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 |
|---|---|---|---|---|
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $18.87 – $27.94 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $33.00 | $60.00 | $13.12 – $54.11 | 7 |
| Epstein barr nuclear antigen antibody CPT 86664 | $39.05 | $71.00 | $15.29 – $63.06 | 7 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $98.45 | $179.00 | $18.14 – $74.82 | 7 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.87 – $4.64 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $21.10 – $31.61 | 6 |
| Ercp biliary & pancreas CPT 74330 | $708.95 | $1,289.00 | $142.80 – $435.83 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $519.40 – $8,775.00 | 8 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $425.82 – $8,775.00 | 8 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $486.36 – $8,775.00 | 8 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $486.73 – $6,184.07 | 8 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $410.24 – $3,927.35 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $423.61 – $8,775.00 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $403.57 – $2,680.00 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $540.57 – $8,775.00 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $364.17 – $3,927.35 | 8 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $0.01 – $0.01 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $59.98 – $234.53 | 6 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.51 – $22.69 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $280.50 | $510.00 | $84.46 – $101.35 | 5 |
| ER Visit (level 2) CPT 99282 | $559.35 | $1,017.00 | $153.79 – $184.55 | 5 |
| ER Visit (level 3) CPT 99283 | $958.65 | $1,743.00 | $273.42 – $328.10 | 5 |
| ER Visit (level 4) CPT 99284 | $1,277.65 | $2,323.00 | $417.94 – $501.52 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | $1,837.55 | $3,341.00 | $596.49 – $715.79 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $87.43 – $141.35 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,224.00 – $8,775.00 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.49 – $0.80 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.33 – $0.46 | 2 |
| Esophageal dilat s&i CPT 74360 | $858.00 | $1,560.00 | $142.80 – $435.83 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $126.20 – $3,071.00 | 6 |
| Esophageal motility CPT 78258 | $398.75 | $725.00 | $192.16 – $601.97 | 7 |
| Esophageal recording CPT 93615 | not published | not published | $14.58 – $7,297.00 | 7 |
| Esophageal recording CPT 93616 | not published | not published | $180.52 – $7,297.00 | 7 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,444.00 – $8,775.00 | 6 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,436.51 – $3,071.00 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,457.85 – $3,071.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $217.22 – $4,306.00 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $106.99 – $3,071.00 | 8 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $269.55 – $3,071.00 | 8 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $215.06 – $8,775.00 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $183.00 – $2,680.00 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,571.80 | $4,676.00 | $135.91 – $2,306.41 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $188.66 – $2,680.00 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | $1,129.15 | $2,053.00 | $119.58 – $2,306.41 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $845.90 | $1,538.00 | $101.39 – $2,167.00 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $89.15 – $3,071.00 | 8 |
| Esophagoscopy flex remove fb CPT 43215 | $1,086.80 | $1,976.00 | $161.67 – $2,167.00 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $224.65 – $8,775.00 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $154.77 – $2,306.41 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $291.14 – $4,306.00 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $199.50 – $4,634.04 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $164.60 – $3,071.00 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $599.19 – $8,775.00 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $183.19 – $2,306.41 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $224.31 – $2,680.00 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $211.40 – $4,306.00 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $182.44 – $4,306.00 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $182.79 – $4,306.00 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $206.49 – $4,306.00 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $161.09 – $2,306.41 | 8 |
| Esophagus motility study CPT 91010 | $1,388.75 | $2,525.00 | $110.76 – $448.51 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $373.76 – $448.51 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | $1,254.00 | $2,280.00 | $175.97 – $2,680.00 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $149.70 – $2,306.41 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $878.33 – $7,480.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,229.10 – $5,327.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.71 – $541.00 | 2 |
| Esoph imped function test CPT 91037 | $539.00 | $980.00 | $111.83 – $259.53 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $373.76 – $448.51 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $152.30 – $4,306.00 | 8 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $156.26 – $2,306.41 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $119.21 – $2,306.41 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Essure 58565 CPT 58565 | not published | not published | $454.05 – $8,775.00 | 8 |
| Establish access to aorta CPT 36160 | $875.60 | $1,592.00 | $134.80 – $2,302.00 | 5 |
| Establish access to artery CPT 36100 | $1,145.65 | $2,083.00 | $168.49 – $2,302.00 | 5 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,145.56 – $3,071.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $121.00 | $220.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $91.30 | $166.00 | $1,216.00 – $1,216.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $115.50 | $210.00 | $1,865.00 – $1,865.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.85 | $307.00 | $2,302.00 – $2,302.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $287.10 | $522.00 | $2,624.00 – $2,624.00 | 1 |
| Estradiol total CPT 82670 | $254.10 | $462.00 | $27.94 – $115.20 | 7 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.98 – $16.16 | 2 |
| Estrogens total-sendout CPT 82672 | $47.30 | $86.00 | $21.70 – $89.45 | 7 |
| Etanercept injection HCPCS J1438 | not published | not published | $972.05 – $1,304.79 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $547.27 – $829.39 | 6 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $932.74 – $3,886.00 | 8 |
| Ethylene glycol -sendout CPT 82693 | $108.35 | $197.00 | $14.90 – $61.46 | 7 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,179.41 – $1,179.41 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.51 – $1.74 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $88.06 – $134.06 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $98.14 – $222.77 | 6 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $34.67 | 7 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $503.37 – $4,306.00 | 8 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $79.54 – $154.66 | 5 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $113.94 – $136.73 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $162.25 | $295.00 | $91.53 – $327.69 | 7 |
| Evaluation heart device CPT 93640 | $2,113.10 | $3,842.00 | $326.32 – $8,427.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $112.08 – $150.29 | 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.