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 |
|---|---|---|---|---|
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $2,167.00 – $3,886.00 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $384.43 – $7,391.48 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $233.71 – $419.69 | 6 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,008.53 – $9,642.93 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,167.00 – $8,721.52 | 8 |
| Rsv assay w/optic CPT 87807 | $127.05 | $231.00 | $13.10 – $49.43 | 7 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $295.80 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $19.69 – $160.02 | 5 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.38 – $44.86 | 5 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $37.38 – $44.86 | 5 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.38 – $44.86 | 5 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.14 – $30.17 | 5 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.19 – $30.23 | 5 |
| Rubella antibody igg CPT 86762 | $122.65 | $223.00 | $14.39 – $59.35 | 7 |
| Rubeola ag if CPT 87283 | not published | not published | $17.04 – $203.07 | 7 |
| Rubeola antibody igg CPT 86765 | $184.25 | $335.00 | $12.88 – $53.11 | 7 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,100.56 | 7 |
| Russell viper venom diluted CPT 85613 | $61.60 | $112.00 | $9.58 – $39.51 | 7 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $932.67 | 5 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.64 – $48.63 | 6 |
| Salivary gland function exam CPT 78232 | not published | not published | $81.79 – $480.50 | 7 |
| Salivary gland imaging CPT 78230 | $303.05 | $551.00 | $157.02 – $482.71 | 7 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $108.30 – $480.50 | 7 |
| Salmonella antibody CPT 86768 | $68.75 | $125.00 | $13.19 – $54.38 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $896.69 – $3,890.82 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $133.35 – $160.02 | 5 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.01 – $0.01 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $62.47 – $103.81 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $37.52 – $52.30 | 5 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $188.19 – $266.54 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $79.20 | $144.00 | $35.33 – $35.93 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $138.05 | $251.00 | $70.29 – $71.48 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $461.30 – $8,775.00 | 8 |
| Sbrt management CPT 77435 | not published | not published | $655.36 – $2,017.48 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $101.75 – $122.10 | 5 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,320.55 | $2,401.00 | $189.27 – $362.39 | 6 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $653.40 | $1,188.00 | $104.71 – $207.49 | 6 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $999.35 | $1,817.00 | $153.79 – $286.78 | 6 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $537.90 | $978.00 | $97.14 – $161.76 | 6 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $583.00 | $1,060.00 | $104.71 – $172.05 | 6 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $932.80 | $1,696.00 | $100.01 – $168.62 | 6 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,317.25 | $2,395.00 | $189.27 – $348.67 | 6 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $771.10 | $1,402.00 | $104.71 – $206.35 | 6 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $601.70 | $1,094.00 | $104.71 – $172.62 | 6 |
| Scan proc cranial extra CPT 61782 | not published | not published | $189.45 – $2,167.00 | 5 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $261.51 – $2,167.00 | 5 |
| Scan proc spinal CPT 61783 | not published | not published | $257.59 – $2,167.00 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,997.50 | $5,450.00 | $132.06 – $5,974.00 | 8 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $453.11 – $7,994.00 | 8 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $4,079.62 | $7,417.50 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.02 – $48.93 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $33.38 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $15.02 – $106.68 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $20.74 – $146.86 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.15 – $109.25 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $19.55 – $90.35 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | $70.40 | $128.00 | $20.26 – $83.53 | 7 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $33.38 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $217.15 – $2,680.00 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $217.15 – $2,680.00 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $65.60 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $116.57 | 7 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $20.30 – $154.81 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $99.30 | 7 |
| Screening Mammogram CPT 77067 | $237.60 | $432.00 | $85.63 – $305.80 | 7 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $108.38 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $62.70 | $114.00 | $19.31 – $75.85 | 7 |
| Screen pap by tech w md supv HCPCS P3000 | $41.80 | $76.00 | $15.02 – $48.93 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $34.65 | $63.00 | $3.25 – $3.25 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,976.16 | $7,229.38 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $98.45 | $179.00 | $72.12 – $86.54 | 5 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $4,376.90 | $7,958.00 | $871.89 – $3,071.00 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,083.75 | $7,425.00 | $272.54 – $2,167.00 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $5.96 – $5.96 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $18.15 | $33.00 | $2.70 – $11.12 | 7 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $2,468.96 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,555.64 – $3,071.00 | 6 |
| Select picture audiometry CPT 92583 | not published | not published | $51.28 – $70.91 | 5 |
| Self-meas bp pt educaj/train CPT 99473 | $0.01 | $0.01 | $28.97 – $34.76 | 5 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.65 – $13.65 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $10.06 – $10.06 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $26.82 | 7 |
| Semen analysis presence/motility CPT 89321 | $82.50 | $150.00 | $12.05 – $49.70 | 7 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $35.50 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $26.90 – $70.91 | 5 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.41 – $44.89 | 5 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $413.94 – $3,783.00 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | $133.65 | $243.00 | $87.38 – $641.28 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $715.34 – $7,391.48 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $616.15 – $3,886.00 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $795.16 – $7,391.48 | 8 |
| Serial casting application 97139app CPT 97139 | not published | not published | $18.07 – $18.07 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $35.49 – $35.49 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.01 – $0.01 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $179.99 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | $194.70 | $354.00 | $24.66 – $63.43 | 3 |
| Set radiation therapy field CPT 77280 | $731.50 | $1,330.00 | $134.63 – $752.44 | 7 |
| Set radiation therapy field CPT 77285 | $1,149.50 | $2,090.00 | $374.16 – $1,240.24 | 7 |
| Set radiation therapy field CPT 77290 | $1,881.00 | $3,420.00 | $375.03 – $1,370.45 | 7 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $37.59 – $369.16 | 5 |
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.