SSM Health St. Joseph Hospital - Lake Saint Louis
100 Medical Plaza, Lake Saint Louis, MO · SSM Health · · NPI 1871665380
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 |
|---|---|---|---|---|
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $714.09 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $619.70 | 7 |
| Chromosome analysis 5 CPT 88261 | $447.70 | $814.00 | $251.16 – $882.90 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $714.09 | 7 |
| Chromosome analys placenta CPT 88267 | $1,877.15 | $3,413.00 | $188.57 – $741.31 | 7 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $282.86 | 7 |
| Chromosome count additional CPT 88285 | $45.65 | $83.00 | $26.91 – $89.88 | 7 |
| Chromosome karyotype study CPT 88280 | $57.75 | $105.00 | $33.47 – $111.79 | 7 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $141.98 | 7 |
| Chronic urticaria - sendout CPT 86343 | $62.70 | $114.00 | $12.46 – $51.37 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $258.50 | $470.00 | $48.82 – $205.41 | 7 |
| Cidofovir injection HCPCS J0740 | not published | not published | $496.82 – $969.83 | 6 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $8.12 – $14.17 | 2 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $408.15 – $2,857.59 | 8 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $646,775.53 | 5 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.02 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $70.98 – $228.84 | 7 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $36.77 – $112.26 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.70 – $3.38 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $28.88 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $208.69 – $2,680.00 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $3,434.20 | $6,244.00 | $153.40 – $2,680.00 | 8 |
| Circumcision (newborn) CPT 54150 | $3,748.25 | $6,815.00 | $104.51 – $2,512.51 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.27 – $7.07 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $725.45 | $1,319.00 | $329.51 – $1,100.56 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.19 – $27.60 | 6 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,066.12 | $3,756.58 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $618.42 – $4,306.00 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $754.09 – $4,306.00 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $144.23 – $3,071.00 | 8 |
| Clearance of airways CPT 31720 | $206.80 | $376.00 | $54.71 – $2,167.00 | 8 |
| Clearance of tear duct CPT 68530 | not published | not published | $268.23 – $2,302.00 | 8 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $49.66 – $159.92 | 5 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $22.65 – $159.92 | 5 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $34.52 – $159.92 | 5 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $23.01 – $44.89 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.95 – $3.34 | 2 |
| Clip ligating vesolock lg HCPCS C1760 | $293.91 | $534.39 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,204.44 – $3,890.82 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $13.96 – $37.42 | 6 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $20.59 – $33.72 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $475.20 | $864.00 | $247.07 – $2,302.00 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,414.05 | $2,571.00 | $413.06 – $2,167.00 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,615.35 | $2,937.00 | $804.82 – $3,071.00 | 8 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $247.07 – $2,302.00 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,929.30 | $5,326.00 | $446.18 – $2,680.00 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $697.40 | $1,268.00 | $247.07 – $2,167.00 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,414.05 | $2,571.00 | $474.90 – $2,167.00 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $595.65 | $1,083.00 | $116.06 – $2,302.00 | 8 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $666.36 – $5,974.00 | 8 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $165.15 – $2,680.00 | 8 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $323.92 – $3,071.00 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,323.75 | $4,225.00 | $617.28 – $2,680.00 | 8 |
| Closed tx septal&nose fx CPT 21337 | $2,640.55 | $4,801.00 | $311.70 – $3,886.00 | 8 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $107.52 – $2,302.00 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $479.60 | $872.00 | $220.77 – $2,302.00 | 8 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $825.70 – $3,886.00 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $410.30 | $746.00 | $178.30 – $2,302.00 | 8 |
| Close mastoid fistula CPT 69700 | not published | not published | $724.07 – $3,071.00 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $735.29 – $8,721.52 | 8 |
| Close tear duct opening CPT 68760 | not published | not published | $151.68 – $2,302.00 | 8 |
| Close tear duct opening CPT 68761 | not published | not published | $123.38 – $2,302.00 | 8 |
| Close tear system fistula CPT 68770 | not published | not published | $653.86 – $3,783.00 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $53.44 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,818.30 | $3,306.00 | $161.18 – $2,680.00 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $933.29 – $3,071.00 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,726.29 – $3,071.00 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,094.74 – $3,071.00 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,508.91 – $3,071.00 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,465.20 | $2,664.00 | $240.48 – $2,167.00 | 8 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $101.45 – $2,302.00 | 8 |
| Closure of salivary fistula CPT 42600 | not published | not published | $371.85 – $3,886.00 | 8 |
| Closure of windpipe lesion 31820 CPT 31820 | $3,133.90 | $5,698.00 | $346.59 – $3,886.00 | 8 |
| Closure paravalvlr leak pq CPT 33999 | $23,447.05 | $42,631.00 | $628.32 – $3,071.00 | 8 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $78.06 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.83 – $84.20 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $78.06 | 7 |
| Clot factor xii hageman CPT 85280 | $204.05 | $371.00 | $19.35 – $79.79 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | $166.10 | $302.00 | $9.11 – $36.67 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $145.75 | $265.00 | $16.34 – $67.37 | 7 |
| Clotting assay whole blood CPT 85396 | $522.50 | $950.00 | $19.89 – $70.07 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $0.66 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $424.60 | $772.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $526.35 | $957.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $697.40 | $1,268.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $245.23 – $2,167.00 | 8 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $238.36 – $2,167.00 | 8 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,754.40 | $5,008.00 | $348.86 – $2,167.00 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $617.65 | $1,123.00 | $230.50 – $2,167.00 | 8 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $541.75 | $985.00 | $196.93 – $2,302.00 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $487.85 | $887.00 | $191.20 – $2,302.00 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $697.40 | $1,268.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $454.30 | $826.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $697.40 | $1,268.00 | $99.45 – $2,302.00 | 8 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,123.65 | $2,043.00 | $815.03 – $2,680.00 | 8 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $512.94 – $3,071.00 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $432.30 | $786.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $479.60 | $872.00 | $131.38 – $2,302.00 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $526.35 | $957.00 | $150.72 – $2,302.00 | 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.