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 |
|---|---|---|---|---|
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,299.33 – $6,030.19 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $583.87 | 7 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $108.80 – $108.80 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $325.86 | 6 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $13.43 | 7 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $72.24 – $118.40 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | $463.65 | $843.00 | $234.00 – $781.56 | 7 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $212.30 | $386.00 | $67.11 – $206.08 | 7 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.32 – $125.66 | 7 |
| Ultrasound breast complete CPT 76641 | $814.00 | $1,480.00 | $72.06 – $219.08 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $518.10 | $942.00 | $55.21 – $167.05 | 7 |
| Ultrasound chest CPT 76604 | $402.05 | $731.00 | $50.29 – $191.98 | 7 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $326.15 | $593.00 | $21.89 – $125.66 | 7 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $30.29 – $125.66 | 7 |
| Ultrasound elastography ea l target les CPT 76983 | $114.95 | $209.00 | $34.28 – $103.09 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | $318.45 | $579.00 | $79.07 – $237.76 | 7 |
| Ultrasound encephalogram CPT 76506 | $446.60 | $812.00 | $87.47 – $263.54 | 7 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $225.58 – $225.58 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $523.05 | $951.00 | $104.71 – $367.60 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $391.60 | $712.00 | $49.84 – $156.22 | 7 |
| Ultrasound guidance for vascular access CPT 76937 | $318.45 | $579.00 | $17.59 – $52.03 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $728.20 | $1,324.00 | $27.27 – $84.65 | 2 |
| Ultrasound guide intraoperative CPT 76998 | $890.45 | $1,619.00 | $77.51 – $236.54 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $424.60 | $772.00 | $77.51 – $236.54 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $532.95 | $969.00 | $87.17 – $187.65 | 7 |
| Ultrasound infant hips ltd without stress CPT 76886 | $532.95 | $969.00 | $76.00 – $187.65 | 7 |
| Ultrasound joint complete left CPT 76881 | $436.70 | $794.00 | $18.85 – $215.84 | 7 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $229.90 | $418.00 | $11.50 – $125.66 | 7 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $15.01 – $125.66 | 6 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $363.00 | $660.00 | $44.47 – $133.32 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $323.40 | $588.00 | $22.96 – $69.39 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $698.50 | $1,270.00 | $84.26 – $286.78 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $361.35 | $657.00 | $72.06 – $222.34 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $271.70 | $494.00 | $51.99 – $160.55 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $401.50 | $730.00 | $59.51 – $183.31 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | $590.70 | $1,074.00 | $60.59 – $290.38 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $471.35 | $857.00 | $29.05 – $125.66 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $632.50 | $1,150.00 | $35.51 – $125.66 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | $496.65 | $903.00 | $81.74 – $265.71 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | $468.60 | $852.00 | $114.71 – $348.07 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $457.60 | $832.00 | $88.18 – $270.04 | 7 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $438.90 | $798.00 | $248.36 – $746.75 | 7 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $336.60 | $612.00 | $181.19 – $544.79 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.69 – $9.71 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | $186.45 | $339.00 | $65.36 – $3,071.00 | 6 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $305.22 – $2,302.00 | 8 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $328.60 – $3,886.00 | 6 |
| Unlistd noninvas vasc dx std CPT 93998 | $1,207.80 | $2,196.00 | $28.97 – $34.76 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $28.97 – $34.76 | 5 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.37 – $56.28 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted CT procedure CPT 76497 | $407.55 | $741.00 | $59.16 – $240.24 | 6 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.76 – $62.63 | 6 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.76 – $62.63 | 6 |
| Unlisted dx gi procedure CPT 91299 | $482.90 | $878.00 | $128.88 – $154.66 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted fetal invas px w/us CPT 59897 | $1,418.45 | $2,579.00 | $202.50 – $3,071.00 | 8 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $76.01 – $187.65 | 7 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $40.23 – $40.23 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $202.50 – $5,004.00 | 8 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,864.00 – $10,806.00 | 8 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,864.00 – $10,806.00 | 8 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $3,864.00 – $10,806.00 | 8 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,167.00 – $7,266.35 | 8 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,167.00 – $7,266.35 | 8 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $2,167.00 – $7,266.35 | 8 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,065.00 – $10,806.00 | 8 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laps px testis CPT 54699 | not published | not published | $2,167.00 – $7,266.35 | 8 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unlisted maaa CPT 81599 | not published | not published | $408.38 – $408.38 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.76 – $62.63 | 6 |
| Unlisted mr procedure CPT 76498 | $627.00 | $1,140.00 | $87.17 – $288.64 | 6 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $128.88 – $154.66 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $28.97 – $34.76 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $28.97 – $34.76 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $931.46 – $4,306.00 | 8 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $908.45 – $3,071.00 | 8 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $317.92 – $3,071.00 | 8 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted procedure liver CPT 47399 | $855.25 | $1,555.00 | $709.28 – $3,071.00 | 8 |
| Unlisted procedure microbiology CPT 87999 | $2,830.30 | $5,146.00 | $40.23 – $40.23 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $317.92 – $3,071.00 | 8 |
| Unlisted procedure pancreas CPT 48999 | $723.25 | $1,315.00 | $709.28 – $3,071.00 | 8 |
| Unlisted procedure rectum CPT 45999 | $1,058.75 | $1,925.00 | $931.46 – $3,071.00 | 8 |
| Unlisted procedure spine CPT 22899 | not published | not published | $247.07 – $3,071.00 | 8 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $960.44 – $3,379.00 | 6 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $37.53 – $45.03 | 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.