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 |
|---|---|---|---|---|
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $600.00 – $2,004.00 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $583.87 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,253.34 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $32.45 | $59.00 | $0.01 – $0.01 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $119.90 | $218.00 | $49.63 – $59.56 | 5 |
| Gabapentin non-blood CPT 80355 | $42.35 | $77.00 | $24.66 – $40.59 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.59 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.71 – $2.65 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.22 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $17.13 – $25.80 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $38.50 | $70.00 | $21.07 – $86.87 | 7 |
| Galactokinase - sendout CPT 82759 | $393.80 | $716.00 | $21.48 – $88.58 | 7 |
| Galactose transferase test CPT 82776 | $31.35 | $57.00 | $11.74 – $39.21 | 7 |
| Galectin-3 CPT 82777 | not published | not published | $31.26 – $147.80 | 7 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $704.99 – $10,806.00 | 8 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $4.33 | 5 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $436.20 | 5 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $660.16 | 5 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,328.89 | $4,234.34 | $478.52 – $574.22 | 5 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $435.00 | 5 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.01 – $0.01 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $524.14 – $578.56 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $162.52 – $887.71 | 6 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.87 – $88.76 | 6 |
| Gammaglobulin iga CPT 82784 | $117.15 | $213.00 | $7.92 – $38.34 | 7 |
| Gammaglobulin ige CPT 82785 | $55.55 | $101.00 | $16.46 – $67.87 | 7 |
| Gamma glutamyltransferase CPT 82977 | $40.15 | $73.00 | $7.20 – $29.69 | 7 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.30 – $149.57 | 6 |
| Gammaplex injection HCPCS J1557 | not published | not published | $66.27 – $96.52 | 6 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.01 – $87.13 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $46.16 – $78.61 | 2 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $0.01 – $0.01 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $144.72 | 7 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $172.18 | 7 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $22.44 | 7 |
| Gastric emptying imag study CPT 78265 | $880.00 | $1,600.00 | $331.15 – $1,053.12 | 7 |
| Gastric emptying imag study CPT 78266 | $990.00 | $1,800.00 | $438.63 – $1,345.84 | 7 |
| Gastric motility studies CPT 91020 | not published | not published | $160.96 – $448.51 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $227.65 – $552.11 | 7 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $72.95 | 7 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,096.33 – $3,071.00 | 6 |
| Gastroesophageal reflux study CPT 78262 | $553.85 | $1,007.00 | $219.76 – $664.83 | 7 |
| Gastroesophageal reflux test CPT 91034 | $1,515.80 | $2,756.00 | $139.43 – $448.51 | 5 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,442.32 – $3,071.00 | 6 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,409.39 – $3,071.00 | 6 |
| Gastro/jejuno tube, std HCPCS B4087 | $77.53 | $140.97 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,114.09 – $31,535.00 | 6 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $635.71 – $3,071.00 | 8 |
| Gated heart multiple CPT 78473 | $1,100.00 | $2,000.00 | $228.00 – $698.56 | 7 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $211.35 | $384.27 | not published | 0 |
| Gba gene CPT 81251 | $232.10 | $422.00 | $47.25 – $157.82 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $143.01 – $143.01 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $533.59 – $870.25 | 6 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $0.85 | 6 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.45 – $6.38 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $247.37 – $395.99 | 6 |
| General health panel CPT 80050 | $275.00 | $500.00 | $45.36 – $152.20 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | $13,078.00 | $23,778.18 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $11,542.40 | $20,986.19 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $36,214.06 | $65,843.75 | not published | 0 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $47.75 – $47.75 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $3,685.00 | $6,700.00 | $2,448.56 – $8,178.19 | 7 |
| Genioplasty augmentation CPT 21120 | not published | not published | $505.39 – $6,030.19 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $817.52 – $5,974.00 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $706.49 – $5,974.00 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $676.42 – $6,030.19 | 8 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $6,855.45 | $12,464.45 | not published | 0 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $7,807.75 | 7 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $16,804.21 | 7 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $9,051.23 | 7 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.05 – $4.69 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $79.20 | $144.00 | $16.38 – $67.53 | 7 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.81 – $10.05 | 6 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,079.65 | $1,963.00 | $405.70 – $1,032.15 | 5 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $541.00 – $2,167.00 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $2,439.80 | $4,436.00 | $103.40 – $2,167.00 | 8 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,297.70 | $7,814.00 | $189.04 – $3,491.29 | 8 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $39.60 | $72.00 | $9.81 – $32.77 | 7 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $139.70 | $254.00 | $17.11 – $66.30 | 7 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $542.85 | $987.00 | $102.26 – $341.55 | 7 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $880.55 | $1,601.00 | $25.23 – $159.92 | 5 |
| Ghs antibodies (torch) igm CPT 86694 | $114.40 | $208.00 | $14.39 – $59.35 | 7 |
| Ghs aspiration bladder - needle CPT 51100 | $1,036.20 | $1,884.00 | $42.05 – $2,167.00 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $808.50 | $1,470.00 | $86.76 – $2,167.00 | 7 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $18.60 | 7 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,059.85 | $1,927.00 | $99.08 – $2,302.00 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,369.30 | $6,126.00 | $126.23 – $3,795.09 | 8 |
| Ghs change cysto/gastrost CPT 43762 | $1,022.45 | $1,859.00 | $41.05 – $2,167.00 | 8 |
| Ghs chemo >8 hrs CPT 96416 | $611.05 | $1,111.00 | $141.73 – $397.01 | 5 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $182.29 – $397.01 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | $343.75 | $625.00 | $62.77 – $86.54 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $79.20 | $144.00 | $35.09 – $144.72 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $585.75 | $1,065.00 | $247.07 – $2,302.00 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $595.65 | $1,083.00 | $247.07 – $2,167.00 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,515.80 | $2,756.00 | $446.56 – $2,167.00 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $504.90 | $918.00 | $247.07 – $2,167.00 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,717.65 | $3,123.00 | $523.11 – $2,167.00 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $4,995.65 | $9,083.00 | $856.88 – $3,886.00 | 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.