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 |
|---|---|---|---|---|
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $118.09 – $118.09 | 1 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $41.25 | $75.00 | $118.95 – $118.95 | 1 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $144.08 – $144.08 | 1 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.28 – $7.69 | 6 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $97.93 – $243.00 | 6 |
| Anora (draw only) CPT 99001 | $31.35 | $57.00 | $6.63 – $9.68 | 3 |
| Anorectal myomectomy CPT 45108 | not published | not published | $451.87 – $3,336.17 | 9 |
| Anoscopy CPT 46611 | not published | not published | $100.29 – $2,544.00 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $114.44 – $3,336.17 | 9 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $93.42 – $3,085.00 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $81.49 – $3,085.00 | 9 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,942.05 | $3,531.00 | $79.34 – $3,085.00 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | $841.50 | $1,530.00 | $103.85 – $2,544.00 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $100.41 – $3,336.17 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $117.56 – $3,336.17 | 9 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $74.51 – $259.53 | 6 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $812.52 – $5,160.84 | 9 |
| Antibody CPT 86744 | not published | not published | $15.67 – $28.16 | 9 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $128.15 | $233.00 | $12.62 – $27.51 | 9 |
| Antibody elution rbc reference CPT 86860 | $203.50 | $370.00 | $34.87 – $204.77 | 9 |
| Antibody htlv/hiv confirm test CPT 86689 | $173.25 | $315.00 | $18.96 – $41.35 | 9 |
| Antibody htlv-i CPT 86687 | $77.00 | $140.00 | $8.91 – $17.92 | 9 |
| Antibody htlv-ii CPT 86688 | $80.85 | $147.00 | $13.72 – $29.91 | 9 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $532.40 | $968.00 | $17.27 – $39.24 | 9 |
| Antibody id rbc panel CPT 86870 | $491.15 | $893.00 | $48.00 – $430.83 | 9 |
| Antibody influenza virus CPT 86710 | not published | not published | $12.47 – $28.94 | 9 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $12.61 – $27.49 | 9 |
| Antibody screen rbc CPT 86850 | $181.50 | $330.00 | $6.25 – $62.63 | 9 |
| Antibody tetanus CPT 86774 | not published | not published | $14.50 – $31.61 | 9 |
| Antidepressant not specified CPT 80338 | not published | not published | $14.49 – $20.90 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $3.85 – $56.28 | 6 |
| Antigen therapy services CPT 95146 | not published | not published | $3.85 – $56.28 | 6 |
| Antigen therapy services CPT 95147 | not published | not published | $3.85 – $86.54 | 6 |
| Antigen therapy services CPT 95148 | not published | not published | $3.85 – $86.54 | 6 |
| Antigen therapy services CPT 95149 | not published | not published | $3.85 – $86.54 | 6 |
| Antigen therapy services CPT 95165 | $12.60 | $22.91 | $3.85 – $56.28 | 6 |
| Antigen therapy services CPT 95170 | not published | not published | $3.85 – $56.28 | 6 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.41 – $2.77 | 9 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.20 – $2.31 | 8 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.36 – $4.48 | 9 |
| Anti mog serum - sendout CPT 86362 | $453.75 | $825.00 | $11.81 – $20.58 | 8 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $23.65 | $43.00 | $11.81 – $20.58 | 8 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $7.15 | $13.00 | $11.81 – $20.58 | 8 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $922.12 – $12,335.00 | 5 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $957.15 – $12,335.00 | 4 |
| Antinuclear antibodies CPT 86038 | $128.15 | $233.00 | $11.85 – $25.81 | 9 |
| Antinuclear antibodies titer CPT 86039 | $682.00 | $1,240.00 | $10.94 – $23.84 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $15.75 – $34.32 | 9 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.65 – $12.32 | 9 |
| Antistreptolysin o titer CPT 86060 | $77.55 | $141.00 | $7.15 – $15.59 | 9 |
| Antithrombin iii activity CPT 85300 | $326.70 | $594.00 | $8.51 – $25.31 | 9 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.96 – $7.61 | 8 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $627.88 – $9,525.59 | 9 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $586.11 – $1,853.83 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,105.16 – $5,160.84 | 9 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $105.38 – $159.92 | 6 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $18.55 – $159.92 | 6 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $882.50 – $3,148.00 | 6 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $493.92 – $871.92 | 9 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,323.19 – $2,335.83 | 9 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $82.51 – $6,559.00 | 3 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $196.00 – $346.00 | 9 |
| Apc gene full sequence CPT 81201 | not published | not published | $764.40 – $1,349.40 | 9 |
| Apc gene known fam variants CPT 81202 | $894.30 | $1,626.00 | $274.40 – $484.40 | 9 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $13.20 – $70.91 | 6 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $86.42 – $5,235.04 | 9 |
| Apheresis plasma CPT 36514 | $3,010.15 | $5,473.00 | $113.78 – $3,085.00 | 9 |
| Apheresis platelets CPT 36513 | $5,908.65 | $10,743.00 | $119.00 – $3,085.00 | 9 |
| Apheresis rbc CPT 36512 | $4,843.30 | $8,806.00 | $115.73 – $3,085.00 | 9 |
| Apheresis wbc CPT 36511 | $6,780.40 | $12,328.00 | $112.93 – $3,085.00 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,042.80 | $1,896.00 | $203.16 – $442.78 | 9 |
| Appendectomy CPT 44950 | not published | not published | $791.67 – $7,781.13 | 9 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $103.95 – $3,085.00 | 3 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,077.70 – $3,148.00 | 6 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $738.86 – $7,290.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $277.65 – $2,544.00 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $70.41 – $3,886.00 | 5 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $30.34 – $3,886.00 | 5 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $248.99 – $3,764.00 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $56.35 – $3,886.00 | 5 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $21.37 – $3,886.00 | 5 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $159.51 – $3,085.00 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $186.24 – $3,085.00 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $171.41 – $3,085.00 | 9 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $162.56 – $3,085.00 | 9 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $69.75 – $3,085.00 | 9 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $116.54 – $3,085.00 | 9 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $169.58 – $3,085.00 | 9 |
| Appl halo type body cast CPT 29000 | not published | not published | $229.46 – $3,085.00 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $219.12 – $3,085.00 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $195.35 – $3,085.00 | 9 |
| Application clubfoot cast CPT 29450 | $255.20 | $464.00 | $137.93 – $3,085.00 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $881.10 | $1,602.00 | $34.49 – $3,085.00 | 9 |
| Application halo femoral CPT 20663 | not published | not published | $478.50 – $3,932.74 | 9 |
| Application halo pelvic CPT 20662 | not published | not published | $565.30 – $3,241.00 | 9 |
| Application long leg splint 29505 CPT 29505 | $446.05 | $811.00 | $60.48 – $3,085.00 | 9 |
| Application lower leg splint 29515 CPT 29515 | $400.95 | $729.00 | $60.12 – $3,085.00 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | $102.17 | $185.76 | $16.21 – $1,632.00 | 9 |
| Application of body cast CPT 29010 | not published | not published | $172.54 – $3,085.00 | 9 |
| Application of body cast CPT 29015 | not published | not published | $214.81 – $3,085.00 | 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.