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 |
|---|---|---|---|---|
| Assay of interleukin-6 (il-6) CPT 83529 | $168.30 | $306.00 | $17.27 – $29.16 | 6 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $66.20 | 7 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $37.78 | 7 |
| Assay of leflunomide CPT 80193 | $39.60 | $72.00 | $38.57 – $65.17 | 6 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $70.87 | 7 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $44.29 | 7 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $26.65 | 7 |
| Assay of osteocalcin CPT 83937 | $52.25 | $95.00 | $26.06 – $123.08 | 7 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $15.10 | 7 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $78.92 | 7 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $78.06 | 7 |
| Assay of procainamide w/metab CPT 80192 | $53.90 | $98.00 | $16.75 – $69.07 | 7 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $267.53 | 7 |
| Assay of prostaglandin CPT 84150 | $253.00 | $460.00 | $35.46 – $139.51 | 7 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $75.85 | 7 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $47.96 | 7 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $38.94 | 7 |
| Assay of salicylate CPT 80179 | not published | not published | $18.64 – $31.44 | 6 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $71.48 | 7 |
| Assay of sialic acid CPT 84275 | $44.55 | $81.00 | $13.44 – $55.41 | 7 |
| Assay of silica CPT 84285 | not published | not published | $25.21 – $97.06 | 7 |
| Assay of somatostatin CPT 84307 | $187.55 | $341.00 | $18.28 – $75.35 | 7 |
| Assay of thiocyanate CPT 84430 | $41.80 | $76.00 | $11.63 – $47.96 | 7 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.27 – $33.70 | 7 |
| Assay of tyrosine CPT 84510 | $56.10 | $102.00 | $10.63 – $42.89 | 7 |
| Assay of urine sulfate CPT 84392 | $31.35 | $57.00 | $5.49 – $19.57 | 7 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $33.67 | 7 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $20.74 | 7 |
| Assay phosphatidylglycerol CPT 84081 | $218.35 | $397.00 | $16.52 – $68.10 | 7 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $42.55 | 7 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $38.94 | 7 |
| Assay toxin or antitoxin CPT 87230 | $194.70 | $354.00 | $19.74 – $81.40 | 7 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $92.04 – $110.45 | 5 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $220.39 | $400.71 | $101.75 – $122.10 | 5 |
| Assess cyst contrast inject CPT 49424 | $1,368.40 | $2,488.00 | $41.25 – $2,302.00 | 5 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $25.85 | $47.00 | $4.27 – $17.60 | 7 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $65.12 – $154.66 | 5 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $209.96 – $8,775.00 | 6 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $36.94 – $44.33 | 5 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $656.15 – $968.38 | 6 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $149.16 – $204.77 | 6 |
| Ast/sgot CPT 84450 | $58.85 | $107.00 | $5.18 – $21.34 | 7 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $96.55 – $148.77 | 6 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $10,266.30 | $18,666.00 | $679.76 – $18,730.00 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $15,188.25 | $27,615.00 | $793.27 – $18,730.00 | 6 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $61.49 | 7 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.08 – $0.13 | 2 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $823.02 – $4,223.00 | 6 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $696.79 – $6,012.63 | 8 |
| Attach ocular implant CPT 65140 | not published | not published | $834.51 – $4,004.69 | 8 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $311.85 | $567.00 | not published | 0 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $99.87 – $154.66 | 5 |
| Audiometry air + bone CPT 92553 | not published | not published | $37.29 – $154.66 | 5 |
| Auditory function 60 min CPT 92620 | not published | not published | $86.17 – $154.66 | 5 |
| Augmentation cheek bone CPT 21270 | not published | not published | $764.32 – $6,030.19 | 8 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $781.32 – $6,030.19 | 8 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $943.20 – $8,775.00 | 8 |
| Augmentation of facial bones CPT 21208 | not published | not published | $898.75 – $6,030.19 | 8 |
| Augment injectable kit 3.0cc HCPCS C1734 | $3,300.28 | $6,000.51 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $8,189.50 | $14,890.00 | $245.89 – $9,861.00 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $10,423.05 | $18,951.00 | $581.29 – $8,721.52 | 8 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,120.18 – $7,994.00 | 8 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,770.14 – $8,721.52 | 8 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $616.77 – $2,807.77 | 7 |
| Autologous blood op salvage CPT 86891 | not published | not published | $135.07 – $968.38 | 7 |
| Autologous blood process CPT 86890 | $240.35 | $437.00 | $95.76 – $336.71 | 7 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $782.59 – $782.59 | 1 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $134.45 – $2,479.93 | 5 |
| Automated diff wbc count CPT 85004 | $36.30 | $66.00 | $6.47 – $26.65 | 7 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $52.35 – $159.92 | 5 |
| Autonomic nrv parasym inervj CPT 95921 | $422.95 | $769.00 | $42.32 – $154.66 | 5 |
| Autonomic nrv syst funj test CPT 95923 | $301.95 | $549.00 | $133.26 – $159.92 | 5 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $108.64 – $161.64 | 6 |
| Av fistula revision CPT 36833 | not published | not published | $890.91 – $5,668.22 | 8 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $807.17 – $5,668.22 | 8 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $760.99 – $5,668.22 | 8 |
| Av fusion direct any site CPT 36821 | not published | not published | $730.49 – $3,795.09 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $801.31 – $5,668.22 | 8 |
| Avul nail plate addl CPT 11732 | $320.10 | $582.00 | $21.61 – $2,167.00 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $513.15 | $933.00 | $53.65 – $2,302.00 | 8 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $56.46 – $62.11 | 5 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.01 – $618,750.98 | 5 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $742.47 – $6,158.23 | 8 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.24 – $0.61 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.49 – $7.98 | 2 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.76 – $305.71 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $3.04 – $4.54 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.11 – $4.45 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $186.11 – $311.16 | 6 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $65.52 – $78.29 | 2 |
| Baclofen eval charges CPT 97750 | not published | not published | $32.85 – $39.42 | 5 |
| Bacterial meningitis antigen CPT 86403 | $80.85 | $147.00 | $11.54 – $42.02 | 7 |
| Bacterial vaginosis pcr CPT 87801 | $217.80 | $396.00 | $70.20 – $289.44 | 7 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $61.96 | 7 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $144.72 | 7 |
| Balloon dilate urtrl strix CPT 50706 | $3,499.10 | $6,362.00 | $201.23 – $2,167.00 | 5 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $191.85 – $3,886.00 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | $213.40 | $388.00 | $35.09 – $144.72 | 7 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $22.60 – $259.53 | 5 |
| Basiliximab HCPCS J0480 | not published | not published | $4,905.05 – $7,833.46 | 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.