SSM Health St. Mary's Hospital - St. Louis
6420 Clayton Rd, Richmond Heights, MO · SSM Health · · NPI 1780763284
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 |
|---|---|---|---|---|
| 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 |
| T cells absolute cd 4 count CPT 86361 | $135.85 | $247.00 | $13.04 – $110.42 | 7 |
| T cells total count CPT 86359 | $79.75 | $145.00 | $26.06 – $155.58 | 7 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $34.95 – $259.53 | 5 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $116.48 – $259.53 | 5 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $93.18 – $259.53 | 5 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $506.31 – $3,071.00 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,144.43 – $3,071.00 | 6 |
| Team conf without pat by hc pro CPT 99368 | $101.20 | $184.00 | not published | 0 |
| Team conf without pat by phys CPT 99367 | $112.75 | $205.00 | not published | 0 |
| Team conf w/pat by hc prof CPT 99366 | $74.80 | $136.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $228.01 – $365.62 | 6 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,995.40 | $3,628.00 | $700.68 – $2,141.10 | 6 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $700.68 – $2,141.10 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.48 – $12.34 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | $57.75 | $105.00 | $27.00 – $27.00 | 1 |
| Telethx isodose plan cplx CPT 77307 | $2,083.40 | $3,788.00 | $134.83 – $450.04 | 7 |
| Telethx isodose plan simple CPT 77306 | $1,463.00 | $2,660.00 | $73.49 – $450.04 | 7 |
| Temozolomide HCPCS J8700 | not published | not published | $0.42 – $0.50 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.41 – $18.20 | 6 |
| Temperature gradient studies CPT 93740 | not published | not published | $8.54 – $154.66 | 5 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,444.00 – $5,327.00 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $32.68 – $54.24 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $603.64 – $3,886.00 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $607.33 – $3,886.00 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $591.33 – $3,886.00 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $919.74 – $3,886.00 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $200.31 – $267.95 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,545.87 – $2,545.87 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $647.83 – $7,391.48 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $588.40 – $3,886.00 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $649.49 – $3,932.74 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $831.40 – $7,391.48 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $539.17 – $3,071.00 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $770.17 – $3,932.74 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $307.53 – $3,886.00 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,760.35 | $6,837.00 | $257.63 – $3,071.00 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $3.19 – $13.63 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $51.34 – $51.34 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $618.57 | 7 |
| Test for chlorohydrocarbons CPT 82441 | $101.75 | $185.00 | $6.01 – $24.78 | 7 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $19.44 | 7 |
| Test for urine cystines CPT 82615 | $31.35 | $57.00 | $9.55 – $33.67 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | $489.50 | $890.00 | $182.49 – $559.67 | 7 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $107.24 – $107.24 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $212.93 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.15 – $3.21 | 6 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $70.91 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $1,543.85 | $2,807.00 | $39.81 – $259.53 | 5 |
| Test urine for lactose CPT 83633 | not published | not published | $7.81 – $37.58 | 7 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.24 – $44.62 | 7 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $14.93 | 7 |
| Tetanus ig im CPT 90389 | not published | not published | $662.15 – $662.15 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $595.02 – $1,012.57 | 6 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.92 – $32.52 | 6 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $457.58 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,281.13 | 6 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $4,925.57 | 6 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,008.44 | 6 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $204.77 | 6 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $204.77 | 6 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $204.77 | 6 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $62.63 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $29.69 – $2,302.00 | 8 |
| Theophylline therapeutic drug level CPT 80198 | $107.25 | $195.00 | $14.14 – $58.32 | 7 |
| Therapeutic procd strg endur HCPCS G0237 | $85.80 | $156.00 | $10.42 – $34.76 | 5 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $73.77 – $777.04 | 5 |
| Therapy activation ipnss CPT 93150 | not published | not published | $41.97 – $114.27 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $37.40 | $68.00 | $25.23 – $30.28 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $37.40 | $68.00 | $21.11 – $25.33 | 5 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $135.84 – $241.15 | 5 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $128.84 – $3,886.00 | 8 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $475.20 | $864.00 | $102.16 – $326.40 | 7 |
| Ther/proph/diag inj ia CPT 96373 | $197.45 | $359.00 | $20.02 – $255.66 | 5 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $172.22 – $530.82 | 2 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $117.56 – $342.48 | 2 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $78.92 – $227.05 | 2 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $2.09 – $4.30 | 2 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $43.27 – $43.27 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $365.89 – $527.78 | 3 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,642.01 – $5,327.00 | 6 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,764.53 – $5,327.00 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,191.20 | $3,984.00 | $121.57 – $2,167.00 | 8 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Thoracic duct procedure CPT 38380 | not published | not published | $595.97 – $3,071.00 | 6 |
| Thoracic duct procedure CPT 38381 | not published | not published | $865.40 – $3,071.00 | 6 |
| Thoracic duct procedure CPT 38382 | not published | not published | $728.13 – $3,071.00 | 6 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $234.51 – $3,071.00 | 6 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,167.00 – $3,973.30 | 6 |
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.