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 |
|---|---|---|---|---|
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $709.38 – $3,071.00 | 8 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $118.97 – $3,886.00 | 6 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $787.31 – $3,886.00 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $777.41 – $3,071.00 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $118.50 – $3,886.00 | 6 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.04 – $34.76 | 7 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $2,167.00 – $3,658.27 | 6 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $982.48 – $982.48 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $583.87 | 7 |
| Sleep study attended CPT 95807 | $1,539.45 | $2,799.00 | $373.76 – $448.51 | 5 |
| Sleep Study (Polysomnography) CPT 95810 | $3,877.50 | $7,050.00 | $504.10 – $1,032.15 | 5 |
| Sleep study unattended CPT 95806 | $924.55 | $1,681.00 | $108.25 – $259.53 | 5 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,167.00 – $3,341.02 | 6 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,009.55 | $1,835.55 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $114.25 – $3,886.00 | 8 |
| Slitting of prepuce CPT 54001 | $2,602.60 | $4,732.00 | $147.10 – $2,680.00 | 8 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $34.89 – $34.89 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $94.30 – $94.30 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $12.21 – $12.21 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $42.67 – $70.91 | 5 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $75.73 – $75.73 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | $21,377.40 | $38,868.00 | $3,159.80 – $3,791.76 | 5 |
| Small animal inoculation CPT 87003 | not published | not published | $16.54 – $69.44 | 7 |
| Small bowel endoscopy CPT 44360 | not published | not published | $164.79 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $232.36 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $272.84 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $279.15 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $319.72 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $433.28 – $2,680.00 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $86.11 – $2,167.00 | 8 |
| Small bowel endoscopy CPT 44384 | not published | not published | $169.78 – $3,783.00 | 8 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $217.96 – $2,680.00 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $202.21 – $2,680.00 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $181.89 – $2,680.00 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $338.64 – $2,680.00 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $72.41 – $2,167.00 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $97.36 – $3,783.00 | 8 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $301.64 – $8,775.00 | 8 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $108.90 | $198.00 | $5.39 – $22.21 | 7 |
| Smear gram stain CPT 87205 | $40.70 | $74.00 | $4.27 – $17.60 | 7 |
| Smear nasal eosinophil CPT 89190 | $45.10 | $82.00 | $5.79 – $19.57 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $86.35 | $157.00 | $5.99 – $61.22 | 7 |
| Smear wet mount CPT 87210 | $154.00 | $280.00 | $5.82 – $19.44 | 7 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $1,006.51 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $618.57 | 7 |
| Smpd1 gene common variants CPT 81330 | $230.45 | $419.00 | $47.00 – $156.98 | 7 |
| Snrpn/ube3a gene CPT 81331 | $339.90 | $618.00 | $51.07 – $170.57 | 7 |
| Sodium 24 hour urine CPT 84300 | $31.35 | $57.00 | $4.91 – $20.04 | 7 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.66 – $4.71 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.61 – $2.36 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.83 – $1.17 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.15 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.54 – $4.16 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $85.50 – $127.92 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.55 | $61.00 | $4.81 – $19.84 | 7 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.79 – $1.01 | 5 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $87.17 – $104.60 | 5 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,368.18 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,216.16 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,344.41 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,064.14 | 5 |
| Somatosensory testing CPT 95927 | $400.40 | $728.00 | $126.19 – $259.53 | 5 |
| Somatropin injection HCPCS J2941 | not published | not published | $80.72 – $154.84 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,040.37 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $912.12 | 5 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.41 – $37.59 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $182.62 – $8,028.00 | 5 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $202.57 – $8,028.00 | 5 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $126.79 – $16,231.00 | 6 |
| Special casting material HCPCS A4590 | not published | not published | $27.81 – $27.81 | 1 |
| Special physics consult CPT 77370 | $1,077.45 | $1,959.00 | $117.30 – $385.03 | 7 |
| Special pump services CPT 99190 | not published | not published | $449.87 – $449.87 | 1 |
| Special pump services CPT 99191 | not published | not published | $314.91 – $314.91 | 1 |
| Special pump services CPT 99192 | not published | not published | $225.31 – $225.31 | 1 |
| Special radiation dosimetry CPT 77331 | $219.45 | $399.00 | $19.02 – $161.55 | 7 |
| Special radiation treatment CPT 77470 | $1,829.30 | $3,326.00 | $47.71 – $664.12 | 7 |
| Special teletx port plan CPT 77321 | $646.25 | $1,175.00 | $43.39 – $450.04 | 7 |
| Specific gravity body fluid CPT 84315 | $24.75 | $45.00 | $3.28 – $10.96 | 7 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $19.64 | 7 |
| Speech audiometry complete CPT 92556 | not published | not published | $37.66 – $70.91 | 5 |
| Speech evaluation complex CPT 70371 | not published | not published | $47.69 – $286.78 | 7 |
| Speech recep thresh CPT 92555 | not published | not published | $23.32 – $70.91 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $44.02 | 7 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $80.76 | 7 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $62.63 | 6 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $62.63 | 6 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $62.63 | 6 |
| Sperm washing 58323 CPT 58323 | not published | not published | $13.01 – $2,302.00 | 8 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $674.06 – $6,030.19 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $804.26 – $3,336.17 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $123.33 – $16,231.00 | 6 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $134.93 – $16,231.00 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,035.00 | $3,700.00 | $8.96 – $2,167.00 | 8 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $3,112.00 – $15,431.29 | 7 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $173.94 – $259.53 | 5 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $737.55 | $1,341.00 | $48.40 – $448.51 | 5 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $105.46 – $154.66 | 5 |
| Spleen imaging CPT 78185 | $495.55 | $901.00 | $200.05 – $492.48 | 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.