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 |
|---|---|---|---|---|
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.31 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.58 – $9.91 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.23 – $0.46 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.63 – $5.31 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $38.57 – $65.17 | 6 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.01 – $0.01 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.01 – $0.01 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $9.53 – $13.05 | 5 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $25.70 – $34.30 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.36 – $1.36 | 1 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $24.66 – $40.59 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.27 – $0.39 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.14 – $0.20 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.30 – $0.45 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.17 – $1.91 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.15 – $0.15 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 2 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $375.92 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | $292.60 | $532.00 | $86.77 – $416.30 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.36 – $1.32 | 2 |
| Microalbumin urine screen CPT 82044 | $13.20 | $24.00 | $6.23 – $20.81 | 7 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.72 – $134.17 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $76.36 – $264.29 | 4 |
| Microdissection manual CPT 88381 | $173.80 | $316.00 | $98.60 – $316.16 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $75.08 | 7 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $1,193.98 | 7 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $242.87 – $2,302.00 | 5 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $127.60 – $154.66 | 5 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,379.00 – $4,223.00 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.19 – $0.24 | 2 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.20 – $0.50 | 2 |
| Middle cerebral artery echo CPT 76821 | $278.85 | $507.00 | $57.36 – $176.81 | 7 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $36.55 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.63 – $2.73 | 2 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.56 – $3.28 | 5 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $0.47 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $111.43 – $149.57 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $71.99 – $79.19 | 6 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $1.02 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $11,102.16 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $32.93 – $110.85 | 6 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $329.94 – $526.30 | 6 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $29.70 – $76.26 | 6 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Mlh1 gene CPT 81288 | not published | not published | $166.71 – $642.35 | 7 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $198.63 – $676.02 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $673.18 – $2,255.84 | 7 |
| Mlh1 gene known variants CPT 81293 | $655.60 | $1,192.00 | $269.86 – $1,105.54 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.24 – $20.69 | 5 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.91 – $5.89 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,127.22 – $13,078.02 | 8 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $49.61 – $151.16 | 7 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $89.49 – $2,167.00 | 4 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $125.23 – $2,167.00 | 4 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $144.51 – $2,167.00 | 4 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $208.55 – $2,167.00 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $437.07 – $3,783.00 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $270.75 – $2,167.00 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | $37.95 | $69.00 | $21.63 – $25.96 | 5 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $131.20 – $3,071.00 | 6 |
| Modification of contact lens CPT 92325 | not published | not published | $42.67 – $159.92 | 5 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,474.34 – $3,071.00 | 6 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $627.99 – $3,071.00 | 6 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $313.50 | $570.00 | $12.05 – $63.46 | 6 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.14 – $5.13 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $19.85 | 6 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,603.28 | $10,187.78 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $565.28 – $1,250.14 | 6 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $133.35 – $160.02 | 5 |
| Mopath procedure level 1 CPT 81400 | $393.80 | $716.00 | $63.96 – $213.63 | 7 |
| Mopath procedure level 3 CPT 81402 | $374.00 | $680.00 | $150.33 – $502.10 | 7 |
| Mopath procedure level 5 CPT 81404 | $1,073.60 | $1,952.00 | $274.83 – $917.93 | 7 |
| Mopath procedure level 6 CPT 81405 | $990.00 | $1,800.00 | $301.35 – $1,006.51 | 7 |
| Mopath procedure level 7 CPT 81406 | $1,742.40 | $3,168.00 | $282.88 – $944.82 | 7 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $2,826.54 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $6,680.00 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $5.30 – $8.16 | 2 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $9.47 – $13.00 | 2 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.18 – $8.18 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $12.57 – $19.68 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $977.92 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $209.00 | $380.00 | $109.68 – $430.83 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $159.50 | $290.00 | $80.66 – $287.24 | 7 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $674.50 – $1,101.87 | 6 |
| Motion analysis video/3d CPT 96000 | not published | not published | $100.12 – $448.51 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $106.90 – $1,032.15 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $69.55 – $536.93 | 5 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $328.52 – $3,886.00 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $39.44 – $164.90 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $640.20 | $1,164.00 | $148.75 – $1,123.34 | 7 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $48.77 – $249.16 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $91.79 – $204.77 | 7 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $253.82 | 6 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $82.70 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $59.34 – $1,010.75 | 7 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $0.01 – $0.01 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $313.62 – $1,481.07 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $308.25 – $1,462.72 | 3 |
| MRA chest w IV cont HCPCS C8909 | $1,149.50 | $2,090.00 | $349.44 – $1,220.73 | 6 |
| MRA chest wo IV cont HCPCS C8910 | $1,045.00 | $1,900.00 | $238.99 – $1,122.06 | 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.