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 |
|---|---|---|---|---|
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.31 – $147.11 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,216.42 – $1,694.83 | 3 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $606.66 | 5 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.03 – $24.30 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $18.15 – $27.86 | 6 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.39 – $4.83 | 5 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.72 – $9.81 | 5 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.49 – $3.13 | 6 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.50 – $0.55 | 5 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.44 – $3.78 | 5 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.07 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.07 – $0.11 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.09 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.07 – $3.37 | 5 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.91 – $1.35 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.01 – $3,980,276.55 | 5 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.66 – $30.43 | 5 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.01 – $0.01 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $345.95 | $629.00 | $183.35 – $2,302.00 | 5 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $46.81 – $51.49 | 5 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.58 | 5 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $70.61 – $2,167.00 | 8 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.24 – $10.76 | 6 |
| Inj dx for sinogram CPT 20501 | $526.35 | $957.00 | $40.88 – $2,167.00 | 4 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $541.00 – $1,444.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,713.80 | $3,116.00 | $50.72 – $2,167.00 | 8 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $316.80 | $576.00 | $75.34 – $2,167.00 | 4 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.45 – $85.55 | 6 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $513.37 – $776.13 | 6 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.47 – $24.33 | 5 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $1,007.00 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $664.95 | $1,209.00 | $61.50 – $2,302.00 | 8 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $199.41 | 6 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.01 – $0.01 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $73.77 – $107.98 | 6 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.48 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.43 – $0.67 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $559.35 | $1,017.00 | $56.68 – $8,380.00 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.46 – $38.18 | 6 |
| Injection epidural blood patch or clot CPT 62273 | $1,833.70 | $3,334.00 | $121.67 – $2,167.00 | 8 |
| Injection eye drug CPT 67028 | not published | not published | $104.12 – $2,302.00 | 8 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.92 – $0.92 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $288.20 | $524.00 | $80.96 – $2,167.00 | 4 |
| Injection for bladder x-ray CPT 51600 | $691.90 | $1,258.00 | $47.95 – $2,444.00 | 4 |
| Injection for hip x-ray CPT 27095 | $379.50 | $690.00 | $88.68 – $2,302.00 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $374.55 | $681.00 | $54.99 – $2,302.00 | 5 |
| Injection for spleen x-ray CPT 38200 | $2,957.90 | $5,378.00 | $144.93 – $2,302.00 | 5 |
| Injection for tear sac x-ray CPT 68850 | $178.75 | $325.00 | $58.51 – $2,167.00 | 4 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $53.07 – $2,167.00 | 4 |
| Injection for ureter x-ray CPT 50690 | $238.15 | $433.00 | $75.36 – $2,167.00 | 4 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $37.65 – $37.65 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $8.13 – $14.78 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $58.65 – $283.09 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $538.92 | 5 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.90 – $21.24 | 6 |
| Injection into brain canal CPT 61026 | not published | not published | $110.74 – $2,167.00 | 8 |
| Injection into brain canal CPT 61055 | $1,089.55 | $1,981.00 | $130.66 – $2,167.00 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $137.23 – $3,071.00 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $843.22 – $3,071.00 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $141.64 – $2,680.00 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $116.34 – $3,071.00 | 6 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.03 – $1.23 | 5 |
| Injection jaw joint x-ray CPT 21116 | $643.50 | $1,170.00 | $47.53 – $2,302.00 | 5 |
| Injection jugular CPT 36299 | not published | not published | $541.00 – $2,444.00 | 4 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.30 – $2.67 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $10.04 | 6 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $72.12 – $86.54 | 5 |
| Injection of sinus tract CPT 20500 | $1,310.65 | $2,383.00 | $89.97 – $2,302.00 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.51 – $11.07 | 6 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $99.65 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $2.01 | 5 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $0.01 – $0.01 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $88.20 – $2,302.00 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $569.25 | $1,035.00 | $41.89 – $2,302.00 | 8 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.62 – $53.92 | 6 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.83 – $58.64 | 6 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $4,290.00 | $7,800.00 | $707.02 – $2,004.00 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,531.75 | $2,785.00 | $70.58 – $2,302.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,431.55 | $4,421.00 | $48.39 – $2,302.00 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,279.10 | $5,962.00 | $120.09 – $2,167.00 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,817.75 | $3,305.00 | $64.58 – $3,886.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,678.60 | $3,052.00 | $113.90 – $2,167.00 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,222.00 | $4,040.00 | $55.68 – $3,886.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,107.50 | $5,650.00 | $97.18 – $2,167.00 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,141.15 | $3,893.00 | $117.58 – $2,167.00 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,976.70 | $3,594.00 | $107.17 – $2,167.00 | 8 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $174.07 – $260.65 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $845.35 | $1,537.00 | $44.51 – $2,302.00 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,072.50 | $1,950.00 | $39.98 – $2,302.00 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $982.85 | $1,787.00 | $45.53 – $2,302.00 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $200.20 | $364.00 | $22.78 – $56.28 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $190.85 | $347.00 | $10.33 – $10.33 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $261.25 | $475.00 | $57.72 – $255.66 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $138.05 | $251.00 | $25.75 – $86.54 | 5 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $0.01 – $0.01 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.01 – $0.01 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $136.38 – $2,773.86 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $114.99 – $2,773.86 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $378.11 – $2,347.05 | 8 |
| Injection treatment of nerve CPT 64610 | $2,649.90 | $4,818.00 | $525.94 – $2,347.05 | 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.