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 |
|---|---|---|---|---|
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,681.74 – $7,115.26 | 8 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $237.23 – $3,071.00 | 8 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,453.84 – $3,984.97 | 8 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,349.81 – $3,984.97 | 8 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,561.99 – $3,984.97 | 8 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $904.05 – $3,071.00 | 8 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.33 – $49.84 | 6 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,294.16 – $4,294.16 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,912.90 | $3,478.00 | $1,103.19 – $1,323.83 | 5 |
| In-111 capromab pendet HCPCS A9507 | $2,109.25 | $3,835.00 | $0.01 – $2,076.35 | 5 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.01 – $1,316.73 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $481.25 | $875.00 | $831.46 – $997.75 | 5 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $836.00 | $1,520.00 | $745.62 – $894.74 | 5 |
| In-111 pentetreotide HCPCS A9572 | $6,617.05 | $12,031.00 | $2,000.94 – $2,401.13 | 5 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.35 – $293.35 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $469.12 – $3,932.74 | 8 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $615.23 – $7,391.48 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $534.43 – $3,886.00 | 8 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,933.36 – $8,721.52 | 8 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,596.66 – $8,721.52 | 8 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,598.65 – $8,721.52 | 8 |
| Incis addl spine segment CPT 22216 | not published | not published | $396.18 – $3,071.00 | 5 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,363.14 – $3,071.00 | 6 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $463.14 – $2,680.00 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $114.83 – $3,071.00 | 8 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $360.51 – $3,932.74 | 8 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $403.01 – $3,071.00 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $543.99 – $2,680.00 | 8 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $605.05 – $3,071.00 | 8 |
| Incise inner ear CPT 69801 | not published | not published | $134.74 – $4,306.00 | 8 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,636.59 – $5,974.00 | 8 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,900.79 – $3,071.00 | 6 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $263.72 – $2,302.00 | 8 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $490.37 – $2,773.86 | 8 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $612.70 – $3,783.00 | 8 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $652.55 – $3,783.00 | 8 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $687.66 – $4,210.48 | 8 |
| Incise inner eye strands CPT 67030 | not published | not published | $550.85 – $2,773.86 | 8 |
| Incise nerve back of head CPT 64744 | not published | not published | $536.80 – $2,680.00 | 8 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $274.69 – $2,680.00 | 8 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,401.73 – $10,548.02 | 8 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,756.54 – $3,071.00 | 6 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,796.19 – $13,793.00 | 8 |
| Incise skull repair CPT 62121 | not published | not published | $1,740.12 – $3,071.00 | 6 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,882.95 – $3,071.00 | 6 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,854.54 – $3,071.00 | 6 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $446.44 – $2,512.51 | 8 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,758.66 – $8,775.00 | 6 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,519.67 – $8,775.00 | 6 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,359.34 – $8,775.00 | 6 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,235.70 – $8,775.00 | 6 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $102.17 – $2,302.00 | 8 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $819.10 – $7,391.48 | 8 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $509.16 – $3,886.00 | 8 |
| Incise & treat bladder CPT 51030 | not published | not published | $498.17 – $3,886.00 | 6 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $458.66 – $3,886.00 | 8 |
| Incision anal septum infant CPT 46070 | not published | not published | $232.05 – $3,336.17 | 8 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,214.75 | $5,845.00 | $124.29 – $2,302.00 | 8 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,019.85 – $8,721.52 | 8 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,463.52 – $8,721.52 | 8 |
| Incision of achilles tendon CPT 27605 | not published | not published | $195.68 – $2,167.00 | 8 |
| Incision of achilles tendon CPT 27606 | not published | not published | $303.53 – $3,886.00 | 8 |
| Incision of anal sphincter CPT 46080 | not published | not published | $170.06 – $3,336.17 | 8 |
| Incision of ankle bone CPT 28302 | not published | not published | $761.47 – $7,391.48 | 8 |
| Incision of bile duct CPT 47425 | not published | not published | $1,469.79 – $3,071.00 | 6 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,441.94 – $3,071.00 | 6 |
| Incision of brain tissue CPT 61541 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Incision of breast lesion CPT 19020 | $3,379.20 | $6,144.00 | $321.17 – $2,680.00 | 8 |
| Incision of brow nerve CPT 64732 | not published | not published | $401.39 – $2,680.00 | 8 |
| Incision of burn scab initi CPT 16035 | not published | not published | $208.04 – $3,071.00 | 8 |
| Incision of cheek nerve CPT 64734 | not published | not published | $541.32 – $2,680.00 | 8 |
| Incision of chin nerve CPT 64736 | not published | not published | $421.45 – $2,680.00 | 8 |
| Incision of eardrum CPT 69420 | not published | not published | $127.59 – $2,302.00 | 8 |
| Incision of eardrum CPT 69421 | not published | not published | $157.81 – $3,886.00 | 8 |
| Incision of esophagus CPT 43020 | not published | not published | $606.05 – $2,302.00 | 8 |
| Incision of eye CPT 65850 | not published | not published | $871.79 – $3,783.00 | 8 |
| Incision of eye CPT 66172 | not published | not published | $1,569.23 – $3,783.00 | 8 |
| Incision of eyelid CPT 67710 | not published | not published | $100.55 – $2,302.00 | 8 |
| Incision of facial nerve CPT 64742 | not published | not published | $485.44 – $2,680.00 | 8 |
| Incision of fibula CPT 27707 | not published | not published | $425.50 – $3,886.00 | 8 |
| Incision of finger tendon CPT 26455 | not published | not published | $415.55 – $3,071.00 | 8 |
| Incision of foot fascia CPT 28008 | not published | not published | $311.65 – $3,886.00 | 8 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $279.22 – $2,680.00 | 8 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $937.88 – $3,071.00 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $695.28 – $7,391.48 | 8 |
| Incision of hip bone CPT 27146 | not published | not published | $1,370.13 – $8,721.52 | 8 |
| Incision of hip bones CPT 27151 | not published | not published | $1,705.02 – $8,721.52 | 8 |
| Incision of hip tendon CPT 27000 | not published | not published | $440.21 – $2,680.00 | 8 |
| Incision of hip tendon CPT 27001 | not published | not published | $572.05 – $3,886.00 | 8 |
| Incision of hip tendon CPT 27003 | not published | not published | $632.46 – $7,391.48 | 8 |
| Incision of hip tendons CPT 27006 | not published | not published | $780.99 – $3,932.74 | 8 |
| Incision of iris CPT 66500 | not published | not published | $365.57 – $2,773.86 | 8 |
| Incision of iris CPT 66505 | not published | not published | $400.71 – $2,773.86 | 8 |
| Incision of jaw joint CPT 21010 | not published | not published | $809.43 – $3,886.00 | 8 |
| Incision of jaw nerve CPT 64738 | not published | not published | $488.39 – $2,680.00 | 8 |
| Incision of knee joint CPT 27435 | not published | not published | $855.05 – $3,886.00 | 8 |
| Incision of liver duct CPT 47400 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Incision of lymph channels CPT 38308 | not published | not published | $474.23 – $3,988.43 | 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.