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 |
|---|---|---|---|---|
| Lidocaine therapeutic drug level CPT 80176 | $87.45 | $159.00 | $14.69 – $60.59 | 7 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,639.76 – $4,464.00 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $605.33 – $3,795.09 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $670.49 – $3,795.09 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $81.76 – $3,071.00 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,658.19 – $3,071.00 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $521.97 – $3,795.09 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $476.16 – $3,795.09 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $5,760.15 | $10,473.00 | $381.75 – $4,306.00 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $222.90 – $2,680.00 | 8 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,416.67 – $3,071.00 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $271.06 – $3,795.09 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $786.97 – $3,795.09 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $866.17 – $3,795.09 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $790.83 – $3,795.09 | 8 |
| Ligation major artery chest CPT 37616 | $2,114.20 | $3,844.00 | $1,201.07 – $3,071.00 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | $807.40 | $1,468.00 | $414.02 – $3,071.00 | 6 |
| Ligation major artery neck CPT 37615 | not published | not published | $543.33 – $3,795.09 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $604.61 – $3,795.09 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,459.22 – $6,688.16 | 8 |
| Ligation of femoral vein CPT 37650 | not published | not published | $507.71 – $3,795.09 | 8 |
| Ligation of inf vena cava CPT 37619 | $4,433.55 | $8,061.00 | $1,777.77 – $6,688.16 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $529.59 – $3,795.09 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $219.74 – $5,974.00 | 8 |
| Ligation of shunt CPT 49428 | not published | not published | $573.00 – $3,071.00 | 6 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $877.11 – $3,795.09 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $285.96 – $3,795.09 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | $2,635.60 | $4,792.00 | $411.08 – $3,795.09 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $643.09 – $3,795.09 | 8 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $905.11 – $905.11 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $63.10 – $154.66 | 5 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $235.30 – $3,886.00 | 6 |
| Limited autopsy CPT 88036 | not published | not published | $3.54 – $357.45 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $3.15 – $317.10 | 4 |
| Limited visual field xm CPT 92081 | not published | not published | $17.94 – $70.91 | 5 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.54 – $17.23 | 2 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $4.04 – $5.77 | 2 |
| Lipase CPT 83690 | $68.20 | $124.00 | $6.89 – $28.42 | 7 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $3,773.00 | $6,860.00 | $380.35 – $3,886.00 | 8 |
| Lipoprotein blood high res frac & quant CPT 83701 | $64.35 | $117.00 | $33.86 – $113.09 | 7 |
| Lipoprotein blood quant CPT 83704 | $157.85 | $287.00 | $34.19 – $130.09 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $24.20 | $44.00 | $8.19 – $33.80 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.00 | $60.00 | $10.50 – $39.35 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $117.10 | 7 |
| Lip surgery procedure CPT 40799 | $293.15 | $533.00 | $237.23 – $3,071.00 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.01 – $637,527.68 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $54.38 | 7 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $5,069.97 | $9,218.12 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $146.30 | $266.00 | $6.61 – $27.25 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $7,667.55 | $13,941.00 | $142.73 – $1,444.00 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $952.17 – $3,071.00 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,133.85 – $3,071.00 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,292.23 – $3,071.00 | 6 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $179.19 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $21.53 – $154.66 | 5 |
| Liver Function Test CPT 80076 | $78.65 | $143.00 | $8.17 – $33.70 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,559.38 – $3,071.00 | 6 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $950.04 – $950.04 | 1 |
| Liver imaging CPT 78201 | not published | not published | $173.89 – $652.62 | 7 |
| Liver imaging (3d) CPT 78205 | not published | not published | $567.27 – $567.27 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $1,227.60 | $2,232.00 | $184.64 – $652.62 | 7 |
| Liver/spleen imag static only CPT 78215 | $774.40 | $1,408.00 | $177.47 – $543.41 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $892.65 | $1,623.00 | $102.22 – $480.50 | 7 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $75.10 – $2,857.59 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $490.59 – $3,886.00 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $2.10 – $2.39 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $114.74 – $114.74 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $226.61 – $249.27 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.54 – $1.97 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $46.62 – $259.53 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $1,047.00 – $8,775.00 | 8 |
| Low cost skin substitute app HCPCS C5271 | $1,285.35 | $2,337.00 | $541.00 – $3,213.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | $3,469.40 | $6,308.00 | $2,363.00 – $8,775.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | $1,392.05 | $2,531.00 | $541.00 – $3,213.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | $1,036.75 | $1,885.00 | $541.00 – $3,213.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | $177.10 | $322.00 | $541.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | $201.85 | $367.00 | $541.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | $177.10 | $322.00 | $541.00 – $2,414.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | $210.10 | $382.00 | $541.00 – $2,414.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,222.65 | $2,223.00 | $175.68 – $806.49 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,018.60 | $1,852.00 | $167.03 – $653.81 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $815.10 | $1,482.00 | $104.71 – $441.48 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,474.45 | $4,499.00 | $262.74 – $1,249.28 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,670.35 | $3,037.00 | $229.74 – $1,097.52 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,613.15 | $2,933.00 | $147.32 – $708.85 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $276.10 | $502.00 | $23.32 – $125.66 | 7 |
| Lower jaw bone graft CPT 21215 | not published | not published | $963.17 – $6,030.19 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $19.05 – $241.15 | 5 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $15.30 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $755.12 – $12,776.39 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $873.34 – $12,776.39 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $863.33 – $12,776.39 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $954.09 – $12,776.39 | 8 |
| L/s ratio fetal lung CPT 83661 | $227.70 | $414.00 | $21.99 – $90.65 | 7 |
| Lumbar diskogram s&i CPT 72295 | $3,406.70 | $6,194.00 | $54.86 – $2,347.05 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,716.25 – $21,074.55 | 8 |
| Lumizyme injection HCPCS J0221 | not published | not published | $211.13 – $232.24 | 6 |
| Lung function test (mbc/mvv) CPT 94200 | $262.35 | $477.00 | $20.09 – $70.91 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $295.35 | $537.00 | $27.98 – $259.53 | 5 |
| Lung perfusion imaging CPT 78580 | $591.25 | $1,075.00 | $211.13 – $646.40 | 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.