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 |
|---|---|---|---|---|
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $18.35 – $90.63 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,061.00 – $3,486.74 | 6 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $794.20 | $1,444.00 | $242.12 – $3,085.00 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $3,003.00 | $5,460.00 | $474.29 – $1,932.71 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $924.12 – $3,085.00 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $242.12 – $3,085.00 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $6,295.30 | $11,446.00 | $512.32 – $3,241.00 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $242.12 – $1,632.00 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $3,100.35 | $5,637.00 | $537.00 – $1,932.71 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $372.35 | $677.00 | $133.27 – $3,085.00 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $765.13 – $4,866.00 | 9 |
| Closed tx orbit without manipulj CPT 21400 | $130.44 | $237.16 | $189.63 – $2,187.00 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | $2,345.20 | $4,264.00 | $371.94 – $2,544.00 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,905.65 | $5,283.00 | $708.78 – $2,544.00 | 9 |
| Closed tx septal&nose fx CPT 21337 | $2,911.70 | $5,294.00 | $357.91 – $3,886.00 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $123.46 – $3,085.00 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $242.12 – $3,085.00 | 9 |
| Closed tx vert fx w/manj CPT 22315 | $3,065.15 | $5,573.00 | $948.09 – $3,886.00 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $2,228.05 | $4,051.00 | $204.73 – $3,085.00 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $831.40 – $2,544.00 | 9 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $844.29 – $8,721.52 | 9 |
| Close tear duct opening CPT 68760 | $202.49 | $368.16 | $174.17 – $3,085.00 | 9 |
| Close tear duct opening CPT 68761 | $91.96 | $167.20 | $141.67 – $3,085.00 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $750.78 – $3,085.00 | 9 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.68 – $27.68 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,478.30 | $4,506.00 | $185.07 – $2,544.00 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,071.64 – $3,148.00 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,982.18 – $3,148.00 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,257.02 – $3,148.00 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,732.58 – $3,148.00 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,228.05 | $4,051.00 | $276.13 – $1,632.00 | 9 |
| Closure of eyelid by suture CPT 67875 | $2,905.65 | $5,283.00 | $116.49 – $3,085.00 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $426.98 – $3,886.00 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $397.97 – $3,886.00 | 9 |
| Closure paravalvlr leak pq CPT 33999 | $3,245.00 | $5,900.00 | $615.75 – $3,085.00 | 9 |
| Clot factor fletcher fact CPT 85292 | $508.20 | $924.00 | $18.55 – $40.43 | 9 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.01 – $43.61 | 9 |
| Clot factor wght kininogen CPT 85293 | $352.55 | $641.00 | $18.55 – $40.43 | 9 |
| Clot factor xii hageman CPT 85280 | $401.50 | $730.00 | $18.96 – $41.33 | 9 |
| Clot factor xiii fibrin scrn CPT 85291 | $160.60 | $292.00 | $8.93 – $19.00 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | $487.30 | $886.00 | $16.01 – $34.89 | 9 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.89 – $36.30 | 4 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.40 – $1.40 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,113.75 | $2,025.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $1,355.75 | $2,465.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $281.58 – $2,544.00 | 9 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $400.57 – $2,020.00 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $226.13 – $3,085.00 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $148.61 | $270.20 | $219.54 – $3,085.00 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,355.75 | $2,465.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $397.65 | $723.00 | $114.19 – $3,085.00 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $970.20 | $1,764.00 | $935.85 – $2,544.00 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $588.97 – $2,544.00 | 9 |
| Clsd tx fracture of radius 25500 CPT 25500 | $521.95 | $949.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $150.86 – $3,085.00 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $426.25 | $775.00 | $173.07 – $3,085.00 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $600.60 | $1,092.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,228.05 | $4,051.00 | $618.42 – $2,496.00 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $242.12 – $3,085.00 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,905.65 | $5,283.00 | $537.00 – $2,187.00 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $448.80 | $816.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $561.00 | $1,020.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $521.40 | $948.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $274.54 – $3,085.00 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $529.40 – $2,496.00 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $242.12 – $3,085.00 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $589.60 | $1,072.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,782.00 | $3,240.00 | $242.12 – $2,187.00 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $553.55 – $3,886.00 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $1,065.90 | $1,938.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $393.25 | $715.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,971.45 | $9,039.00 | $165.00 – $3,886.00 | 9 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $2,176.00 – $3,886.00 | 5 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $5,424.65 | $9,863.00 | $351.46 – $2,544.00 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $1,453.10 | $2,642.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $602.25 | $1,095.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | $435.60 | $792.00 | $141.54 – $1,632.00 | 9 |
| Clsd tx pelvic ring fx CPT 27198 | $412.50 | $750.00 | $242.12 – $2,187.00 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $4,649.70 | $8,454.00 | $473.62 – $2,020.00 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $166.32 | $302.40 | $219.50 – $3,085.00 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $242.12 – $3,085.00 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,003.00 | $5,460.00 | $475.62 – $1,932.71 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $235.40 | $428.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,196.60 | $5,812.00 | $476.29 – $2,187.00 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,293.60 | $2,352.00 | $537.00 – $2,187.00 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $5,133.70 | $9,334.00 | $484.87 – $2,544.00 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $396.59 – $3,886.00 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $969.10 | $1,762.00 | $39.31 – $1,632.00 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $819.50 | $1,490.00 | $107.92 – $3,085.00 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $242.12 – $1,632.00 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $3,119.05 | $5,671.00 | $524.27 – $2,020.00 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $242.12 – $3,085.00 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $473.55 | $861.00 | $242.12 – $1,632.00 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $453.20 | $824.00 | $242.12 – $3,085.00 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,167.65 | $2,123.00 | $242.12 – $3,085.00 | 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.