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 |
|---|---|---|---|---|
| Prep donor liver/venous CPT 47146 | not published | not published | $357.61 – $3,071.00 | 6 |
| Prep donor liver whole CPT 47143 | not published | not published | $470.60 – $3,071.00 | 6 |
| Prep donor pancreas CPT 48551 | not published | not published | $134.94 – $3,071.00 | 5 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $256.17 – $3,071.00 | 5 |
| Prep donor renal graft CPT 50325 | not published | not published | $144.73 – $3,071.00 | 6 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $1,865.00 – $8,529.89 | 6 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $176.77 – $5,327.00 | 5 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $860.13 – $1,032.15 | 5 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $205.39 – $3,071.00 | 6 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $198.03 – $3,071.00 | 6 |
| Prep renal graft/venous CPT 50327 | not published | not published | $234.48 – $3,071.00 | 6 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $3,632.00 – $8,529.89 | 6 |
| Prep skin to 100cm2 other CPT 15004 | $1,284.80 | $2,336.00 | $289.27 – $2,680.00 | 8 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,428.90 | $2,598.00 | $241.83 – $2,680.00 | 8 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $49.05 – $3,886.00 | 6 |
| Pressure max expiratory/inspiratory CPT 94799 | $514.25 | $935.00 | $128.88 – $154.66 | 5 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $236.48 – $3,071.00 | 6 |
| Pressure velocity wire add ves CPT 93572 | $3,337.40 | $6,068.00 | $92.18 – $541.00 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $80.85 | $147.00 | $33.94 – $204.77 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $109.45 | $199.00 | $33.84 – $118.77 | 7 |
| Pretreat rbc density gradient separation reference CPT 86972 | $80.85 | $147.00 | $39.31 – $204.77 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $106.15 | $193.00 | $28.23 – $99.16 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $157.30 | $286.00 | $22.52 – $204.77 | 7 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $266.75 | $485.00 | $149.20 – $213.34 | 5 |
| Preventive counseling group CPT 99411 | $52.25 | $95.00 | not published | 0 |
| Preventive counseling group CPT 99412 | $71.50 | $130.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $8.80 | $16.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $18.70 | $34.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $27.50 | $50.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $37.40 | $68.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $132.66 | $241.20 | $133.35 – $160.02 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,581.80 | $2,876.00 | $85.17 – $2,302.00 | 8 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,323.75 | $4,225.00 | $170.82 – $2,167.00 | 8 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,213.85 | $2,207.00 | $182.12 – $2,302.00 | 8 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,460.83 – $4,634.04 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | $44.55 | $81.00 | $22.60 – $44.86 | 5 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $50.82 | $92.40 | $17.59 – $44.86 | 5 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $16.16 – $44.86 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $20.81 – $44.86 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | $117.15 | $213.00 | $24.04 – $44.86 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | $129.36 | $235.20 | $27.27 – $44.86 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,995.65 | $9,083.00 | $244.01 – $8,427.00 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,230.05 | $7,691.00 | $504.32 – $22,033.48 | 8 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,318.05 | $7,851.00 | $183.72 – $2,167.00 | 4 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $101.75 – $122.10 | 5 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,186.90 | $2,158.00 | $188.77 – $2,302.00 | 8 |
| Pr incision & drainage abscess simple/single CPT 10060 | $919.60 | $1,672.00 | $101.29 – $2,302.00 | 8 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $818.40 | $1,488.00 | $114.16 – $2,680.00 | 8 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $572.00 | $1,040.00 | $108.53 – $2,302.00 | 8 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $219.78 | $399.60 | $133.35 – $160.02 | 5 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $163.15 | $296.64 | $133.35 – $160.02 | 5 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $187.55 | $341.00 | $13.02 – $13.02 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $625.37 – $2,680.00 | 8 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,353.94 | $7,916.25 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $194.31 – $2,167.00 | 8 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $213.54 – $2,857.59 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $267.14 – $2,857.59 | 8 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $259.50 – $4,306.00 | 8 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $226.38 – $324.90 | 6 |
| Procalcitonin CPT 84145 | $154.55 | $281.00 | $27.22 – $110.49 | 7 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $131.85 – $131.85 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $2.94 – $5.99 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.36 – $0.36 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,024.84 – $3,071.00 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,985.19 – $3,071.00 | 6 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $119.18 – $3,336.17 | 8 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $126.04 – $2,167.00 | 8 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $99.70 – $2,302.00 | 8 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $57.57 – $2,302.00 | 8 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $96.04 – $3,336.17 | 8 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $96.62 – $2,167.00 | 8 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $120.67 – $2,167.00 | 8 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $114.91 – $3,336.17 | 8 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $84.76 – $2,167.00 | 8 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $110.07 – $3,336.17 | 8 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $131.03 – $6,184.07 | 8 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $90.50 – $159.40 | 6 |
| Progesterone CPT 84144 | $55.00 | $100.00 | $20.86 – $86.04 | 7 |
| Prolactin CPT 84146 | $78.65 | $143.00 | $19.38 – $79.89 | 7 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $69.85 | $127.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $947.10 | $1,722.00 | $213.05 – $255.66 | 5 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $30.77 – $30.77 | 1 |
| Prolong service without contact CPT 99358 | $238.15 | $433.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $88.55 | $161.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.09 – $0.09 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.34 – $6.29 | 2 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $317.92 – $2,680.00 | 8 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $516.46 – $2,302.00 | 8 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $924.51 – $13,078.02 | 8 |
| Prophylactic tx radius CPT 25490 | not published | not published | $705.92 – $7,391.48 | 8 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $961.92 – $3,886.00 | 8 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $786.78 – $13,078.02 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.10 – $0.22 | 2 |
| _propoxygc/msur CPT 80367 | $105.05 | $191.00 | $24.66 – $40.59 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $9.94 – $9.94 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $911.35 | $1,657.00 | $291.26 – $430.83 | 6 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $9.27 – $9.27 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $899.63 – $5,461.75 | 8 |
| Prostate laser enucleation CPT 52649 | not published | not published | $874.95 – $8,775.00 | 8 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $643.55 – $5,327.00 | 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.