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 |
|---|---|---|---|---|
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $302.80 – $3,977.55 | 9 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $506.51 – $6,263.12 | 9 |
| Egfr gene com variants CPT 81235 | $1,177.55 | $2,141.00 | $318.09 – $561.52 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $105.60 | $192.00 | $34.39 – $59.45 | 8 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.18 – $33.86 | 9 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $20.14 – $20.14 | 1 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $20.14 – $20.14 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $10.24 – $10.24 | 1 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $9.90 – $34.76 | 6 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $2,986.26 – $5,116.18 | 6 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,019.33 – $3,459.60 | 6 |
| Elbow arthroscopy CPT 29830 | not published | not published | $556.63 – $4,737.00 | 9 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $589.29 – $3,886.00 | 9 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $613.65 – $4,737.00 | 9 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $704.57 – $7,485.97 | 9 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $636.91 – $3,886.00 | 9 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $712.92 – $3,886.00 | 9 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,713.24 – $4,648.43 | 6 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,433.06 – $4,168.42 | 6 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $2,800.89 – $4,798.62 | 6 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,186.52 – $3,746.03 | 6 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $535.29 – $917.10 | 6 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $642.36 – $1,100.50 | 6 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,543.18 – $4,357.08 | 6 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $71.46 | $129.93 | $43.04 – $3,085.00 | 9 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $20,505.46 – $35,130.84 | 6 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $20,598.01 – $35,289.38 | 6 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.20 – $13.72 | 6 |
| Elect analysis of infusion pump 62367 CPT 62367 | $40.95 | $74.46 | $30.67 – $3,085.00 | 9 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $43.46 – $1,632.00 | 9 |
| Electrd sq emblem s-icd HCPCS C1896 | $11,159.57 | $20,290.12 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $48.57 – $3,085.00 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $18.90 – $18.90 | 1 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $62.99 – $62.99 | 1 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $54.63 – $54.63 | 1 |
| Electrocochleography CPT 92584 | not published | not published | $85.62 – $154.66 | 6 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,084.05 | $1,971.00 | $133.09 – $1,032.15 | 7 |
| Electrocorticography durng sx CPT 95829 | $2,228.05 | $4,051.00 | $1,799.18 – $1,799.18 | 1 |
| Electrodes, pair HCPCS A4556 | not published | not published | $10.31 – $10.31 | 1 |
| Electrode stimulation brain CPT 95961 | $543.40 | $988.00 | $152.69 – $1,032.15 | 6 |
| Electroejaculation CPT 55870 | not published | not published | $174.18 – $15,798.00 | 9 |
| Electrogastrography CPT 91132 | not published | not published | $141.58 – $537.00 | 7 |
| Electrogastrography w/test CPT 91133 | not published | not published | $130.60 – $537.00 | 7 |
| Electrolyte panel CPT 80051 | $77.00 | $140.00 | $6.87 – $14.98 | 9 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $9.97 – $12.20 | 6 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,341.00 – $16,003.39 | 6 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $36.04 | $65.52 | $54.32 – $54.32 | 1 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $68.11 | $123.84 | $61.60 – $114.27 | 6 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $34,387.96 – $58,914.89 | 6 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $30,987.17 – $53,088.52 | 6 |
| Electron microscopy diagnostic CPT 88348 | $1,047.20 | $1,904.00 | $309.56 – $968.38 | 9 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $58.46 – $159.92 | 6 |
| Electrophysiologic study CPT 93624 | $14,219.15 | $25,853.00 | $104.38 – $9,374.71 | 8 |
| Electrophysiology evaluation CPT 93619 | $12,592.80 | $22,896.00 | $403.23 – $9,374.71 | 8 |
| Electrophysiology evaluation CPT 93620 | $19,373.20 | $35,224.00 | $443.56 – $9,374.71 | 8 |
| Electrophysiology evaluation CPT 93621 | $10,052.90 | $18,278.00 | $66.53 – $9,640.00 | 5 |
| Electrophysiology evaluation CPT 93622 | $18,404.10 | $33,462.00 | $66.53 – $9,640.00 | 5 |
| Electrophysiology evaluation CPT 93641 | $1,840.30 | $3,346.00 | $374.69 – $9,640.00 | 5 |
| Electrophysiology evaluation CPT 93642 | $2,518.45 | $4,579.00 | $176.62 – $8,353.00 | 8 |
| Electrophysiology evaluation CPT 93644 | $3,108.60 | $5,652.00 | $123.10 – $537.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $5,500.00 | $10,000.00 | $491.18 – $9,640.00 | 4 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $17.92 – $31.64 | 9 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $21.93 – $21.93 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $293.92 – $399.31 | 8 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.72 – $14.63 | 8 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $177.65 – $248.57 | 8 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $229.38 – $3,085.00 | 9 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $207.94 – $207.94 | 1 |
| Embolization s&i CPT 75894 | $5,108.40 | $9,288.00 | $1,254.16 – $2,675.46 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | $6,600.00 | $12,000.00 | $618.81 – $22,033.48 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $4,198.70 | $7,634.00 | $860.46 – $14,257.00 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,451.50 | $11,730.00 | $737.27 – $14,257.00 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $4,148.65 | $7,543.00 | $555.03 – $14,257.00 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $149.16 – $204.77 | 8 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $163.26 – $2,020.00 | 9 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,307.80 – $6,688.16 | 9 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,207.17 – $6,688.16 | 9 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $50.35 – $3,085.00 | 4 |
| Emb without cervical dilation 58100 CPT 58100 | $338.80 | $616.00 | $106.00 – $3,085.00 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $832.70 | $1,514.00 | $104.55 – $159.92 | 6 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $1,129.15 | $2,053.00 | $126.30 – $154.66 | 6 |
| Emg cranial nerve bilateral CPT 95868 | $1,453.10 | $2,642.00 | $79.86 – $259.53 | 6 |
| Emg needle test 1-extremity CPT 95860 | $416.35 | $757.00 | $82.33 – $159.92 | 6 |
| Emg needle test 4-extremities CPT 95864 | $1,646.70 | $2,994.00 | $126.30 – $154.66 | 6 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $338.80 | $616.00 | $71.63 – $259.53 | 7 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $184.15 – $315.50 | 6 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $217.62 – $372.83 | 6 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $76.44 – $130.97 | 6 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $948.63 – $1,625.24 | 6 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $603.45 – $1,033.85 | 6 |
| Encephalitis, california igg/igm CPT 86651 | $60.50 | $110.00 | $12.93 – $28.16 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | $60.50 | $110.00 | $12.93 – $28.16 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | $60.50 | $110.00 | $12.93 – $28.16 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $3,589.30 | $6,526.00 | $349.66 – $6,559.00 | 9 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $351.86 – $6,559.00 | 9 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $454.97 – $779.50 | 6 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $109.71 – $187.93 | 6 |
| Endo ak ultra-light material HCPCS L5950 | $2,722.12 | $4,949.30 | $716.71 – $1,227.90 | 6 |
| Endo assay seven anal CPT 81506 | not published | not published | $67.54 – $140.18 | 9 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $310.57 – $532.07 | 6 |
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.