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 |
|---|---|---|---|---|
| Parotid duct diversion CPT 42509 | not published | not published | $902.01 – $6,030.19 | 8 |
| Parotid duct diversion CPT 42510 | not published | not published | $670.27 – $3,886.00 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $877.39 – $8,775.00 | 8 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $196.00 – $3,886.00 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,352.60 – $3,071.00 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $746.51 – $3,886.00 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $467.33 – $3,886.00 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $386.34 – $3,886.00 | 8 |
| Partial hip replacement CPT 27125 | not published | not published | $1,209.53 – $15,431.29 | 8 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,018.66 – $5,834.00 | 6 |
| Partial proctectomy CPT 45113 | not published | not published | $2,026.27 – $3,071.00 | 6 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,203.37 – $4,464.00 | 6 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,167.00 – $3,436.77 | 6 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,167.00 – $4,593.05 | 6 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,167.00 – $5,065.48 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $518.99 – $3,071.00 | 8 |
| Partial removal finger bone CPT 26236 | $1,515.80 | $2,756.00 | $462.68 – $3,071.00 | 8 |
| Partial removal foot fascia CPT 28060 | not published | not published | $377.15 – $3,886.00 | 8 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $903.44 – $4,306.00 | 8 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,027.27 – $3,071.00 | 6 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,167.00 – $5,625.45 | 6 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,167.00 – $4,140.53 | 6 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,167.00 – $3,116.46 | 6 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,167.00 – $5,144.60 | 6 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $489.85 – $3,783.00 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $563.36 – $3,783.00 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $711.29 – $3,886.00 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $453.72 – $3,886.00 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $525.26 – $5,974.00 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,072.79 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,042.33 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of lip CPT 40530 | not published | not published | $429.89 – $3,886.00 | 8 |
| Partial removal of liver CPT 47125 | not published | not published | $2,167.00 – $3,309.99 | 6 |
| Partial removal of liver CPT 47130 | not published | not published | $2,167.00 – $3,557.83 | 6 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,597.29 – $3,071.00 | 6 |
| Partial removal of nose CPT 30150 | not published | not published | $806.27 – $6,030.19 | 8 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,759.28 – $3,071.00 | 6 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,167.00 – $3,350.28 | 6 |
| Partial removal of penis CPT 54120 | not published | not published | $671.60 – $3,886.00 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,503.59 – $6,030.19 | 8 |
| Partial removal of radius CPT 25151 | not published | not published | $622.12 – $3,886.00 | 8 |
| Partial removal of radius CPT 25230 | not published | not published | $455.36 – $3,886.00 | 8 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,167.88 – $3,071.00 | 6 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,959.62 – $3,071.00 | 6 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,663.48 – $3,071.00 | 6 |
| Partial removal of rib CPT 21600 | not published | not published | $591.85 – $7,391.48 | 8 |
| Partial removal of sternum CPT 21620 | not published | not published | $537.95 – $3,932.74 | 8 |
| Partial removal of thyroid CPT 60220 | not published | not published | $755.07 – $6,158.23 | 8 |
| Partial removal of thyroid CPT 60225 | not published | not published | $996.88 – $7,266.35 | 8 |
| Partial removal of tibia CPT 27640 | not published | not published | $891.12 – $3,886.00 | 8 |
| Partial removal of toe CPT 28160 | not published | not published | $286.34 – $3,886.00 | 8 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,114.46 – $6,030.19 | 8 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,383.42 – $3,071.00 | 6 |
| Partial removal of ulna CPT 25119 | not published | not published | $526.37 – $3,886.00 | 8 |
| Partial removal of ulna CPT 25150 | not published | not published | $601.03 – $3,886.00 | 8 |
| Partial removal of ulna CPT 25240 | not published | not published | $448.94 – $3,886.00 | 8 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $521.27 – $3,890.82 | 8 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,007.59 – $4,004.69 | 8 |
| Partial thyroid excision CPT 60210 | not published | not published | $755.37 – $7,266.35 | 8 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,079.61 – $7,266.35 | 8 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $2,745.19 | $4,991.26 | $4.45 – $4.45 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $970.44 – $3,932.74 | 8 |
| Part removal of metatarsal CPT 28110 | not published | not published | $306.77 – $3,886.00 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $452.71 – $3,886.00 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $332.73 – $3,886.00 | 8 |
| Part remove hip bone super CPT 27070 | not published | not published | $900.39 – $3,932.74 | 8 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $93.58 – $204.77 | 6 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $49.66 – $204.77 | 6 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $48.95 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $23.24 – $62.63 | 6 |
| Patient recorded spirometry CPT 94014 | not published | not published | $57.58 – $536.93 | 5 |
| Patient recorded spirometry CPT 94015 | not published | not published | $30.85 – $259.53 | 5 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $851.87 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $381.99 – $541.02 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,100.56 | 7 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $194.45 – $241.15 | 5 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $811.24 – $3,071.00 | 8 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $48.30 – $154.66 | 5 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $128.88 – $154.66 | 5 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $707.71 – $3,071.00 | 8 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $29,663.96 – $45,117.55 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $32.97 – $157.56 | 6 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $109.17 – $150.60 | 6 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $149.13 – $213.68 | 6 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $143.67 – $575.12 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $67.02 – $214.44 | 6 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $105.11 – $353.45 | 6 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.01 – $0.01 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,135.69 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,929.34 – $5,899.38 | 6 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $225.66 – $308.28 | 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.