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 |
|---|---|---|---|---|
| Alpha-fetoprotein tumor marker CPT 82105 | $82.50 | $150.00 | $16.43 – $35.83 | 9 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $22.08 – $22.08 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $56.98 – $175.20 | 9 |
| Alt/sgpt CPT 84460 | $47.30 | $86.00 | $5.19 – $11.31 | 9 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.54 – $8.65 | 8 |
| Aluminum - quest CPT 82108 | $201.85 | $367.00 | $24.97 – $54.43 | 9 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $317.63 – $3,886.00 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $50.31 – $114.27 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | $574.20 | $1,044.00 | $28.31 – $40.59 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $6.20 – $159.92 | 6 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.64 – $6.59 | 3 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.59 – $29.63 | 9 |
| Amino acid single qual CPT 82127 | not published | not published | $13.90 – $29.63 | 9 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.22 – $36.04 | 9 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $3.18 – $3.23 | 2 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.72 – $3.33 | 8 |
| Aminolevulinic acid delta CPT 82135 | $193.05 | $351.00 | $16.12 – $35.14 | 9 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $381.49 – $727.33 | 8 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $0.89 – $19.18 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $4.83 – $5.61 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.43 – $0.79 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | $191.95 | $349.00 | $8.36 – $40.59 | 3 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $21.56 – $29.22 | 8 |
| Ammonia CPT 82140 | $77.00 | $140.00 | $14.28 – $31.12 | 9 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $100.24 – $3,085.00 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $223.85 – $3,085.00 | 9 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.16 – $16.18 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $6,295.30 | $11,446.00 | $762.57 – $3,886.00 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | $222.75 | $405.00 | $25.09 – $40.59 | 3 |
| Amphetamines 5 or more CPT 80326 | $33.00 | $60.00 | $10.77 – $15.54 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $27.53 – $80.53 | 3 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.30 – $26.97 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $19.45 – $44.11 | 9 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $1.01 – $1.05 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $2.58 – $3.20 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $257.73 – $270.88 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $530.23 – $3,886.00 | 9 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $890.42 – $4,737.00 | 9 |
| Amputate hand at wrist CPT 25922 | not published | not published | $743.08 – $3,241.00 | 9 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $850.83 – $3,886.00 | 9 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $999.11 – $3,932.74 | 9 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $622.43 – $3,886.00 | 9 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $746.68 – $3,886.00 | 9 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $836.24 – $8,721.52 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $667.25 – $2,544.00 | 9 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $899.60 – $3,932.74 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $622.32 – $3,886.00 | 9 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $713.40 – $3,886.00 | 9 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,143.82 – $8,721.52 | 9 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $816.30 – $4,737.00 | 9 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $804.96 – $7,485.97 | 9 |
| Amputation of lower leg CPT 27882 | not published | not published | $746.14 – $4,737.00 | 9 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $667.87 – $3,932.74 | 9 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $902.26 – $3,932.74 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | $3,293.95 | $5,989.00 | $453.70 – $3,886.00 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $484.44 – $3,886.00 | 9 |
| Amylase CPT 82150 | $124.30 | $226.00 | $6.35 – $13.84 | 9 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $56.99 – $123.13 | 2 |
| Ana ds-dna CPT 86226 | not published | not published | $11.87 – $25.86 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $151.80 | $276.00 | $19.12 – $40.59 | 3 |
| Anal pressure record CPT 91122 | $737.00 | $1,340.00 | $157.66 – $537.00 | 2 |
| Anal/urinary muscle study CPT 51784 | $387.75 | $705.00 | $126.30 – $3,085.00 | 9 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $194.70 – $1,632.00 | 9 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $52.27 | $95.04 | $65.03 – $114.27 | 6 |
| Analysis gene f2 20210g>a variant CPT 81240 | $253.00 | $460.00 | $64.38 – $113.64 | 9 |
| Analysis gene f5 leiden variant CPT 81241 | $314.60 | $572.00 | $71.90 – $130.51 | 9 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $191.46 | 9 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $46.33 | $84.24 | $36.63 – $44.86 | 6 |
| Analysis tumor CPT 88358 | not published | not published | $44.88 – $204.77 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $100.10 | $182.00 | $49.02 – $114.27 | 6 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $25.30 | $46.00 | $34.39 – $59.45 | 8 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,240.30 – $3,148.00 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | $141.90 | $258.00 | $4.00 – $32.16 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | $4,273.50 | $7,770.00 | $117.97 – $4,303.42 | 9 |
| Androstanediol CPT 82154 | $213.95 | $389.00 | $28.25 – $61.59 | 9 |
| An fluoro guide for cvp CPT 77001 | $645.70 | $1,174.00 | $59.28 – $161.03 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,500.00 | $10,000.00 | $154.71 – $16,449.00 | 5 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $8,250.00 | $15,000.00 | $577.77 – $16,449.00 | 6 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $8,250.00 | $15,000.00 | $524.33 – $16,449.00 | 6 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,150.00 | $13,000.00 | $255.98 – $16,449.00 | 5 |
| Angiotensin ii CPT 82163 | not published | not published | $20.11 – $43.84 | 9 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $6,050.00 | $11,000.00 | $705.29 – $16,449.00 | 6 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $5,500.00 | $10,000.00 | $218.63 – $16,449.00 | 5 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,050.00 | $11,000.00 | $440.97 – $14,257.00 | 8 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $6,050.00 | $11,000.00 | $186.03 – $16,449.00 | 5 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,600.00 | $12,000.00 | $379.22 – $14,257.00 | 8 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.52 – $2.53 | 3 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $829.68 – $4,737.00 | 9 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $762.89 – $7,485.97 | 9 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $612.36 – $3,886.00 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $590.26 – $3,886.00 | 9 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $619.44 – $3,886.00 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $691.87 – $3,886.00 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,279.74 – $7,485.97 | 9 |
| Ankle X-ray CPT 73610 | $304.70 | $554.00 | $25.54 – $104.60 | 9 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $186.52 | $339.12 | $57.57 – $1,632.00 | 9 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $11.49 – $45.03 | 6 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $108.28 – $108.28 | 1 |
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.