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 |
|---|---|---|---|---|
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $795.16 – $7,391.48 | 8 |
| Serial casting application 97139app CPT 97139 | not published | not published | $18.07 – $18.07 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $35.49 – $35.49 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.01 – $0.01 | 1 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $179.99 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | $194.70 | $354.00 | $24.66 – $63.43 | 3 |
| Set radiation therapy field CPT 77280 | $731.50 | $1,330.00 | $134.63 – $752.44 | 7 |
| Set radiation therapy field CPT 77285 | $1,149.50 | $2,090.00 | $374.16 – $1,240.24 | 7 |
| Set radiation therapy field CPT 77290 | $1,881.00 | $3,420.00 | $375.03 – $1,370.45 | 7 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $37.59 – $369.16 | 5 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $25.47 – $25.47 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.01 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.06 – $0.06 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $631.57 – $2,680.00 | 8 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $74.11 | 7 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $32.93 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $95.46 – $4,236.81 | 8 |
| Sex transformation m to f CPT 55970 | not published | not published | $16.96 – $6,012.63 | 8 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $325.86 | 6 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $114.37 – $3,783.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $245.85 | $447.00 | $49.99 – $2,302.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $364.10 | $662.00 | $69.60 – $2,302.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $129.89 | $236.16 | $82.56 – $2,302.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $422.40 | $768.00 | $106.29 – $2,302.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $264.00 | $480.00 | $41.29 – $2,302.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $242.55 | $441.00 | $54.92 – $2,302.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $557.70 | $1,014.00 | $70.48 – $2,302.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $606.10 | $1,102.00 | $78.45 – $2,302.00 | 8 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $187.55 | $341.00 | $37.03 – $2,302.00 | 8 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $247.50 | $450.00 | $56.64 – $2,302.00 | 8 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $289.30 | $526.00 | $66.65 – $2,302.00 | 8 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,278.48 | $5,960.88 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $18.75 – $81.76 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $500.85 – $7,994.00 | 8 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $964.72 – $7,994.00 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,131.47 – $7,994.00 | 8 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $617.39 – $7,994.00 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $599.56 – $7,994.00 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $611.44 – $7,994.00 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $566.29 – $7,994.00 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $623.38 – $7,994.00 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,104.66 – $7,994.00 | 8 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $653.41 – $7,994.00 | 8 |
| Shortening of hand tendon CPT 26479 | not published | not published | $628.43 – $3,886.00 | 8 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,335.02 – $8,721.52 | 8 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,436.60 – $4,464.00 | 6 |
| Shorten radius or ulna CPT 25390 | not published | not published | $813.72 – $7,391.48 | 8 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,068.06 – $7,391.48 | 8 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,119.82 – $7,994.00 | 8 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,828.75 | $3,325.00 | $349.44 – $1,712.86 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | $1,946.45 | $3,539.00 | $297.11 – $1,406.01 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $1,700.05 | $3,091.00 | $167.03 – $799.08 | 6 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,140.74 – $8,775.00 | 8 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,359.88 – $8,721.52 | 8 |
| Shoulder X-ray CPT 73030 | $223.30 | $406.00 | $19.02 – $104.60 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,339.19 – $3,071.00 | 6 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,339.19 – $3,071.00 | 6 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,308.02 – $3,071.00 | 6 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $138.05 | $251.00 | $75.64 – $229.91 | 7 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,439.05 – $3,071.00 | 6 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,519.18 – $3,071.00 | 6 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,538.92 – $3,071.00 | 6 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $50.37 | 7 |
| Sialography s&i CPT 70390 | $393.25 | $715.00 | $74.93 – $286.78 | 7 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $177.45 – $3,886.00 | 8 |
| Sickling rbc CPT 85660 | $27.50 | $50.00 | $5.51 – $22.71 | 7 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $79.79 – $2,167.00 | 8 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $151.53 – $2,167.00 | 8 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $173.37 – $2,167.00 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $98.04 – $2,167.00 | 8 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $179.48 – $3,783.00 | 8 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,260.60 | $2,292.00 | $117.74 – $2,167.00 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $173.21 – $7,296.84 | 8 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $220.65 – $3,783.00 | 8 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $149.65 – $2,167.00 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $165.20 – $2,167.00 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $250.89 – $2,167.00 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $117.39 – $2,167.00 | 8 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $190.30 | $346.00 | $18.31 – $70.91 | 5 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $123.31 – $2,167.00 | 8 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.27 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $22,490.60 | $40,892.00 | $11,562.83 – $13,875.39 | 5 |
| Simple cystometrogram 51725 CPT 51725 | $893.75 | $1,625.00 | $111.48 – $2,302.00 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $158.41 – $232.93 | 2 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $23.32 – $125.66 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,167.00 – $8,721.52 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,222.65 | $2,223.00 | $141.22 – $551.10 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | $1,018.60 | $1,852.00 | $111.48 – $435.93 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | $883.30 | $1,606.00 | $97.14 – $377.64 | 6 |
| Sinus/juglr venogram s&i CPT 75860 | $1,801.80 | $3,276.00 | $87.83 – $3,795.09 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $375.51 – $3,886.00 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $601.64 – $6,030.19 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $506.40 – $6,030.19 | 8 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,932.43 – $93,496.66 | 6 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.12 – $4.67 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $91.03 – $123.72 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $38.50 | $70.00 | $24.66 – $42.65 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | $17.60 | $32.00 | $11.89 – $38.04 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,053.71 – $3,886.00 | 8 |
| Skin Biopsy CPT 11102 | $960.30 | $1,746.00 | $249.47 – $2,167.00 | 8 |
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.