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 |
|---|---|---|---|---|
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $549.85 – $549.85 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $340.56 – $340.56 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $775.06 – $775.06 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $18.32 – $18.32 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $21.73 – $21.73 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $9.35 – $9.35 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $18.74 – $18.74 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $521.36 – $6,559.00 | 9 |
| Establish access to aorta CPT 36160 | $522.50 | $950.00 | $154.78 – $3,085.00 | 4 |
| Establish access to artery CPT 36100 | not published | not published | $193.46 – $3,085.00 | 4 |
| Establish brain cavity shunt CPT 62223 | $1,768.25 | $3,215.00 | $1,315.36 – $3,148.00 | 6 |
| Establish brain cavity shunt CPT 62180 | $9,851.05 | $17,911.00 | $2,030.81 – $3,148.00 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $724.41 – $3,148.00 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,229.08 – $3,148.00 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,745.34 – $3,148.00 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,290.05 – $3,148.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $173.25 | $315.00 | $11.08 – $11.08 | 1 |
| Established Patient Office Visit (level 2) CPT 99212 | $195.25 | $355.00 | $30.67 – $1,632.00 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $210.10 | $382.00 | $60.90 – $2,496.00 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $308.00 | $560.00 | $94.15 – $3,085.00 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $330.55 | $601.00 | $133.78 – $3,508.00 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $220.66 – $3,886.00 | 5 |
| Estradiol total CPT 82670 | $267.30 | $486.00 | $27.38 – $59.67 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $13.45 – $16.58 | 2 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.27 – $46.33 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $2,192.36 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $491.65 – $944.13 | 8 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $263.85 – $263.85 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,071.00 – $3,886.00 | 9 |
| Ethylene glycol -sendout CPT 82693 | $206.80 | $376.00 | $14.60 – $31.83 | 9 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $2,611.45 – $2,611.45 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.61 – $1.75 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $53.53 – $143.69 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $96.17 – $208.60 | 8 |
| Euglobulin lysis CPT 85360 | $143.55 | $261.00 | $8.24 – $17.96 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $577.99 – $3,886.00 | 9 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $21.25 – $21.25 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $55.77 | $101.40 | $91.34 – $154.66 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $153.12 | $278.40 | $111.66 – $136.73 | 6 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.17 – $21.12 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $96.15 – $169.73 | 9 |
| Evaluation heart device CPT 93640 | $1,494.90 | $2,718.00 | $374.69 – $9,640.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $222.75 | $405.00 | $122.74 – $150.29 | 6 |
| Evaluation psychiatric diagnostic CPT 90791 | $259.05 | $471.00 | $152.61 – $213.34 | 6 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,450.05 | $8,091.00 | $642.65 – $16,449.00 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,050.75 | $7,365.00 | $272.93 – $16,449.00 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $161.75 – $5,554.00 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,540.59 – $6,559.00 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,814.35 | $5,117.00 | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $346.41 – $5,554.00 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,970.65 | $3,583.00 | $1,737.32 – $6,559.00 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $3,484.25 | $6,335.00 | $1,437.09 – $6,559.00 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $880.00 | $1,600.00 | $1,158.55 – $4,793.00 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $880.00 | $1,600.00 | $921.78 – $4,793.00 | 6 |
| Event monitor CPT 93270 | $173.80 | $316.00 | $10.73 – $44.86 | 6 |
| Evoked auditory tst complete CPT 92588 | $64.02 | $116.40 | $4.56 – $448.51 | 6 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.73 – $259.53 | 6 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $34.07 – $34.07 | 1 |
| Evoked potentials upper limbs CPT 95925 | $1,760.55 | $3,201.00 | $149.43 – $259.53 | 6 |
| Evoked potential visual not glaucoma CPT 95930 | $1,676.40 | $3,048.00 | $127.62 – $259.53 | 6 |
| Evok oa screening qual CPT 92558 | not published | not published | $10.70 – $10.70 | 1 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,058.49 – $1,813.44 | 6 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $581.89 – $996.91 | 6 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $112.97 – $3,085.00 | 9 |
| Exam pelvic add-on CPT 99459 | not published | not published | $25.42 – $25.42 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $131.33 – $3,886.00 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $659.35 – $3,491.29 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $848.63 – $4,866.00 | 9 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $903.55 – $8,721.52 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $536.94 – $4,866.00 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $689.65 – $3,491.29 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $814.57 – $4,866.00 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $494.23 – $4,866.00 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $434.02 | $789.12 | $399.35 – $2,544.00 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,259.39 – $6,107.27 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,907.12 – $6,107.27 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $443.13 – $2,544.00 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $905.15 – $4,866.00 | 9 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $364.72 – $3,886.00 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $275.58 – $2,020.00 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $394.72 – $3,491.29 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $218.37 – $2,544.00 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,108.80 | $2,016.00 | $96.34 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,162.70 | $2,114.00 | $122.97 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,355.75 | $2,465.00 | $175.43 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,453.10 | $2,642.00 | $215.48 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,188.55 | $2,161.00 | $132.63 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $164.34 | $298.80 | $190.54 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $334.42 – $3,491.29 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $125.53 | $228.24 | $124.83 – $3,085.00 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $158.40 | $288.00 | $178.15 – $3,085.00 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $378.86 – $4,039.41 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,737.69 – $3,148.00 | 6 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $685.38 – $5,160.84 | 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.