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 |
|---|---|---|---|---|
| Ghs nerve block sciatic nerve CPT 64445 | $2,625.70 | $4,774.00 | $77.10 – $2,302.00 | 8 |
| Ghs nerve block suprascapular CPT 64418 | $1,477.85 | $2,687.00 | $81.82 – $2,302.00 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $478.50 | $870.00 | $44.25 – $2,302.00 | 8 |
| Ghs o2 saturation CPT 82810 | $76.45 | $139.00 | $9.77 – $35.97 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $45.18 – $154.66 | 5 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $46.25 – $70.91 | 5 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $26.40 | $48.00 | $46.90 – $56.28 | 5 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,997.50 | $5,450.00 | $37.92 – $2,680.00 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,639.90 | $6,618.00 | $213.55 – $2,680.00 | 8 |
| Ghs optokenetic CPT 92544 | not published | not published | $1.46 – $154.66 | 5 |
| Ghs oscillating trac CPT 92545 | not published | not published | $1.46 – $259.53 | 5 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $51.70 | $94.00 | $21.63 – $25.95 | 5 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $40.15 | $73.00 | $21.63 – $25.95 | 5 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.61 – $7.93 | 5 |
| Ghs ot group caregiver training CPT 97552 | $48.40 | $88.00 | $9.29 – $11.15 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $34.14 – $44.62 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $30.16 – $70.39 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $68.22 – $68.22 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $1,742.95 | $3,169.00 | $11.91 – $2,302.00 | 6 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $702.35 | $1,277.00 | $65.29 – $3,886.00 | 6 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,414.05 | $2,571.00 | $56.39 – $3,886.00 | 6 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $38.50 | $70.00 | $21.98 – $108.38 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $913.55 | $1,661.00 | $145.42 – $2,167.00 | 8 |
| Ghs phenylketonurid CPT 84030 | $43.45 | $79.00 | $5.50 – $22.68 | 7 |
| Ghs picc line insert < 5 CPT 36568 | $2,035.00 | $3,700.00 | $106.59 – $2,167.00 | 8 |
| Ghs plngl fx pm cl CPT 26725 | $697.40 | $1,268.00 | $247.07 – $2,302.00 | 8 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $17.77 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,388.80 | $11,616.00 | $798.53 – $1,032.15 | 5 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $1.46 – $159.92 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | $43.45 | $79.00 | $7.91 – $34.76 | 7 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $73.15 | $133.00 | $9.66 – $39.85 | 7 |
| Ghs protein, misc fluid CPT 84160 | $77.00 | $140.00 | $5.61 – $21.34 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $82.50 | $150.00 | $14.35 – $59.15 | 7 |
| Ghs pr without cont pulse ox CPT 94625 | $301.95 | $549.00 | $19.56 – $70.91 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $24.75 | $45.00 | $12.25 – $50.50 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $170.73 – $170.73 | 1 |
| Ghs quinidine CPT 80194 | $133.65 | $243.00 | $14.60 – $60.22 | 7 |
| Ghs refill of implantable pump CPT 95990 | $283.80 | $516.00 | $91.10 – $397.01 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $393.80 | $716.00 | $131.58 – $2,302.00 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,010.35 | $1,837.00 | $142.59 – $2,302.00 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,940.85 | $5,347.00 | $578.76 – $3,071.00 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,131.15 | $5,693.00 | $515.02 – $3,886.00 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $45.10 | $82.00 | $15.89 – $53.14 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $17.77 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $122.65 | $223.00 | $13.91 – $49.43 | 7 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $14.63 | 7 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $49.70 | 7 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $36.84 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $78.10 | $142.00 | $7.48 – $28.42 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $697.40 | $1,268.00 | $105.86 – $2,680.00 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $859.65 | $1,563.00 | $142.47 – $2,680.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $757.90 | $1,378.00 | $128.60 – $2,680.00 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $908.60 | $1,652.00 | $165.16 – $2,680.00 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $757.90 | $1,378.00 | $84.24 – $2,302.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $683.65 | $1,243.00 | $78.24 – $2,302.00 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $808.50 | $1,470.00 | $105.16 – $2,302.00 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $808.50 | $1,470.00 | $160.23 – $2,680.00 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $187.63 – $2,680.00 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $129.03 – $259.53 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,207.80 | $2,196.00 | $117.95 – $259.53 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $969.65 | $1,763.00 | $298.60 – $1,032.15 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $46.59 – $55.91 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $845.35 | $1,537.00 | $91.92 – $2,302.00 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $1.46 – $159.92 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $100.04 – $120.05 | 5 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $11.48 – $44.89 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | $309.10 | $562.00 | $19.71 – $2,302.00 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $114.95 | $209.00 | $69.73 – $83.68 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $71.50 | $130.00 | $15.74 – $56.28 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $351.45 | $639.00 | $196.82 – $255.66 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,768.80 | $3,216.00 | $199.46 – $2,167.00 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,717.65 | $3,123.00 | $146.64 – $2,167.00 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,123.65 | $2,043.00 | $240.39 – $2,167.00 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $30.09 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $667.15 | $1,213.00 | $247.07 – $2,302.00 | 8 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $545.05 | $991.00 | $247.07 – $2,302.00 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | $85.80 | $156.00 | $24.30 – $100.23 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $86.90 | $158.00 | $14.71 – $60.65 | 7 |
| Ghs vaginal delivery only CPT 59409 | $1,966.25 | $3,575.00 | $884.97 – $3,890.82 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,082.75 | $5,605.00 | $373.76 – $448.51 | 5 |
| Ghs windowing of cast CPT 29730 | $245.85 | $447.00 | $47.42 – $2,302.00 | 8 |
| Giardia ag if CPT 87269 | $78.10 | $142.00 | $13.61 – $49.43 | 7 |
| Giardia lamblia antibody CPT 86674 | $85.25 | $155.00 | $14.72 – $60.69 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $69.47 – $286.78 | 7 |
| Gi inhouse confirmation CPT 87045 | $56.10 | $102.00 | $9.44 – $38.94 | 7 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $281.63 – $3,984.97 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $77.08 – $704.96 | 7 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,498.75 | $2,725.00 | $711.39 – $4,934.00 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $826.04 – $1,117.75 | 5 |
| Gi trc img intral esophagus CPT 91111 | $2,795.65 | $5,083.00 | $690.60 – $4,934.00 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $908.45 – $4,934.00 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $337.74 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $205.48 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $116.90 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $0.66 – $9.37 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $28.97 – $34.76 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.41 – $44.89 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $902.82 – $4,210.48 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $907.10 – $4,210.48 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,023.82 – $2,773.86 | 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.