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 |
|---|---|---|---|---|
| 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 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $17.15 – $17.15 | 1 |
| 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 abdomen CPT 48000 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| 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 bone lesion CPT 26992 | not published | not published | $1,165.62 – $3,932.74 | 9 |
| Drainage of bone lesion CPT 27303 | not published | not published | $775.85 – $3,932.74 | 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 |
| Drainage of salivary gland CPT 42305 | $5,031.40 | $9,148.00 | $529.46 – $3,886.00 | 9 |
| Drainage of salivary gland CPT 42320 | not published | not published | $215.98 – $1,632.00 | 9 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,797.46 – $12,496.00 | 6 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,176.00 – $12,496.00 | 6 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,006.57 – $6,107.27 | 9 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $477.41 – $3,886.00 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $201.23 – $3,241.00 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $518.12 – $3,241.00 | 9 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $791.23 – $3,241.00 | 9 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $64.07 – $2,544.00 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $267.30 | $486.00 | $39.08 – $3,085.00 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $918.50 | $1,670.00 | $280.84 – $2,544.00 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $1,312.30 | $2,386.00 | $264.25 – $4,353.00 | 9 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,330.45 | $2,419.00 | $103.95 – $2,020.00 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $622.96 – $3,886.00 | 9 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $75.51 – $75.51 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $1,058.75 | $1,925.00 | $165.52 – $3,085.00 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $417.42 – $3,886.00 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $472.47 – $3,491.29 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,299.80 | $9,636.00 | $389.08 – $3,491.29 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,418.28 – $3,148.00 | 6 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.70 – $2.70 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $486.43 – $3,890.82 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $374.62 – $3,886.00 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,352.64 – $3,148.00 | 6 |
| Drain penis lesion CPT 54015 | not published | not published | $373.46 – $3,085.00 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $829.51 – $3,241.00 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $267.51 – $3,491.29 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $311.75 – $3,491.29 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $603.30 – $3,491.29 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $173.86 – $2,544.00 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $912.86 – $3,148.00 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $969.10 | $1,762.00 | $136.28 – $2,187.00 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $697.95 | $1,269.00 | $65.43 – $3,085.00 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,065.90 | $1,938.00 | $161.02 – $2,187.00 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $58.08 – $3,085.00 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $44.40 – $149.57 | 7 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,145.04 – $3,148.00 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $690.25 | $1,255.00 | $400.54 – $3,148.00 | 6 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $77,296.90 – $132,428.28 | 6 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $108.21 – $3,886.00 | 5 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $102.75 – $3,886.00 | 5 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $956.01 – $3,148.00 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | $5,066.60 | $9,212.00 | $522.99 – $3,886.00 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $748.55 | $1,361.00 | $138.40 – $3,085.00 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,003.00 | $5,460.00 | $223.64 – $2,544.00 | 9 |
| Drng of hydrocele 55000 CPT 55000 | $190.65 | $346.63 | $104.11 – $3,085.00 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $275.54 – $2,187.00 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $358.83 – $3,886.00 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $594.47 – $3,886.00 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $510.18 – $3,886.00 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $515.58 – $2,544.00 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $272.76 – $3,886.00 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $3,874.75 | $7,045.00 | $202.41 – $2,544.00 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,356.24 – $3,148.00 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,234.16 – $3,148.00 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $844.59 – $3,764.00 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,966.36 – $3,148.00 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $187.85 – $2,544.00 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $1,162.70 | $2,114.00 | $152.80 – $1,632.00 | 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.