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 |
|---|---|---|---|---|
| Xe133 xenon 10mci HCPCS A9558 | $118.80 | $216.00 | $247.81 – $247.81 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,247.85 | $4,087.00 | $666.37 – $2,680.00 | 8 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $597.81 – $3,071.00 | 8 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $3,052.76 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $3,052.76 | 7 |
| Xm archive tissue molec anal CPT 88363 | $29.15 | $53.00 | $20.38 – $68.94 | 7 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $408.65 – $5,327.00 | 5 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,237.50 | $2,250.00 | $373.18 – $3,071.00 | 6 |
| X-ray abdomen 1 view CPT 74018 | $189.75 | $345.00 | $18.42 – $104.60 | 7 |
| X-ray abdomen 2 views CPT 74019 | $242.00 | $440.00 | $22.02 – $125.66 | 7 |
| X-ray abdomen >=3 views CPT 74021 | $314.60 | $572.00 | $25.64 – $125.66 | 7 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $316.25 | $575.00 | $27.98 – $125.66 | 7 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $315.15 | $573.00 | $24.75 – $104.60 | 7 |
| X-ray ankle 2 views (both sides) CPT 73600 | $195.25 | $355.00 | $18.66 – $104.60 | 7 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $672.10 | $1,222.00 | $72.78 – $419.32 | 7 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $51.64 | 7 |
| X-ray bone age studies CPT 77072 | $223.30 | $406.00 | $13.65 – $125.66 | 7 |
| X-ray bone length studies CPT 77073 | $209.00 | $380.00 | $21.53 – $125.66 | 7 |
| X-ray bone survey complete CPT 77075 | $373.45 | $679.00 | $59.87 – $184.38 | 7 |
| X-ray bone survey infant CPT 77076 | $242.55 | $441.00 | $59.87 – $185.48 | 7 |
| X-ray cervical spine 2-3 views CPT 72040 | $283.25 | $515.00 | $21.53 – $104.60 | 7 |
| X-ray cervical spine 4-5 views CPT 72050 | $411.95 | $749.00 | $28.70 – $125.66 | 7 |
| X-ray cervical spine >= 6 views CPT 72052 | $504.90 | $918.00 | $37.29 – $125.66 | 7 |
| X-ray clavicle complete (both sides) CPT 73000 | $223.30 | $406.00 | $19.02 – $104.60 | 7 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $460.35 | $837.00 | $115.06 – $353.50 | 7 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $804.65 | $1,463.00 | $150.54 – $499.86 | 7 |
| X-ray elbow 2 views (both sides) CPT 73070 | $188.10 | $342.00 | $19.02 – $104.60 | 7 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $229.90 | $418.00 | $22.24 – $104.60 | 7 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $372.78 – $1,104.02 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $740.85 | $1,347.00 | $319.94 – $946.21 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $254.10 | $462.00 | $65.25 – $210.82 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $385.55 | $701.00 | $50.02 – $173.55 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | $418.00 | $760.00 | $60.37 – $201.75 | 7 |
| X-ray exam of arm infant CPT 73092 | $262.35 | $477.00 | $19.02 – $125.66 | 7 |
| X-ray exam of eye sockets CPT 70200 | $268.95 | $489.00 | $27.98 – $125.66 | 7 |
| X-ray exam of femur 1 CPT 73551 | $135.30 | $246.00 | $19.31 – $104.60 | 7 |
| X-ray exam of jaw joint CPT 70328 | $164.45 | $299.00 | $21.53 – $104.60 | 7 |
| X-ray exam of jaw joint CPT 70332 | $332.20 | $604.00 | $49.84 – $286.78 | 7 |
| X-ray exam of mastoids CPT 70120 | $338.80 | $616.00 | $24.75 – $125.66 | 7 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $33.71 – $656.76 | 7 |
| X-ray exam of penis CPT 74445 | $634.15 | $1,153.00 | $51.02 – $155.74 | 7 |
| X-ray exam of perineum CPT 74775 | not published | not published | $66.03 – $286.78 | 7 |
| X-ray exam of salivary gland CPT 70380 | $108.90 | $198.00 | $26.55 – $104.60 | 7 |
| X-ray exam of sinuses CPT 70210 | $193.60 | $352.00 | $20.81 – $104.60 | 7 |
| X-ray exam of tear duct CPT 70170 | $313.50 | $570.00 | $32.12 – $286.78 | 7 |
| X-ray exam of teeth CPT 70300 | not published | not published | $8.98 – $104.60 | 7 |
| X-ray exam of teeth CPT 70310 | not published | not published | $30.13 – $286.78 | 7 |
| X-ray exam si joints CPT 72200 | $162.25 | $295.00 | $19.38 – $125.66 | 7 |
| X-ray exam thorac spine4/>vw CPT 72074 | $289.30 | $526.00 | $27.98 – $125.66 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $197.45 | $359.00 | $19.02 – $104.60 | 7 |
| X-ray facial bones complete > 3 views CPT 70150 | $327.80 | $596.00 | $27.98 – $125.66 | 7 |
| X-ray fallopian tube CPT 74742 | $565.40 | $1,028.00 | $58.31 – $177.98 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $143.00 | $260.00 | $22.88 – $104.60 | 7 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $175.45 | $319.00 | $24.04 – $104.60 | 7 |
| X-ray foot 2 views (both sides) CPT 73620 | $179.30 | $326.00 | $17.94 – $104.60 | 7 |
| X-ray forearm 2 views (both sides) CPT 73090 | $183.70 | $334.00 | $17.23 – $104.60 | 7 |
| X-ray hand 2 views (both sides) CPT 73120 | $189.20 | $344.00 | $17.59 – $125.66 | 7 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $9.35 – $104.60 | 7 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $178.20 | $324.00 | $18.66 – $104.60 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $339.35 | $617.00 | $37.17 – $125.66 | 7 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $230.45 | $419.00 | $27.88 – $125.66 | 7 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $331.10 | $602.00 | $33.60 – $125.66 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $407.00 | $740.00 | $40.37 – $125.66 | 7 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $127.60 | $232.00 | $20.02 – $104.60 | 7 |
| X-ray humerus >= 2 views left CPT 73060 | $196.90 | $358.00 | $17.59 – $104.60 | 7 |
| X-ray joint survey 1 view CPT 77077 | $111.65 | $203.00 | $20.81 – $125.66 | 7 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $189.75 | $345.00 | $19.74 – $104.60 | 7 |
| X-ray knee 3 views (both sides) CPT 73562 | $223.30 | $406.00 | $24.39 – $104.60 | 7 |
| X-ray knee ap standing bilateral CPT 73565 | $203.50 | $370.00 | $23.32 – $104.60 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $170.50 | $310.00 | $19.02 – $104.60 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $241.45 | $439.00 | $28.34 – $125.66 | 7 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $358.05 | $651.00 | $32.63 – $125.66 | 7 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $482.90 | $878.00 | $45.54 – $137.78 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $61.31 – $286.78 | 7 |
| X-ray mandible complete > 4 views CPT 70110 | $308.55 | $561.00 | $25.12 – $125.66 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | $268.95 | $489.00 | $23.67 – $104.60 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $41.15 – $58.66 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $177.10 | $322.00 | $23.67 – $104.60 | 7 |
| X-ray neck soft tissue CPT 70360 | $219.45 | $399.00 | $19.38 – $104.60 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | $242.00 | $440.00 | $16.87 – $104.60 | 7 |
| X-ray of mammary ducts CPT 77054 | $536.25 | $975.00 | $53.43 – $286.78 | 7 |
| X-ray optic foramina CPT 70190 | $150.70 | $274.00 | $23.67 – $104.60 | 7 |
| X-ray pelvis 1-2 views CPT 72170 | $183.70 | $334.00 | $18.31 – $125.66 | 7 |
| X-ray pelvis complete > 3 views CPT 72190 | $282.70 | $514.00 | $26.90 – $125.66 | 7 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $185.15 – $552.61 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $212.32 – $629.60 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $600.60 | $1,092.00 | $90.88 – $419.32 | 7 |
| X-ray ribs 2 views left CPT 71100 | $229.90 | $418.00 | $19.02 – $104.60 | 7 |
| X-ray ribs 3 views bilateral CPT 71110 | $229.90 | $418.00 | $23.32 – $125.66 | 7 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $235.95 | $429.00 | $22.60 – $125.66 | 7 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $471.90 | $858.00 | $30.85 – $125.66 | 7 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $218.35 | $397.00 | $23.32 – $125.66 | 7 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $229.90 | $418.00 | $19.02 – $104.60 | 7 |
| X-ray scapula complete (both sides) CPT 73010 | $288.75 | $525.00 | $20.46 – $125.66 | 7 |
| X-ray sella turcica CPT 70240 | $179.85 | $327.00 | $19.74 – $104.60 | 7 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $91.85 | $167.00 | $15.08 – $104.60 | 7 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $273.35 | $497.00 | $24.39 – $104.60 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $594.55 | $1,081.00 | $28.70 – $656.76 | 7 |
| X-ray skull < 4 views CPT 70250 | $249.70 | $454.00 | $22.96 – $125.66 | 7 |
| X-ray skull > 4 views complete CPT 70260 | $308.55 | $561.00 | $27.62 – $125.66 | 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.