitis panel CPT 80074 | $144.10 | $262.00 | $47.63 – $196.43 | 7 |
| Acute venous thrombus image CPT 78456 | not published | not published | $283.93 – $1,556.09 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.03 – $0.09 | 2 |
| #acylcarnitineprfl CPT 82017 | $105.60 | $192.00 | $16.87 – $69.57 | 7 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $57.21 | 7 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $177.78 – $213.34 | 5 |
| Adapter b 8 channel 10cm HCPCS C1883 | $208.80 | $379.64 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $30.81 – $2,302.00 | 8 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.54 – $1.06 | 2 |
| Adenovirus ag ia CPT 87301 | $112.20 | $204.00 | $11.98 – $49.43 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | $86.90 | $158.00 | $12.87 – $53.07 | 7 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $17.04 – $72.68 | 7 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $934.75 – $3,112.00 | 6 |
| Adh-sendout CPT 84588 | $66.55 | $121.00 | $33.94 – $139.95 | 7 |
| Adj gastric band via subq port CPT 43999 | $1,162.70 | $2,114.00 | $908.45 – $3,071.00 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $474.21 – $7,391.48 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $819.28 – $3,071.00 | 8 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.23 – $0.23 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $400.40 | $728.00 | $28.66 – $86.54 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $363.00 | $660.00 | $63.50 – $86.54 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $581.35 | $1,057.00 | $136.83 – $397.01 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $439.45 | $799.00 | $112.01 – $397.01 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $243.10 | $442.00 | $32.96 – $86.54 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $270.05 | $491.00 | $72.12 – $86.54 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $83.05 | $151.00 | $25.75 – $86.54 | 5 |
| Administration immunization each additional component CPT 90461 | $44.55 | $81.00 | $13.18 – $13.18 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $50.60 | $92.00 | $13.18 – $13.18 | 1 |
| Administration immunization first component each vaccine CPT 90460 | $39.60 | $72.00 | $25.75 – $25.75 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $83.05 | $151.00 | $25.75 – $86.54 | 5 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $26.40 | $48.00 | $13.18 – $13.18 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $72.05 | $131.00 | $22.40 – $22.40 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $83.05 | $151.00 | $14.80 – $56.28 | 5 |
| Administration vaccine influenza virus HCPCS G0008 | $76.45 | $139.00 | $14.80 – $56.28 | 5 |
| Administration vaccine pneumococcal HCPCS G0009 | $76.45 | $139.00 | $14.80 – $56.28 | 5 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $54.45 | $99.00 | $19.39 – $19.39 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $43.63 – $67.15 | 6 |
| Adrenal cortex & medulla img CPT 78075 | $1,286.45 | $2,339.00 | $432.68 – $1,556.09 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,304.93 – $3,071.00 | 6 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $93.89 – $259.53 | 5 |
| Aep neurodiagnostic i&r CPT 92653 | $271.70 | $494.00 | $90.03 – $259.53 | 5 |
| Aep thrshld est mlt freq i&r CPT 92652 | $271.70 | $494.00 | $123.01 – $259.53 | 5 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $3,532.11 | 5 |
| _afb id by dna probe rflx ast CPT 87149 | $161.70 | $294.00 | $20.05 – $82.70 | 7 |
| #afb mycobacteria suscep. #1 CPT 87190 | $126.50 | $230.00 | $0.93 – $24.42 | 7 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $475.68 | 7 |
| Aflibercept injection HCPCS J0178 | not published | not published | $743.60 – $1,508.99 | 6 |
| After cataract laser surgery CPT 66821 | not published | not published | $321.82 – $2,680.00 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $232.72 – $255.99 | 6 |
| Air conduction bilat CPT 92552 | not published | not published | $31.56 – $159.92 | 5 |
| Air injection into abdomen 49400 CPT 49400 | $546.70 | $994.00 | $102.35 – $2,167.00 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $354.20 | $644.00 | $27.27 – $154.66 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | $70.40 | $128.00 | $7.35 – $25.99 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $53.32 – $58.66 | 5 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.33 – $23.46 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $58.39 | 5 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $11.68 | 5 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $139.95 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $24.20 | $44.00 | $5.78 – $23.85 | 7 |
| Albumin serum plasma or whole blood CPT 82040 | $28.05 | $51.00 | $4.95 – $20.41 | 7 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.23 – $0.30 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.19 – $0.26 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.09 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $29.16 | 6 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $17.91 – $34.76 | 5 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $70.47 – $213.34 | 5 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $4,006.64 | 5 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,544.94 – $2,799.43 | 6 |
| Alkaline phosphatase CPT 84075 | $68.75 | $125.00 | $5.18 – $21.34 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | $10.45 | $19.00 | $17.93 – $73.95 | 7 |
| Allergen egg white ige CPT 86003 | $31.35 | $57.00 | $5.22 – $21.51 | 7 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $26.95 | $49.00 | $7.97 – $32.87 | 7 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $10.42 – $56.28 | 5 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $8.98 – $56.28 | 5 |
| Allergy Skin Testing CPT 95004 | not published | not published | $6.50 – $1,032.15 | 5 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.76 – $1,032.15 | 5 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,367.51 – $13,078.02 | 8 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $3,104.06 | $5,643.75 | $74.71 – $149.57 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $3,380.36 | $6,146.11 | $77.34 – $198.93 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,139.09 | $3,889.25 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $2,101.96 | $3,821.75 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $31.05 – $149.57 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $3,934.79 | $7,154.17 | $124.65 – $265.30 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $2,674.32 | $4,862.40 | $79.53 – $149.57 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $3,199.22 | $5,816.76 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $124.65 – $430.10 | 6 |
| Alloskin HCPCS Q4115 | not published | not published | $10.91 – $149.57 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | $161.70 | $294.00 | $7.42 – $44.89 | 5 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $3.73 – $34.76 | 5 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $0.61 – $8.55 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $138.60 | $252.00 | $64.41 – $265.60 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | $126.50 | $230.00 | $17.00 – $69.17 | 7 |
| Alpha-fetoprotein tumor marker CPT 82105 | $76.45 | $139.00 | $16.77 – $69.17 | 7 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $10.48 – $10.48 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $98.59 – $155.71 | 6 |
| Alt/sgpt CPT 84460 | $33.00 | $60.00 | $5.30 – $21.84 | 7 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.63 – $8.11 | 6 |
| Aluminum - quest CPT 82108 | $64.35 | $117.00 | $25.48 – $105.08 | 7 |
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.