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 |
|---|---|---|---|---|
| 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 |
| Dialysis repeated eval CPT 90947 | $1,047.20 | $1,904.00 | $149.36 – $149.36 | 1 |
| Dialysis training complete CPT 90989 | not published | not published | $439.51 – $439.51 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $95.70 – $95.70 | 1 |
| 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 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $175.44 – $3,886.00 | 5 |
| 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 |
| 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 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.02 – $15.60 | 3 |
| 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 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,381.53 – $15,431.29 | 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 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $55.63 – $95.29 | 6 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $163.51 – $280.12 | 6 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $135.45 – $2,187.00 | 9 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,926.08 – $3,148.00 | 6 |
| 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 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,347.99 – $3,148.00 | 6 |
| 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 charac alleles CPT 81239 | not published | not published | $269.33 – $475.46 | 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 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $67.58 – $115.78 | 6 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $240.06 – $452.09 | 8 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,298.00 – $8,721.52 | 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.