SSM Health St. Joseph Hospital - St. Charles
300 1St Capitol Dr, Saint Charles, MO · SSM Health · · NPI 1467521146
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 |
|---|---|---|---|---|
| Drug assay rufinamide CPT 80210 | $51.15 | $93.00 | $27.11 – $45.73 | 6 |
| Drug assay vedolizumab CPT 80280 | $312.95 | $569.00 | $38.57 – $65.17 | 6 |
| Drug assay voriconazole CPT 80285 | $64.35 | $117.00 | $27.11 – $45.73 | 6 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $31.44 | 6 |
| Drug of abuse screen urine CPT 80305 | $26.40 | $48.00 | $12.60 – $44.96 | 7 |
| Drug screen quant tiagabine CPT 80199 | $95.70 | $174.00 | $25.67 – $90.55 | 7 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $173.39 – $663.79 | 7 |
| Drug test def 1-7 classes HCPCS G0480 | $275.55 | $501.00 | $83.48 – $382.20 | 7 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $224.76 – $824.71 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $128.44 – $523.01 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $90.75 | $165.00 | $17.14 – $59.99 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $453.75 | $825.00 | $62.14 – $239.91 | 7 |
| Drvvt confirm - quest CPT 85597 | $31.35 | $57.00 | $17.98 – $74.11 | 7 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $592.90 – $4,004.69 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $8,136.70 | $14,794.00 | $1,444.00 – $2,347.05 | 8 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $222.67 – $2,302.00 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $189.30 – $2,302.00 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $221.91 – $2,302.00 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $279.00 – $2,302.00 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $550.89 – $2,004.00 | 6 |
| Ductogram sgl duct CPT 77053 | $463.10 | $842.00 | $40.16 – $286.78 | 7 |
| Duodenal motility study CPT 91022 | $1,144.00 | $2,080.00 | $95.71 – $448.51 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,524.05 | $2,771.00 | $234.58 – $361.25 | 6 |
| Duplex scan unilateral study 93986 CPT 93986 | $762.30 | $1,386.00 | $104.71 – $213.21 | 6 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $580.80 | $1,056.00 | $104.71 – $211.49 | 6 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $664.40 | $1,208.00 | $150.21 – $259.53 | 6 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,280.40 | $2,328.00 | $172.07 – $286.78 | 6 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,627.05 | $2,958.27 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $87.95 – $141.24 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | $147.40 | $268.00 | $41.24 – $128.02 | 7 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $65.13 – $154.66 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,543.85 | $2,807.00 | $157.14 – $2,680.00 | 8 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,415.70 | $2,574.00 | $158.57 – $2,680.00 | 8 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,652.65 | $4,823.00 | $156.02 – $2,167.00 | 8 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $50.20 – $536.93 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $55.70 – $2,167.00 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $85.03 – $2,167.00 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | $338.80 | $616.00 | $38.58 – $2,167.00 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $66.70 – $2,167.00 | 8 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $168.00 – $2,302.00 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | $1,778.70 | $3,234.00 | $168.37 – $2,680.00 | 8 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $124.10 – $3,071.00 | 8 |
| Dynamic surface emg CPT 96002 | not published | not published | $22.99 – $259.53 | 5 |
| Ear and throat examination CPT 92502 | not published | not published | $101.36 – $2,302.00 | 6 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $67.34 – $3,071.00 | 8 |
| Ear cartilage graft CPT 21235 | not published | not published | $599.69 – $6,030.19 | 8 |
| Ear irrigation 69209 CPT 69209 | $581.90 | $1,058.00 | $12.88 – $2,167.00 | 8 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.41 – $44.89 | 5 |
| Ecallantide injection HCPCS J1290 | not published | not published | $595.94 – $943.82 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $245.30 | $446.00 | $8.63 – $70.91 | 5 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $7.45 – $7.45 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $100.65 | $183.00 | $5.76 – $70.91 | 5 |
| Ecg < 30 days transmission & analysis CPT 93271 | $242.55 | $441.00 | $95.22 – $114.27 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $644.60 | $1,172.00 | $27.27 – $159.92 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $911.35 | $1,657.00 | $38.37 – $70.91 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $91.85 | $167.00 | $15.61 – $44.89 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $150.15 | $273.00 | $15.61 – $44.89 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $4,270.20 | $7,764.00 | $165.26 – $656.76 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,011.45 | $1,839.00 | $22.96 – $22.96 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $4,436.85 | $8,067.00 | $700.68 – $2,141.10 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $920.70 | $1,674.00 | $99.66 – $286.78 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,009.80 | $1,836.00 | $349.44 – $1,433.00 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $745.80 | $1,356.00 | $20.46 – $20.46 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $41.72 – $125.66 | 7 |
| Echo exam of eye CPT 76519 | not published | not published | $53.78 – $132.35 | 7 |
| Echo exam of eye CPT 76529 | not published | not published | $47.69 – $145.38 | 7 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $5.40 – $34.76 | 7 |
| Echo exam of fetal heart CPT 76825 | $1,007.60 | $1,832.00 | $194.29 – $656.76 | 7 |
| Echo exam of fetal heart CPT 76826 | $503.80 | $916.00 | $123.67 – $379.53 | 7 |
| Echo exam of fetal heart CPT 76827 | $431.75 | $785.00 | $47.69 – $144.28 | 7 |
| Echo exam of fetal heart CPT 76828 | $323.40 | $588.00 | $25.47 – $125.66 | 7 |
| Echo exam uterus 76831- CPT 76831 | $561.00 | $1,020.00 | $82.45 – $286.78 | 7 |
| Echograp trans r pros study CPT 76873 | $605.00 | $1,100.00 | $89.62 – $293.87 | 7 |
| Echo guidance radiotherapy CPT 76965 | $605.00 | $1,100.00 | $23.67 – $74.92 | 2 |
| Echo guide for amniocentesis CPT 76946 | $446.60 | $812.00 | $13.28 – $40.22 | 2 |
| Echo guide for artery repair CPT 76936 | $557.70 | $1,014.00 | $174.58 – $537.88 | 7 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $69.47 – $212.01 | 2 |
| Echo guide for transfusion CPT 76941 | $1,007.60 | $1,832.00 | $69.05 – $210.73 | 2 |
| Echo guide villus sampling CPT 76945 | $489.50 | $890.00 | $69.05 – $210.73 | 2 |
| Echo stress CPT 93350 | $3,489.75 | $6,345.00 | $170.64 – $656.76 | 5 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $40.30 – $656.76 | 5 |
| Echo tee guidance CPT 93355 | $3,268.65 | $5,943.00 | $239.14 – $239.14 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,263.70 | $5,934.00 | $185.71 – $656.76 | 5 |
| Echo transesophageal CPT 93313 | $1,087.90 | $1,978.00 | $23.90 – $656.76 | 5 |
| Echo transesophageal CPT 93314 | not published | not published | $196.46 – $196.46 | 1 |
| Echo transesophageal CPT 93315 | $2,523.95 | $4,589.00 | $148.21 – $656.76 | 5 |
| Echo transesophageal intraop CPT 93318 | $884.95 | $1,609.00 | $317.88 – $656.76 | 5 |
| Echo transthoracic CPT 93303 | $2,443.65 | $4,443.00 | $175.30 – $656.76 | 5 |
| Echo transthoracic CPT 93304 | $1,384.90 | $2,518.00 | $119.36 – $656.76 | 5 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,681.90 | $3,058.00 | $85.67 – $286.78 | 5 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $257.56 – $3,071.00 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $264.64 – $3,071.00 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $3,950.10 | $7,182.00 | $370.34 – $3,071.00 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $3,988.60 | $7,252.00 | $335.27 – $3,071.00 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $968.03 – $3,071.00 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $917.87 – $3,071.00 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $536.77 – $3,071.00 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $481.20 – $3,071.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $523.03 – $3,071.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $4,928.55 | $8,961.00 | $468.12 – $3,071.00 | 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.