SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
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 |
|---|---|---|---|---|
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $34.39 – $59.45 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.82 – $49.10 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.36 – $7.34 | 9 |
| Bowel imaging CPT 78290 | $1,505.35 | $2,737.00 | $358.11 – $762.45 | 9 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $125.71 – $215.34 | 6 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $414.12 – $709.49 | 6 |
| Brace afo lg left 6607 HCPCS L1930 | $1,067.04 | $1,940.07 | $222.54 – $381.28 | 6 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $446.13 – $764.34 | 6 |
| Brace afo spiral prefab HCPCS L1951 | $2,372.10 | $4,312.90 | $719.36 – $1,232.45 | 6 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $96.79 – $165.84 | 6 |
| Brace ank air stirrup univ HCPCS L4350 | $54.99 | $99.98 | $71.95 – $123.26 | 6 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $54.10 – $92.69 | 6 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $67.81 – $116.17 | 6 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $306.81 – $375.68 | 6 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $886.57 – $1,085.59 | 6 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $742.17 – $908.78 | 6 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $352.09 – $603.23 | 6 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,213.25 | $7,660.45 | $1,273.19 – $2,181.29 | 6 |
| Brace back t-lso custom HCPCS L0486 | $5,052.63 | $9,186.60 | $1,517.54 – $2,599.92 | 6 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $766.22 – $938.23 | 6 |
| Brace cust back lso HCPCS L0631 | not published | not published | $879.35 – $1,506.55 | 6 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $784.66 – $1,344.32 | 6 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $289.97 – $496.78 | 6 |
| Brace halo bremer l2830 HCPCS L2830 | $328.74 | $597.70 | $75.62 – $129.55 | 6 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,493.30 – $2,558.39 | 6 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $619.49 – $758.56 | 6 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,652.54 | $3,004.62 | $489.34 – $838.36 | 6 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $106.85 – $183.04 | 6 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $489.34 – $602.42 | 6 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $657.86 – $1,127.09 | 6 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $80.57 – $138.02 | 6 |
| Brace m arm board HCPCS L3809 | not published | not published | $194.91 – $333.90 | 6 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $3,386.74 | $6,157.70 | $1,020.21 – $1,747.86 | 6 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $2,813.28 | $5,115.05 | $851.92 – $1,459.54 | 6 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $194.91 – $333.90 | 6 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $139.41 – $170.71 | 6 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $47.95 – $82.14 | 6 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $954.68 – $3,491.29 | 9 |
| Brach/thor cath 1st CPT 36215 | $2,597.65 | $4,723.00 | $294.80 – $3,085.00 | 4 |
| Brach/thor cath 2nd CPT 36216 | $1,759.45 | $3,199.00 | $342.55 – $3,085.00 | 4 |
| Brach/thor cath 3rd CPT 36217 | $2,094.95 | $3,809.00 | $406.47 – $3,085.00 | 4 |
| Brach/thor cath addl CPT 36218 | $368.50 | $670.00 | $65.49 – $3,085.00 | 4 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $34.55 – $42.31 | 6 |
| Brachy source yttrium-90 HCPCS C2616 | $75,037.02 | $136,430.94 | $17,415.59 – $21,325.21 | 6 |
| Brachytx isodose complex CPT 77318 | not published | not published | $233.06 – $520.69 | 8 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $171.71 – $450.04 | 8 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $131.77 – $450.04 | 8 |
| Braf gene CPT 81210 | $1,570.80 | $2,856.00 | $171.89 – $303.44 | 9 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,740.17 – $3,148.00 | 6 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,517.81 – $3,148.00 | 6 |
| Brain flow imaging only CPT 78610 | $398.20 | $724.00 | $190.61 – $652.62 | 9 |
| Brain image < 4 views CPT 78600 | not published | not published | $194.31 – $480.50 | 9 |
| Brain image 4+ views CPT 78605 | not published | not published | $206.25 – $652.62 | 9 |
| Brain image w/flow < 4 views CPT 78601 | $385.00 | $700.00 | $227.23 – $485.70 | 9 |
| Brain image w/flow 4 + views CPT 78606 | $1,182.50 | $2,150.00 | $361.00 – $763.33 | 9 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,530.00 | $4,600.00 | $342.45 – $1,866.70 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,889.25 | $3,435.00 | $342.45 – $1,129.68 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,375.00 | $2,500.00 | $234.21 – $1,039.60 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $2,255.00 | $4,100.00 | $301.27 – $1,200.46 | 8 |
| Brain MRI (with contrast) CPT 70552 | $2,145.00 | $3,900.00 | $264.23 – $1,052.46 | 8 |
| Brain MRI (without contrast) CPT 70551 | $1,265.00 | $2,300.00 | $178.62 – $712.84 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $34.68 – $59.42 | 6 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $458.64 – $809.64 | 9 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $572.55 – $1,010.72 | 9 |
| Brca1 dna gene analy known fam var CPT 81215 | $894.30 | $1,626.00 | $111.53 – $649.18 | 9 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $295.32 – $521.34 | 9 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $277.22 – $489.38 | 9 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $181.42 – $320.26 | 9 |
| Brca2 dna gene analy known fam var CPT 81217 | $894.30 | $1,626.00 | $111.53 – $649.18 | 9 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $277.22 – $489.38 | 9 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $211.35 – $761.20 | 9 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,788.38 – $3,897.57 | 9 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $777.82 – $8,432.18 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,970.00 | $5,400.00 | $203.86 – $2,544.00 | 9 |
| Breast punct aspir cyst, bil CPT 19000 | $655.60 | $1,192.00 | $53.80 – $3,085.00 | 9 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,818.39 – $14,217.30 | 9 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,176.00 – $3,928.00 | 6 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,915.47 – $3,148.00 | 6 |
| Breast reduction CPT 19318 | not published | not published | $1,339.08 – $6,850.41 | 9 |
| Breath hydrogen test 91065 CPT 91065 | $1,089.55 | $1,981.00 | $82.33 – $537.00 | 7 |
| Breathing response hypoxia CPT 94450 | not published | not published | $54.76 – $154.66 | 6 |
| Breath recording infant CPT 94772 | not published | not published | $201.52 – $448.51 | 6 |
| Breath test analysis c-14 CPT 78268 | $166.65 | $303.00 | $92.52 – $163.33 | 9 |
| Breath tst attain/anal c-14 CPT 78267 | $155.65 | $283.00 | $10.84 – $19.13 | 9 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $248.93 – $479.78 | 8 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.02 – $907,660.05 | 8 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $172.30 – $1,632.00 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $83.05 – $2,187.00 | 5 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,750.00 | $5,000.00 | $287.15 – $4,481.24 | 9 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,862.20 | $5,204.00 | $316.97 – $4,481.24 | 9 |
| Bronchial allergy tests CPT 95070 | not published | not published | $35.00 – $448.51 | 6 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $132.98 – $1,632.00 | 9 |
| Bronchial challenge CPT 94070 | $887.70 | $1,614.00 | $35.83 – $448.51 | 7 |
| Bronchial valve init insert CPT 31647 | not published | not published | $275.04 – $8,482.62 | 9 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $83.78 – $2,544.00 | 9 |
| Bronchial valve remov init CPT 31648 | not published | not published | $250.24 – $4,481.24 | 9 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $273.73 – $7,280.92 | 9 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,485.00 | $2,700.00 | $198.75 – $2,544.00 | 9 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $247.06 – $3,886.00 | 9 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $286.14 – $7,280.92 | 9 |
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.