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 |
|---|---|---|---|---|
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $992.65 – $3,148.00 | 6 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $725.05 – $6,012.63 | 9 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $196.24 – $3,491.29 | 9 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $226.61 – $8,721.52 | 9 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $91.01 – $8,721.52 | 9 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,487.45 – $3,148.00 | 6 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,447.82 – $3,148.00 | 6 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $944.67 – $3,886.00 | 9 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $729.52 – $3,491.29 | 9 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $897.66 – $3,886.00 | 9 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $639.73 – $3,886.00 | 9 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $900.85 – $7,485.97 | 9 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,054.84 – $7,485.97 | 9 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $756.27 – $3,886.00 | 9 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $790.81 – $7,485.97 | 9 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $522.81 – $7,485.97 | 9 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $715.32 – $3,886.00 | 9 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,134.94 – $3,491.29 | 9 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,074.93 – $3,491.29 | 9 |
| Exc excessive skin leg CPT 15833 | not published | not published | $1,055.36 – $3,491.29 | 9 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $1,108.35 – $3,491.29 | 9 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $902.33 – $3,491.29 | 9 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $692.43 – $3,491.29 | 9 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $8,156.50 | $14,830.00 | $390.33 – $3,491.29 | 9 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $486.94 – $2,020.00 | 9 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $632.57 – $3,491.29 | 9 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,122.55 | $2,041.00 | $189.07 – $3,085.00 | 9 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $280.17 – $3,085.00 | 9 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $559.12 – $4,866.00 | 9 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $319.03 – $2,544.00 | 9 |
| Exc forearm les sc 3 cm/> CPT 25071 | $312.73 | $568.60 | $517.66 – $4,866.00 | 9 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $626.05 – $2,544.00 | 9 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $646.87 – $4,866.00 | 9 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $401.23 – $2,544.00 | 9 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $662.96 – $4,866.00 | 9 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $3,410.55 | $6,201.00 | $637.37 – $2,544.00 | 9 |
| Exchange biliary drg cath CPT 47536 | $4,792.70 | $8,714.00 | $181.83 – $4,353.00 | 9 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $145.99 – $3,085.00 | 9 |
| Exchange drainage catheter CPT 49423 | $2,738.45 | $4,979.00 | $90.11 – $3,085.00 | 9 |
| Exchange lens prosthesis CPT 66986 | $6,577.45 | $11,959.00 | $1,083.14 – $4,076.00 | 9 |
| Exchange nephrostomy cath CPT 50435 | $5,812.40 | $10,568.00 | $124.54 – $2,512.51 | 9 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $290.85 – $3,491.29 | 9 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $419.10 – $3,491.29 | 9 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $339.56 – $3,491.29 | 9 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $744.74 – $3,491.29 | 9 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $916.69 – $4,866.00 | 9 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $90.74 – $241.15 | 6 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $80.12 – $241.15 | 6 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $146.72 – $488.61 | 6 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $809.15 – $3,508.00 | 9 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $422.30 – $3,491.29 | 9 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $847.58 – $4,866.00 | 9 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,987.54 – $3,241.00 | 9 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $850.68 – $3,491.29 | 9 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $1,093.62 – $3,491.29 | 9 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $1,087.14 – $3,886.00 | 9 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,183.78 – $3,085.00 | 9 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $145.16 – $2,544.00 | 9 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,104.99 – $3,932.74 | 9 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $442.16 – $3,886.00 | 9 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $333.25 – $3,886.00 | 9 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Excise inferior turbinate CPT 30130 | not published | not published | $455.08 – $3,886.00 | 9 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $1,051.07 – $3,148.00 | 6 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $2,095.25 – $12,496.00 | 9 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $2,176.00 – $12,496.00 | 6 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,713.17 – $12,496.00 | 9 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $2,176.00 – $12,496.00 | 6 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,823.40 – $12,496.00 | 9 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $2,176.00 – $12,496.00 | 6 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $2,176.00 – $12,496.00 | 6 |
| Excise lesion testis CPT 54512 | not published | not published | $660.54 – $3,886.00 | 9 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $294.15 – $2,544.00 | 9 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,623.10 – $6,107.27 | 9 |
| Excise mandible lesion CPT 21040 | not published | not published | $511.54 – $3,886.00 | 9 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $509.45 – $7,115.26 | 9 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,424.59 – $6,107.27 | 9 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $335.35 – $1,632.00 | 9 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $763.85 – $6,107.27 | 9 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,300.21 – $6,107.27 | 9 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,461.38 – $6,107.27 | 9 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,028.24 – $6,107.27 | 9 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,665.32 – $3,241.00 | 6 |
| Excise pharynx lesion CPT 42808 | not published | not published | $199.40 – $3,886.00 | 9 |
| Excise/repair mouth lesion CPT 40812 | $4,323.00 | $7,860.00 | $244.82 – $3,085.00 | 9 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Excise sublingual gland CPT 42450 | not published | not published | $440.92 – $6,107.27 | 9 |
| Excise submaxillary gland CPT 42440 | not published | not published | $506.44 – $6,107.27 | 9 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $402.47 – $3,508.00 | 9 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $650.01 – $3,932.74 | 9 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $458.94 – $3,241.00 | 9 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $200.37 – $3,886.00 | 5 |
| Excision aural polyp CPT 69540 | not published | not published | $153.16 – $3,085.00 | 9 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $1,258.95 | $2,289.00 | $158.35 – $3,085.00 | 9 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,522.75 | $6,405.00 | $163.23 – $3,085.00 | 9 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,188.55 | $2,161.00 | $137.62 – $3,085.00 | 9 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,549.35 | $2,817.00 | $299.86 – $2,544.00 | 9 |
| Excision breast lesion CPT 19125 | not published | not published | $559.70 – $4,039.41 | 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.