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 |
|---|---|---|---|---|
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,234.00 – $4,634.04 | 7 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,649.45 – $3,148.00 | 6 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,673.96 – $3,148.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $249.42 – $2,544.00 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $122.85 – $2,544.00 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $309.51 – $2,544.00 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $246.94 – $7,296.84 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $210.13 – $2,544.00 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $156.05 – $2,544.00 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $216.63 – $2,544.00 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $137.31 – $2,544.00 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $837.65 | $1,523.00 | $116.42 – $2,544.00 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $102.37 – $2,544.00 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $185.63 – $2,544.00 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $257.95 – $4,634.04 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $177.71 – $3,241.00 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $334.30 – $2,544.00 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $229.08 – $4,634.04 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $189.00 – $2,544.00 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $688.01 – $7,115.26 | 9 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $210.35 – $2,544.00 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $257.55 – $2,544.00 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $242.73 – $2,544.00 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $209.48 – $2,544.00 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $209.89 – $2,544.00 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $237.10 – $2,544.00 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $184.97 – $2,544.00 | 9 |
| Esophagus motility study CPT 91010 | $1,760.55 | $3,201.00 | $127.18 – $537.00 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $366.28 – $537.00 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $202.06 – $2,544.00 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $171.89 – $2,544.00 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $1,008.53 – $6,559.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,411.29 – $6,559.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $16.90 – $537.00 | 2 |
| Esoph imped function test CPT 91037 | $1,065.90 | $1,938.00 | $128.41 – $537.00 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | $1,840.30 | $3,346.00 | $366.28 – $537.00 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $174.88 – $2,544.00 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $179.42 – $2,544.00 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $136.88 – $2,544.00 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Essure 58565 CPT 58565 | not published | not published | $521.36 – $6,559.00 | 9 |
| Establish access to aorta CPT 36160 | $522.50 | $950.00 | $154.78 – $3,085.00 | 4 |
| Establish access to artery CPT 36100 | not published | not published | $193.46 – $3,085.00 | 4 |
| Establish brain cavity shunt CPT 62223 | $1,768.25 | $3,215.00 | $1,315.36 – $3,148.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $173.25 | $315.00 | $11.08 – $11.08 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $195.25 | $355.00 | $30.67 – $1,632.00 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $210.10 | $382.00 | $60.90 – $2,496.00 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $308.00 | $560.00 | $94.15 – $3,085.00 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $330.55 | $601.00 | $133.78 – $3,508.00 | 2 |
| Estradiol total CPT 82670 | $267.30 | $486.00 | $27.38 – $59.67 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $13.45 – $16.58 | 2 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.27 – $46.33 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $2,192.36 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $491.65 – $944.13 | 8 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,071.00 – $3,886.00 | 9 |
| Ethylene glycol -sendout CPT 82693 | $206.80 | $376.00 | $14.60 – $31.83 | 9 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $2,611.45 – $2,611.45 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.61 – $1.75 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $53.53 – $143.69 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $96.17 – $208.60 | 8 |
| Euglobulin lysis CPT 85360 | $143.55 | $261.00 | $8.24 – $17.96 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $577.99 – $3,886.00 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $55.77 | $101.40 | $91.34 – $154.66 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $153.12 | $278.40 | $111.66 – $136.73 | 6 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $96.15 – $169.73 | 9 |
| Evaluation heart device CPT 93640 | $1,494.90 | $2,718.00 | $374.69 – $9,640.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $222.75 | $405.00 | $122.74 – $150.29 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | $259.05 | $471.00 | $152.61 – $213.34 | 6 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,450.05 | $8,091.00 | $642.65 – $16,449.00 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,050.75 | $7,365.00 | $272.93 – $16,449.00 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $161.75 – $5,554.00 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,540.59 – $6,559.00 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,814.35 | $5,117.00 | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $346.41 – $5,554.00 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,970.65 | $3,583.00 | $1,737.32 – $6,559.00 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $3,484.25 | $6,335.00 | $1,437.09 – $6,559.00 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $880.00 | $1,600.00 | $1,158.55 – $4,793.00 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $880.00 | $1,600.00 | $921.78 – $4,793.00 | 6 |
| Event monitor CPT 93270 | $173.80 | $316.00 | $10.73 – $44.86 | 6 |
| Evoked auditory tst complete CPT 92588 | $64.02 | $116.40 | $4.56 – $448.51 | 6 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.73 – $259.53 | 6 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $34.07 – $34.07 | 1 |
| Evoked potentials upper limbs CPT 95925 | $1,760.55 | $3,201.00 | $149.43 – $259.53 | 6 |
| Evoked potential visual not glaucoma CPT 95930 | $1,676.40 | $3,048.00 | $127.62 – $259.53 | 6 |
| Evok oa screening qual CPT 92558 | not published | not published | $10.70 – $10.70 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $112.97 – $3,085.00 | 9 |
| Exam pelvic add-on CPT 99459 | not published | not published | $25.42 – $25.42 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $131.33 – $3,886.00 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $659.35 – $3,491.29 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $848.63 – $4,866.00 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $536.94 – $4,866.00 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $689.65 – $3,491.29 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $814.57 – $4,866.00 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $494.23 – $4,866.00 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $434.02 | $789.12 | $399.35 – $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.