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 |
|---|---|---|---|---|
| Fibrin degradation products CPT 85362 | $12.10 | $22.00 | $6.89 – $28.42 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $32.46 | 7 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $41.95 | 7 |
| Fibrinogen activity CPT 85384 | $52.25 | $95.00 | $9.72 – $35.04 | 7 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $46.83 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $32.45 | $59.00 | $7.35 – $61.22 | 7 |
| Fibrinolytic antiplasmin CPT 85410 | $31.35 | $57.00 | $7.71 – $31.76 | 7 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $31.76 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $138.60 | $252.00 | $17.19 – $70.87 | 7 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $41.98 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $20.90 | $38.00 | $6.53 – $26.92 | 7 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,167.00 – $8,721.52 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.32 – $0.41 | 6 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.01 – $1.73 | 6 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $0.46 | 6 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $733.19 – $3,071.00 | 8 |
| Filtered speech hearing test CPT 92571 | not published | not published | $27.62 – $44.89 | 5 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,531.82 | $4,603.30 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,733.10 | $3,151.09 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $851.65 – $3,379.00 | 6 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $0.16 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,927.75 | $3,505.00 | $709.28 – $2,167.00 | 8 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $766.70 | $1,394.00 | $541.00 – $2,167.00 | 5 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $541.00 – $2,167.00 | 5 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $823.90 | $1,498.00 | $541.00 – $2,167.00 | 5 |
| Fine needle asp without image guide 10021 CPT 10021 | $746.35 | $1,357.00 | $74.29 – $2,167.00 | 8 |
| Finger tendon transfer CPT 26497 | not published | not published | $902.35 – $3,886.00 | 8 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,205.45 – $3,886.00 | 8 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,149.33 – $3,071.00 | 6 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $671.79 – $3,071.00 | 6 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $19.67 – $70.91 | 5 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $26.72 – $70.91 | 5 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $107.41 – $107.41 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $13.65 – $44.89 | 5 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $21.17 – $44.89 | 5 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $25.24 – $25.24 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $19.67 – $19.67 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $28.21 – $28.21 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $51.28 – $2,302.00 | 8 |
| Fixation of ankle joint CPT 27860 | not published | not published | $183.91 – $3,886.00 | 8 |
| Fixation of knee joint CPT 27570 | not published | not published | $159.88 – $2,167.00 | 8 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,034.85 – $7,391.48 | 8 |
| Fix g/colon tube w/device CPT 49460 | $814.55 | $1,481.00 | $52.06 – $2,167.00 | 8 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $4,242.15 | $7,713.00 | $701.22 – $3,886.00 | 8 |
| Flebogamma injection HCPCS J1572 | not published | not published | $54.00 – $108.89 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | $39.60 | $72.00 | $18.64 – $31.44 | 6 |
| Fl exam g/colon tube w contrast CPT 49465 | $813.45 | $1,479.00 | $33.43 – $2,167.00 | 8 |
| Flexible Sigmoidoscopy CPT 45330 | $45.26 | $82.29 | $67.60 – $2,004.00 | 8 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $763.38 – $7,391.48 | 8 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $836.95 – $7,391.48 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $97.28 – $2,302.00 | 8 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $1,901.60 | 5 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $357.00 – $445.20 | 5 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $627.08 – $873.07 | 5 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $85.14 – $294.09 | 4 |
| Flow cytometry marker each additional CPT 88185 | $226.60 | $412.00 | $23.03 – $98.03 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $239.25 | $435.00 | $94.28 – $430.83 | 7 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $124.65 – $151.41 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | $281.60 | $512.00 | $62.81 – $219.91 | 4 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,396.49 – $6,513.57 | 6 |
| Flt3 gene CPT 81245 | $268.40 | $488.00 | $165.51 – $552.80 | 7 |
| Flt3 gene analysis CPT 81246 | $164.45 | $299.00 | $83.00 – $277.22 | 7 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $2.63 – $4.90 | 2 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $83.47 – $304.44 | 3 |
| Fluidotherapy charges pt CPT 97022 | $78.10 | $142.00 | $15.23 – $18.28 | 5 |
| Fluid pressure muscle 20950 CPT 20950 | $1,393.70 | $2,534.00 | $96.26 – $2,302.00 | 8 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $0.01 – $0.01 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $516.41 – $859.16 | 6 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $338.80 – $523.33 | 6 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $34.78 – $448.51 | 5 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $63.10 – $259.53 | 5 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $173.27 – $259.53 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $196.35 | $357.00 | $12.05 – $61.22 | 7 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $508.84 – $1,026.66 | 5 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $552.50 | 5 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $429.55 | $781.00 | $55.21 – $197.41 | 2 |
| Fluoroguide needle placement CPT 77002 | $485.65 | $883.00 | $64.53 – $202.81 | 2 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $77.99 | 7 |
| Fluoroscopy up to 1 hour CPT 76000 | $485.65 | $883.00 | $38.37 – $286.78 | 7 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.00 – $5.62 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.77 – $16.01 | 2 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $61.31 – $636.00 | 5 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $30.55 – $30.55 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,442.76 – $2,332.81 | 5 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $0.01 – $19.75 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $0.01 – $81.87 | 2 |
| Fmri brain by phys/psych CPT 70555 | $361.90 | $658.00 | $238.99 – $2,345.35 | 6 |
| Fmri brain by tech CPT 70554 | $469.15 | $853.00 | $238.99 – $1,622.98 | 6 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,927.75 | $3,505.00 | $122.41 – $2,167.00 | 8 |
| Fna bx w/ct gdn ea addl CPT 10010 | $834.90 | $1,518.00 | $88.84 – $2,167.00 | 5 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,927.75 | $3,505.00 | $500.83 – $2,167.00 | 8 |
| Fna bx w/mr gdn ea addl CPT 10012 | $766.70 | $1,394.00 | $302.50 – $2,167.00 | 5 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $15.33 – $15.33 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $77.99 | 7 |
| Folic acid CPT 82746 | $50.05 | $91.00 | $14.70 – $60.62 | 7 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.07 | 1 |
| Follow-up angiography CPT 75898 | $1,385.45 | $2,519.00 | $47.60 – $3,795.09 | 7 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $22.70 – $160.02 | 5 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $578.11 – $2,857.59 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.18 – $7.42 | 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.