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 |
|---|---|---|---|---|
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.51 – $22.69 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $280.50 | $510.00 | $84.46 – $101.35 | 5 |
| ER Visit (level 2) CPT 99282 | $559.35 | $1,017.00 | $153.79 – $184.55 | 5 |
| ER Visit (level 3) CPT 99283 | $958.65 | $1,743.00 | $273.42 – $328.10 | 5 |
| ER Visit (level 4) CPT 99284 | $1,277.65 | $2,323.00 | $417.94 – $501.52 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | $1,837.55 | $3,341.00 | $596.49 – $715.79 | 5 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $411.15 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $87.43 – $141.35 | 2 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $87.11 – $3,071.00 | 6 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,224.00 – $8,775.00 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.49 – $0.80 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.33 – $0.46 | 2 |
| Esophageal dilat s&i CPT 74360 | $858.00 | $1,560.00 | $142.80 – $435.83 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $126.20 – $3,071.00 | 6 |
| Esophageal motility CPT 78258 | $398.75 | $725.00 | $192.16 – $601.97 | 7 |
| Esophageal recording CPT 93615 | not published | not published | $14.58 – $7,297.00 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $180.52 – $7,297.00 | 7 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,444.00 – $8,775.00 | 6 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,436.51 – $3,071.00 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,457.85 – $3,071.00 | 6 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $217.22 – $4,306.00 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $106.99 – $3,071.00 | 8 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $269.55 – $3,071.00 | 8 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $215.06 – $8,775.00 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $183.00 – $2,680.00 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,571.80 | $4,676.00 | $135.91 – $2,306.41 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $188.66 – $2,680.00 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | $1,129.15 | $2,053.00 | $119.58 – $2,306.41 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $845.90 | $1,538.00 | $101.39 – $2,167.00 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $89.15 – $3,071.00 | 8 |
| Esophagoscopy flex remove fb CPT 43215 | $1,086.80 | $1,976.00 | $161.67 – $2,167.00 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $224.65 – $8,775.00 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $154.77 – $2,306.41 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $291.14 – $4,306.00 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $199.50 – $4,634.04 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $164.60 – $3,071.00 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $599.19 – $8,775.00 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $183.19 – $2,306.41 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $224.31 – $2,680.00 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $211.40 – $4,306.00 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $182.44 – $4,306.00 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $182.79 – $4,306.00 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $206.49 – $4,306.00 | 8 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,412.12 – $3,071.00 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $161.09 – $2,306.41 | 8 |
| Esophagus motility study CPT 91010 | $1,388.75 | $2,525.00 | $110.76 – $448.51 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $373.76 – $448.51 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | $1,254.00 | $2,280.00 | $175.97 – $2,680.00 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $149.70 – $2,306.41 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $878.33 – $7,480.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,229.10 – $5,327.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.71 – $541.00 | 2 |
| Esoph imped function test CPT 91037 | $539.00 | $980.00 | $111.83 – $259.53 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $373.76 – $448.51 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $152.30 – $4,306.00 | 8 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $156.26 – $2,306.41 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $119.21 – $2,306.41 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $474.01 – $474.01 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $248.29 – $248.29 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $497.07 – $497.07 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $570.66 – $570.66 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $191.79 – $191.79 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $548.64 – $548.64 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $309.36 – $309.36 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $826.50 – $826.50 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $984.12 – $984.12 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $856.69 – $856.69 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $334.93 – $334.93 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $455.06 – $455.06 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $249.42 – $249.42 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $478.86 – $478.86 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $296.59 – $296.59 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $675.00 – $675.00 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.96 – $15.96 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $18.92 – $18.92 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.15 – $8.15 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $16.32 – $16.32 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $454.05 – $8,775.00 | 8 |
| Establish access to aorta CPT 36160 | $875.60 | $1,592.00 | $134.80 – $2,302.00 | 5 |
| Establish access to artery CPT 36100 | $1,145.65 | $2,083.00 | $168.49 – $2,302.00 | 5 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,145.56 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,768.64 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $630.89 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,070.41 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,520.02 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,123.51 – $3,071.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $121.00 | $220.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $91.30 | $166.00 | $1,216.00 – $1,216.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $115.50 | $210.00 | $1,865.00 – $1,865.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.85 | $307.00 | $2,302.00 – $2,302.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $287.10 | $522.00 | $2,624.00 – $2,624.00 | 1 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $192.17 – $3,886.00 | 6 |
| Estradiol total CPT 82670 | $254.10 | $462.00 | $27.94 – $115.20 | 7 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.98 – $16.16 | 2 |
| Estrogens total-sendout CPT 82672 | $47.30 | $86.00 | $21.70 – $89.45 | 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.