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 |
|---|---|---|---|---|
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $28.73 – $28.73 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $35.18 – $35.18 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $47.57 – $47.57 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $45.35 – $45.35 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,633.44 – $7,115.26 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,392.52 – $7,115.26 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,743.91 – $7,115.26 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,816.12 – $7,115.26 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $738.31 – $3,984.97 | 8 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $930.87 – $7,115.26 | 8 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,191.30 – $7,115.26 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $1,024.80 – $8,721.52 | 8 |
| Realignment of knee CPT 27455 | not published | not published | $1,004.70 – $8,721.52 | 8 |
| Realignment of tendons CPT 26437 | not published | not published | $641.25 – $3,886.00 | 8 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,390.01 – $8,721.52 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,138.58 – $6,030.19 | 8 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,101.77 – $6,030.19 | 8 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,455.84 – $6,030.19 | 8 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,146.00 – $6,030.19 | 8 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,611.38 – $6,030.19 | 8 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,687.85 – $3,071.00 | 6 |
| Rechanneling of artery CPT 35306 | not published | not published | $496.18 – $3,071.00 | 6 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,713.11 – $3,071.00 | 6 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,933.93 – $3,071.00 | 6 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,353.03 – $3,071.00 | 6 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,503.51 – $3,071.00 | 6 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,419.36 – $3,071.00 | 6 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,607.49 – $3,071.00 | 6 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,084.53 – $6,688.16 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,371.57 – $3,071.00 | 6 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,013.02 – $3,071.00 | 6 |
| Recon, cta for surg plan HCPCS G0288 | $1,136.85 | $2,067.00 | $33.00 – $112.73 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,572.01 – $7,115.26 | 8 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,596.04 – $7,115.26 | 8 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,427.66 – $7,115.26 | 8 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,266.99 – $7,115.26 | 8 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,513.26 – $3,071.00 | 6 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,110.35 – $8,721.52 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,237.03 – $7,115.26 | 8 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,072.87 – $7,115.26 | 8 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,034.08 – $32,613.40 | 8 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,322.25 – $3,071.00 | 6 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $872.37 – $8,721.52 | 8 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $909.01 – $6,030.19 | 8 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $950.43 – $4,306.00 | 8 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,152.97 – $6,030.19 | 8 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $766.70 – $6,030.19 | 8 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $572.14 – $6,030.19 | 8 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $934.15 – $7,115.26 | 8 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,045.43 – $7,115.26 | 8 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,167.00 – $7,115.26 | 8 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $958.34 – $7,391.48 | 8 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,072.61 – $17,860.68 | 8 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,130.55 – $13,078.02 | 8 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,169.73 – $8,721.52 | 8 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,169.73 – $15,431.29 | 8 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,019.85 – $4,306.00 | 8 |
| Reconstruct finger joint CPT 26545 | not published | not published | $734.11 – $3,886.00 | 8 |
| Reconstruct finger joint CPT 26548 | not published | not published | $783.85 – $3,886.00 | 8 |
| Reconstruct head of radius CPT 24365 | not published | not published | $679.04 – $13,078.02 | 8 |
| Reconstruct head of radius CPT 24366 | not published | not published | $721.91 – $13,078.02 | 8 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,186.28 – $21,074.55 | 8 |
| Reconstruction knee CPT 27427 | not published | not published | $758.12 – $7,391.48 | 8 |
| Reconstruction knee CPT 27428 | not published | not published | $1,187.41 – $13,078.02 | 8 |
| Reconstruction knee CPT 27429 | not published | not published | $1,334.04 – $13,078.02 | 8 |
| Reconstruction of anus CPT 46753 | not published | not published | $614.82 – $3,336.17 | 8 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,699.98 – $3,071.00 | 6 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $752.84 – $3,071.00 | 8 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $969.10 – $3,071.00 | 8 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $966.84 – $4,004.69 | 8 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $712.94 – $3,071.00 | 8 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,390.58 – $15,431.29 | 8 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,170.61 – $8,721.52 | 8 |
| Reconstruction of jaw CPT 21245 | not published | not published | $939.63 – $6,030.19 | 8 |
| Reconstruction of jaw CPT 21246 | not published | not published | $957.09 – $6,030.19 | 8 |
| Reconstruction of jaw CPT 21248 | not published | not published | $970.67 – $6,030.19 | 8 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,384.92 – $6,030.19 | 8 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,196.75 – $6,030.19 | 8 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,096.14 – $6,030.19 | 8 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,817.56 – $27,639.85 | 8 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,132.42 – $6,030.19 | 8 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,663.90 – $7,115.26 | 8 |
| Reconstruction of mouth CPT 40840 | not published | not published | $675.14 – $6,030.19 | 8 |
| Reconstruction of mouth CPT 40842 | not published | not published | $702.19 – $6,030.19 | 8 |
| Reconstruction of mouth CPT 40843 | not published | not published | $927.43 – $6,030.19 | 8 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,130.01 – $6,030.19 | 8 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,323.09 – $6,030.19 | 8 |
| Reconstruction of nail bed CPT 11762 | $2,319.35 | $4,217.00 | $196.02 – $2,479.93 | 8 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,235.65 – $6,030.19 | 8 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,439.30 – $6,030.19 | 8 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,263.10 – $7,115.26 | 8 |
| Reconstruction of throat CPT 42950 | not published | not published | $840.72 – $6,030.19 | 8 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,042.43 – $5,461.75 | 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.