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 |
|---|---|---|---|---|
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $149.16 – $204.77 | 8 |
| Cryopreservation sperm CPT 89259 | not published | not published | $149.16 – $204.77 | 8 |
| Cryopreserve stem cells CPT 38207 | $3,880.80 | $7,056.00 | $54.55 – $3,085.00 | 9 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $62.63 | 8 |
| Cryosurg ablate fa each CPT 19105 | $8,292.35 | $15,077.00 | $250.62 – $4,706.11 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $176.22 | $320.40 | $133.42 – $3,085.00 | 9 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $57.91 – $3,085.00 | 9 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.12 – $30.78 | 9 |
| Cryptosporidium antigen CPT 87272 | $82.50 | $150.00 | $11.74 – $25.60 | 9 |
| Crystal identification light microscopy CPT 89060 | $55.55 | $101.00 | $7.18 – $31.71 | 9 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,176.00 – $3,148.00 | 5 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,566.62 – $3,148.00 | 6 |
| Csf leakage imaging CPT 78650 | not published | not published | $363.88 – $1,658.54 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | $305.25 | $555.00 | $45.71 – $3,085.00 | 9 |
| Csf ventriculography CPT 78635 | not published | not published | $370.87 – $788.56 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $1,256.75 | $2,285.00 | $28.01 – $76.63 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,351.90 | $2,458.00 | $172.17 – $1,060.98 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,320.00 | $2,400.00 | $172.17 – $1,216.95 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,633.50 | $2,970.00 | $172.17 – $1,217.15 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $1,320.00 | $2,400.00 | $172.17 – $1,002.04 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,980.00 | $3,600.00 | $319.79 – $1,216.95 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,210.00 | $2,200.00 | $172.17 – $1,022.88 | 8 |
| CT Angiogram of the Head CPT 70496 | $1,705.00 | $3,100.00 | $172.17 – $1,005.51 | 8 |
| CT angio hrt w/3d image CPT 75574 | $788.70 | $1,434.00 | $226.76 – $1,216.95 | 8 |
| CT angio pelvis CPT 72191 | $1,802.35 | $3,277.00 | $172.17 – $1,055.81 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,746.25 | $3,175.00 | $172.17 – $1,166.70 | 8 |
| CT bone density axial CPT 77078 | $895.40 | $1,628.00 | $68.34 – $300.00 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $172.17 – $210.82 | 6 |
| CT colonography dx CPT 74261 | not published | not published | $102.62 – $551.30 | 8 |
| CT colonography dx w/dye CPT 74262 | $462.55 | $841.00 | $172.17 – $1,216.80 | 8 |
| CT colonography screening CPT 74263 | $216.49 | $393.62 | $234.21 – $3,178.81 | 8 |
| CT guidance for needle placement CPT 77012 | $1,980.00 | $3,600.00 | $76.98 – $329.46 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,320.00 | $2,400.00 | $71.21 – $154.95 | 2 |
| CT guid cryo ablat intramuscular CPT 20999 | $282.70 | $514.00 | $242.12 – $3,085.00 | 8 |
| CT guid parench tis ablat CPT 77013 | $1,375.00 | $2,500.00 | $247.81 – $1,053.05 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,295.25 | $2,355.00 | $33.77 – $300.00 | 8 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $440.00 | $800.00 | $226.76 – $1,216.95 | 8 |
| CT hrt w/3d image CPT 75572 | $512.60 | $932.00 | $226.76 – $972.63 | 8 |
| CT limited or localized follow-up study CPT 76380 | $563.20 | $1,024.00 | $68.34 – $300.00 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,430.00 | $2,600.00 | $172.17 – $819.92 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,100.00 | $2,000.00 | $102.62 – $551.30 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,854.05 | $3,371.00 | $172.17 – $1,045.21 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $1,100.00 | $2,000.00 | $172.17 – $655.26 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $898.15 | $1,633.00 | $102.62 – $507.97 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,346.95 | $2,449.00 | $172.17 – $800.84 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,413.50 | $2,570.00 | $172.17 – $1,116.45 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,234.75 | $2,245.00 | $172.17 – $1,010.58 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $770.00 | $1,400.00 | $102.62 – $551.30 | 8 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $189.97 | $345.40 | $160.94 – $1,632.00 | 9 |
| CT scan for therapy guide CPT 77014 | $744.70 | $1,354.00 | $84.38 – $371.03 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,090.00 | $3,800.00 | $288.90 – $1,216.95 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,062.50 | $3,750.00 | $252.28 – $1,078.15 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,650.00 | $3,000.00 | $128.83 – $554.76 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $1,576.85 | $2,867.00 | $172.17 – $821.67 | 8 |
| CT thoracic spine without contrast CPT 72128 | $935.00 | $1,700.00 | $102.62 – $551.30 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $101.20 | $184.00 | $102.62 – $125.66 | 7 |
| CT t-spine w /wo contrast CPT 72130 | $1,858.45 | $3,379.00 | $172.17 – $1,019.21 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,265.00 | $2,300.00 | $188.49 – $804.30 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $990.00 | $1,800.00 | $102.62 – $551.30 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,493.80 | $2,716.00 | $172.17 – $1,060.83 | 8 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $1,835.08 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $1,908.83 | 9 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $769.98 – $3,886.00 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $775.58 – $2,544.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $44.00 | $80.00 | $7.92 – $17.25 | 9 |
| Culture afb any source CPT 87116 | $110.00 | $200.00 | $10.58 – $23.08 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $12.65 | $23.00 | $7.92 – $17.25 | 9 |
| Culture anaerobic except blood CPT 87075 | $71.50 | $130.00 | $9.28 – $20.22 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | $38.50 | $70.00 | $9.25 – $20.17 | 9 |
| Culture body fluid CPT 87070 | $66.00 | $120.00 | $8.45 – $18.41 | 9 |
| Culture fungi definitive id mold CPT 87107 | $44.00 | $80.00 | $10.11 – $22.04 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $49.50 | $90.00 | $10.11 – $22.04 | 9 |
| Culture fungi other (except blood) CPT 87102 | $82.50 | $150.00 | $8.24 – $17.96 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $88.00 | $160.00 | $7.56 – $16.45 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $60.50 | $110.00 | $14.32 – $25.28 | 9 |
| Culture mycoplasma any source CPT 87109 | $82.50 | $150.00 | $15.08 – $32.87 | 9 |
| Culture quantitative aerobic other source CPT 87071 | $247.50 | $450.00 | $9.69 – $20.17 | 9 |
| Culture screening strep group a CPT 87081 | $61.60 | $112.00 | $6.50 – $14.15 | 9 |
| Culture typing added method CPT 87158 | not published | not published | $7.59 – $13.39 | 9 |
| Culture typing immunologic CPT 87147 | $33.00 | $60.00 | $5.08 – $11.05 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $462.00 | $840.00 | $213.70 – $367.59 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $93.50 | $170.00 | $34.39 – $74.96 | 9 |
| Culture urine each isolate CPT 87088 | $44.00 | $80.00 | $7.93 – $17.28 | 9 |
| Culture virus isolation CPT 87250 | not published | not published | $19.17 – $41.78 | 9 |
| Curette/treat cornea CPT 65435 | not published | not published | $82.58 – $3,085.00 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $289.00 – $3,241.00 | 9 |
| Cutter lead HCPCS C1773 | $1,849.23 | $3,362.24 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,937.10 | $3,522.00 | $76.84 – $3,085.00 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $17.48 – $17.48 | 1 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $26.86 – $26.86 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.03 – $30.59 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.90 – $1.86 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $55.00 | $100.00 | $12.69 – $27.65 | 9 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.49 – $0.89 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $2.03 – $4.26 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $30.76 – $134.64 | 3 |
| Cyclosporine 2 hour CPT 80158 | $110.00 | $200.00 | $17.69 – $38.54 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.81 – $1.55 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.06 – $6.18 | 3 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $18,399.64 | $33,453.90 | not published | 0 |
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.