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 |
|---|---|---|---|---|
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $1,304.05 | $2,371.00 | $523.36 – $3,148.00 | 6 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,688.95 | $4,889.00 | $1,950.72 – $3,148.00 | 6 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $1,645.60 | $2,992.00 | $1,411.77 – $3,148.00 | 6 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $109.42 – $3,085.00 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $92.41 | $168.02 | $150.62 – $3,085.00 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $119.84 | $217.90 | $174.43 – $3,085.00 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $49.25 | $89.54 | $120.47 – $3,085.00 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $70.57 | $128.31 | $134.06 – $3,085.00 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $154.44 – $3,085.00 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $46.14 | $83.90 | $84.10 – $3,085.00 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $58.28 | $105.97 | $110.25 – $3,085.00 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $76.87 | $139.76 | $140.40 – $3,085.00 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $97.51 | $177.29 | $155.72 – $3,085.00 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,141.25 | $2,075.00 | $277.09 – $3,241.00 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $288.20 | $524.00 | $83.52 – $3,886.00 | 5 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $179.52 – $2,487.00 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $341.55 | $621.00 | $63.12 – $3,085.00 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $243.93 – $2,544.00 | 9 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $138.26 – $3,085.00 | 9 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $201.85 | $367.00 | $102.20 – $3,085.00 | 9 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $415.72 – $3,085.00 | 9 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $332.03 – $3,085.00 | 9 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $637.11 – $3,085.00 | 9 |
| Destruction 2-14 lesions 17003 CPT 17003 | $14.65 | $26.64 | $2.99 – $3,085.00 | 4 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $163.09 – $3,085.00 | 9 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $225.72 – $3,336.17 | 9 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $167.91 – $3,085.00 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | $195.25 | $355.00 | $82.63 – $3,085.00 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $236.05 – $2,187.00 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,141.25 | $2,075.00 | $73.71 – $3,886.00 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,768.25 | $3,215.00 | $273.67 – $3,241.00 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $468.66 – $2,773.86 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $504.16 – $3,241.00 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $468.25 – $3,241.00 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $173.55 – $3,085.00 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $161.71 – $3,336.17 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $180.62 – $3,241.00 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $174.86 – $3,085.00 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $213.13 – $3,085.00 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $166.79 – $3,085.00 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $161.38 | $293.41 | $195.68 – $3,085.00 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $127.25 – $3,085.00 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $209.41 – $2,544.00 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $185.72 | $337.68 | $119.62 – $3,085.00 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $850.22 – $6,559.00 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $212.20 – $3,886.00 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $118.69 – $3,890.82 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $112.33 – $3,085.00 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $29.43 – $51.95 | 9 |
| Detect agnt mult dna direc CPT 87800 | $343.20 | $624.00 | $42.80 – $85.69 | 9 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $11.14 – $11.14 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $126.30 – $154.66 | 6 |
| Device ablt adv novasure HCPCS C1886 | $5,160.64 | $9,382.98 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,307.06 | $9,649.20 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,611.45 – $2,611.45 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $70.73 – $70.73 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $67.10 | $122.00 | $19.79 – $104.60 | 9 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $88.22 – $190.94 | 7 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.47 – $2.47 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.04 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.17 – $0.26 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $199.58 – $379.55 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.65 – $0.65 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $40.61 – $288.25 | 9 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $143.10 – $143.10 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $2.62 – $2.92 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $17.16 – $17.16 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $3.35 – $4.36 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $5.77 – $6.54 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $371.80 | $676.00 | $21.79 – $47.49 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $51.70 | $94.00 | $9.52 – $20.74 | 9 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $10.32 – $45.03 | 6 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.71 – $18.01 | 6 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $217.59 – $2,544.00 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $399.05 – $7,290.00 | 9 |
| Diagnostic anoscopy CPT 46601 | $161.15 | $293.00 | $114.15 – $2,187.00 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $154.12 – $2,544.00 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $123.75 | $225.00 | $49.43 – $3,085.00 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $167.75 | $305.00 | $137.88 – $290.98 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $64.90 | $118.00 | $107.93 – $227.40 | 4 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $176.55 | $321.00 | $59.01 – $3,085.00 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $507.10 | $922.00 | $93.55 – $3,085.00 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $319.00 | $580.00 | $101.76 – $296.76 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $165.00 | $300.00 | $72.83 – $232.37 | 9 |
| Diagnostic radio unlisted proc CPT 76499 | $359.70 | $654.00 | $85.42 – $146.01 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,080.00 | $5,600.00 | $220.17 – $3,085.00 | 4 |
| Dialysis one evaluation CPT 90945 | $862.40 | $1,568.00 | $102.87 – $501.52 | 6 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.89 – $8.44 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.14 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $13.27 – $13.63 | 2 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.47 – $21.07 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.49 | 2 |
| Diffusing capacity CPT 94729 | $369.05 | $671.00 | $52.70 – $52.70 | 1 |
| Digital analysis of eeg CPT 95957 | $197.45 | $359.00 | $244.08 – $244.08 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $2.76 – $16.79 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $674.16 – $9,587.06 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $67.65 | $123.00 | $13.01 – $28.35 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $39.33 – $111.31 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | $239.80 | $436.00 | $165.69 – $2,187.00 | 4 |
| Dilate esophagus CPT 43453 | not published | not published | $115.93 – $2,544.00 | 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.