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 |
|---|---|---|---|---|
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.91 – $2.89 | 2 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,824.49 | $5,135.43 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $93.79 | 4 |
| Protein c activity CPT 85303 | $131.45 | $239.00 | $13.84 – $57.05 | 7 |
| Protein c concentrate HCPCS J2724 | not published | not published | $1.75 – $26.38 | 6 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $53.90 | $98.00 | $10.74 – $61.22 | 7 |
| Protein s total CPT 85305 | $125.40 | $228.00 | $11.61 – $47.86 | 7 |
| Protein total 24 hour urine CPT 84156 | $32.45 | $59.00 | $3.67 – $15.13 | 7 |
| Protein total body fluid CPT 84157 | $37.40 | $68.00 | $4.00 – $15.13 | 7 |
| Protein total serum plasma whole blood CPT 84155 | $29.15 | $53.00 | $3.67 – $15.13 | 7 |
| Protein western blot tissue CPT 88371 | not published | not published | $9.70 – $91.65 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.01 – $2.41 | 5 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $68.20 | $124.00 | $3.94 – $16.27 | 7 |
| Proton treatment complex CPT 77525 | not published | not published | $949.09 – $2,871.06 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $891.39 – $2,696.54 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $751.27 – $2,272.67 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $553.43 – $2,213.07 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $35.50 | 7 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $112.20 – $160.02 | 5 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $473.92 – $3,071.00 | 6 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $626.20 – $8,775.00 | 8 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $80.78 | $146.88 | $101.75 – $122.10 | 5 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $38.50 | $70.00 | $33.45 – $33.45 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $12,375.00 | $22,500.00 | $361.81 – $22,033.48 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $12,375.00 | $22,500.00 | $472.24 – $22,033.48 | 8 |
| Prq card angio/athrect addl CPT 92925 | $9,118.45 | $16,579.00 | $5,362.00 – $10,518.00 | 2 |
| Prq cardiac angio addl art CPT 92921 | $5,080.35 | $9,237.00 | $4,464.00 – $10,518.00 | 2 |
| Prq card revasc chronic addl CPT 92944 | $9,208.10 | $16,742.00 | $4,464.00 – $10,518.00 | 2 |
| Prq card revasc mi 1 vsl CPT 92941 | $8,467.25 | $15,395.00 | $734.35 – $18,730.00 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $10,420.85 | $18,947.00 | $2,275.00 – $2,444.00 | 3 |
| Prq card stent/ath/angio CPT 92934 | $8,440.30 | $15,346.00 | $4,464.00 – $10,518.00 | 2 |
| Prq card stent w/angio addl CPT 92929 | $5,275.60 | $9,592.00 | $4,464.00 – $10,518.00 | 2 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $8,467.25 | $15,395.00 | $654.90 – $18,730.00 | 8 |
| Prq revasc byp graft addl CPT 92938 | $7,673.05 | $13,951.00 | $4,464.00 – $10,518.00 | 2 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $557.51 – $7,391.48 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $759.99 – $2,680.00 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $5,781.60 | $10,512.00 | $789.15 – $7,391.48 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $474.35 – $7,391.48 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $335.41 – $7,391.48 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,547.05 | $24,631.00 | $655.28 – $18,730.00 | 8 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $18,361.23 – $22,033.48 | 5 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,723.25 | $21,315.00 | $733.23 – $22,033.48 | 8 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,562.83 – $13,875.39 | 5 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,490.35 | $15,437.00 | $590.73 – $18,730.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $11,072.05 | $20,131.00 | $700.77 – $18,730.00 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,769.65 | $17,763.00 | $733.58 – $18,730.00 | 8 |
| Pr removal drug delivery implant CPT 11982 | $623.70 | $1,134.00 | $107.39 – $2,302.00 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $302.50 | $550.00 | $61.05 – $2,302.00 | 8 |
| Pr removal intrauterine device CPT 58301 | $531.85 | $967.00 | $71.73 – $2,302.00 | 8 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,161.60 | $2,112.00 | $205.14 – $2,302.00 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $697.40 | $1,268.00 | $58.83 – $2,302.00 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $756.25 | $1,375.00 | $66.29 – $2,302.00 | 8 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $581.35 | $1,057.00 | $47.22 – $2,302.00 | 8 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $667.70 | $1,214.00 | $62.55 – $2,302.00 | 8 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $4,580.95 | $8,329.00 | $758.45 – $2,680.00 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $659.26 – $3,886.00 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $628.16 – $7,391.48 | 8 |
| Prtl exchange transfuse nb CPT 36456 | $537.90 | $978.00 | $114.85 – $3,597.00 | 7 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $708.98 – $7,391.48 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $699.09 – $7,391.48 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,561.45 | $2,839.00 | $183.67 – $2,167.00 | 8 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $16.32 – $16.32 | 1 |
| PSA (Prostate) Test CPT 84153 | $57.75 | $105.00 | $18.39 – $75.85 | 7 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.19 – $34.76 | 5 |
| Psychoanalysis CPT 90845 | not published | not published | $94.76 – $213.34 | 5 |
| Psychoeducation 45 min + HCPCS G0177 | $218.90 | $398.00 | not published | 0 |
| Psychophysiological therapy CPT 90875 | not published | not published | $64.20 – $64.20 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $102.84 – $102.84 | 1 |
| Psychotherapy group therapy CPT 90853 | $394.90 | $718.00 | $26.49 – $122.10 | 5 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $178.75 | $325.00 | $66.09 – $213.34 | 5 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $167.75 | $305.00 | $87.75 – $213.34 | 5 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $234.85 | $427.00 | $132.19 – $213.34 | 5 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $335.50 | $610.00 | $115.47 – $259.53 | 5 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $262.35 | $477.00 | $88.84 – $88.84 | 1 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $429.00 | $780.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $39.04 – $536.93 | 5 |
| Psy evaluation of records CPT 90885 | not published | not published | $51.96 – $51.96 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $26.20 – $159.92 | 5 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $20.62 – $20.62 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $39.04 – $39.04 | 1 |
| Psytx complex interactive CPT 90785 | $26.40 | $48.00 | $14.92 – $14.92 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $67.89 – $67.89 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $86.53 – $86.53 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $114.14 – $114.14 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $87.45 | $159.00 | $13.86 – $16.63 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.22 – $6.22 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $74.25 | $135.00 | $18.56 – $22.27 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $92.40 | $168.00 | $13.28 – $16.84 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $80.85 | $147.00 | $13.52 – $16.22 | 5 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $55.23 – $55.23 | 1 |
| Pten gene dup/delet variant CPT 81323 | $1,333.20 | $2,424.00 | $91.25 – $1,002.00 | 7 |
| Pten gene full sequence CPT 81321 | $1,333.20 | $2,424.00 | $600.00 – $2,004.00 | 7 |
| Pten gene known fam variant CPT 81322 | $400.40 | $728.00 | $46.60 – $176.52 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $806.13 – $7,115.26 | 8 |
| Pt evaluation high complexity patient/family CPT 97163 | $387.75 | $705.00 | $84.01 – $109.80 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $192.50 | $350.00 | $84.01 – $109.80 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $207.90 | $378.00 | $84.01 – $114.78 | 5 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.66 – $45.03 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.38 – $29.26 | 5 |
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.