SSM Health St. Clare Hospital - Fenton
1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152
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 |
|---|---|---|---|---|
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,525.60 | $4,592.00 | $349.60 – $2,680.00 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $614.35 | $1,117.00 | $9.65 – $2,444.00 | 5 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $444.95 | $809.00 | $143.59 – $2,167.00 | 8 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $134.20 | $244.00 | $21.21 – $56.28 | 5 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $416.35 | $757.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $547.80 | $996.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $601.70 | $1,094.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $397.65 | $723.00 | $276.31 – $2,302.00 | 8 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $505.45 | $919.00 | $165.31 – $2,680.00 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,046.10 | $1,902.00 | $161.10 – $2,302.00 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $929.50 | $1,690.00 | $165.24 – $2,302.00 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,277.65 | $2,323.00 | $180.76 – $2,302.00 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,287.00 | $2,340.00 | $215.19 – $2,302.00 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,045.55 | $1,901.00 | $211.05 – $2,302.00 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,312.85 | $2,387.00 | $230.18 – $2,302.00 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,212.75 | $2,205.00 | $218.74 – $2,680.00 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,068.10 | $1,942.00 | $228.10 – $2,680.00 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,414.05 | $2,571.00 | $241.29 – $2,680.00 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,111.00 | $2,020.00 | $287.82 – $2,680.00 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,515.80 | $2,756.00 | $319.81 – $2,680.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,212.75 | $2,205.00 | $330.71 – $2,680.00 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,616.45 | $2,939.00 | $369.99 – $2,680.00 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $397.61 – $2,680.00 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,717.65 | $3,123.00 | $401.59 – $2,680.00 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $59.40 | $108.00 | $8.60 – $35.47 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $13.28 – $13.28 | 1 |
| Ghs mbp CPT 83873 | $182.60 | $332.00 | $17.20 – $70.94 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $152.90 | $278.00 | $24.99 – $24.99 | 1 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $152.90 | $278.00 | $97.91 – $97.91 | 1 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $187.55 | $341.00 | $80.23 – $80.23 | 1 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $85.25 | $155.00 | $11.15 – $11.15 | 1 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $85.25 | $155.00 | $60.82 – $60.82 | 1 |
| Ghs musc test done w/n test comp CPT 95886 | $772.20 | $1,404.00 | $45.54 – $45.54 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $631.95 | $1,149.00 | $40.16 – $40.16 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $43.75 – $43.75 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $642.95 | $1,169.00 | $12.70 – $12.70 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $788.15 | $1,433.00 | $138.08 – $2,302.00 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,955.15 | $5,373.00 | $97.49 – $10,369.00 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,216.50 | $4,030.00 | $72.16 – $2,167.00 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | $2,107.60 | $3,832.00 | $75.14 – $2,167.00 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | $1,856.80 | $3,376.00 | $69.47 – $2,167.00 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | $1,820.50 | $3,310.00 | $98.36 – $2,167.00 | 8 |
| Ghs nerve block interscaline CPT 64510 | $2,709.85 | $4,927.00 | $78.30 – $2,167.00 | 8 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,927.75 | $3,505.00 | $86.09 – $2,167.00 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,625.70 | $4,774.00 | $77.10 – $2,302.00 | 8 |
| Ghs nerve block suprascapular CPT 64418 | $1,477.85 | $2,687.00 | $81.82 – $2,302.00 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $478.50 | $870.00 | $44.25 – $2,302.00 | 8 |
| Ghs o2 saturation CPT 82810 | $76.45 | $139.00 | $9.77 – $35.97 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $45.18 – $154.66 | 5 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $46.25 – $70.91 | 5 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $26.40 | $48.00 | $46.90 – $56.28 | 5 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,997.50 | $5,450.00 | $37.92 – $2,680.00 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,639.90 | $6,618.00 | $213.55 – $2,680.00 | 8 |
| Ghs optokenetic CPT 92544 | not published | not published | $1.46 – $154.66 | 5 |
| Ghs oscillating trac CPT 92545 | not published | not published | $1.46 – $259.53 | 5 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $51.70 | $94.00 | $21.63 – $25.95 | 5 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $40.15 | $73.00 | $21.63 – $25.95 | 5 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.61 – $7.93 | 5 |
| Ghs ot group caregiver training CPT 97552 | $48.40 | $88.00 | $9.29 – $11.15 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $34.14 – $44.62 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $30.16 – $70.39 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $68.22 – $68.22 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $1,742.95 | $3,169.00 | $11.91 – $2,302.00 | 6 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $702.35 | $1,277.00 | $65.29 – $3,886.00 | 6 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,414.05 | $2,571.00 | $56.39 – $3,886.00 | 6 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $38.50 | $70.00 | $21.98 – $108.38 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $913.55 | $1,661.00 | $145.42 – $2,167.00 | 8 |
| Ghs phenylketonurid CPT 84030 | $43.45 | $79.00 | $5.50 – $22.68 | 7 |
| Ghs picc line insert < 5 CPT 36568 | $2,035.00 | $3,700.00 | $106.59 – $2,167.00 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $697.40 | $1,268.00 | $247.07 – $2,302.00 | 8 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $17.77 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,388.80 | $11,616.00 | $798.53 – $1,032.15 | 5 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $1.46 – $159.92 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | $43.45 | $79.00 | $7.91 – $34.76 | 7 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $73.15 | $133.00 | $9.66 – $39.85 | 7 |
| Ghs protein, misc fluid CPT 84160 | $77.00 | $140.00 | $5.61 – $21.34 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $82.50 | $150.00 | $14.35 – $59.15 | 7 |
| Ghs pr without cont pulse ox CPT 94625 | $301.95 | $549.00 | $19.56 – $70.91 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $24.75 | $45.00 | $12.25 – $50.50 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $170.73 – $170.73 | 1 |
| Ghs quinidine CPT 80194 | $133.65 | $243.00 | $14.60 – $60.22 | 7 |
| Ghs refill of implantable pump CPT 95990 | $283.80 | $516.00 | $91.10 – $397.01 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $393.80 | $716.00 | $131.58 – $2,302.00 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,010.35 | $1,837.00 | $142.59 – $2,302.00 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,940.85 | $5,347.00 | $578.76 – $3,071.00 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,131.15 | $5,693.00 | $515.02 – $3,886.00 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $45.10 | $82.00 | $15.89 – $53.14 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $17.77 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $122.65 | $223.00 | $13.91 – $49.43 | 7 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $14.63 | 7 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $49.70 | 7 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $36.84 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $78.10 | $142.00 | $7.48 – $28.42 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $697.40 | $1,268.00 | $105.86 – $2,680.00 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $859.65 | $1,563.00 | $142.47 – $2,680.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $757.90 | $1,378.00 | $128.60 – $2,680.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $908.60 | $1,652.00 | $165.16 – $2,680.00 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $757.90 | $1,378.00 | $84.24 – $2,302.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $683.65 | $1,243.00 | $78.24 – $2,302.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.50 | $1,470.00 | $105.16 – $2,302.00 | 8 |
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.