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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.51 – $3.61 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $3.38 – $14.16 | 3 |
| Drop lock knee HCPCS L2182 | not published | not published | $88.49 – $151.64 | 6 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $27.22 – $46.62 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,552.21 | $2,822.20 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $23.17 – $149.57 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $12.99 – $149.57 | 7 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.61 – $149.57 | 7 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $15.05 – $15.05 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $10.92 – $10.92 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $102.65 – $149.57 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,196.43 | $13,084.42 | $44.40 – $149.57 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $15,926.70 | $28,957.63 | $93.07 – $149.57 | 6 |
| Drug admin & hemodynmic meas CPT 93463 | $374.00 | $680.00 | $120.34 – $537.00 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $23.08 – $66.73 | 9 |
| Drug assay posaconazole CPT 80187 | $166.10 | $302.00 | $26.57 – $45.73 | 8 |
| Drug assay rufinamide CPT 80210 | $432.85 | $787.00 | $26.57 – $45.73 | 8 |
| Drug assay vedolizumab CPT 80280 | $312.95 | $569.00 | $37.80 – $65.17 | 8 |
| Drug assay voriconazole CPT 80285 | $166.10 | $302.00 | $26.57 – $45.73 | 8 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.27 – $31.44 | 8 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.35 – $23.29 | 9 |
| Drug screening tapentadol CPT 80372 | $101.20 | $184.00 | $20.90 – $40.59 | 3 |
| Drug screen quant tiagabine CPT 80199 | $95.70 | $174.00 | $26.57 – $46.90 | 9 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $28.31 – $40.59 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $194.77 – $343.82 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $95.86 – $197.96 | 9 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $241.98 – $427.17 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $147.48 – $270.90 | 9 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $60.90 – $124.27 | 9 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.80 – $31.07 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $729.30 | $1,326.00 | $60.90 – $124.27 | 9 |
| Drvvt confirm - quest CPT 85597 | $34.10 | $62.00 | $17.62 – $38.39 | 9 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $680.79 – $4,055.88 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,183.40 | $5,788.00 | $1,234.00 – $3,241.00 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $255.67 – $3,085.00 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $217.36 – $3,085.00 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $254.81 – $3,085.00 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $289.00 – $3,085.00 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $539.87 – $2,020.00 | 7 |
| Ductogram sgl duct CPT 77053 | $891.55 | $1,621.00 | $46.12 – $292.27 | 9 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $109.90 – $537.00 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,355.20 | $2,464.00 | $234.21 – $361.25 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | $677.60 | $1,232.00 | $102.62 – $213.21 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $352.00 | $640.00 | $102.62 – $319.35 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $172.48 – $259.53 | 7 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $952.60 | $1,732.00 | $197.58 – $286.78 | 7 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $83.88 – $157.90 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | $1,032.35 | $1,877.00 | $47.35 – $138.39 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $61.38 | $111.60 | $74.79 – $154.66 | 6 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $19.85 – $19.85 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,705.00 | $3,100.00 | $180.43 – $2,544.00 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,562.55 | $2,841.00 | $182.07 – $2,544.00 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,846.25 | $5,175.00 | $179.15 – $2,544.00 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $57.64 – $536.93 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $63.96 – $2,544.00 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $97.63 – $2,544.00 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $44.29 – $1,632.00 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $76.59 – $1,632.00 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $40.75 – $40.75 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $109.05 – $109.05 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $35.70 – $35.70 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $192.90 – $3,085.00 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $193.33 – $2,544.00 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $69.46 – $69.46 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $142.50 – $3,085.00 | 9 |
| Dynamic surface emg CPT 96002 | not published | not published | $26.39 – $259.53 | 6 |
| Ear and throat examination CPT 92502 | $1,013.10 | $1,842.00 | $116.38 – $3,085.00 | 8 |
| Ear canal biopsy 69105 CPT 69105 | $2,615.25 | $4,755.00 | $77.32 – $3,085.00 | 9 |
| Ear cartilage graft CPT 21235 | $417.09 | $758.34 | $688.58 – $6,107.27 | 9 |
| Ear irrigation 69209 CPT 69209 | $379.50 | $690.00 | $14.78 – $1,632.00 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $36.66 – $44.89 | 6 |
| Ecallantide injection HCPCS J1290 | not published | not published | $563.10 – $1,075.84 | 8 |
| Ecg 12 lead tracing only CPT 93005 | $255.20 | $464.00 | $9.90 – $100.00 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $8.55 – $8.55 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $6.62 – $70.91 | 6 |
| Ecg < 30 days transmission & analysis CPT 93271 | $1,322.20 | $2,404.00 | $93.32 – $114.27 | 6 |
| Ecg external < 48 hours recording CPT 93225 | $784.85 | $1,427.00 | $31.31 – $159.92 | 6 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,301.85 | $2,367.00 | $44.05 – $70.91 | 6 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $17.93 – $44.89 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $17.93 – $44.89 | 6 |
| Ecg record/review CPT 93268 | not published | not published | $239.00 – $239.00 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $30.70 – $30.70 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,585.00 | $4,700.00 | $189.76 – $656.76 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,056.55 | $1,921.00 | $26.37 – $145.00 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,080.00 | $5,600.00 | $769.48 – $1,718.34 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $445.50 | $810.00 | $114.43 – $286.78 | 6 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $543.40 | $988.00 | $342.45 – $1,150.05 | 7 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $362.45 | $659.00 | $23.49 – $23.49 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $41.72 – $138.39 | 9 |
| Echo exam of eye CPT 76519 | $81.18 | $147.60 | $61.75 – $138.39 | 9 |
| Echo exam of eye CPT 76529 | not published | not published | $54.76 – $116.68 | 9 |
| Echo exam of eye thickness CPT 76514 | $3.30 | $6.00 | $6.20 – $34.76 | 9 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $223.09 – $656.76 | 9 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $142.00 – $304.59 | 9 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $54.76 – $138.39 | 9 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $29.25 – $138.39 | 9 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $94.67 – $292.27 | 9 |
| Echograp trans r pros study CPT 76873 | $1,521.30 | $2,766.00 | $102.62 – $235.85 | 9 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $27.18 – $60.13 | 2 |
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.