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 |
|---|---|---|---|---|
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $30.47 – $2,302.00 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $88.16 – $133.88 | 6 |
| Island pedicle flap graft CPT 15740 | not published | not published | $901.03 – $2,680.00 | 8 |
| Ivc venogram s&i CPT 75825 | $2,494.80 | $4,536.00 | $80.30 – $3,795.09 | 7 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $151.98 – $151.98 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $223.85 | $407.00 | $30.81 – $86.54 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $226.60 | $412.00 | $21.09 – $21.09 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $234.30 | $426.00 | $19.32 – $56.28 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $420.75 | $765.00 | $70.70 – $255.66 | 5 |
| IV inj ra drug dx study CPT 78808 | $235.40 | $428.00 | $45.90 – $653.21 | 7 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $118.89 – $2,167.00 | 7 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $112.20 – $341.57 | 7 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $618.75 | $1,125.00 | $84.96 – $260.27 | 7 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.75 – $224.12 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $223.30 | $406.00 | $185.20 – $312.71 | 6 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $549.26 – $7,994.00 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $681.51 – $7,994.00 | 8 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $271.87 – $2,680.00 | 8 |
| John cunningham antibody CPT 86711 | $409.20 | $744.00 | $16.89 – $59.35 | 7 |
| J-tube placement CPT 44015 | not published | not published | $154.42 – $3,071.00 | 6 |
| Keratomileusis CPT 65760 | not published | not published | $279.00 – $4,223.00 | 6 |
| Keratophakia CPT 65765 | not published | not published | $279.00 – $4,223.00 | 6 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,463.09 – $14,776.53 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | $187.00 | $340.00 | $24.66 – $40.59 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $58.45 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $41.80 | $76.00 | $8.17 – $33.70 | 7 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.29 – $0.85 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $315.33 – $5,461.75 | 8 |
| Kidney endoscopy CPT 50553 | not published | not published | $335.83 – $5,461.75 | 8 |
| Kidney endoscopy CPT 50570 | not published | not published | $525.61 – $4,236.81 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $764.09 – $6,444.54 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $365.92 – $9,642.93 | 8 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $604.48 – $4,236.81 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $370.37 – $9,642.93 | 8 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $421.40 – $5,461.75 | 8 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $603.00 – $11,378.09 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $649.86 – $6,444.54 | 8 |
| Kidney function study CPT 78725 | $349.25 | $635.00 | $93.97 – $480.50 | 7 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $548.84 – $548.84 | 1 |
| Kidney imaging morphology CPT 78700 | $553.85 | $1,007.00 | $155.95 – $480.50 | 7 |
| Kidney imag w/bld flow multi CPT 78709 | $940.50 | $1,710.00 | $306.87 – $954.37 | 7 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $767.25 | $1,395.00 | $193.96 – $652.62 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $668.25 | $1,215.00 | $77.08 – $236.44 | 7 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $3,632.00 – $3,632.00 | 1 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $13,851.21 | $25,184.02 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $417.07 | 7 |
| Kit hfx iq ipg bundle HCPCS C1822 | $14,979.07 | $27,234.68 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $5,794.25 | $10,535.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $712.64 | $1,295.71 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $4,425.63 | $8,046.60 | $38.67 – $149.57 | 6 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $384.52 | $699.12 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $660.93 – $7,994.00 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $546.02 – $7,994.00 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $437.31 – $7,994.00 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $574.19 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $663.92 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $995.52 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $555.44 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $571.03 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $525.70 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $700.38 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $704.72 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $597.26 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $745.70 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $898.47 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $651.03 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $678.05 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $793.65 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,049.70 – $7,994.00 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,306.89 – $13,078.02 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $1,882.10 | $3,422.00 | $349.44 – $1,711.17 | 6 |
| Knee MRI (with contrast) CPT 73722 | $1,921.70 | $3,494.00 | $299.98 – $1,417.70 | 6 |
| Knee MRI (without contrast) CPT 73721 | $1,695.10 | $3,082.00 | $167.03 – $799.08 | 6 |
| Knee X-ray CPT 73564 | $256.30 | $466.00 | $27.98 – $125.66 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $471.23 | $856.78 | not published | 0 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $645.46 | 7 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $645.46 | 7 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,179.93 – $1,179.93 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,167.00 – $21,074.55 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,167.00 – $21,074.55 | 8 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $46.20 | $84.00 | $20.41 – $20.41 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $52.80 | $96.00 | $17.06 – $17.06 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.33 – $0.45 | 2 |
| Labioplasty 56800 CPT 56800 | not published | not published | $254.17 – $3,886.00 | 8 |
| Lab pathology consultation CPT 80500 | not published | not published | $66.63 – $66.63 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $240.28 – $240.28 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.20 – $0.20 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $40.15 | $73.00 | $6.04 – $24.88 | 7 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $2.87 – $4.53 | 2 |
| Lactation class HCPCS S9443 | $269.50 | $490.00 | not published | 0 |
| Lactic acid CPT 83605 | $183.15 | $333.00 | $11.57 – $44.05 | 7 |
| Lactoferrin fecal qualitative CPT 83630 | $43.45 | $79.00 | $19.70 – $80.96 | 7 |
| Lactoferrin fecal quant CPT 83631 | $104.50 | $190.00 | $19.63 – $80.96 | 7 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $268.41 – $8,775.00 | 6 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,387.55 – $8,775.00 | 8 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,194.48 – $8,775.00 | 8 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,310.23 – $8,775.00 | 8 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $200.83 – $8,775.00 | 6 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,162.47 – $8,775.00 | 6 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,167.00 – $8,775.00 | 6 |
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.