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 |
|---|---|---|---|---|
| Revision of radius CPT 25355 | not published | not published | $935.62 – $3,928.00 | 9 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $697.19 – $3,241.00 | 9 |
| Revision of scrotum CPT 55175 | not published | not published | $440.95 – $3,928.00 | 9 |
| Revision of scrotum CPT 55180 | not published | not published | $840.49 – $5,531.57 | 9 |
| Revision of spinal shunt CPT 63744 | not published | not published | $848.22 – $7,960.00 | 9 |
| Revision of testis CPT 54660 | not published | not published | $434.01 – $5,531.57 | 9 |
| Revision of thigh muscles CPT 27430 | not published | not published | $897.91 – $7,485.97 | 9 |
| Revision of toe CPT 28312 | not published | not published | $394.20 – $3,886.00 | 9 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Revision of ulna CPT 25360 | not published | not published | $794.38 – $7,485.97 | 9 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $902.07 – $7,485.97 | 9 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $905.68 – $7,485.97 | 9 |
| Revision of upper arm CPT 24940 | not published | not published | $1,154.18 – $15,431.29 | 9 |
| Revision of ureter CPT 50700 | not published | not published | $1,131.30 – $3,148.00 | 6 |
| Revision of urethra CPT 53450 | not published | not published | $497.75 – $3,886.00 | 9 |
| Revision of urethra CPT 53460 | not published | not published | $557.08 – $4,236.81 | 9 |
| Revision of urethra CPT 57220 | not published | not published | $384.08 – $5,160.84 | 9 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,494.85 – $3,656.00 | 6 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $956.17 – $5,740.67 | 9 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,017.99 – $6,107.27 | 9 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $913.89 – $7,485.97 | 9 |
| Revision tips CPT 37183 | $5,715.05 | $10,391.00 | $491.88 – $6,840.90 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,996.05 – $15,431.29 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,159.26 – $15,431.29 | 9 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $122.15 – $1,217.11 | 7 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,580.45 – $6,688.16 | 9 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,535.86 – $6,688.16 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,272.28 – $6,107.27 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,351.42 – $6,107.27 | 9 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,379.30 – $37,491.00 | 6 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,732.96 – $5,531.57 | 9 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $264.45 – $4,353.00 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,322.38 – $6,107.27 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $455.72 – $7,960.00 | 9 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,448.48 – $3,148.00 | 6 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $174.85 – $3,886.00 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $153.95 – $3,886.00 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,387.23 – $21,074.55 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,156.77 – $21,074.55 | 9 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $687.94 – $37,089.02 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,191.07 – $21,074.55 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $954.99 – $13,392.82 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $14,098.15 | $25,633.00 | $359.59 – $16,449.00 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.42 – $19.71 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,183.40 | $5,788.00 | $645.66 – $3,438.00 | 9 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.02 – $12.11 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $71.50 | $130.00 | $5.56 – $12.11 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $22.17 – $22.17 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $64.16 – $96.00 | 6 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $10,162.35 | $18,477.00 | $1,206.03 – $6,107.27 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $9.01 – $10.69 | 2 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $47.47 – $59.90 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $25.71 – $47.22 | 9 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $83.40 – $153.18 | 3 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $178.08 – $178.08 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $344.15 – $8,353.00 | 9 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $223.50 – $8,353.00 | 9 |
| Rhythm ecg with report CPT 93040 | not published | not published | $15.17 – $15.17 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $929.72 – $6,107.27 | 9 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $69.44 – $118.97 | 6 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $4,902.00 – $4,902.00 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.26 – $0.34 | 2 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Right ventric recording CPT 93603 | $5,282.20 | $9,604.00 | $88.13 – $8,353.00 | 8 |
| Rilonacept injection HCPCS J2793 | not published | not published | $58.27 – $58.27 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.10 – $5.10 | 1 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $258.99 – $443.72 | 6 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $140.77 – $241.18 | 6 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $447.42 | $813.49 | $501.91 – $501.91 | 1 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.10 – $5.10 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.24 – $27.72 | 8 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $21.40 – $45.03 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $6.83 – $20.36 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $71.81 – $139.53 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $35.66 – $68.07 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.83 – $54.50 | 8 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $18.16 – $49.17 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $15.84 – $51.65 | 8 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| R & l heart cath congenital CPT 93532 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| R & l heart cath congenital CPT 93533 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $1,965.47 – $8,353.00 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,125.24 – $8,353.00 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,377.26 – $12,335.00 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $115.22 – $3,085.00 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $811.02 – $7,266.35 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $409.85 – $2,544.00 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $445.39 – $3,491.29 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $5,509.90 | $10,018.00 | $277.18 – $2,544.00 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,687.85 | $4,887.00 | $170.27 – $3,085.00 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $804.62 – $4,737.00 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $90.08 – $3,085.00 | 4 |
| Rmvl icd by tv extr CPT 33244 | $3,190.00 | $5,800.00 | $1,072.94 – $75,368.00 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $28,600.00 | $52,000.00 | $493.18 – $22,947.87 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $28,050.00 | $51,000.00 | $513.63 – $32,382.73 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $42,900.00 | $78,000.00 | $473.49 – $22,947.87 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $3,135.00 | $5,700.00 | $280.66 – $75,368.00 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $98.30 – $3,085.00 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $618.30 – $3,148.00 | 6 |
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.