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 |
|---|---|---|---|---|
| Injection treatment of nerve CPT 64681 | not published | not published | $244.77 – $2,680.00 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $62.89 – $2,302.00 | 8 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $89.54 – $2,302.00 | 6 |
| Inject/treat eye socket CPT 67500 | not published | not published | $76.18 – $2,302.00 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $85.16 – $2,302.00 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $93.30 – $2,302.00 | 8 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.78 – $34.96 | 5 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.17 – $45.28 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.26 – $45.33 | 6 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $24.60 – $51.94 | 6 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $392.78 – $432.06 | 6 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $58.03 – $88.63 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,927.75 | $3,505.00 | $109.02 – $2,167.00 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,772.10 | $3,222.00 | $93.80 – $2,167.00 | 8 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $3.13 – $5.08 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.38 – $1.97 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.87 – $17.46 | 5 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.47 – $2.96 | 5 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $200.91 | 6 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $217.40 | 6 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.04 – $28.85 | 6 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.01 – $2,761,088.00 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.95 – $15.95 | 6 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.38 – $63.16 | 6 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $0.01 – $0.01 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.08 – $33.02 | 6 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $145.31 – $230.69 | 6 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $1.93 | 6 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $8.66 – $13.21 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.46 – $2.70 | 5 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $246.34 – $246.34 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $221.85 – $221.85 | 1 |
| Inj for ext venography CPT 36005 | $380.05 | $691.00 | $52.53 – $2,302.00 | 5 |
| Inj for mammo ductogram CPT 19030 | $325.60 | $592.00 | $83.99 – $2,167.00 | 4 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $0.78 | 6 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $503.85 – $1,214.80 | 6 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.32 – $3.32 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.87 – $92.75 | 6 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $20.40 – $50.00 | 5 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.97 – $3.97 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.00 – $51.00 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $187.68 – $187.68 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $6.16 – $15.36 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $120.92 – $133.01 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,864.68 – $3,151.15 | 6 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.16 – $3.33 | 2 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.63 – $1.63 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $192.00 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.22 – $9.92 | 6 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $66.92 – $73.61 | 5 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $11.87 – $11.87 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.01 – $4,429,740.00 | 5 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $3.51 – $8.01 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.34 – $115.53 | 6 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $32.46 – $35.71 | 5 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $54.94 – $63.50 | 6 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,237.50 | $2,250.00 | $51.08 – $8,380.00 | 3 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $869.55 | $1,581.00 | $63.73 – $8,380.00 | 3 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $915.20 | $1,664.00 | $66.76 – $8,380.00 | 3 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $351.45 | $639.00 | $49.92 – $8,380.00 | 3 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $947.65 | $1,723.00 | $49.97 – $8,380.00 | 3 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.49 – $2.41 | 6 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.09 – $6.53 | 5 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.91 – $13.91 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.51 – $130.59 | 6 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $24.78 – $26.19 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $3.04 – $4.30 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $81.24 – $127.68 | 6 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.15 – $0.23 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $510.65 – $828.65 | 6 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,378.75 | $4,325.00 | $155.92 – $2,167.00 | 8 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $38.76 – $70.49 | 2 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.48 – $1.48 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $214.50 | $390.00 | $32.93 – $2,302.00 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | $30.80 | $56.00 | $50.68 – $2,302.00 | 8 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.26 – $21.37 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $51.22 – $84.51 | 6 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.94 – $3.17 | 6 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.76 – $4.10 | 6 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.60 – $2.50 | 6 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.61 – $4.47 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $86.99 – $97.04 | 5 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $20.33 – $85.37 | 6 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.34 – $2.36 | 6 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $0.70 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.94 – $38.38 | 6 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $28.30 – $61.81 | 2 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.05 – $0.11 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.30 – $7.52 | 5 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.99 – $8.48 | 2 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.01 – $0.01 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $7.39 – $35.12 | 2 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.01 – $3,882,364.78 | 5 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $336.97 – $559.23 | 6 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.51 – $40.94 | 6 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.01 – $3,683.57 | 5 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $541.00 – $1,628.00 | 3 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $51.19 – $56.31 | 5 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $3.20 | 1 |
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.