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 |
|---|---|---|---|---|
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $21.19 – $25.95 | 6 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $21.19 – $25.95 | 6 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.48 – $7.93 | 6 |
| Ghs ot group caregiver training CPT 97552 | $36.85 | $67.00 | $9.10 – $11.15 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $118.25 | $215.00 | $36.44 – $44.62 | 6 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $34.63 – $70.39 | 6 |
| Ghs ot work hardening-additional hours CPT 97546 | $69.30 | $126.00 | $78.34 – $78.34 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $658.35 | $1,197.00 | $13.67 – $3,085.00 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $450.45 | $819.00 | $74.97 – $3,886.00 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,646.70 | $2,994.00 | $64.75 – $3,886.00 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $44.00 | $80.00 | $21.98 – $56.14 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,687.95 | $3,069.00 | $166.97 – $1,632.00 | 9 |
| Ghs phenylketonurid CPT 84030 | $6.05 | $11.00 | $5.39 – $11.75 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $1,549.35 | $2,817.00 | $122.39 – $2,020.00 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $1,113.75 | $2,025.00 | $242.12 – $3,085.00 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.22 – $9.20 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $842.92 – $1,032.15 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $1.68 – $159.92 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | $20.00 | $36.36 | $9.08 – $34.76 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $139.15 | $253.00 | $9.47 – $20.64 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.50 – $11.05 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $140.80 | $256.00 | $14.06 – $30.64 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $22.46 – $70.91 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.00 – $26.16 | 9 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $184.25 | $335.00 | $196.04 – $196.04 | 1 |
| Ghs quinidine CPT 80194 | $159.50 | $290.00 | $14.31 – $31.19 | 9 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $104.61 – $537.00 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | $813.45 | $1,479.00 | $130.60 – $3,085.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,977.80 | $3,596.00 | $163.73 – $3,085.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $6,489.45 | $11,799.00 | $664.55 – $2,544.00 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $6,392.65 | $11,623.00 | $591.36 – $3,886.00 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.57 – $27.52 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.22 – $9.20 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.63 – $25.60 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.18 – $7.58 | 9 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.06 – $25.74 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.64 – $19.08 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $77.00 | $140.00 | $7.33 – $14.72 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,549.35 | $2,817.00 | $121.55 – $2,187.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,549.35 | $2,817.00 | $163.59 – $2,187.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,646.70 | $2,994.00 | $147.66 – $2,187.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,646.70 | $2,994.00 | $189.64 – $2,187.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,355.75 | $2,465.00 | $96.73 – $3,085.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,258.95 | $2,289.00 | $89.84 – $3,085.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,453.10 | $2,642.00 | $120.75 – $3,085.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,742.95 | $3,169.00 | $183.98 – $2,187.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $196.94 – $2,187.00 | 9 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $148.16 – $259.53 | 6 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,760.55 | $3,201.00 | $135.44 – $259.53 | 6 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $3,017.85 | $5,487.00 | $342.86 – $1,032.15 | 6 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $42.90 | $78.00 | $45.66 – $55.91 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $341.55 | $621.00 | $105.54 – $3,085.00 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $1.68 – $159.92 | 6 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $114.84 | $208.80 | $98.04 – $120.05 | 6 |
| Ghs st - eval for alt comm CPT 92567 | $34.98 | $63.60 | $13.18 – $44.89 | 6 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $22.63 – $3,085.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $258.50 | $470.00 | $68.34 – $83.68 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $18.07 – $56.28 | 6 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $208.79 – $255.66 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,007.40 | $5,468.00 | $229.03 – $1,632.00 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $755.15 | $1,373.00 | $168.38 – $1,632.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,969.45 | $5,399.00 | $276.02 – $2,544.00 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.15 – $15.59 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $1,113.75 | $2,025.00 | $242.12 – $3,085.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $242.12 – $3,085.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.81 – $51.92 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $145.75 | $265.00 | $14.42 – $31.42 | 9 |
| Ghs vaginal delivery only CPT 59409 | $2,795.65 | $5,083.00 | $1,016.15 – $3,890.82 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $898.70 | $1,634.00 | $366.28 – $448.51 | 6 |
| Ghs windowing of cast CPT 29730 | not published | not published | $54.45 – $3,085.00 | 9 |
| Giardia ag if CPT 87269 | $82.50 | $150.00 | $13.34 – $25.60 | 9 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.43 – $31.43 | 9 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $79.76 – $292.27 | 9 |
| Gi inhouse confirmation CPT 87045 | $66.00 | $120.00 | $9.25 – $20.17 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $323.37 – $3,984.97 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $77.08 – $565.77 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,526.70 | $4,594.00 | $816.84 – $3,629.00 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $912.83 – $1,117.75 | 6 |
| Gi trc img intral esophagus CPT 91111 | $2,526.70 | $4,594.00 | $792.96 – $3,629.00 | 7 |
| Gi wireless capsule measure CPT 91112 | $2,580.60 | $4,692.00 | $890.28 – $3,629.00 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $99.10 – $174.94 | 9 |
| Gjb2 gene known fam variants CPT 81253 | $894.30 | $1,626.00 | $60.29 – $106.43 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.30 – $60.55 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $1.23 – $10.46 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $28.39 – $34.76 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $36.66 – $44.89 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,036.65 – $4,264.30 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,041.56 – $4,264.30 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,175.59 – $3,241.00 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,429.04 – $3,241.00 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $92.40 – $158.33 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $98.32 – $338.44 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $111.91 – $276.37 | 8 |
| Glucagon plasma - sendout CPT 82943 | $132.00 | $240.00 | $14.00 – $30.52 | 9 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $45.15 – $98.40 | 9 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $49.49 – $107.85 | 9 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.41 – $32.20 | 9 |
| Glucose 1 hr post dose CPT 82950 | $41.80 | $76.00 | $4.66 – $10.14 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.93 – $12.92 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $22.00 | $40.00 | $3.21 – $5.72 | 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.