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 |
|---|---|---|---|---|
| X-ray slg plne bdy sect without urogr CPT 76100 | $339.90 | $618.00 | $60.59 – $183.31 | 7 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $336.60 | $612.00 | $80.30 – $244.01 | 7 |
| X-ray small intestine follow-through study CPT 74248 | $804.65 | $1,463.00 | $48.52 – $48.52 | 1 |
| X-ray spine single view CPT 72020 | $144.10 | $262.00 | $14.00 – $104.60 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $282.70 | $514.00 | $24.39 – $104.60 | 7 |
| X-ray sternum > 2 views CPT 71120 | $256.30 | $466.00 | $19.02 – $104.60 | 7 |
| X-ray surgical specimen CPT 76098 | $471.90 | $858.00 | $8.27 – $656.76 | 7 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $380.05 | $691.00 | $101.44 – $313.40 | 7 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $327.80 | $596.00 | $34.08 – $106.35 | 7 |
| X-ray thoracic spine 2 views CPT 72070 | $217.25 | $395.00 | $19.74 – $125.66 | 7 |
| X-ray thoracic spine 3 views CPT 72072 | $275.00 | $500.00 | $23.32 – $125.66 | 7 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $209.55 | $381.00 | $21.53 – $104.60 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $256.85 | $467.00 | $25.38 – $104.60 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $321.20 | $584.00 | $46.08 – $141.02 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $235.95 | $429.00 | $17.59 – $104.60 | 7 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $174.90 | $318.00 | $21.17 – $104.60 | 7 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $570.90 | $1,038.00 | $92.48 – $280.87 | 7 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $482.35 | $877.00 | $78.51 – $238.61 | 7 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $252.68 – $252.68 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $382.77 – $382.77 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $165.55 | $301.00 | $20.46 – $104.60 | 7 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $59.51 – $210.82 | 7 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $197.48 – $197.48 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $93.80 – $93.80 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $48.86 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.37 – $2.26 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $54.38 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $45,630.75 | $82,965.00 | $56,824.55 – $68,189.46 | 5 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $124.65 – $823.81 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.79 – $15.82 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.65 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.55 – $1.55 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $45.65 | $83.00 | $51.31 – $211.59 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $69.47 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $3.66 – $17.07 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.67 – $12.74 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.92 – $37.32 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $6.06 – $12.61 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.01 – $0.01 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $325.86 | 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.