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 |
|---|---|---|---|---|
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $276.62 – $3,886.00 | 8 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $603.90 | $1,098.00 | $43.82 – $114.27 | 5 |
| Amantadine (symmetrel)-sendout CPT 80375 | $217.80 | $396.00 | $24.66 – $69.17 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $5.40 – $159.92 | 5 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.72 – $1.45 | 2 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $57.21 | 7 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $57.21 | 7 |
| Amino acids quant 2-5 CPT 82136 | $39.05 | $71.00 | $19.61 – $69.57 | 7 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.75 – $1.75 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.85 – $2.88 | 6 |
| Aminolevulinic acid delta CPT 82135 | $122.10 | $222.00 | $16.45 – $67.84 | 7 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $389.28 – $686.55 | 6 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $8.98 – $9.67 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $3.04 – $3.04 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.51 – $0.51 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $309.10 | $562.00 | $16.13 – $40.59 | 3 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.61 – $25.54 | 6 |
| Ammonia CPT 82140 | $62.70 | $114.00 | $14.57 – $60.09 | 7 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,285.35 | $2,337.00 | $87.30 – $3,071.00 | 8 |
| Amniocentesis therapeutic CPT 59001 | $1,329.90 | $2,418.00 | $194.95 – $3,071.00 | 8 |
| Amniotic fluid scan CPT 82143 | $29.70 | $54.00 | $9.35 – $31.23 | 7 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,031.05 | $5,511.00 | $664.12 – $3,886.00 | 8 |
| Amphetamine confirm urine -sendout CPT 80324 | $152.90 | $278.00 | $24.66 – $48.43 | 3 |
| Amphetamines 5 or more CPT 80326 | $106.70 | $194.00 | $9.38 – $29.99 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $16.70 – $39.75 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.71 – $17.00 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $19.84 – $46.65 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.57 – $1.76 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.74 – $3.10 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $267.46 | 5 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $461.78 – $3,886.00 | 8 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $775.47 – $3,932.74 | 8 |
| Amputate hand at wrist CPT 25922 | not published | not published | $647.15 – $3,071.00 | 8 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $740.99 – $3,886.00 | 8 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $870.13 – $3,932.74 | 8 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $542.08 – $3,886.00 | 8 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $650.29 – $3,886.00 | 8 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $728.28 – $8,721.52 | 8 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $581.11 – $3,071.00 | 8 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $783.47 – $3,932.74 | 8 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $541.98 – $3,886.00 | 8 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $621.31 – $3,886.00 | 8 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $996.16 – $8,721.52 | 8 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $710.92 – $3,932.74 | 8 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $701.04 – $7,391.48 | 8 |
| Amputation of lower leg CPT 27882 | not published | not published | $649.82 – $3,932.74 | 8 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $581.65 – $3,932.74 | 8 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $785.78 – $3,932.74 | 8 |
| Amputation toe interphalangeal joint CPT 28825 | $3,624.50 | $6,590.00 | $395.13 – $3,886.00 | 8 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $421.90 – $3,886.00 | 8 |
| Amylase CPT 82150 | $77.55 | $141.00 | $6.48 – $26.72 | 7 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $58.42 – $94.03 | 2 |
| Ana ds-dna CPT 86226 | $139.70 | $254.00 | $12.11 – $49.93 | 7 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $101.20 | $184.00 | $24.66 – $40.59 | 3 |
| Anal pressure record CPT 91122 | $834.90 | $1,518.00 | $137.30 – $541.00 | 2 |
| Anal/urinary muscle study CPT 51784 | $396.00 | $720.00 | $115.78 – $2,302.00 | 8 |
| Anal/urinary muscle study CPT 51785 | $503.25 | $915.00 | $169.56 – $2,167.00 | 8 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $228.80 | $416.00 | $56.63 – $114.27 | 5 |
| Analysis gene f2 20210g>a variant CPT 81240 | $140.25 | $255.00 | $65.69 – $219.40 | 7 |
| Analysis gene f5 leiden variant CPT 81241 | $167.75 | $305.00 | $73.37 – $251.97 | 7 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $307.05 | 7 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $75.35 | $137.00 | $37.38 – $44.86 | 5 |
| Analysis tumor CPT 88358 | not published | not published | $39.09 – $204.77 | 7 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $302.50 | $550.00 | $42.69 – $114.27 | 5 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $42.35 | $77.00 | $35.09 – $59.45 | 6 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,080.18 – $3,071.00 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | $211.75 | $385.00 | $3.49 – $62.09 | 7 |
| An cholangiogram percutaneous compl CPT 47531 | $2,664.20 | $4,844.00 | $102.74 – $4,303.42 | 8 |
| Androstanediol CPT 82154 | $256.85 | $467.00 | $28.83 – $118.90 | 7 |
| An fluoro guide for cvp CPT 77001 | $394.90 | $718.00 | $51.63 – $200.65 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,799.20 | $10,544.00 | $134.74 – $18,730.00 | 6 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $6,249.65 | $11,363.00 | $503.19 – $18,730.00 | 6 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $10,173.90 | $18,498.00 | $456.64 – $18,730.00 | 6 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $6,513.10 | $11,842.00 | $222.94 – $14,864.00 | 5 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $84.64 | 7 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $8,974.90 | $16,318.00 | $614.24 – $18,730.00 | 6 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,109.40 | $11,108.00 | $190.41 – $18,730.00 | 6 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,963.20 | $9,024.00 | $384.04 – $18,730.00 | 8 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,935.25 | $7,155.00 | $162.01 – $18,730.00 | 6 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $5,799.20 | $10,544.00 | $330.26 – $18,730.00 | 8 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.56 – $0.80 | 2 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $722.57 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $664.40 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $533.30 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $514.06 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $539.47 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $602.55 – $7,994.00 | 8 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,114.53 – $7,994.00 | 8 |
| Ankle X-ray CPT 73610 | $216.15 | $393.00 | $22.24 – $104.60 | 7 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $744.15 | $1,353.00 | $50.14 – $2,167.00 | 8 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $10.00 – $45.03 | 5 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $30.80 | $56.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $30.80 | $56.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $30.80 | $56.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $30.80 | $56.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.22 – $7.69 | 5 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $85.29 – $243.00 | 5 |
| Anora (draw only) CPT 99001 | not published | not published | $6.27 – $6.63 | 2 |
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.