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 |
|---|---|---|---|---|
| Mayo bart bartonella henselae antibody igg CPT 86611 | $20.90 | $38.00 | $9.05 – $41.95 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $312.40 | $568.00 | $144.84 – $597.23 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $716.83 | 7 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $45.65 | $83.00 | $12.90 – $53.21 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $24.66 – $40.59 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $36.30 | $66.00 | $13.19 – $54.38 | 7 |
| Mayo brcmg brucella antibody igm CPT 86622 | $37.40 | $68.00 | $8.93 – $36.84 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $168.30 | $306.00 | $13.60 – $56.08 | 7 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $106.70 | $194.00 | $24.66 – $42.65 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $73.15 | $133.00 | $16.87 – $69.57 | 7 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $187.55 | $341.00 | $13.04 – $110.42 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $332.75 | $605.00 | $122.22 – $503.97 | 7 |
| Mayo ceruloplasmin CPT 82390 | $43.45 | $79.00 | $10.74 – $44.29 | 7 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $215.60 | $392.00 | $14.12 – $58.22 | 7 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $68.75 | $125.00 | $12.88 – $53.11 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $44.55 | $81.00 | $11.82 – $48.76 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $47.85 | $87.00 | $12.68 – $52.30 | 7 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $396.00 | $720.00 | $116.49 – $480.36 | 7 |
| Mayo chromium CPT 82495 | $63.25 | $115.00 | $20.28 – $83.63 | 7 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $106.70 | $194.00 | $24.66 – $40.59 | 3 |
| Mayo coccidioides antibody CPT 86635 | $132.55 | $241.00 | $11.47 – $47.33 | 7 |
| Mayo cocou cortisone urine CPT 82542 | $315.70 | $574.00 | $24.09 – $80.46 | 7 |
| Mayo cortisol free CPT 82530 | $137.50 | $250.00 | $16.71 – $68.90 | 7 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $53.35 | $97.00 | $42.13 – $42.85 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $114.95 | $209.00 | $5.01 – $50.00 | 7 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $106.70 | $194.00 | $23.08 – $73.81 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $101.20 | $184.00 | $15.86 – $50.73 | 2 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.40 – $79.99 | 7 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $149.16 – $1,886.67 | 7 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $52.25 | $95.00 | $13.25 – $54.61 | 7 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $108.90 | $198.00 | $25.27 – $104.21 | 7 |
| Mayo dihydrotestosterone CPT 82642 | $117.70 | $214.00 | $29.28 – $108.65 | 7 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $34.97 | 7 |
| Mayo efpo chloride stool CPT 82438 | $38.50 | $70.00 | $5.00 – $20.14 | 7 |
| Mayo estriol CPT 82677 | $61.60 | $112.00 | $24.18 – $99.70 | 7 |
| Mayo estrone CPT 82679 | $68.75 | $125.00 | $24.95 – $102.91 | 7 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $38.50 | $70.00 | $16.34 – $67.37 | 7 |
| Mayo everolimus therapeutic drug level CPT 80169 | $78.65 | $143.00 | $13.73 – $56.65 | 7 |
| Mayo factor ii CPT 85210 | $100.10 | $182.00 | $12.98 – $53.54 | 7 |
| Mayo factor v CPT 85220 | $200.75 | $365.00 | $17.65 – $72.78 | 7 |
| Mayo factor vii CPT 85230 | $200.75 | $365.00 | $17.90 – $73.81 | 7 |
| Mayo factor viii vw factor antigen CPT 85246 | $90.20 | $164.00 | $22.94 – $94.59 | 7 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $737.00 | $1,340.00 | $22.94 – $94.59 | 7 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $194.70 | $354.00 | $22.94 – $94.59 | 7 |
| Mayo factor x CPT 85260 | $176.00 | $320.00 | $17.90 – $73.81 | 7 |
| Mayo factor xi CPT 85270 | $174.35 | $317.00 | $17.90 – $73.81 | 7 |
| Mayo fat/lipids feces quantitative CPT 82710 | $109.45 | $199.00 | $9.12 – $69.31 | 7 |
| Mayo fbl culture fungi blood CPT 87103 | $79.20 | $144.00 | $9.92 – $68.34 | 7 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $12.24 – $268.74 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | $22.00 | $40.00 | $7.41 – $26.12 | 7 |
| Mayo fibrinogen antigen CPT 85385 | $53.90 | $98.00 | $12.07 – $48.30 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $201.30 | $366.00 | $18.84 – $72.38 | 7 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,069.00 | $5,580.00 | $191.15 – $191.15 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $30.25 | $55.00 | $4.75 – $19.57 | 7 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $165.55 | $301.00 | $35.09 – $144.72 | 7 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $102.85 | $187.00 | $35.09 – $144.72 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $33.00 | $60.00 | $13.79 – $51.54 | 7 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $85.80 | $156.00 | $25.81 – $106.41 | 7 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $35.20 | $64.00 | $8.89 – $36.64 | 7 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $35.20 | $64.00 | $13.52 – $55.74 | 7 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $62.70 | $114.00 | $27.17 – $112.02 | 7 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $594.55 | $1,081.00 | $17.27 – $57.68 | 7 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $14.99 – $61.79 | 7 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $55.55 | $101.00 | $20.81 – $85.84 | 7 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $130.90 | $238.00 | $20.81 – $85.84 | 7 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $35.69 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $42.90 | $78.00 | $16.07 – $53.67 | 7 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $144.10 | $262.00 | $11.98 – $49.43 | 7 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $190.85 | $347.00 | $35.09 – $144.72 | 7 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $64.90 | $118.00 | $35.09 – $59.45 | 6 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $119.35 | $217.00 | $35.09 – $144.72 | 7 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $35.09 – $35.69 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $233.75 | $425.00 | $42.84 – $176.62 | 7 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $97.90 | $178.00 | $72.19 – $241.11 | 7 |
| Mayo infliximab therapeutic drug level CPT 80230 | $121.55 | $221.00 | $38.57 – $65.17 | 6 |
| Mayo inhab inhibin a CPT 86336 | $81.95 | $149.00 | $15.59 – $64.26 | 7 |
| Mayo insft insulin free CPT 83527 | $21.45 | $39.00 | $11.73 – $53.37 | 7 |
| Mayo insulin antibodies CPT 86337 | $136.95 | $249.00 | $21.41 – $88.28 | 7 |
| Mayo iodine CPT 83789 | $283.25 | $515.00 | $24.11 – $80.53 | 7 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $462.00 | $840.00 | $27.11 – $45.73 | 6 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $88.00 | $160.00 | $27.11 – $45.73 | 6 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $65.45 | $119.00 | $13.25 – $54.64 | 7 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $44.00 | $80.00 | $12.79 – $52.77 | 7 |
| Mayo legionella antibody CPT 86713 | $31.35 | $57.00 | $15.30 – $63.09 | 7 |
| Mayo leptospira antibody igm CPT 86720 | $68.75 | $125.00 | $16.20 – $54.38 | 7 |
| Mayo lipoprotein electrophoresis CPT 83700 | $29.15 | $53.00 | $11.26 – $46.43 | 7 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $152.90 | $278.00 | $15.49 – $63.89 | 7 |
| Mayo manganese CPT 83785 | $118.25 | $215.00 | $26.65 – $101.44 | 7 |
| Mayo metanephrines plasma CPT 83835 | $104.50 | $190.00 | $16.94 – $69.87 | 7 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $106.70 | $194.00 | $24.66 – $41.52 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $52.25 | $95.00 | $12.05 – $20.58 | 6 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $149.60 | $272.00 | $18.40 – $18.71 | 5 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $64.35 | $117.00 | $14.55 – $59.99 | 7 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $170.50 | $310.00 | $18.64 – $62.26 | 7 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $590.15 | $1,073.00 | $137.00 – $457.58 | 7 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $312.71 | 6 |
| Mayo muramidase CPT 85549 | $62.70 | $114.00 | $18.75 – $77.32 | 7 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $10.45 | $19.00 | $18.40 – $18.71 | 5 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $231.00 | $420.00 | $18.05 – $74.42 | 7 |
| Mayo myoglobin CPT 83874 | $83.05 | $151.00 | $12.92 – $53.27 | 7 |
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.