SSM Health St. Clare Hospital - Fenton

1015 Bowles, Fenton, MO · SSM Health · · NPI 1851496152

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

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
Inj, levothyroxine, hikma HCPCS J0652 not published not published $5.99 – $8.48 2
Inj, lidocaine w epinephrine HCPCS J2004 not published not published $0.01 – $0.01 1
Inj, linezolid (hospira) HCPCS J2021 not published not published $7.39 – $35.12 2
Inj, lovotibeglogene autotem HCPCS J3394 not published not published $0.01 – $3,882,364.78 5
Inj. lumasiran, 0.5 mg HCPCS J0224 not published not published $336.97 – $559.23 6
Inj., lumoxiti, 0.01 mg HCPCS J9313 not published not published $22.51 – $40.94 6
Inj luxturna 1 billion vec g HCPCS J3398 not published not published $0.01 – $3,683.57 5
Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 not published not published $541.00 – $1,628.00 3
Inj marstacim-hncq, 0.5 mg HCPCS J7172 not published not published $51.19 – $56.31 5
Inj. meloxicam 1 mg HCPCS J1738 not published not published $3.20 – $3.20 1
Inj melpha hydroch nos 50 mg HCPCS J9245 not published not published $104.90 – $259.03 6
Inj, melphalan (apotex) 1 mg HCPCS J9249 not published not published $64.78 – $77.73 5
Inj, melphalan flufenami 1mg HCPCS J9247 not published not published $484.50 – $484.50 1
Inj melphalan (hepzato) 1 mg HCPCS J9248 not published not published $744.60 – $881.63 5
Inj menotropins 75 iu HCPCS S0122 not published not published $247.61 – $247.61 1
Inj mepivacaine hcl/10 ml HCPCS J0670 not published not published $4.45 – $5.75 2
Inj, meropenem (b. braun) HCPCS J2184 not published not published $2.42 – $3.69 2
Inj., meropenem, vaborbactam HCPCS J2186 not published not published $2.20 – $2.67 5
Inj meropenem (wg crit care) HCPCS J2183 not published not published $1.89 – $2.72 2
Inj, micafungin (par pharm) HCPCS J2247 not published not published $0.42 – $0.59 2
Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 not published not published $32.66 – $35.92 5
Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 not published not published $258.54 – $409.79 6
Inj, motixafortide, 0.25 mg HCPCS J2277 not published not published $26.48 – $29.13 5
Inj, moxifloxacin 100 mg HCPCS J2280 not published not published $10.15 – $16.49 2
Inj moxifloxacin (fres kabi) HCPCS J2281 not published not published $9.04 – $10.17 2
Inj multihance HCPCS A9577 not published not published $2.03 – $3.23 2
Inj multihance multipack HCPCS A9578 not published not published $1.99 – $3.10 2
Inj. mycophenolate mofetil HCPCS J7519 not published not published $0.48 – $1.28 2
Inj naloxone hydrochloride HCPCS J2310 not published not published $12.76 – $22.04 2
Inj. naxitamab-gqgk, 1 mg HCPCS J9348 not published not published $684.90 – $1,067.09 6
Inj nephrosto/ureterogram w/img exstng access CPT 50431 $1,080.20 $1,964.00 $70.67 – $3,071.00 8
Inj, nithiodote, 3mg / 125mg HCPCS J0211 not published not published $1.94 – $2.60 5
Inj nivolumab 2 mg hyaluron HCPCS J9289 not published not published $28.14 – $30.95 5
Inj, nogapendekin pmln, 1mcg HCPCS J9028 not published not published $94.31 – $128.50 6
Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 $3,935.25 $7,155.00 $165.38 – $8,775.00 8
Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 $3,935.25 $7,155.00 $130.06 – $8,775.00 8
Inj, nyposi 1 mcg HCPCS Q5148 not published not published $0.61 – $1.14 5
Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 not published not published $48.06 – $52.87 5
Inj, ocriplasmin, 0.125 mg HCPCS J7316 not published not published $0.01 – $0.01 1
Inj octafluoropropane mic,ml HCPCS Q9956 not published not published $48.00 – $73.77 2
Inj ogivri 10 mg HCPCS Q5114 not published not published $31.94 – $71.16 6
Inj, olaratumab, 10 mg HCPCS J9285 not published not published $0.01 – $0.01 1
Inj, oliceridine 0.1 mg HCPCS C9101 not published not published $1.32 – $2.18 2
Inj olipudase alfa-rpcp 1mg HCPCS J0218 not published not published $404.95 – $445.44 6
Inj, omacetaxine mep, 0.01mg HCPCS J9262 not published not published $3.88 – $6.94 3
Inj., omadacycline, 1 mg HCPCS J0121 not published not published $4.19 – $6.40 6
Inj onase abepar-xioi treat HCPCS J3399 not published not published $0.01 – $3,216,044.86 5
Inj ontruzant 10 mg HCPCS Q5112 not published not published $20.99 – $60.96 6
Inj, pafolacianine, 0.1 mg HCPCS A9603 not published not published $135.47 – $135.47 1
Inj, palonosetron (posfrea) HCPCS J2468 not published not published $55.23 – $60.75 5
Inj pantoprazole(hikma) 40mg HCPCS J2471 not published not published $6.63 – $6.63 1
Inj, panzyga, 500 mg HCPCS J1576 not published not published $71.35 – $116.27 6
Inj, pasireotide long acting HCPCS J2502 not published not published $616.71 – $678.38 5
Inj., patisiran, 0.1 mg HCPCS J0222 not published not published $101.03 – $113.18 6
Inj, pedmark, 100 mg HCPCS J0208 not published not published $93.16 – $116.13 5
Inj, pegcetacoplan, 1mg HCPCS J2781 not published not published $148.94 – $265.06 6
Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 not published not published $32.61 – $145.31 5
Inj, pegulicianine, 1 mg HCPCS A9615 not published not published $37.51 – $45.01 5
Inj. pemetrexed, 10 mg HCPCS J9304 not published not published $7.99 – $109.06 6
Inj pemetrexed (accord) 10mg HCPCS J9296 not published not published $9.74 – $11.68 5
Inj, pemetrexed (avyxa) 10mg HCPCS J9292 not published not published $73.67 – $81.04 5
Inj pemetrexed (bluepoint) HCPCS J9322 not published not published $9.80 – $12.72 5
Inj pemetrexed ditromethamin HCPCS J9323 not published not published $10.52 – $17.41 3
Inj pemetrexed, hospira 10mg HCPCS J9294 not published not published $1.57 – $18.48 6
Inj pemetrexed (sandoz) 10mg HCPCS J9297 not published not published $1.41 – $2.26 2
Inj pemetrexed (teva) 10mg HCPCS J9314 not published not published $4.42 – $12.08 5
Inj, pemivibart, 4500 mg HCPCS Q0224 not published not published $8,433.44 – $10,862.78 2
Inj, pemrydi rtu, 10 mg HCPCS J9324 not published not published $67.94 – $74.73 5
Inj peritoneal venous shunt CPT 49427 $334.95 $609.00 $48.69 – $2,302.00 5
Inj., perseris, 0.5 mg HCPCS J2798 not published not published $12.20 – $20.35 6
Inj plasminogen tvmh 1mg HCPCS J2998 not published not published $33.65 – $46.11 5
Inj., plazomicin, 5 mg HCPCS J0291 not published not published $3.52 – $6.31 6
Inj pozelimab-bbfg, 1 mg HCPCS J9376 not published not published $88.27 – $110.08 6
Inj proc ankle arthr CPT 27648 $224.40 $408.00 $55.69 – $2,167.00 4
Inj proc elbow arthro CPT 24220 $173.25 $315.00 $73.89 – $2,167.00 4
Inj proc for lymphang CPT 38790 $421.85 $767.00 $89.51 – $2,167.00 4
Inj proc lumbr disk ea lvl CPT 62290 $1,224.30 $2,226.00 $183.93 – $2,302.00 5
Inj proc myelogram lumbar CPT 62284 $960.30 $1,746.00 $92.66 – $2,302.00 5
Inj proc sialogram CPT 42550 $281.60 $512.00 $68.37 – $2,167.00 4
Inj progesterone per 50 mg HCPCS J2675 not published not published $0.73 – $1.60 2
Inj prohance multipack HCPCS A9576 not published not published $1.65 – $2.67 2
Inj recombin esperoct per iu HCPCS J7204 not published not published $2.30 – $3.64 6
Inj, releuko 1 mcg HCPCS Q5125 not published not published $0.31 – $0.87 6
Inj retacrit esrd on dialysi HCPCS Q5105 not published not published $0.89 – $1.34 3
Inj retro urethrocysto CPT 51610 $554.95 $1,009.00 $68.71 – $2,444.00 4
Inj, rimabotulinumtoxinb HCPCS J0587 not published not published $13.29 – $22.80 6
Inj roctavian ml 2x10^13vc g HCPCS J1412 not published not published $0.01 – $15,064.46 5
Inj., rolapitant, 0.5 mg HCPCS J2797 not published not published $0.01 – $0.01 1
Inj romidepsin non-lyo 0.1mg HCPCS J9318 not published not published $32.62 – $40.31 5
Inj, rykindo, 0.5 mg HCPCS J2801 not published not published $12.54 – $15.64 5
Inj scleros sol mult veins CPT 36471 $929.50 $1,690.00 $107.86 – $2,302.00 8
Inj scleros sol sgl vein CPT 36470 $447.70 $814.00 $89.50 – $2,302.00 8
Inj, sculptra, 0.5mg HCPCS Q2028 not published not published $0.01 – $2.59 5
Inj sebelipase alfa 1 mg HCPCS J2840 not published not published $520.71 – $647.52 6
Inj secretin synthetic human HCPCS J2850 not published not published $33.47 – $51.60 5
Inj secukinumab intrav 1mg HCPCS J3247 not published not published $18.23 – $20.06 5
Inj, sezaby, 1 mg HCPCS J2561 not published not published $1.07 – $1.34 5
Inj, spesolimab-sbzo, 1 mg HCPCS J1747 not published not published $65.73 – $72.30 6
Inj(s) sclerosant spider veins limb/trunk CPT 36468 $315.15 $573.00 $157.89 – $2,302.00 8
Inj sulf hexa lipid microsph HCPCS Q9950 not published not published $21.66 – $33.09 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.