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 |
|---|---|---|---|---|
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,065.95 | $11,029.00 | $2,861.21 – $5,050.91 | 9 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $585.95 – $1,034.38 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,575.42 – $2,902.40 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $905.18 – $4,866.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $163.10 – $3,085.00 | 9 |
| Tavr perq femoral CPT 33361 | $3,795.00 | $6,900.00 | $1,693.09 – $6,559.00 | 6 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.23 – $0.52 | 8 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $134.26 – $237.01 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $48.70 – $52.74 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $12.31 – $13.18 | 2 |
| Tbs techl calculation only CPT 77091 | not published | not published | $33.57 – $146.01 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.79 – $146.01 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $98.00 – $173.00 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $242.00 | $440.00 | $60.74 – $132.38 | 9 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.02 – $809.51 | 2 |
| Tc-99m bicisate HCPCS A9557 | $4,348.01 | $7,905.47 | $683.80 – $930.62 | 7 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.02 – $0.02 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $915.45 – $1,120.96 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $2,900.15 | $5,273.00 | $802.34 – $3,685.04 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $322.03 – $394.32 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $493.93 | $898.06 | $215.00 – $215.00 | 1 |
| Tc-99m maa HCPCS A9540 | $343.47 | $624.49 | $64.50 – $64.50 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $330.33 | $600.60 | $121.48 – $121.48 | 1 |
| Tc-99m medronate HCPCS A9503 | $335.19 | $609.43 | $27.95 – $27.95 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $940.02 | $1,709.12 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $16.50 | $30.00 | $10.00 – $10.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.02 – $0.02 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $68.10 | $123.82 | $3.63 – $3.63 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $255.98 | $465.41 | $137.71 – $137.71 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,392.10 | $2,531.10 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $179.85 | $327.00 | $574.85 – $574.85 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $459.96 | $836.30 | $183.33 – $183.33 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $419.45 | $762.63 | $1,422.38 – $1,422.38 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $289.00 – $3,085.00 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $102.62 – $125.66 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $102.62 – $125.66 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $97.20 – $3,085.00 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $93.50 | $170.00 | $29.92 – $100.36 | 9 |
| T cells absolute cd 4 count CPT 86361 | $89.10 | $162.00 | $14.98 – $57.19 | 9 |
| T cells total count CPT 86359 | $261.80 | $476.00 | $29.92 – $80.58 | 9 |
| Tcranial magn stim tx deli CPT 90868 | $270.05 | $491.00 | $40.13 – $259.53 | 6 |
| Tcranial magn stim tx plan CPT 90867 | $305.25 | $555.00 | $133.75 – $259.53 | 6 |
| Tcran magn stim redetemine CPT 90869 | $265.10 | $482.00 | $107.00 – $259.53 | 6 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $581.36 – $3,148.00 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,314.07 – $3,148.00 | 6 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $44.31 – $44.31 | 1 |
| Team conf without pat by phys CPT 99367 | not published | not published | $67.77 – $67.77 | 1 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $50.30 – $50.30 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $402.70 | 8 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,383.70 | $4,334.00 | $769.48 – $1,718.34 | 7 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $769.48 – $1,718.34 | 7 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $39.49 – $67.66 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.33 – $13.19 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | $44.55 | $81.00 | $31.00 – $31.00 | 1 |
| Telethx isodose plan cplx CPT 77307 | $2,268.20 | $4,124.00 | $154.82 – $450.04 | 8 |
| Telethx isodose plan simple CPT 77306 | $796.40 | $1,448.00 | $84.38 – $450.04 | 8 |
| Temozolomide HCPCS J8700 | not published | not published | $0.46 – $10.49 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.20 – $19.27 | 8 |
| Temperature gradient studies CPT 93740 | not published | not published | $9.81 – $154.66 | 6 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,176.00 – $6,559.00 | 5 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.52 – $49.55 | 8 |
| Tendon lengthening CPT 26476 | not published | not published | $693.12 – $3,886.00 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $697.36 – $3,886.00 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $678.99 – $3,886.00 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,056.07 – $3,886.00 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $64.18 – $319.47 | 9 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $5,366.29 – $5,366.29 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $743.86 – $7,485.97 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $675.62 – $3,886.00 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $745.77 – $3,932.74 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $954.64 – $7,485.97 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $619.10 – $2,544.00 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $884.34 – $4,737.00 | 9 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $353.11 – $3,886.00 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $295.82 – $3,241.00 | 9 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $2,741.56 – $4,696.94 | 6 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $28.77 – $28.77 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $5.89 – $25.27 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $99.78 – $99.78 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $3,508.69 – $6,011.21 | 6 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,709.58 – $4,642.19 | 6 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,178.87 – $2,019.67 | 6 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $848.95 – $1,454.45 | 6 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,263.73 – $2,165.08 | 6 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $350.05 – $599.69 | 6 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $373.27 – $639.49 | 6 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $290.21 – $497.20 | 6 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $174.55 – $299.05 | 6 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $575.34 – $985.69 | 6 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $181.50 – $320.40 | 9 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.89 – $12.84 | 9 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.70 – $10.07 | 9 |
| Test for urine cystines CPT 82615 | $25.30 | $46.00 | $9.36 – $17.44 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $209.54 – $480.50 | 9 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $226.03 – $226.03 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $50.61 – $110.29 | 9 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.92 – $3.84 | 8 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $70.91 | 8 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $223.26 – $382.50 | 6 |
| Test socket above knee HCPCS L5624 | not published | not published | $311.75 – $534.10 | 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.