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 |
|---|---|---|---|---|
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $107.82 – $2,544.00 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $4,735.50 | $8,610.00 | $535.46 – $4,866.00 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $4,735.50 | $8,610.00 | $268.13 – $4,866.00 | 6 |
| Dilate ic vasospasm init CPT 61640 | $8,557.45 | $15,559.00 | $760.96 – $3,148.00 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $127.18 – $3,085.00 | 9 |
| Dilate urethra stricture CPT 53600 | $2,725.80 | $4,956.00 | $78.48 – $3,085.00 | 9 |
| Dilate urethra stricture CPT 53601 | $188.10 | $342.00 | $65.60 – $3,085.00 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $79.48 – $3,886.00 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $88.25 – $3,085.00 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $50.55 – $3,085.00 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $207.10 – $2,544.00 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $59.43 – $3,890.82 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $238.23 – $2,544.00 | 9 |
| Dilation of salivary duct CPT 42660 | $1,085.15 | $1,973.00 | $110.21 – $3,085.00 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $48.92 – $3,085.00 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $47.83 – $3,241.00 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $161.23 – $3,886.00 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $72.19 – $3,085.00 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $106.97 – $3,085.00 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $556.66 | $1,012.11 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,457.50 | $2,650.00 | $186.11 – $4,353.00 | 9 |
| Dilat xst trc new access rcs CPT 50437 | $1,953.60 | $3,552.00 | $312.16 – $4,236.81 | 9 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.06 – $0.09 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $121.30 – $121.30 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $11.39 – $16.64 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $715.39 – $1,389.11 | 8 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.04 – $0.04 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.76 – $1.40 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $142.09 – $142.09 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $29.25 – $44.89 | 6 |
| Disability dlco CPT 94727 | $260.15 | $473.00 | $34.59 – $259.53 | 6 |
| Disaccharidases CPT 82657 | $539.00 | $980.00 | $21.73 – $38.56 | 9 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $556.74 – $2,544.00 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,872.51 – $7,960.00 | 6 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $237.23 – $7,960.00 | 6 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $60.52 – $2,347.05 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $135.45 – $2,187.00 | 9 |
| Dissolve clot heart vessel CPT 92975 | $2,592.70 | $4,714.00 | $486.85 – $3,085.00 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,449.74 – $6,688.16 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $969.41 – $7,115.26 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $397.00 – $3,148.00 | 6 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $19.70 – $40.59 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $374.36 – $6,559.00 | 6 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $168.04 – $482.67 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.26 – $237.01 | 9 |
| Dna antibody native/double stranded CPT 86225 | $88.00 | $160.00 | $13.47 – $29.36 | 9 |
| Dna gardnerella CPT 87510 | not published | not published | $19.65 – $42.83 | 9 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.30 – $42.83 | 9 |
| Dna probe gc CPT 87590 | not published | not published | $26.34 – $46.50 | 9 |
| Dna trichomonas CPT 87660 | not published | not published | $19.65 – $42.83 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $4.71 – $13.14 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.63 – $13.96 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $45.36 – $94.19 | 8 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.02 – $0.02 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $129.69 – $129.69 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $1.42 – $1.55 | 2 |
| Doppler echo complete CPT 93320 | $1,056.55 | $1,921.00 | $42.00 – $145.00 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $5,658.40 | $10,288.00 | $236.86 – $537.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $611.60 | $1,112.00 | $135.41 – $259.53 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $409.75 | $745.00 | $89.74 – $206.13 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.02 – $0.02 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $102.33 – $118.59 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | $37,560.94 | $68,292.62 | $16,269.26 – $16,269.26 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.06 – $452.09 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.05 – $15.45 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $114.27 – $426.25 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.21 – $0.26 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $171.31 – $302.42 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,742.95 | $3,169.00 | $162.20 – $3,085.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,291.95 | $2,349.00 | $171.93 – $3,085.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $3,064.60 | $5,572.00 | $191.56 – $3,085.00 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $1,291.95 | $2,349.00 | $143.80 – $3,085.00 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $224.50 – $3,491.29 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $566.71 – $3,491.29 | 9 |
| Drainage mouth roof lesion CPT 42000 | $969.10 | $1,762.00 | $127.30 – $2,187.00 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $1,468.50 | $2,670.00 | $193.46 – $2,544.00 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $496.27 – $3,491.29 | 9 |
| Drainage of eye CPT 65800 | $2,166.45 | $3,939.00 | $110.28 – $2,773.86 | 9 |
| Drainage of eye CPT 65810 | $6,989.40 | $12,708.00 | $554.55 – $3,241.00 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $568.88 – $3,241.00 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $440.92 – $3,241.00 | 9 |
| Drainage of kidney lesion CPT 50390 | $8,620.70 | $15,674.00 | $120.01 – $2,020.00 | 9 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $153.71 – $1,632.00 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $330.75 – $2,544.00 | 9 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $320.95 – $2,544.00 | 9 |
| Drainage of mouth lesion CPT 41008 | $6,780.40 | $12,328.00 | $333.85 – $3,886.00 | 9 |
| Drainage of mouth lesion CPT 41009 | $1,162.70 | $2,114.00 | $362.50 – $1,632.00 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $433.41 – $1,632.00 | 9 |
| Drainage of mouth lesion CPT 41016 | $15,975.30 | $29,046.00 | $434.83 – $6,107.27 | 9 |
| Drainage of mouth lesion CPT 41017 | $2,539.90 | $4,618.00 | $438.19 – $3,886.00 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $510.18 – $2,544.00 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $231.00 | $420.00 | $143.03 – $3,085.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $2,182.40 | $3,968.00 | $144.26 – $3,085.00 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $632.99 – $3,241.00 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $760.72 – $3,886.00 | 9 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $536.32 – $3,886.00 | 9 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $550.02 – $3,886.00 | 9 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $771.78 – $3,886.00 | 9 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $196.17 – $2,544.00 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $698.27 – $3,336.17 | 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.