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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $186.45 | $339.00 | $11.98 – $49.43 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $106.70 | $194.00 | $11.98 – $49.43 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $64.90 | $118.00 | $11.98 – $49.43 | 7 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $825.55 | $1,501.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $158.40 | $288.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $112.75 | $205.00 | $37.27 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,214.40 | $2,208.00 | $416.78 – $1,718.60 | 7 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $128.15 | $233.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $95.70 | $174.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $198.55 | $361.00 | $41.68 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $112.75 | $205.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $99.55 | $181.00 | $51.31 – $52.18 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $273.90 | $498.00 | $142.63 – $145.05 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $339.35 | $617.00 | $142.63 – $145.05 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $128.15 | $233.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $89.10 | $162.00 | $35.09 – $144.72 | 7 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $71.37 | 5 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $200.20 | $364.00 | $76.77 – $78.08 | 5 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $691.33 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,290.30 | $2,346.00 | $416.78 – $1,718.60 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $128.29 – $528.99 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $195.25 | $355.00 | $262.99 – $880.06 | 7 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $386.65 | $703.00 | $42.84 – $176.62 | 7 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $311.30 | $566.00 | $42.84 – $176.62 | 7 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $204.60 | $372.00 | $42.84 – $176.62 | 7 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $409.75 | $745.00 | $85.10 – $350.90 | 7 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $336.05 | $611.00 | $142.63 – $528.99 | 7 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $31.48 – $56.28 | 6 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $24.34 – $42.91 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $19.06 – $30.48 | 6 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $97.59 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $97.27 – $137.76 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $33.63 – $47.64 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $541.00 – $1,628.00 | 3 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,167.00 – $3,354.76 | 6 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,167.00 – $3,264.10 | 6 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $541.00 – $1,628.00 | 3 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $541.00 – $1,628.00 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $112.63 – $463.58 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $70.17 – $70.17 | 1 |
| Ingest challenge ini 120 min CPT 95076 | $944.35 | $1,717.00 | $76.48 – $448.51 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $328.35 | $597.00 | $13.50 – $263.20 | 5 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $44.98 – $160.02 | 5 |
| Initiation & management bipap/cpap initial day CPT 94660 | $388.85 | $707.00 | $39.76 – $263.20 | 5 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $39.99 – $122.10 | 5 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.18 – $10.30 | 6 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.46 – $11.91 | 6 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.10 | 5 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.06 – $0.09 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.07 – $0.07 | 2 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.06 – $0.09 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,133.45 – $7,166.81 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $151.35 – $151.35 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $15.12 – $17.39 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,331.61 – $70,764.78 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6.97 – $10.46 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $36.21 – $39.84 | 5 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $803.26 – $883.58 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $298.68 – $328.55 | 5 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.62 – $2.52 | 6 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.07 – $9.72 | 6 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $121.54 – $133.70 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $49.63 – $102.01 | 6 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.18 – $11.48 | 5 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.50 – $157.40 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $18.51 – $30.07 | 6 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,674.68 – $5,860.74 | 6 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.84 – $3.07 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.46 – $5.42 | 6 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.18 – $62.19 | 5 |
| Inj. asceniv HCPCS J1554 | not published | not published | $509.14 – $859.96 | 6 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $58.70 – $89.17 | 6 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $32.55 – $35.81 | 5 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.20 – $113.52 | 5 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $83.94 – $92.34 | 6 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $68.85 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $165.56 – $296.63 | 6 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.83 – $40.83 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.01 – $3,516,312.41 | 5 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.82 – $69.75 | 6 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $213.76 – $360.85 | 6 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.20 – $0.32 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.75 – $27.22 | 5 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.46 – $4.15 | 5 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.97 – $8.36 | 5 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.81 – $2.65 | 2 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $75.99 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $430.58 – $473.63 | 5 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,588.66 – $1,894.54 | 5 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $359.71 – $569.17 | 6 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,709.57 – $1,709.57 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.45 – $1.60 | 5 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $0.83 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $72.40 – $321.58 | 6 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.01 – $1.01 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.08 – $249.90 | 3 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.55 – $2.15 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.06 – $1.82 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.17 – $1.83 | 2 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $6.84 – $9.87 | 2 |
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.