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 |
|---|---|---|---|---|
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $178.20 | $324.00 | $35.09 – $144.72 | 7 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $47.30 | $86.00 | $17.98 – $74.11 | 7 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $70.95 | $129.00 | $13.76 – $56.75 | 7 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $31.35 | $57.00 | $5.95 – $34.80 | 7 |
| Mayo pregnenolone CPT 84140 | $73.15 | $133.00 | $19.55 – $85.24 | 7 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $100.10 | $182.00 | $16.59 – $68.40 | 7 |
| Mayo proinsulin CPT 84206 | $89.10 | $162.00 | $25.31 – $89.14 | 7 |
| Mayo psaft prostate specific antigen free CPT 84154 | $71.50 | $130.00 | $18.39 – $75.85 | 7 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $196.90 | $358.00 | $18.40 – $61.46 | 7 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $55.08 | 7 |
| Mayo receptor assay transferrin soluble CPT 84238 | $104.50 | $190.00 | $36.57 – $150.77 | 7 |
| Mayo renin CPT 84244 | $90.75 | $165.00 | $21.99 – $90.68 | 7 |
| Mayo repu protein electrophoresis urine CPT 84166 | $66.00 | $120.00 | $17.83 – $73.51 | 7 |
| Mayo selenium CPT 84255 | $64.35 | $117.00 | $25.53 – $105.28 | 7 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $63.89 | 7 |
| Mayo serotonin CPT 84260 | $187.55 | $341.00 | $30.98 – $127.76 | 7 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $108.35 | $197.00 | $19.35 – $79.83 | 7 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $107.25 | $195.00 | $13.73 – $56.65 | 7 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $92.03 – $93.59 | 5 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $41.25 | $75.00 | $4.27 – $17.60 | 7 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $131.11 | 5 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $861.45 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $85.25 | $155.00 | $25.47 – $105.04 | 7 |
| Mayo tgrp testosterone total CPT 84403 | $86.35 | $157.00 | $25.81 – $106.45 | 7 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $59.40 | $108.00 | $22.17 – $37.16 | 6 |
| Mayo thyroglobulin CPT 84432 | $109.45 | $199.00 | $16.06 – $66.23 | 7 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $80.85 | $147.00 | $9.05 – $41.95 | 7 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $744.70 | $1,354.00 | $8.32 – $51.07 | 7 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $125.40 | $228.00 | $24.66 – $40.59 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $51.28 – $211.49 | 7 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $107.25 | $195.00 | $12.34 – $47.29 | 7 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $61.60 | $112.00 | $13.54 – $55.84 | 7 |
| Mayo vasoactive intestinal peptide CPT 84586 | $203.50 | $370.00 | $8.46 – $145.69 | 7 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $113.30 | $206.00 | $19.83 – $83.43 | 7 |
| Mayo vitamin b3 (niacin) CPT 84591 | $86.90 | $158.00 | $13.05 – $56.98 | 7 |
| Mayo vitamin k CPT 84597 | $94.60 | $172.00 | $13.72 – $56.58 | 7 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $202.95 | $369.00 | $13.25 – $54.64 | 7 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $910.62 – $3,071.00 | 6 |
| Mcoln1 gene CPT 81290 | $193.05 | $351.00 | $39.31 – $131.30 | 7 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $441.38 – $7,994.00 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $554.22 – $7,994.00 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $514.22 – $7,994.00 | 8 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $21.89 – $21.89 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $979.76 – $8,775.00 | 8 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $9.65 – $9.65 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $9.27 – $9.27 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $32.76 – $448.51 | 5 |
| Measure kidney pressure CPT 50396 | $934.45 | $1,699.00 | $127.36 – $2,167.00 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $465.30 | $846.00 | $19.02 – $2,302.00 | 8 |
| Measure ureter pressure CPT 50686 | not published | not published | $100.12 – $2,302.00 | 8 |
| Mecasermin injection HCPCS J2170 | not published | not published | $149.99 – $149.99 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $0.01 – $0.01 | 1 |
| #mec-opiates CPT 80356 | $130.90 | $238.00 | $24.66 – $50.73 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | $910.25 | $1,655.00 | $150.00 – $501.00 | 7 |
| Mecp2 gene full seq CPT 81302 | $1,045.55 | $1,901.00 | $527.87 – $1,763.09 | 7 |
| Mecp2 gene known variant CPT 81303 | $400.40 | $728.00 | $120.00 – $400.80 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $87.45 | $159.00 | not published | 0 |
| Medial canthopexy CPT 21280 | not published | not published | $595.78 – $4,306.00 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $438.76 – $7,266.35 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $335.69 – $7,266.35 | 8 |
| Medical services after hrs CPT 99050 | not published | not published | $18.80 – $18.80 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $253.74 – $812.45 | 6 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.01 – $0.01 | 1 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $18.80 – $18.80 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $18.80 – $18.80 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.28 – $0.28 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $430.37 – $430.37 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $860.13 – $1,032.15 | 5 |
| Meg spontaneous CPT 95965 | not published | not published | $860.13 – $1,032.15 | 5 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $9.34 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $338.79 | $615.98 | $124.65 – $629.40 | 6 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $124.65 – $232.52 | 6 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $1,039.86 | $1,890.66 | $124.65 – $295.11 | 6 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $61,878.30 – $61,878.30 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $61.75 – $149.57 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $124.65 – $149.57 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $235.24 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,793.95 – $7,994.00 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $12.78 – $16.46 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $32.28 – $53.39 | 6 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $2.91 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.51 – $0.80 | 2 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $271.76 – $4,223.00 | 6 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.55 – $2.39 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $117.15 | $213.00 | $8.46 – $34.87 | 7 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $94.05 | $171.00 | $10.56 – $43.55 | 7 |
| Metabolic panel ionized ca CPT 80047 | $89.10 | $162.00 | $12.02 – $45.86 | 7 |
| Metatarsal joint implant HCPCS L8641 | $3,269.76 | $5,945.02 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.50 – $2.02 | 2 |
| Methadone injection HCPCS J1230 | not published | not published | $26.69 – $34.43 | 2 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.31 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.58 – $9.91 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.23 – $0.46 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.63 – $5.31 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $65.17 | 6 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.01 – $0.01 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.01 – $0.01 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $9.53 – $13.05 | 5 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $25.70 – $34.30 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.36 – $1.36 | 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.