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 |
|---|---|---|---|---|
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $1,234.00 | 5 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.02 – $0.02 | 1 |
| Urography, antegrade CPT 74425 | $562.65 | $1,023.00 | $67.95 – $467.51 | 9 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $95.09 – $226.76 | 9 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.02 – $0.02 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.02 – $0.02 | 1 |
| Use 1st target lesion CPT 76982 | $117.70 | $214.00 | $77.53 – $162.94 | 9 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,557.02 – $2,667.53 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.13 – $24.10 | 8 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $155.88 – $609.35 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | $21,976.90 | $39,958.00 | $12,602.22 – $15,431.29 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $347.55 | 3 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $316.18 | 3 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $335.19 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $188.73 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $140.93 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $63.62 – $63.62 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $222.78 – $222.78 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $135.06 – $135.06 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $336.73 – $336.73 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $258.13 – $258.13 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $26.90 – $31.77 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $28.32 – $28.32 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $71.25 – $136.89 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $284.72 – $284.72 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $83.53 – $83.53 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $161.57 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $130.55 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $168.30 – $381.75 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $29.80 – $58.75 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $661.36 – $661.36 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.02 – $0.02 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $182.09 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $182.09 | 3 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $14.54 – $40.94 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $48.05 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $39.65 – $39.65 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $146.16 – $146.16 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $0.02 – $0.02 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $42.42 – $42.42 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $19.82 – $19.82 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $30.39 – $52.68 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $138.70 – $138.70 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $91.81 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $23.50 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $509.83 – $509.83 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $445.74 – $445.74 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $369.74 – $369.74 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $358.51 – $358.51 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $64.74 – $83.74 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $598.04 – $598.04 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $46.33 – $247.59 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $554.68 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $253.56 – $561.47 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $298.04 – $672.74 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $96.17 – $96.17 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $226.78 – $581.87 | 9 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $659.62 – $659.62 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,195.68 – $1,195.68 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,195.68 – $1,195.68 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $658.65 – $658.65 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $316.09 – $316.09 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $212.46 – $212.46 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $73.85 – $85.38 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $69.32 – $78.20 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $330.89 – $330.89 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $393.45 – $393.45 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $505.59 – $505.59 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 7 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $56.02 – $56.02 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $401.78 – $688.36 | 6 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $210.25 – $270.14 | 6 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $3,584.91 – $6,141.85 | 6 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,196.62 – $6,012.63 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,505.33 – $6,012.63 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,116.46 – $6,012.63 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,588.11 – $8,912.89 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,471.60 – $6,012.63 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,067.21 – $6,012.63 | 9 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Vaginal bx CPT 58999 | $234.30 | $426.00 | $198.45 – $3,085.00 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,267.55 | $5,941.00 | $1,141.08 – $3,890.82 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,176.00 – $3,148.00 | 5 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $999.45 – $6,012.63 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,234.00 – $3,890.82 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $152.42 – $2,006.78 | 6 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,889.00 – $3,764.00 | 6 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,082.28 – $3,148.00 | 6 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $139.99 – $3,148.00 | 6 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,485.13 – $3,148.00 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,453.54 – $3,148.00 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $67.65 | $123.00 | $13.27 – $28.93 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,222.11 – $2,454.80 | 8 |
| Valvuloplasty aortic CPT 92986 | $3,850.00 | $7,000.00 | $1,649.57 – $14,257.00 | 7 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,061.00 – $4,793.00 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,061.00 – $4,793.00 | 3 |
| Valvuloplasty mitral CPT 92987 | $5,115.00 | $9,300.00 | $1,699.99 – $14,257.00 | 7 |
| Valvuloplasty pulmonary CPT 92990 | $4,731.65 | $8,603.00 | $1,345.28 – $14,257.00 | 7 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,061.00 – $3,853.81 | 6 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,061.00 – $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.