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 |
|---|---|---|---|---|
| Chemodenerv musc neck dyston 64616 CPT 64616 | $479.60 | $872.00 | $132.86 – $1,632.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $152.06 | $276.48 | $124.18 – $1,632.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $145.14 – $2,020.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $167.73 – $2,020.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $623.70 | $1,134.00 | $178.74 – $397.01 | 6 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $45.96 – $56.28 | 6 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $197.32 – $397.01 | 6 |
| Chemo ia push tecnique CPT 96420 | $627.55 | $1,141.00 | $120.67 – $397.01 | 6 |
| Chemo intralesional over 7 CPT 96406 | $389.40 | $708.00 | $55.58 – $255.66 | 6 |
| Chemo intralesional up to 7 96405 CPT 96405 | $170.50 | $310.00 | $35.64 – $86.54 | 6 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.67 – $34.15 | 9 |
| Chemotherapy injection 96542 CPT 96542 | $471.90 | $858.00 | $50.58 – $397.01 | 6 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $35.72 – $397.01 | 6 |
| Chest 2 vws w oblique CPT 71048 | $562.10 | $1,022.00 | $29.85 – $138.39 | 9 |
| Chest apical lordotic proj CPT 71047 | $363.00 | $660.00 | $29.02 – $104.60 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,802.35 | $3,277.00 | $172.17 – $812.99 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,430.00 | $2,600.00 | $172.17 – $657.02 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,100.00 | $2,000.00 | $102.62 – $511.44 | 8 |
| Chest X-ray CPT 71046 | $281.60 | $512.00 | $22.81 – $104.60 | 9 |
| Chest X-ray (single view) CPT 71045 | $197.45 | $359.00 | $12.46 – $104.60 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $32.41 – $70.91 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $574.20 | $1,044.00 | $86.72 – $226.76 | 8 |
| Chimerism anal no cell selec CPT 81267 | $678.15 | $1,233.00 | $203.31 – $443.09 | 9 |
| Chimerism anal w/cell select CPT 81268 | $1,191.85 | $2,167.00 | $255.57 – $556.99 | 9 |
| Chlamydia culture CPT 87110 | $41.80 | $76.00 | $19.21 – $41.85 | 9 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.74 – $25.60 | 9 |
| Chlamydia type CPT 87140 | $19.25 | $35.00 | $5.46 – $11.90 | 9 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $49.98 – $106.62 | 2 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $33.57 – $44.23 | 2 |
| Chloride CPT 82435 | $39.05 | $71.00 | $4.51 – $9.83 | 9 |
| Chloride 24 hour urine CPT 82436 | $33.00 | $60.00 | $5.64 – $10.74 | 9 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.07 – $0.09 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.61 – $1.29 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $39.84 – $402.24 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $14.62 – $46.87 | 3 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.71 – $0.71 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $171.29 – $397.01 | 6 |
| Cholangiogram percutaneous compl CPT 47532 | $3,519.45 | $6,399.00 | $266.61 – $4,353.00 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $688.60 | $1,252.00 | $40.22 – $85.81 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,567.93 – $3,148.00 | 6 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,384.97 – $3,148.00 | 6 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,423.20 – $3,148.00 | 6 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,537.05 | $6,431.00 | $406.49 – $4,303.42 | 9 |
| Cholesterol CPT 82465 | $30.80 | $56.00 | $4.26 – $9.29 | 9 |
| Cholesterol body fluid CPT 84999 | $49.50 | $90.00 | $40.23 – $40.23 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $60.50 | $110.00 | $13.12 – $28.60 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $3,019.72 | 7 |
| Cholinesterase CPT 82480 | not published | not published | $7.71 – $16.82 | 9 |
| Cholinesterase challenge CPT 95857 | not published | not published | $35.28 – $259.53 | 6 |
| Chorion biopsy CPT 59015 | not published | not published | $164.43 – $3,085.00 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $34.20 – $37.65 | 2 |
| Chrom analysis CPT 88273 | $334.95 | $609.00 | $34.11 – $68.61 | 9 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $31.99 – $67.47 | 9 |
| Chromatography CPT 83021 | $104.50 | $190.00 | $17.70 – $38.56 | 9 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.65 – $25.40 | 9 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $55.90 – $98.68 | 9 |
| Chromosome analys amniotic CPT 88269 | $171.75 | $312.27 | $170.19 – $355.24 | 9 |
| Chromosome analysis 100 CPT 88249 | $552.75 | $1,005.00 | $169.71 – $369.87 | 9 |
| Chromosome analysis 15-20 cell count CPT 88262 | $762.85 | $1,387.00 | $122.98 – $266.21 | 9 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $169.71 – $369.87 | 9 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $147.28 – $320.98 | 9 |
| Chromosome analysis 5 CPT 88261 | $462.55 | $841.00 | $259.05 – $457.31 | 9 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $169.71 – $369.87 | 9 |
| Chromosome analys placenta CPT 88267 | $1,877.15 | $3,413.00 | $184.80 – $383.97 | 9 |
| Chromosome banding study CPT 88283 | not published | not published | $67.23 – $146.51 | 9 |
| Chromosome count additional CPT 88285 | not published | not published | $26.37 – $46.55 | 9 |
| Chromosome karyotype study CPT 88280 | $111.65 | $203.00 | $32.80 – $57.90 | 9 |
| Chromosome study additional CPT 88289 | not published | not published | $33.74 – $73.54 | 9 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.21 – $26.61 | 9 |
| Chylomicron screen, bf - sendout CPT 82664 | $49.50 | $90.00 | $56.06 – $106.40 | 9 |
| Cidofovir injection HCPCS J0740 | not published | not published | $301.10 – $1,013.38 | 9 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $10.35 – $24.36 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $468.66 – $3,241.00 | 9 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.02 – $1,049,686.89 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.04 – $0.04 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $81.50 – $183.66 | 9 |
| Cine/video x-rays add-on CPT 76125 | $179.85 | $327.00 | $42.22 – $90.09 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $2.93 – $5.38 | 3 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $60.89 – $60.89 | 1 |
| Circum 28 days or older CPT 54161 | not published | not published | $239.63 – $3,241.00 | 9 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $176.14 – $3,241.00 | 9 |
| Circumcision (newborn) CPT 54150 | $3,262.05 | $5,931.00 | $120.01 – $3,241.00 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.32 – $5.20 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,192.40 | $2,168.00 | $322.92 – $570.05 | 9 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.02 – $68.13 | 9 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $3,107.34 | $5,649.71 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $710.10 – $3,886.00 | 9 |
| Claviculectomy total CPT 23125 | not published | not published | $865.87 – $3,886.00 | 9 |
| Clean out mastoid cavity CPT 69222 | $943.25 | $1,715.00 | $165.61 – $3,085.00 | 9 |
| Clearance of airways CPT 31720 | not published | not published | $62.82 – $1,632.00 | 9 |
| Clearance of tear duct CPT 68530 | not published | not published | $289.00 – $3,085.00 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $57.02 – $159.92 | 6 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $26.01 – $159.92 | 6 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $39.64 – $159.92 | 6 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $26.42 – $44.89 | 6 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $3.39 – $3.59 | 2 |
| Clip ligating vesolock lg HCPCS C1760 | $655.12 | $1,191.13 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,382.98 – $3,890.82 | 9 |
| Cllr miami j sm HCPCS L0174 | $1,017.54 | $1,850.08 | $234.03 – $400.94 | 6 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $4.23 – $158.01 | 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.