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 |
|---|---|---|---|---|
| Unlisted procedure eyelids CPT 67999 | not published | not published | $311.56 – $3,085.00 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted procedure liver CPT 47399 | not published | not published | $695.09 – $3,085.00 | 9 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $40.23 – $40.23 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $311.56 – $3,085.00 | 9 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $695.09 – $3,085.00 | 9 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $912.83 – $3,085.00 | 9 |
| Unlisted procedure spine CPT 22899 | not published | not published | $242.12 – $7,960.00 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $1,102.81 – $3,764.00 | 6 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $36.78 – $45.03 | 6 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $242.12 – $3,085.00 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,234.00 – $3,085.00 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $242.12 – $3,085.00 | 9 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $890.28 – $3,085.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $159.51 – $3,085.00 | 9 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $311.56 – $3,085.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $2,061.00 – $3,148.00 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $695.09 – $3,085.00 | 9 |
| Unlisted px external ear CPT 69399 | $245.30 | $446.00 | $232.49 – $3,085.00 | 9 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $311.56 – $3,085.00 | 9 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $242.12 – $3,085.00 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $242.12 – $3,085.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | $346.50 | $630.00 | $242.12 – $3,085.00 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | $3,506.25 | $6,375.00 | $311.56 – $3,085.00 | 9 |
| Unlisted px leg/ankle CPT 27899 | $256.85 | $467.00 | $242.12 – $3,085.00 | 9 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $245.25 – $3,085.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,061.00 – $3,148.00 | 5 |
| Unlisted px med radj physics CPT 77399 | $314.05 | $571.00 | $131.93 – $224.16 | 7 |
| Unlisted px middle ear CPT 69799 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | $347.60 | $632.00 | $242.12 – $3,085.00 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,176.00 – $3,085.00 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px small intestine CPT 44799 | not published | not published | $890.28 – $3,085.00 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $131.93 – $224.16 | 7 |
| Unlisted px tongue flr mouth CPT 41599 | $302.50 | $550.00 | $232.49 – $3,085.00 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $232.49 – $3,085.00 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $62.63 | 8 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $392.41 – $653.21 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $196.94 – $241.15 | 6 |
| Unlisted surgical path px CPT 88399 | $113.30 | $206.00 | $49.76 – $62.63 | 8 |
| Unlisted transfusion med px CPT 86999 | $393.25 | $715.00 | $24.67 – $34.76 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $223.30 | $406.00 | $85.42 – $146.01 | 8 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $40.23 – $40.23 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $615.75 – $3,085.00 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $392.41 – $653.21 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $3,085.00 – $7,290.00 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $3,085.00 – $7,290.00 | 9 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,130.70 | $3,874.00 | $673.67 – $824.91 | 6 |
| Upgrade pm system CPT 33214 | $11,911.35 | $21,657.00 | $601.95 – $30,284.00 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,472.80 | $4,496.00 | $304.15 – $1,213.37 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,935.45 | $3,519.00 | $265.85 – $1,068.54 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,398.10 | $2,542.00 | $170.80 – $685.49 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,179.20 | $2,144.00 | $162.43 – $2,544.00 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,361.25 | $2,475.00 | $182.44 – $2,544.00 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $306.33 – $524.82 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $320.28 – $3,148.00 | 6 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $182.85 – $2,544.00 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $775.69 – $6,236.95 | 9 |
| Urea nitrogen CPT 84520 | $33.00 | $60.00 | $3.87 – $8.44 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $33.00 | $60.00 | $5.45 – $10.14 | 9 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.06 – $14.12 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.03 – $8.87 | 9 |
| Ureteral embolization/occl CPT 50705 | $11,238.15 | $20,433.00 | $248.65 – $1,632.00 | 4 |
| Ureteral reflux study CPT 78740 | $1,060.95 | $1,929.00 | $228.46 – $488.33 | 9 |
| Ureter endoscopy CPT 50970 | not published | not published | $456.11 – $3,886.00 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $433.85 – $5,531.57 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $580.87 – $5,531.57 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $440.73 – $3,886.00 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $436.39 – $5,531.57 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $390.69 – $5,531.57 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $572.74 – $5,531.57 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $438.59 – $5,531.57 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,358.47 – $3,241.00 | 6 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,383.98 – $3,148.00 | 6 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $528.00 | $960.00 | $75.82 – $292.27 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $913.67 – $4,236.81 | 9 |
| Urethrocystography void s&i CPT 74455 | $631.40 | $1,148.00 | $74.92 – $292.27 | 9 |
| Uric acid blood CPT 84550 | $41.25 | $75.00 | $4.43 – $9.65 | 9 |
| Uric acid urine CPT 84560 | $77.00 | $140.00 | $4.98 – $10.14 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.61 – $8.13 | 9 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.99 – $6.50 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.13 – $4.62 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $33.00 | $60.00 | $3.11 – $6.78 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $21.45 | $39.00 | $2.20 – $4.79 | 9 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $82.33 – $179.30 | 3 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.18 – $3.18 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.00 – $6.00 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $57.91 – $3,085.00 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $38.67 – $38.67 | 1 |
| Urine Culture Test CPT 87086 | $52.25 | $95.00 | $7.91 – $17.23 | 9 |
| Urine flow measurement 51736 CPT 51736 | $26.40 | $48.00 | $8.26 – $3,085.00 | 9 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.50 – $6.50 | 1 |
| Urine pregnancy test CPT 81025 | $78.65 | $143.00 | $8.44 – $14.90 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.18 – $51.87 | 9 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,494.56 – $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.