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 |
|---|---|---|---|---|
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,222.65 | $2,223.00 | $175.68 – $780.12 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,018.60 | $1,852.00 | $167.38 – $656.59 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $815.10 | $1,482.00 | $91.41 – $358.18 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,277.55 | $4,141.00 | $349.44 – $1,491.07 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $1,619.75 | $2,945.00 | $324.37 – $1,230.93 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $1,410.75 | $2,565.00 | $238.99 – $1,075.69 | 6 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,139.53 – $8,775.00 | 6 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,029.27 – $8,721.52 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $604.45 | $1,099.00 | $76.36 – $234.24 | 7 |
| Pelvic Ultrasound (limited) CPT 76857 | $405.90 | $738.00 | $22.96 – $125.66 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $60.64 – $97.54 | 6 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.35 – $7.65 | 6 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $441.66 – $529.99 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $30.76 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $32.59 – $38.03 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.03 – $1.35 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $46.87 – $77.86 | 2 |
| Penile injection CPT 54235 | $424.60 | $772.00 | $78.35 – $2,302.00 | 8 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $7,320.88 | $13,310.69 | not published | 0 |
| Penile vascular study CPT 93980 | $561.00 | $1,020.00 | $59.51 – $125.66 | 6 |
| Penile vascular study CPT 93981 | not published | not published | $51.28 – $125.66 | 6 |
| Penile venous occlusion CPT 37790 | not published | not published | $517.35 – $3,886.00 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $766.46 – $3,886.00 | 8 |
| Penis study CPT 54240 | $746.35 | $1,357.00 | $35.51 – $2,302.00 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $91.38 – $95.96 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.01 – $0.01 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.01 – $0.01 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $19.30 – $23.16 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,697.99 – $3,978.01 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $9,635.45 | $17,519.00 | $518.83 – $12,776.39 | 8 |
| Perc d-e cor revasc chro add HCPCS C9608 | $9,769.65 | $17,763.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $13,677.40 | $24,868.00 | $2,302.00 – $22,033.48 | 6 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,072.05 | $20,131.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,072.05 | $20,131.00 | $2,302.00 – $13,875.39 | 6 |
| Perc d-e cor stent ather br HCPCS C9603 | $11,072.05 | $20,131.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $12,375.00 | $22,500.00 | $2,302.00 – $22,033.48 | 6 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,601.20 | $10,184.00 | $541.00 – $2,302.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,467.25 | $15,395.00 | $2,302.00 – $13,875.39 | 6 |
| Perc rf ablate renal tumor CPT 50592 | $6,048.90 | $10,998.00 | $392.09 – $7,266.35 | 8 |
| Percut ablate liver rf CPT 47382 | $4,689.85 | $8,527.00 | $834.95 – $7,266.35 | 8 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $394.89 – $2,444.00 | 2 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $48.00 – $73.77 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,531.75 | $2,785.00 | $152.19 – $4,261.00 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,667.60 | $3,032.00 | $84.13 – $5,974.00 | 8 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $7,595.50 | $13,810.00 | $952.09 – $3,071.00 | 6 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $827.61 – $3,988.43 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | $1,932.70 | $3,514.00 | $273.91 – $4,306.00 | 8 |
| Peripheral vascular rehab CPT 93668 | $86.35 | $157.00 | $19.38 – $70.91 | 5 |
| Peri-proc device eval icd CPT 93287 | $239.25 | $435.00 | $13.28 – $13.28 | 1 |
| Peri-proc device eval pm CPT 93286 | $195.80 | $356.00 | $12.21 – $12.21 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | $8,185.10 | $14,882.00 | $476.83 – $5,668.22 | 8 |
| Peritoneogram rs&i CPT 74190 | $1,023.55 | $1,861.00 | $56.53 – $656.76 | 7 |
| Perit-vens shunt pat tst CPT 78291 | $459.80 | $836.00 | $215.82 – $683.26 | 7 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $28.53 – $28.53 | 1 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $0.48 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $5,732.65 | $10,423.00 | $839.84 – $5,327.00 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $13,026.20 | $23,684.00 | $864.86 – $3,864.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $1,591.15 | $2,893.00 | $147.37 – $2,167.00 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | $1,936.00 | $3,520.00 | $109.60 – $2,167.00 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,360.00 – $11,378.09 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $925.69 – $11,378.09 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $892.36 – $13,875.39 | 8 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $757.21 – $22,033.48 | 8 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $783.72 – $13,875.39 | 8 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $596.31 – $13,875.39 | 8 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $299.53 – $2,624.00 | 5 |
| Perq plmt bile duct stent CPT 47538 | $11,780.45 | $21,419.00 | $353.63 – $8,775.00 | 8 |
| Perq plmt bile duct stent CPT 47539 | $7,728.05 | $14,051.00 | $478.20 – $8,775.00 | 8 |
| Perq plmt bile duct stent CPT 47540 | $8,338.55 | $15,161.00 | $570.80 – $8,775.00 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $825.00 | $1,500.00 | $90.75 – $2,167.00 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $559.89 – $3,886.00 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | $3,959.45 | $7,199.00 | $508.93 – $3,932.74 | 8 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,216.00 – $3,886.00 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $473.79 – $5,773.00 | 3 |
| Perq transcath closure pda CPT 93582 | $17,585.15 | $31,973.00 | $727.48 – $22,033.48 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,074.80 – $22,033.48 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,295.08 – $22,033.48 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $810.99 – $3,333.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $597.59 – $3,597.00 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $251.04 – $3,886.00 | 8 |
| Perq tx malar fracture CPT 21355 | not published | not published | $378.99 – $3,886.00 | 8 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $356.30 – $6,030.19 | 8 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $844.03 – $3,886.00 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $49.43 | 7 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.20 – $26.99 | 6 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.90 – $117.35 | 6 |
| Pessary reusable rub anytype HCPCS A4561 | $57.35 | $104.28 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,535.50 | $4,610.00 | $1,282.26 – $1,718.71 | 5 |
| Pet CT whole body initial CPT 78816 | $2,861.65 | $5,203.00 | $1,282.26 – $1,718.71 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,455.75 | $4,465.00 | $1,282.26 – $1,718.71 | 5 |
| Pet image full body CPT 78813 | not published | not published | $1,282.26 – $1,718.71 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $1,282.26 – $1,556.09 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,282.26 – $1,718.71 | 5 |
| Pet image w/ct lmtd CPT 78814 | $2,320.45 | $4,219.00 | $1,282.26 – $1,718.71 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $400.42 – $480.50 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,278.01 – $1,278.01 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,101.65 | $2,003.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.86 – $23.83 | 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.