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 |
|---|---|---|---|---|
| Surgical pathology level 1 gross examination only CPT 88300 | $74.25 | $135.00 | $10.78 – $39.31 | 7 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $146.30 | $266.00 | $24.67 – $77.35 | 7 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $154.00 | $280.00 | $34.08 – $94.66 | 7 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $201.85 | $367.00 | $34.08 – $96.96 | 7 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $372.90 | $678.00 | $220.81 – $583.70 | 7 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $558.25 | $1,015.00 | $313.62 – $968.38 | 7 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,449.67 – $3,071.00 | 6 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,643.19 – $3,071.00 | 6 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,147.16 – $3,071.00 | 6 |
| Surgical trays HCPCS A4550 | not published | not published | $21.04 – $21.04 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $436.96 – $3,336.17 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $63.80 | $116.00 | $1.99 – $19.57 | 7 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $25.30 | $46.00 | $1.99 – $19.57 | 7 |
| Susceptibility mic per plate CPT 87186 | $147.95 | $269.00 | $8.65 – $35.64 | 7 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $27.39 | 7 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,096.34 – $3,071.00 | 6 |
| Suspension of testis CPT 54620 | not published | not published | $318.88 – $3,886.00 | 8 |
| Suspension of uterus CPT 58410 | not published | not published | $845.26 – $3,071.00 | 6 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $461.26 – $3,379.00 | 6 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,139.75 – $3,071.00 | 6 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,476.68 – $3,071.00 | 6 |
| Svc venogram s&i CPT 75827 | $1,317.25 | $2,395.00 | $82.45 – $1,892.04 | 7 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.54 – $62.63 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $705.94 – $2,680.00 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $772.30 – $3,071.00 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $591.65 – $3,071.00 | 6 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $839.44 – $3,932.74 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,195.33 – $3,071.00 | 6 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $6.54 – $19.83 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $35.51 – $44.89 | 5 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.02 – $15.97 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $55.00 | $100.00 | $4.40 – $18.17 | 7 |
| System cardiomems hosp electronics HCPCS C2624 | $26,408.18 | $48,014.88 | not published | 0 |
| System pacing micra av HCPCS C1786 | $11,781.99 | $21,421.80 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $2,805.16 | $5,100.29 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $3,569.67 | $6,490.31 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $57.75 | $105.00 | $16.94 – $69.87 | 7 |
| T3 (triiodothyronine) total CPT 84480 | $52.25 | $95.00 | $14.18 – $58.48 | 7 |
| T4 (thyroxine) free CPT 84439 | $59.40 | $108.00 | $9.02 – $37.17 | 7 |
| T4 (thyroxine) total CPT 84436 | $33.00 | $60.00 | $6.87 – $28.32 | 7 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.69 – $0.96 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.13 – $3.02 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.17 – $0.41 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.18 – $435.29 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $118.80 | $216.00 | $13.73 – $56.65 | 7 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.43 – $23.80 | 6 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,165.41 – $3,071.00 | 6 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,323.91 – $5,834.00 | 6 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $77.34 – $116.53 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $76.72 – $84.39 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $119.85 – $149.57 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.20 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $94.81 – $2,167.00 | 5 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $77.33 – $2,167.00 | 5 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.46 – $0.46 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $677.12 – $2,536.83 | 7 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $9,751.46 | 7 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,997.02 | 7 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,612.42 – $1,773.66 | 5 |
| Tas congenital car anomal CPT 33741 | not published | not published | $788.32 – $3,632.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $142.05 – $2,302.00 | 8 |
| Tavr perq femoral CPT 33361 | $11,046.20 | $20,084.00 | $1,474.52 – $5,327.00 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $0.76 | 6 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $457.58 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $42.41 – $83.06 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $10.72 – $20.76 | 2 |
| Tbs techl calculation only CPT 77091 | $110.55 | $201.00 | $29.24 – $146.01 | 6 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.43 – $146.01 | 6 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $334.00 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $99.55 | $181.00 | $61.98 – $255.58 | 7 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.01 – $1,335.69 | 2 |
| Tc-99m bicisate HCPCS A9557 | $793.10 | $1,442.00 | $775.52 – $930.62 | 5 |
| Tc-99m diag per dose HCPCS A4641 | $279.95 | $509.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.01 – $0.01 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,419.55 | $2,581.00 | $934.13 – $1,120.96 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | $525.80 | $956.00 | $1,323.86 – $1,748.25 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $316.20 – $394.32 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | $148.50 | $270.00 | $95.27 – $95.27 | 1 |
| Tc-99m maa HCPCS A9540 | $288.75 | $525.00 | $30.60 – $30.60 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $51.15 | $93.00 | $56.42 – $56.42 | 1 |
| Tc-99m medronate HCPCS A9503 | $34.10 | $62.00 | $13.26 – $13.26 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $550.00 | $1,000.00 | $790.27 – $790.27 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $20.35 | $37.00 | $16.50 – $16.50 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $37.40 | $68.00 | $0.01 – $0.01 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $160.60 | $292.00 | $31.96 – $31.96 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $160.60 | $292.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $5.50 | $10.00 | $1.70 – $1.70 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $99.00 | $180.00 | $65.33 – $65.33 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $141.90 | $258.00 | $108.89 – $108.89 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $470.80 | $856.00 | $611.41 – $791.92 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $178.20 | $324.00 | $272.71 – $272.71 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $124.85 | $227.00 | $86.98 – $86.98 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $684.75 | $1,245.00 | $674.81 – $674.81 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $279.00 – $2,302.00 | 8 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $104.71 – $125.66 | 5 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $104.71 – $125.66 | 5 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $134.41 – $134.41 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $84.65 – $2,302.00 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $79.75 | $145.00 | $26.06 – $193.75 | 7 |
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.