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 |
|---|---|---|---|---|
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $28.99 – $28.99 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $99.29 – $99.29 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $61.80 – $61.80 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $153.10 – $153.10 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $116.18 – $116.18 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $31.06 – $31.06 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $42.90 | $78.00 | $12.29 – $12.29 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $84.67 – $122.95 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $128.47 – $128.47 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $87.55 – $124.00 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $81.99 – $116.13 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $206.86 – $277.70 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $36.90 – $50.77 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $316.80 | $576.00 | $313.63 – $313.63 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.01 – $0.01 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $97.27 – $137.76 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $97.27 – $137.76 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $25.47 – $36.07 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.75 | $45.00 | $26.04 – $36.88 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.68 – $18.68 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $69.22 – $69.22 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $0.01 – $0.01 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $24.20 | $44.00 | $20.00 – $20.00 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $9.34 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.86 – $50.14 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $65.67 – $65.67 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $42.93 – $60.80 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $12.73 – $18.03 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $228.10 – $228.10 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $193.94 – $193.94 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $170.20 – $170.20 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $160.37 – $160.37 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $93.96 – $93.96 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $283.21 – $283.21 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $155.49 – $220.23 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $300.56 – $425.68 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $304.24 – $418.37 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $423.72 | $770.40 | $364.53 – $491.77 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $43.37 – $43.37 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $331.98 – $568.30 | 6 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $300.90 – $300.90 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $530.15 – $530.15 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $530.15 – $530.15 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $299.88 – $299.88 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $141.39 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $100.67 – $100.67 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $80.52 | $146.40 | $46.26 – $67.04 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $42.37 – $53.11 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $142.38 – $142.38 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $186.53 – $186.53 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $209.58 – $209.58 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,042.14 – $8,775.00 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,310.99 – $6,012.63 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $972.33 – $8,775.00 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,383.09 – $8,912.89 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,281.62 – $6,012.63 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $929.44 – $8,775.00 | 8 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Vaginal bx CPT 58999 | $227.15 | $413.00 | $202.50 – $3,071.00 | 8 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $993.77 – $3,890.82 | 8 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,167.00 – $3,071.00 | 5 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $870.42 – $8,775.00 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,444.00 – $3,890.82 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,688.93 – $3,379.00 | 6 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $942.56 – $3,071.00 | 6 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $121.92 – $3,071.00 | 6 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,293.41 – $3,071.00 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,265.89 – $3,071.00 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $51.70 | $94.00 | $13.54 – $55.84 | 7 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,247.05 – $2,386.74 | 6 |
| Valvuloplasty aortic CPT 92986 | $5,536.30 | $10,066.00 | $1,436.61 – $18,730.00 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,064.82 – $3,597.00 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,275.00 – $3,597.00 | 3 |
| Valvuloplasty mitral CPT 92987 | $6,930.00 | $12,600.00 | $1,480.52 – $18,730.00 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,171.61 – $18,730.00 | 7 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,167.00 – $3,356.30 | 6 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.14 – $0.14 | 1 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $4.04 – $5.45 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $99.55 | $181.00 | $13.54 – $55.84 | 7 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $144.72 | 7 |
| Vantas implant HCPCS J9225 | not published | not published | $0.01 – $0.01 | 1 |
| Varicella zoster antibody igg CPT 86787 | $121.55 | $221.00 | $12.88 – $53.11 | 7 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,226.22 – $2,997.28 | 5 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $33,075.90 | $60,138.00 | $2,224.00 – $22,033.48 | 5 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $776.83 – $3,932.74 | 8 |
| Vasectomy CPT 55250 | $485.10 | $882.00 | $239.96 – $2,680.00 | 8 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.47 – $3.17 | 2 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,167.00 – $3,071.00 | 5 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,235.76 – $3,071.00 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.62 – $38.60 | 6 |
| Veeg cont 2-12 hrs CPT 95713 | $1,666.50 | $3,030.00 | $373.76 – $448.51 | 5 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $3,332.45 | $6,059.00 | $860.13 – $1,032.15 | 5 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,583.45 | $2,879.00 | $373.76 – $448.51 | 5 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,333.10 | $4,242.00 | $189.60 – $448.51 | 5 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,167.10 | $2,122.00 | $135.44 – $259.53 | 5 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,606.85 – $3,071.00 | 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.