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 |
|---|---|---|---|---|
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.02 – $2.19 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $515.45 – $658.70 | 7 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $159.27 – $494.16 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $47.90 – $90.96 | 8 |
| Gammaglobulin iga CPT 82784 | $50.60 | $92.00 | $9.09 – $19.86 | 9 |
| Gammaglobulin ige CPT 82785 | $211.75 | $385.00 | $16.13 – $35.15 | 9 |
| Gamma glutamyltransferase CPT 82977 | $63.80 | $116.00 | $7.06 – $15.38 | 9 |
| Gammagraft HCPCS Q4111 | not published | not published | $8.38 – $149.57 | 7 |
| Gammaplex injection HCPCS J1557 | not published | not published | $56.77 – $118.13 | 8 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.03 – $90.83 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $39.94 – $75.07 | 3 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $0.02 – $21,573.00 | 2 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $34.39 – $74.96 | 9 |
| Gardner vag dna quant CPT 87512 | not published | not published | $40.92 – $89.18 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.58 – $11.63 | 9 |
| Gastric emptying imag study CPT 78265 | $1,035.10 | $1,882.00 | $380.23 – $845.18 | 9 |
| Gastric emptying imag study CPT 78266 | $1,236.40 | $2,248.00 | $503.65 – $1,080.10 | 9 |
| Gastric motility studies CPT 91020 | $777.70 | $1,414.00 | $184.82 – $537.00 | 7 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $261.39 – $480.50 | 9 |
| Gastrin test CPT 82938 | not published | not published | $17.34 – $37.78 | 9 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,258.84 – $3,148.00 | 6 |
| Gastroesophageal reflux study CPT 78262 | $1,522.95 | $2,769.00 | $252.34 – $533.56 | 9 |
| Gastroesophageal reflux test CPT 91034 | $1,355.75 | $2,465.00 | $160.10 – $537.00 | 7 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,061.00 – $3,189.13 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,656.12 – $3,148.00 | 6 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,618.31 – $3,148.00 | 6 |
| Gastro/jejuno tube, std HCPCS B4087 | $322.05 | $585.54 | $32.89 – $32.89 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,061.00 – $9,982.00 | 6 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $729.94 – $3,085.00 | 9 |
| Gated heart multiple CPT 78473 | $2,371.60 | $4,312.00 | $261.80 – $560.62 | 9 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.42 – $2.42 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.58 – $2.58 | 1 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.12 – $2.12 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.96 – $0.96 | 1 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $3.61 – $3.61 | 1 |
| Gba gene CPT 81251 | not published | not published | $46.30 – $81.74 | 9 |
| Gefitinib oral HCPCS J8565 | not published | not published | $301.45 – $301.45 | 1 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $54.19 – $92.84 | 6 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.86 – $3.16 | 6 |
| Gel-one HCPCS J7326 | not published | not published | $522.92 – $981.77 | 8 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.57 – $1.29 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.16 – $189.00 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $233.12 – $438.92 | 8 |
| General health panel CPT 80050 | $275.00 | $500.00 | $45.36 – $78.84 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | $62,271.20 | $113,220.37 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $48,427.20 | $88,049.45 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $84,554.66 | $153,735.75 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,399.59 – $4,236.01 | 9 |
| Genioplasty augmentation CPT 21120 | not published | not published | $580.30 – $6,107.27 | 9 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $938.70 – $4,866.00 | 9 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $811.22 – $4,866.00 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $776.69 – $6,107.27 | 9 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,290.90 – $4,044.13 | 9 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,930.58 – $8,703.98 | 9 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,655.75 – $4,688.21 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $1.82 – $4.10 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $92.40 | $168.00 | $16.05 – $34.98 | 9 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.73 – $10.71 | 8 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,162.70 | $2,114.00 | $465.84 – $1,032.15 | 7 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $537.00 – $3,085.00 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $3,390.75 | $6,165.00 | $118.72 – $2,020.00 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,144.70 | $9,354.00 | $217.06 – $3,491.29 | 9 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $59.95 | $109.00 | $9.61 – $16.97 | 9 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $16.77 – $34.34 | 9 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $660.00 | $1,200.00 | $100.21 – $176.91 | 9 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $100.10 | $182.00 | $28.97 – $159.92 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | $107.25 | $195.00 | $14.10 – $30.74 | 9 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $48.29 – $1,632.00 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $645.70 | $1,174.00 | $99.62 – $3,085.00 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | $105.60 | $192.00 | $4.72 – $9.64 | 9 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,065.90 | $1,938.00 | $113.77 – $3,085.00 | 9 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $144.95 – $3,795.09 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $634.70 | $1,154.00 | $47.14 – $1,632.00 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $765.05 | $1,391.00 | $162.74 – $397.01 | 6 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $209.31 – $397.01 | 6 |
| Ghs chemo IV push, ea addtl CPT 96411 | $212.30 | $386.00 | $70.67 – $86.54 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $132.00 | $240.00 | $34.39 – $74.96 | 9 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $1,002.65 | $1,823.00 | $242.12 – $3,085.00 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $969.10 | $1,762.00 | $242.12 – $1,632.00 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,787.85 | $6,887.00 | $512.76 – $2,020.00 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $435.60 | $792.00 | $242.12 – $1,632.00 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,777.40 | $6,868.00 | $600.65 – $2,544.00 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,100.35 | $5,637.00 | $983.90 – $3,886.00 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $537.90 | $978.00 | $242.12 – $1,632.00 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,584.35 | $6,517.00 | $521.72 – $2,544.00 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,584.35 | $6,517.00 | $601.18 – $2,544.00 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $948.75 | $1,725.00 | $242.12 – $1,632.00 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $935.00 | $1,700.00 | $242.12 – $3,085.00 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $29.29 – $35.87 | 6 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $63.91 – $3,085.00 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $908.60 | $1,652.00 | $52.93 – $3,085.00 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $358.05 | $651.00 | $50.55 – $3,085.00 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $1,048.30 | $1,906.00 | $62.68 – $3,085.00 | 9 |
| Ghs cricothyroidotomy CPT 31605 | $239.80 | $436.00 | $227.77 – $3,085.00 | 9 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $49.09 – $3,085.00 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $62.22 – $3,085.00 | 9 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $14.91 – $32.47 | 9 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,162.70 | $2,114.00 | $242.12 – $1,632.00 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,418.45 | $2,579.00 | $135.23 – $2,544.00 | 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.