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 |
|---|---|---|---|---|
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $200.30 – $7,115.26 | 9 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $178.73 – $7,115.26 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $883.38 – $4,737.00 | 6 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $1,090.17 – $4,737.00 | 6 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $19.61 – $19.61 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $13.61 – $70.91 | 6 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $707.25 – $3,886.00 | 9 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $2,176.00 – $3,886.00 | 5 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $441.41 – $7,485.97 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $229.04 – $419.69 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,158.03 – $9,766.20 | 9 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,553.83 – $8,721.52 | 9 |
| Rsv assay w/optic CPT 87807 | $133.10 | $242.00 | $12.84 – $25.60 | 9 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $623.50 – $623.50 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $22.60 – $160.02 | 6 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $36.63 – $44.86 | 6 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $36.63 – $44.86 | 6 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $36.63 – $44.86 | 6 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $24.64 – $30.17 | 6 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $24.69 – $30.23 | 6 |
| Rubella antibody igg CPT 86762 | $147.95 | $269.00 | $14.10 – $30.74 | 9 |
| Rubeola ag if CPT 87283 | not published | not published | $19.57 – $105.18 | 9 |
| Rubeola antibody igg CPT 86765 | $133.65 | $243.00 | $12.62 – $27.51 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $322.92 – $570.05 | 9 |
| Russell viper venom diluted CPT 85613 | $168.30 | $306.00 | $9.39 – $20.47 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $898.74 – $944.59 | 7 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $179.81 – $308.04 | 6 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $35.44 – $48.63 | 8 |
| Safety plan interven HCPCS G0560 | not published | not published | $38.26 – $46.85 | 6 |
| Salivary gland function exam CPT 78232 | not published | not published | $93.91 – $480.50 | 9 |
| Salivary gland imaging CPT 78230 | not published | not published | $180.30 – $480.50 | 9 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $124.36 – $480.50 | 9 |
| Salmonella antibody CPT 86768 | not published | not published | $12.93 – $28.16 | 9 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,029.61 – $3,890.82 | 9 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $130.68 – $160.02 | 6 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.02 – $0.02 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $44.01 – $93.43 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $52.97 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $356.01 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $79.20 | $144.00 | $34.62 – $45.36 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $68.88 – $73.62 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $529.68 – $6,559.00 | 9 |
| Sbrt management CPT 77435 | not published | not published | $752.51 – $1,619.13 | 2 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $170.09 – $170.09 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $161.78 – $161.78 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $81.85 – $81.85 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $108.61 – $108.61 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $53.04 – $53.04 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $97.09 – $122.10 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,156.10 | $2,102.00 | $217.32 – $362.39 | 7 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $778.25 | $1,415.00 | $102.62 – $355.18 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $669.35 | $1,217.00 | $176.59 – $286.78 | 7 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $240.90 | $438.00 | $102.62 – $161.76 | 7 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $754.05 | $1,371.00 | $102.62 – $306.13 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $475.20 | $864.00 | $102.62 – $282.83 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $825.00 | $1,500.00 | $217.32 – $348.67 | 7 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $450.45 | $819.00 | $102.62 – $318.28 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $418.55 | $761.00 | $102.62 – $172.62 | 7 |
| Scan proc cranial extra CPT 61782 | not published | not published | $217.53 – $1,632.00 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $300.28 – $1,632.00 | 4 |
| Scan proc spinal CPT 61783 | not published | not published | $295.77 – $1,632.00 | 4 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $3,828.71 – $6,559.51 | 6 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,164.60 | $7,572.00 | $151.64 – $3,438.00 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $520.28 – $6,559.00 | 9 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $8,322.44 | $15,131.70 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.15 – $29.16 | 9 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $38.32 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $17.24 – $55.26 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $23.81 – $76.07 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $25.96 – $56.59 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $22.45 – $46.80 | 9 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $19.85 – $43.27 | 9 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $38.32 | 2 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $249.34 – $2,979.00 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $249.34 – $2,979.00 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.69 – $33.98 | 9 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $27.70 – $60.38 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.31 – $80.19 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $23.60 – $51.43 | 9 |
| Screening Mammogram CPT 77067 | $220.00 | $400.00 | $83.92 – $245.42 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $56.14 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $93.50 | $170.00 | $18.92 – $39.29 | 9 |
| Screen pap by tech w md supv HCPCS P3000 | $34.65 | $63.00 | $15.15 – $29.16 | 9 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $3.73 – $3.73 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,940.87 | $7,165.21 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $2,928.20 | $5,324.00 | $70.67 – $86.54 | 6 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $1,001.13 – $3,148.00 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,803.90 | $5,098.00 | $312.94 – $3,085.00 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $6.85 – $6.85 | 1 |
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.