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 simple repair over 30 cm - 12007 CPT 12007 | $808.50 | $1,470.00 | $160.23 – $2,680.00 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $187.63 – $2,680.00 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $129.03 – $259.53 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,207.80 | $2,196.00 | $117.95 – $259.53 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $969.65 | $1,763.00 | $298.60 – $1,032.15 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $46.59 – $55.91 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $845.35 | $1,537.00 | $91.92 – $2,302.00 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $1.46 – $159.92 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $100.04 – $120.05 | 5 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $11.48 – $44.89 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | $309.10 | $562.00 | $19.71 – $2,302.00 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $114.95 | $209.00 | $69.73 – $83.68 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $71.50 | $130.00 | $15.74 – $56.28 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $351.45 | $639.00 | $196.82 – $255.66 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,768.80 | $3,216.00 | $199.46 – $2,167.00 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,717.65 | $3,123.00 | $146.64 – $2,167.00 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,123.65 | $2,043.00 | $240.39 – $2,167.00 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $30.09 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $667.15 | $1,213.00 | $247.07 – $2,302.00 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $545.05 | $991.00 | $247.07 – $2,302.00 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | $85.80 | $156.00 | $24.30 – $100.23 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $86.90 | $158.00 | $14.71 – $60.65 | 7 |
| Ghs vaginal delivery only CPT 59409 | $1,966.25 | $3,575.00 | $884.97 – $3,890.82 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,082.75 | $5,605.00 | $373.76 – $448.51 | 5 |
| Ghs windowing of cast CPT 29730 | $245.85 | $447.00 | $47.42 – $2,302.00 | 8 |
| Giardia lamblia antibody CPT 86674 | $85.25 | $155.00 | $14.72 – $60.69 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $69.47 – $286.78 | 7 |
| Gi inhouse confirmation CPT 87045 | $56.10 | $102.00 | $9.44 – $38.94 | 7 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $281.63 – $3,984.97 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $77.08 – $704.96 | 7 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,498.75 | $2,725.00 | $711.39 – $4,934.00 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $826.04 – $1,117.75 | 5 |
| Gi trc img intral esophagus CPT 91111 | $2,795.65 | $5,083.00 | $690.60 – $4,934.00 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $908.45 – $4,934.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $337.74 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $205.48 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $116.90 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $0.66 – $9.37 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $28.97 – $34.76 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.41 – $44.89 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $902.82 – $4,210.48 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $907.10 – $4,210.48 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,023.82 – $2,773.86 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,244.55 – $3,783.00 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $117.33 – $329.63 | 6 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $129.28 – $216.70 | 6 |
| Glucagon plasma - sendout CPT 82943 | $111.65 | $203.00 | $14.29 – $58.92 | 7 |
| Glucose 1 hr post dose CPT 82950 | $62.70 | $114.00 | $4.75 – $19.57 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $24.95 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $58.74 | $106.80 | $3.28 – $10.96 | 7 |
| Glucose blood quantitative CPT 82947 | $37.95 | $69.00 | $3.93 – $16.20 | 7 |
| Glucose body fluid CPT 82945 | $35.20 | $64.00 | $3.93 – $16.20 | 7 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $56.63 | $102.96 | $56.35 – $70.91 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $62.70 | $114.00 | $12.87 – $53.07 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $68.20 | $124.00 | $3.92 – $16.17 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.50 – $1.08 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $21.59 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $63.80 | $116.00 | $18.58 – $76.62 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $86.35 | $157.00 | $18.52 – $76.35 | 7 |
| Gonioscopy CPT 92020 | not published | not published | $21.79 – $159.92 | 5 |
| Goniotomy CPT 65820 | not published | not published | $774.32 – $4,210.48 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $855.28 – $1,160.05 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,339.92 | $2,436.22 | $31.01 – $149.57 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $3,129.51 | $5,690.01 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $124.65 – $2,560.73 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $7,414.57 | $13,481.04 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $922.71 – $3,886.00 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $8,011.53 | $14,566.41 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,532.40 | $8,240.73 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $886.38 | $1,611.60 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $45.60 – $149.57 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,560.21 | $2,836.75 | $114.91 – $181.60 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,170.41 – $8,028.00 | 6 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,369.10 | $4,307.46 | $124.65 – $238.57 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $900.18 | $1,636.69 | $41.23 – $149.57 | 6 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $4,308.44 | $7,833.52 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $124.65 – $276.91 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $578.59 | $1,051.98 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $200.88 | $365.23 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $3.06 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.27 – $0.67 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,178.00 | $3,960.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $479.60 | $872.00 | $159.22 – $2,302.00 | 8 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $626.32 – $8,775.00 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $528.67 – $8,775.00 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $508.44 – $2,167.00 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $506.28 – $8,775.00 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $35.20 | $64.00 | $11.84 – $14.21 | 5 |
| Growth hormone antibody CPT 86277 | $141.35 | $257.00 | $15.74 – $64.90 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $31.26 – $252.50 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,069.12 – $3,071.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $748.74 – $3,071.00 | 8 |
| G-tube reposition CPT 43761 | $1,601.60 | $2,912.00 | $111.12 – $2,167.00 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,650.00 | $3,000.00 | $65.97 – $2,512.51 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,927.75 | $3,505.00 | $166.04 – $2,167.00 | 8 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,720.34 | $4,946.08 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,087.31 | $1,976.92 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $207.65 | $377.54 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $364.65 | $663.00 | $38.97 – $173.78 | 3 |
| Gum graft CPT 41870 | not published | not published | $325.11 – $3,071.00 | 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.