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 |
|---|---|---|---|---|
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $6.97 – $29.16 | 9 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $2,306.47 – $3,951.55 | 6 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $176.51 – $302.39 | 6 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $354.12 – $606.68 | 6 |
| Whole blood for transfusion HCPCS P9010 | $1,473.45 | $2,679.00 | $52.52 – $227.81 | 7 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $998.80 | $1,816.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $663.30 | $1,206.00 | not published | 0 |
| Whole body photography CPT 96904 | not published | not published | $72.87 – $72.87 | 1 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,261.26 – $2,226.51 | 9 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $917.28 – $1,619.28 | 9 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $414.40 – $709.96 | 6 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $414.40 – $709.96 | 6 |
| Wilate injection HCPCS J7183 | not published | not published | $1.28 – $2.39 | 8 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.32 – $0.32 | 1 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $111.76 – $3,886.00 | 5 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $57.86 – $99.11 | 6 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $33.53 – $537.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $122.15 – $589.89 | 7 |
| Wound pouch each HCPCS A6154 | not published | not published | $14.34 – $14.34 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $448.80 | $816.00 | $27.81 – $488.61 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $31.22 – $488.61 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $400.95 | $729.00 | $33.43 – $241.15 | 6 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $612.15 | $1,113.00 | $36.88 – $488.61 | 6 |
| Wrist arthroscopy CPT 29840 | not published | not published | $550.77 – $3,886.00 | 9 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $589.84 – $3,886.00 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $598.90 – $3,886.00 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $698.61 – $3,886.00 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $630.51 – $3,886.00 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $663.80 – $7,485.97 | 9 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,442.35 – $2,471.08 | 6 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,226.32 – $2,100.97 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $618.87 – $6,559.00 | 9 |
| Wrist X-ray CPT 73110 | $275.00 | $500.00 | $30.07 – $104.60 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,953.35 – $3,346.54 | 6 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | $5,100.15 | $9,273.00 | $1,039.94 – $4,968.11 | 9 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $949.34 – $4,793.00 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $806.62 – $6,395.87 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | $5,100.15 | $9,273.00 | $844.37 – $4,968.11 | 9 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $586.48 – $586.48 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $1,011.11 – $6,395.87 | 9 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $548.47 – $548.47 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,822.50 | $6,950.00 | $765.15 – $2,544.00 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $686.42 – $2,544.00 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $895.72 – $1,581.22 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $895.72 – $1,581.22 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $21.98 – $35.71 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $469.22 – $6,559.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,560.90 | $2,838.00 | $428.50 – $3,148.00 | 6 |
| X-ray abdomen 1 view CPT 74018 | $203.50 | $370.00 | $21.15 – $104.60 | 9 |
| X-ray abdomen 2 views CPT 74019 | $242.00 | $440.00 | $25.29 – $138.39 | 9 |
| X-ray abdomen >=3 views CPT 74021 | $312.40 | $568.00 | $29.44 – $138.39 | 9 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $338.80 | $616.00 | $32.12 – $138.39 | 9 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $465.30 | $846.00 | $28.42 – $104.60 | 9 |
| X-ray ankle 2 views (both sides) CPT 73600 | $231.00 | $420.00 | $21.43 – $104.60 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $831.60 | $1,512.00 | $83.57 – $467.51 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.27 – $26.75 | 9 |
| X-ray bone age studies CPT 77072 | $189.20 | $344.00 | $15.67 – $138.39 | 9 |
| X-ray bone length studies CPT 77073 | $617.10 | $1,122.00 | $24.73 – $138.39 | 9 |
| X-ray bone survey complete CPT 77075 | $437.25 | $795.00 | $68.74 – $147.97 | 9 |
| X-ray bone survey infant CPT 77076 | not published | not published | $68.74 – $148.86 | 9 |
| X-ray cervical spine 2-3 views CPT 72040 | $275.00 | $500.00 | $24.73 – $104.60 | 9 |
| X-ray cervical spine 4-5 views CPT 72050 | $363.00 | $660.00 | $32.95 – $138.39 | 9 |
| X-ray cervical spine >= 6 views CPT 72052 | $719.40 | $1,308.00 | $42.82 – $138.39 | 9 |
| X-ray clavicle complete (both sides) CPT 73000 | $220.00 | $400.00 | $21.84 – $104.60 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $413.05 | $751.00 | $132.12 – $283.70 | 9 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $459.25 | $835.00 | $172.17 – $401.16 | 9 |
| X-ray elbow 2 views (both sides) CPT 73070 | $231.00 | $420.00 | $21.84 – $104.60 | 9 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $298.10 | $542.00 | $25.54 – $104.60 | 9 |
| Xray endovasc thor ao repr CPT 75956 | $1,768.25 | $3,215.00 | $428.04 – $886.03 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $1,768.25 | $3,215.00 | $367.37 – $759.38 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $275.00 | $500.00 | $74.92 – $226.76 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $392.70 | $714.00 | $57.44 – $139.28 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $448.80 | $816.00 | $69.32 – $161.91 | 9 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $21.84 – $138.39 | 9 |
| X-ray exam of eye sockets CPT 70200 | $162.80 | $296.00 | $32.12 – $138.39 | 9 |
| X-ray exam of femur 1 CPT 73551 | $220.00 | $400.00 | $22.17 – $104.60 | 9 |
| X-ray exam of jaw joint CPT 70328 | $134.75 | $245.00 | $24.73 – $104.60 | 9 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $57.23 – $292.27 | 9 |
| X-ray exam of mastoids CPT 70120 | $280.50 | $510.00 | $28.42 – $138.39 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $38.71 – $656.76 | 9 |
| X-ray exam of penis CPT 74445 | not published | not published | $58.59 – $138.39 | 9 |
| X-ray exam of perineum CPT 74775 | not published | not published | $75.82 – $292.27 | 9 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $30.48 – $104.60 | 9 |
| X-ray exam of sinuses CPT 70210 | $268.95 | $489.00 | $23.90 – $104.60 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $36.88 – $292.27 | 9 |
| X-ray exam of teeth CPT 70300 | not published | not published | $10.31 – $104.60 | 9 |
| X-ray exam of teeth CPT 70310 | not published | not published | $34.59 – $292.27 | 9 |
| X-ray exam si joints CPT 72200 | $200.20 | $364.00 | $22.26 – $138.39 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $360.25 | $655.00 | $32.12 – $138.39 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $126.50 | $230.00 | $21.84 – $104.60 | 9 |
| X-ray facial bones complete > 3 views CPT 70150 | $437.25 | $795.00 | $32.12 – $138.39 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $66.96 – $142.83 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $247.50 | $450.00 | $26.27 – $104.60 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $187.00 | $340.00 | $27.60 – $104.60 | 9 |
| X-ray foot 2 views (both sides) CPT 73620 | $176.00 | $320.00 | $20.60 – $104.60 | 9 |
| X-ray forearm 2 views (both sides) CPT 73090 | $220.00 | $400.00 | $19.79 – $104.60 | 9 |
| X-ray hand 2 views (both sides) CPT 73120 | $190.85 | $347.00 | $20.19 – $138.39 | 9 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $10.73 – $104.60 | 9 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $192.50 | $350.00 | $21.43 – $104.60 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $491.70 | $894.00 | $42.68 – $138.39 | 9 |
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.