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 |
|---|---|---|---|---|
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $168.30 | $306.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $22.16 – $204.77 | 9 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.84 – $174.40 | 9 |
| Frozen blood prep CPT 86930 | not published | not published | $129.24 – $291.26 | 9 |
| Frozen blood thaw CPT 86931 | not published | not published | $96.83 – $291.26 | 9 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.85 – $21.57 | 9 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $1.83 – $67.15 | 6 |
| Fructosamine glycated protein CPT 82985 | $66.55 | $121.00 | $16.42 – $32.20 | 9 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $40.33 – $69.08 | 6 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $171.15 – $3,886.00 | 5 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $96.70 – $3,886.00 | 5 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $269.09 – $461.00 | 6 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,457.62 – $2,573.15 | 9 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $68.13 – $120.27 | 9 |
| Ftl cgen abnor four anal CPT 81511 | $103.40 | $188.00 | $150.43 – $265.56 | 9 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $54.43 – $96.08 | 9 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $53.21 – $93.94 | 9 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $333.66 – $571.63 | 6 |
| Full field erg w/i&r CPT 92273 | not published | not published | $110.17 – $259.53 | 6 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $46.94 – $292.27 | 9 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $46.85 – $80.24 | 6 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,919.95 | $5,309.00 | $1,037.95 – $2,544.00 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $331.19 | $602.16 | $744.15 – $2,544.00 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $97.45 | $177.19 | $87.70 – $3,886.00 | 5 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,509.10 | $4,562.00 | $968.08 – $2,544.00 | 9 |
| Functional brain mapping CPT 96020 | $502.70 | $914.00 | $102.48 – $102.48 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | $78.46 | $142.66 | $63.40 – $159.92 | 6 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,460.60 – $2,502.35 | 6 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.03 – $0.04 | 2 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.62 – $0.77 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,061.00 – $4,018.94 | 6 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,704.27 – $3,148.00 | 6 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,831.76 – $3,148.00 | 6 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,726.97 – $3,148.00 | 6 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,620.62 – $3,148.00 | 6 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,823.56 – $3,148.00 | 6 |
| Fuse/graft added joint CPT 26863 | not published | not published | $281.38 – $3,886.00 | 5 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,061.00 – $3,764.97 | 6 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,620.84 – $3,148.00 | 6 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,350.04 – $3,148.00 | 6 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,671.98 – $3,148.00 | 6 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $858.96 – $3,886.00 | 9 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $957.30 – $7,485.97 | 9 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,262.88 – $13,245.19 | 9 |
| Fusion of big toe joint CPT 28750 | not published | not published | $723.09 – $7,485.97 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $401.57 – $7,485.97 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,405.02 – $3,148.00 | 6 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $127.37 – $3,886.00 | 5 |
| Fusion of finger joint CPT 26860 | not published | not published | $664.77 – $3,886.00 | 9 |
| Fusion of finger tendons CPT 26471 | not published | not published | $723.92 – $3,886.00 | 9 |
| Fusion of finger tendons CPT 26474 | $2,615.25 | $4,755.00 | $713.64 – $2,544.00 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $892.67 – $13,245.19 | 9 |
| Fusion of foot bones CPT 28735 | not published | not published | $955.96 – $13,245.19 | 9 |
| Fusion of foot bones CPT 28740 | not published | not published | $760.91 – $7,485.97 | 9 |
| Fusion of hand joint CPT 26843 | not published | not published | $880.83 – $7,485.97 | 9 |
| Fusion of knee CPT 27580 | not published | not published | $1,757.71 – $15,431.29 | 9 |
| Fusion of knuckle CPT 26850 | not published | not published | $817.55 – $7,485.97 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $826.86 – $3,886.00 | 9 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $987.08 – $3,886.00 | 9 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $977.00 – $7,485.97 | 9 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $942.48 – $7,485.97 | 9 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,061.00 – $3,283.14 | 6 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $985.55 – $3,241.00 | 9 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,299.34 – $3,886.00 | 9 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $834.24 – $3,886.00 | 9 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $779.42 – $3,886.00 | 9 |
| Fusion of thumb CPT 26841 | not published | not published | $859.35 – $7,485.97 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $835.76 – $13,245.19 | 9 |
| Fusion of toes CPT 28280 | not published | not published | $423.04 – $3,886.00 | 9 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,723.01 – $3,148.00 | 6 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,509.71 – $3,148.00 | 6 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,410.71 – $3,148.00 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $269.33 – $475.46 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $134.26 – $237.01 | 9 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $269.33 – $475.46 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $181.50 – $320.40 | 9 |
| G0180 home health certification HCPCS G0180 | not published | not published | $63.59 – $63.59 | 1 |
| G6pc gene CPT 81250 | not published | not published | $57.32 – $101.19 | 9 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $588.00 – $1,038.00 | 9 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $171.31 – $302.42 | 9 |
| G6pd known familial variant CPT 81248 | not published | not published | $367.74 – $649.18 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $0.02 – $0.02 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $48.03 | $87.32 | $48.64 – $59.56 | 7 |
| Gabapentin non-blood CPT 80355 | $34.65 | $63.00 | $15.54 – $40.59 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.51 – $0.56 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.49 – $4.82 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.21 – $0.26 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $27.32 – $31.61 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $20.65 – $45.00 | 9 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.05 – $45.88 | 9 |
| Galactose transferase test CPT 82776 | $25.30 | $46.00 | $11.51 – $20.31 | 9 |
| Galectin-3 CPT 82777 | not published | not published | $35.89 – $76.55 | 9 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $809.49 – $9,740.00 | 9 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.54 – $4.33 | 7 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $356.23 – $436.20 | 7 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $660.16 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $468.95 – $1,037.41 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $355.25 – $873.44 | 7 |
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.