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 |
|---|---|---|---|---|
| Acoustic refl threshold tst CPT 92568 | not published | not published | $18.29 – $44.89 | 6 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $742.11 – $3,928.00 | 9 |
| Actigraphy testing CPT 95803 | not published | not published | $57.91 – $70.91 | 6 |
| Actinotherapy uv light CPT 96900 | $24.42 | $44.40 | $23.90 – $44.89 | 6 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $28.39 – $34.76 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $28.39 – $34.76 | 6 |
| Acute hepatitis panel CPT 80074 | $225.50 | $410.00 | $46.68 – $101.74 | 9 |
| Acute venous thrombus image CPT 78456 | not published | not published | $326.02 – $1,658.54 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.06 – $0.07 | 2 |
| #acylcarnitineprfl CPT 82017 | $119.35 | $217.00 | $16.53 – $36.04 | 9 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.16 – $29.63 | 9 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $37.59 – $213.34 | 6 |
| Adapter b 8 channel 10cm HCPCS C1883 | $688.97 | $1,252.67 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $35.37 – $3,085.00 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.67 – $1.03 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.74 – $25.60 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | $128.70 | $234.00 | $12.61 – $27.49 | 9 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.57 – $37.64 | 9 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,073.31 – $3,241.00 | 6 |
| Adh-sendout CPT 84588 | $69.30 | $126.00 | $33.26 – $72.49 | 9 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $890.28 – $3,085.00 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $2,863.30 | $5,206.00 | $544.50 – $7,485.97 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $586.37 | $1,066.13 | $940.73 – $2,544.00 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.47 – $0.47 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $220.00 | $400.00 | $32.90 – $86.54 | 6 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $212.30 | $386.00 | $70.67 – $86.54 | 6 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $639.10 | $1,162.00 | $157.12 – $397.01 | 6 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $439.45 | $799.00 | $128.62 – $397.01 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $130.35 | $237.00 | $37.84 – $86.54 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $130.35 | $237.00 | $70.67 – $86.54 | 6 |
| Administration immunization 1 vaccine CPT 90471 | $62.15 | $113.00 | $29.57 – $86.54 | 7 |
| Administration immunization each additional component CPT 90461 | not published | not published | $15.13 – $15.13 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $33.55 | $61.00 | $15.13 – $29.99 | 2 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $29.57 – $29.57 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $29.57 – $86.54 | 6 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $15.13 – $15.13 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $25.72 – $25.72 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $62.15 | $113.00 | $16.99 – $56.28 | 7 |
| Administration vaccine influenza virus HCPCS G0008 | $47.85 | $87.00 | $16.99 – $56.28 | 7 |
| Administration vaccine pneumococcal HCPCS G0009 | $76.45 | $139.00 | $16.99 – $56.28 | 7 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $22.27 – $22.27 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $40.97 – $78.21 | 8 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $496.82 – $1,658.54 | 9 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,498.36 – $3,148.00 | 6 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $88.29 – $88.29 | 1 |
| Aep hearing status deter i&r CPT 92651 | $79.99 | $145.44 | $107.81 – $259.53 | 6 |
| Aep neurodiagnostic i&r CPT 92653 | $325.60 | $592.00 | $103.37 – $259.53 | 6 |
| Aep thrshld est mlt freq i&r CPT 92652 | $325.60 | $592.00 | $141.24 – $259.53 | 6 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,873.33 – $3,532.11 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.65 – $42.83 | 9 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $1.07 – $12.65 | 9 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $113.05 – $246.39 | 9 |
| Aflibercept injection HCPCS J0178 | not published | not published | $728.73 – $1,431.24 | 8 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $493.54 – $845.56 | 6 |
| After cataract laser surgery CPT 66821 | $296.78 | $539.60 | $369.53 – $2,187.00 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $223.52 – $302.73 | 8 |
| Air conduction bilat CPT 92552 | $46.26 | $84.11 | $36.24 – $159.92 | 6 |
| Air injection into abdomen 49400 CPT 49400 | $716.65 | $1,303.00 | $117.52 – $3,085.00 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $31.31 – $154.66 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $55.00 | $100.00 | $7.62 – $13.46 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $52.26 – $98.46 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.90 – $39.38 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $52.02 – $98.46 | 9 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.40 – $19.69 | 7 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.26 – $72.49 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $33.00 | $60.00 | $5.66 – $12.35 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | $38.50 | $70.00 | $4.85 – $10.57 | 9 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.36 – $0.43 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.31 – $0.34 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.14 – $0.17 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $16.92 – $29.16 | 8 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $20.56 – $34.76 | 6 |
| Alcohol/subs interv >30 min HCPCS G0397 | $235.95 | $429.00 | $80.92 – $213.34 | 6 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,107.92 – $5,301.26 | 8 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,413.36 – $3,316.75 | 8 |
| Alkaline phosphatase CPT 84075 | $33.00 | $60.00 | $5.08 – $11.05 | 9 |
| Allergen alpha lactalbumin ige CPT 86008 | $81.40 | $148.00 | $17.57 – $38.30 | 9 |
| Allergen egg white ige CPT 86003 | $130.90 | $238.00 | $5.12 – $11.14 | 9 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $19.80 | $36.00 | $7.81 – $17.02 | 9 |
| Allergy injections; 2 or more 95117 CPT 95117 | $36.30 | $66.00 | $11.97 – $56.28 | 6 |
| Allergy injection; single 95115 CPT 95115 | $22.44 | $40.80 | $10.31 – $56.28 | 6 |
| Allergy Skin Testing CPT 95004 | $5.94 | $10.80 | $7.46 – $1,032.15 | 6 |
| Allg patch or app # of tests 95044 CPT 95044 | $12.05 | $21.91 | $6.62 – $1,032.15 | 6 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,570.22 – $13,245.19 | 9 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $85.78 – $149.57 | 7 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $88.81 – $188.68 | 7 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,321.42 | $4,220.76 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $10,594.83 | $19,263.33 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $35.65 – $149.57 | 7 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $122.15 – $280.41 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $91.32 – $149.57 | 6 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,506.22 | $4,556.76 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $122.15 – $229.65 | 7 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $122.15 – $455.04 | 7 |
| Alloskin HCPCS Q4115 | not published | not published | $12.53 – $149.57 | 7 |
| All tstg perq&iq drugs/biol CPT 95018 | $26.14 | $47.52 | $8.53 – $44.89 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $4.28 – $34.76 | 6 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $1.12 – $10.12 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $338.80 | $616.00 | $63.12 – $137.57 | 9 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $16.66 – $35.83 | 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.