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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $790.90 | $1,438.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,549.90 | $2,818.00 | $538.59 – $3,071.00 | 8 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $539.00 | $980.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,414.05 | $2,571.00 | $494.38 – $2,680.00 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $247.07 – $2,167.00 | 8 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $709.50 | $1,290.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $538.45 | $979.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $443.30 | $806.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,019.60 | $3,672.00 | $280.14 – $3,071.00 | 8 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $915.20 | $1,664.00 | $524.32 – $3,071.00 | 8 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $633.60 | $1,152.00 | $223.41 – $2,302.00 | 8 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $682.00 | $1,240.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $717.75 | $1,305.00 | $247.07 – $2,680.00 | 8 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $482.09 – $3,886.00 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $707.30 | $1,286.00 | $240.06 – $2,302.00 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $682.00 | $1,240.00 | $214.22 – $2,302.00 | 8 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,642.20 | $4,804.00 | $143.70 – $3,886.00 | 8 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $1,628.00 – $3,886.00 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,525.60 | $4,592.00 | $306.08 – $2,680.00 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $707.30 | $1,286.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $677.05 | $1,231.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx pelvic ring fx CPT 27197 | $416.35 | $757.00 | $123.27 – $2,004.00 | 7 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $247.07 – $2,004.00 | 7 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,222.00 | $4,040.00 | $412.48 – $2,167.00 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $534.05 | $971.00 | $191.16 – $2,302.00 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $633.60 | $1,152.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,414.05 | $2,571.00 | $414.22 – $2,167.00 | 8 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $447.70 | $814.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,515.80 | $2,756.00 | $414.81 – $2,680.00 | 8 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,349.15 | $2,453.00 | $530.27 – $2,680.00 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,423.85 | $4,407.00 | $422.27 – $2,167.00 | 8 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $345.39 – $3,886.00 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $606.10 | $1,102.00 | $34.23 – $2,167.00 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $545.05 | $991.00 | $93.99 – $2,302.00 | 8 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $666.60 | $1,212.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,722.60 | $3,132.00 | $456.59 – $2,167.00 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $510.40 | $928.00 | $246.40 – $2,302.00 | 8 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $505.45 | $919.00 | $247.07 – $2,167.00 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $447.70 | $814.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $583.00 | $1,060.00 | $247.07 – $2,302.00 | 8 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $682.00 | $1,240.00 | $247.07 – $2,680.00 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $617.65 | $1,123.00 | $247.07 – $2,302.00 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $652.30 | $1,186.00 | $247.07 – $2,167.00 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $2,121.35 | $3,857.00 | $247.07 – $2,680.00 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,414.05 | $2,571.00 | $457.57 – $2,680.00 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,754.40 | $5,008.00 | $371.72 – $2,680.00 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $454.85 | $827.00 | $247.07 – $2,167.00 | 8 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,341.45 | $2,439.00 | $530.61 – $2,167.00 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $479.60 | $872.00 | $247.07 – $2,167.00 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,594.45 | $2,899.00 | $507.36 – $2,167.00 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $6,899.75 | $12,545.00 | $826.88 – $6,030.19 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,828.65 | $5,143.00 | $713.01 – $3,783.00 | 8 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $2,130.70 | $3,874.00 | $491.79 – $3,984.97 | 8 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $731.38 – $3,886.00 | 8 |
| Cltx post ankle fx CPT 27767 | not published | not published | $247.07 – $2,167.00 | 8 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,414.05 | $2,571.00 | $465.24 – $2,167.00 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,414.05 | $2,571.00 | $394.70 – $2,167.00 | 8 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $247.07 – $2,167.00 | 8 |
| Cltx thigh fx CPT 27267 | not published | not published | $457.60 – $3,932.74 | 8 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $620.09 – $2,680.00 | 8 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $878.85 – $5,095.71 | 8 |
| C motor evoked lwr limbs CPT 95929 | $1,233.65 | $2,243.00 | $181.74 – $448.51 | 5 |
| C motor evoked uppr limbs CPT 95928 | $1,610.40 | $2,928.00 | $180.31 – $1,032.15 | 5 |
| C motor evoked upr&lwr limbs CPT 95939 | $2,224.20 | $4,044.00 | $384.61 – $1,032.15 | 5 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $15.79 – $70.91 | 5 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $16.16 – $70.91 | 5 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $6.87 – $46.99 | 7 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $34.10 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $202.40 | $368.00 | $19.56 – $80.66 | 7 |
| Cmv pcr-sendout CPT 87496 | $508.75 | $925.00 | $35.09 – $144.72 | 7 |
| Co2 monitor per day CPT 94681 | $388.85 | $707.00 | $44.10 – $448.51 | 5 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.77 – $4.25 | 6 |
| Coagulation time activated teg CPT 85347 | $47.30 | $86.00 | $4.28 – $17.57 | 7 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.96 – $15.36 | 7 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $1.56 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $124.00 – $154.66 | 5 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $127.68 – $154.66 | 5 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.01 – $0.01 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $27.62 | 7 |
| Cold agglutinin titer CPT 86157 | $38.50 | $70.00 | $8.06 – $33.23 | 7 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,790.26 – $3,071.00 | 6 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,009.42 – $3,071.00 | 6 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,443.06 – $3,071.00 | 6 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,094.43 – $3,071.00 | 6 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,784.24 – $3,071.00 | 6 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,335.00 – $3,071.00 | 6 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,961.36 – $3,071.00 | 6 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,904.79 – $3,071.00 | 6 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $13.27 – $24.36 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $78.30 – $115.97 | 6 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $200.75 | $365.00 | $23.67 – $1,216.00 | 7 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $131.45 | $239.00 | $26.55 – $1,216.00 | 7 |
| Collection of venous blood by venipuncture CPT 36415 | $15.95 | $29.00 | $3.00 – $10.02 | 7 |
| Colon motility 6 hr study CPT 91117 | $819.50 | $1,490.00 | $148.65 – $259.53 | 5 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $229.53 – $2,680.00 | 8 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $280.51 – $3,783.00 | 8 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $287.96 – $2,680.00 | 8 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $266.99 – $2,167.00 | 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.