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 |
|---|---|---|---|---|
| MRA chest wwo IV cont HCPCS C8911 | $1,828.75 | $3,325.00 | $349.44 – $2,204.27 | 6 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $312.90 – $1,467.74 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $312.55 – $1,471.07 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | $1,280.40 | $2,328.00 | $349.44 – $1,220.73 | 6 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,045.00 | $1,900.00 | $238.99 – $1,122.06 | 6 |
| MRA spinal canal CPT 72159 | not published | not published | $326.52 – $1,172.58 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $318.64 – $1,172.58 | 3 |
| MRA w/cont, abd HCPCS C8900 | $1,410.75 | $2,565.00 | $349.44 – $1,220.73 | 6 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,619.75 | $2,945.00 | $349.44 – $2,204.27 | 6 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $349.44 – $2,204.27 | 6 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,619.75 | $2,945.00 | $349.44 – $1,220.73 | 6 |
| MRA without cont, abd HCPCS C8901 | $1,045.00 | $1,900.00 | $238.99 – $1,122.06 | 6 |
| MRA without cont, lwr ext HCPCS C8913 | $1,410.75 | $2,565.00 | $238.99 – $1,122.06 | 6 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $238.99 – $1,122.06 | 6 |
| Mra, without dye, upper extr HCPCS C8935 | $1,410.75 | $2,565.00 | $238.99 – $1,122.06 | 6 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,828.75 | $3,325.00 | $349.44 – $2,204.27 | 6 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,090.00 | $3,800.00 | $349.44 – $2,204.27 | 6 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,358.50 | $2,470.00 | $349.44 – $2,204.27 | 6 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $349.44 – $1,220.73 | 6 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,828.75 | $3,325.00 | $349.44 – $1,220.73 | 6 |
| Mr elastography CPT 76391 | not published | not published | $183.39 – $848.20 | 6 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $2,224.00 – $13,392.82 | 6 |
| MRI brain w/dye CPT 70558 | not published | not published | $175.68 – $1,170.74 | 6 |
| MRI brain without dye CPT 70557 | not published | not published | $285.65 – $1,075.69 | 6 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $175.68 – $1,170.74 | 6 |
| MRI breast c- unilateral CPT 77046 | $783.75 | $1,425.00 | $179.06 – $828.15 | 6 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $294.95 – $1,364.19 | 3 |
| MRI breast without cont bi CPT 77047 | $1,567.50 | $2,850.00 | $177.97 – $823.13 | 6 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $293.50 – $1,357.47 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $987.80 | $1,796.00 | $201.07 – $1,007.34 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,737.45 | $3,159.00 | $295.32 – $1,444.36 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,295.25 | $2,355.00 | $355.55 – $1,742.86 | 6 |
| MRI chest without contrast CPT 71550 | $1,411.30 | $2,566.00 | $238.99 – $1,075.69 | 6 |
| MRI chest without & w/contrast CPT 71552 | $2,377.65 | $4,323.00 | $349.44 – $2,114.86 | 6 |
| MRI chest w IV cont CPT 71551 | $1,415.15 | $2,573.00 | $371.32 – $1,749.52 | 6 |
| MRI fetal ea addl gestation CPT 74713 | $956.45 | $1,739.00 | $141.78 – $683.83 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | $956.45 | $1,739.00 | $238.99 – $1,075.69 | 6 |
| MRI guid ndl plc s&i CPT 77021 | $634.15 | $1,153.00 | $336.89 – $1,495.90 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $267.02 – $1,253.58 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,225.97 – $1,471.16 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | $1,705.00 | $3,100.00 | $323.66 – $1,170.89 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,500.95 | $2,729.00 | $238.99 – $1,075.69 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,913.45 | $3,479.00 | $349.44 – $1,501.07 | 6 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,410.75 | $2,565.00 | $238.99 – $960.64 | 6 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,070.20 | $3,764.00 | $349.44 – $1,401.04 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,619.75 | $2,945.00 | $321.86 – $1,134.23 | 6 |
| MRI tmj CPT 70336 | $1,463.00 | $2,660.00 | $238.99 – $1,075.88 | 6 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,608.75 | $2,925.00 | $238.99 – $1,077.52 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,883.75 | $3,425.00 | $349.44 – $1,851.24 | 6 |
| MRI upper extremity w/dye CPT 73219 | $1,705.00 | $3,100.00 | $322.23 – $1,519.42 | 6 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,619.75 | $2,945.00 | $349.44 – $2,204.27 | 6 |
| MRI w/cont, breast, uni HCPCS C8903 | $836.00 | $1,520.00 | $175.68 – $1,220.73 | 6 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,071.85 | $3,767.00 | $349.44 – $2,204.27 | 6 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $888.25 | $1,615.00 | $349.44 – $2,204.27 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | $97.35 | $177.00 | $87.17 – $104.60 | 5 |
| Mr safety implant elec prepj CPT 76018 | $143.00 | $260.00 | $95.22 – $114.27 | 5 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $59.40 | $108.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $143.00 | $260.00 | $59.09 – $70.91 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $26.95 | $49.00 | $28.97 – $34.76 | 5 |
| Mr sfty med physics xm cstmz CPT 76017 | $266.20 | $484.00 | $238.99 – $286.78 | 5 |
| Mr spectroscopy CPT 76390 | $1,515.25 | $2,755.00 | $87.17 – $1,789.37 | 6 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $158.03 – $712.42 | 7 |
| Msh2 gene full seq CPT 81295 | not published | not published | $158.03 – $1,274.88 | 7 |
| Msh2 gene known variants CPT 81296 | $668.80 | $1,216.00 | $134.93 – $1,128.02 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $168.42 – $794.92 | 7 |
| Msh6 gene full seq CPT 81298 | not published | not published | $299.83 – $2,143.78 | 7 |
| Msh6 gene known variants CPT 81299 | $609.95 | $1,109.00 | $167.97 – $1,028.72 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,167.00 – $8,721.52 | 8 |
| Mthfr gene analy common variants CPT 81291 | $204.05 | $371.00 | $62.03 – $218.24 | 7 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $89.78 | 7 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $176.62 | 7 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $24.18 | 7 |
| Mucopolysaccharides CPT 83864 | $211.20 | $384.00 | $28.30 – $95.19 | 7 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $54.38 | 7 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $37.53 – $45.03 | 5 |
| Multi family grp psychotherapy CPT 90849 | $250.25 | $455.00 | $32.97 – $213.34 | 5 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $56.91 – $154.66 | 5 |
| Multiple sleep latency test CPT 95805 | $2,617.45 | $4,759.00 | $363.90 – $1,032.15 | 5 |
| Mumps antibody igg CPT 86735 | $54.45 | $99.00 | $13.05 – $53.81 | 7 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,209.11 – $3,071.00 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,309.86 – $3,886.00 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,402.74 – $3,886.00 | 8 |
| Muscle test cran nerv unilat CPT 95867 | $534.60 | $972.00 | $51.99 – $259.53 | 5 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $65.97 – $154.66 | 5 |
| Muscle test larynx CPT 95865 | $183.70 | $334.00 | $60.59 – $159.92 | 5 |
| Muscle test one fiber CPT 95872 | not published | not published | $43.75 – $259.53 | 5 |
| Muscle transfers CPT 23397 | not published | not published | $1,219.44 – $7,391.48 | 8 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,366.72 – $7,391.48 | 8 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,119.45 – $8,775.00 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $790.09 – $7,391.48 | 8 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $161.12 | 7 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $82.70 | 7 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $176.62 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.19 – $0.33 | 2 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.43 – $1.09 | 2 |
| Mycoplasma antibody igm CPT 86738 | $52.80 | $96.00 | $13.24 – $54.58 | 7 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $585.84 | 7 |
| Myelogphy 2/> spine regions CPT 72270 | $1,018.60 | $1,852.00 | $59.87 – $942.22 | 7 |
| Myelography l-s spine CPT 72265 | $943.80 | $1,716.00 | $49.84 – $942.22 | 7 |
| Myelography neck spine CPT 72240 | $943.80 | $1,716.00 | $51.99 – $942.22 | 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.