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 |
|---|---|---|---|---|
| Glucose blood quantitative CPT 82947 | $49.50 | $90.00 | $3.85 – $8.39 | 9 |
| Glucose body fluid CPT 82945 | $44.00 | $80.00 | $3.85 – $8.39 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $56.63 | $102.96 | $57.91 – $70.91 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $88.00 | $160.00 | $12.61 – $27.49 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $21.45 | $39.00 | $3.84 – $8.37 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.58 – $0.92 | 3 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.02 – $0.02 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.54 – $20.48 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $204.60 | $372.00 | $18.21 – $39.69 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $145.44 – $316.97 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $253.55 | $461.00 | $18.15 – $39.55 | 9 |
| Gonioscopy CPT 92020 | $35.80 | $65.09 | $25.03 – $159.92 | 6 |
| Goniotomy CPT 65820 | not published | not published | $889.10 – $4,264.30 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $528.08 – $1,360.95 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $35.60 – $149.57 | 7 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $122.15 – $2,295.16 | 7 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $15,958.26 | $29,015.02 | $86.04 – $149.57 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,059.49 – $3,886.00 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $16,443.74 | $29,897.71 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,444.83 | $6,263.33 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,604.93 | $4,736.23 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $52.36 – $149.57 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $122.15 – $187.41 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,343.90 – $7,960.00 | 6 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $122.15 – $257.36 | 7 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $47.34 – $149.57 | 7 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $122.15 – $197.93 | 7 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $4,671.57 | $8,493.77 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,351.58 | $2,457.42 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $6.45 – $6.45 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.19 – $11.93 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | $6,050.00 | $11,000.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,298.00 – $8,721.52 | 9 |
| Great toe with reduction 28495 CPT 28495 | $378.95 | $689.00 | $182.83 – $3,085.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $719.16 – $4,353.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $607.03 – $4,353.00 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $537.00 – $3,085.00 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $581.32 – $4,353.00 | 9 |
| Ground mileage HCPCS A0425 | not published | not published | $6.70 – $11.30 | 6 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $14.05 – $45.03 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.60 – $14.21 | 6 |
| Group train without patient HCPCS G0543 | not published | not published | $25.55 – $34.76 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.43 – $33.61 | 9 |
| Growth hormone panel CPT 80428 | not published | not published | $65.37 – $142.47 | 9 |
| Growth hormone panel CPT 80430 | not published | not published | $126.74 – $223.74 | 9 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $35.89 – $130.79 | 9 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $6.02 – $45.03 | 6 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $5.26 – $45.03 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,583.14 – $9,982.00 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,993.16 – $37,491.00 | 6 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,061.00 – $37,491.00 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,404.36 – $37,491.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $859.73 – $3,241.00 | 9 |
| G-tube reposition CPT 43761 | $1,355.75 | $2,465.00 | $127.60 – $1,632.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,262.80 | $2,296.00 | $75.75 – $2,512.51 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $3,341.80 | $6,076.00 | $190.66 – $2,020.00 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $477.33 – $477.33 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,769.72 | $8,672.22 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $284.97 | $518.13 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $959.75 | $1,745.00 | $44.75 – $173.78 | 3 |
| Gum graft CPT 41870 | not published | not published | $373.30 – $3,085.00 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $416.00 | $756.36 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $500.67 – $4,039.41 | 9 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $10.57 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $92.37 – $3,085.00 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $261.98 – $2,496.00 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $399.03 – $2,496.00 | 9 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $37.04 – $63.47 | 6 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $1,771.19 – $3,034.45 | 6 |
| Halo cervical into jckt vest HCPCS L0810 | $8,539.42 | $15,526.22 | $2,215.07 – $3,794.95 | 6 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $2,607.87 – $4,467.91 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.45 – $8.71 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.81 – $8.15 | 3 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $184.60 – $316.27 | 6 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $23.74 – $23.74 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $6.77 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $82.33 – $141.02 | 6 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $3,085.00 – $3,085.00 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,345.31 – $2,304.83 | 6 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,635.34 – $2,801.74 | 6 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $710.12 – $1,216.61 | 6 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,694.06 – $2,902.32 | 6 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $926.09 – $3,886.00 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $736.13 – $7,485.97 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $846.29 – $3,886.00 | 9 |
| Hand X-ray CPT 73130 | $253.00 | $460.00 | $24.73 – $104.60 | 9 |
| Haptoglobin quantitative CPT 83010 | $127.60 | $232.00 | $12.33 – $26.87 | 9 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $144.70 – $247.91 | 6 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $111.60 – $191.20 | 6 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $102.98 – $176.42 | 6 |
| Harvest allogeneic stem cell CPT 38205 | $87,287.20 | $158,704.00 | $100.32 – $3,148.00 | 6 |
| Harvest auto stem cells CPT 38206 | $6,586.80 | $11,976.00 | $101.14 – $3,085.00 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $156.04 – $2,544.00 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $491.16 – $3,241.00 | 9 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $3,597.00 | $6,540.00 | $438.55 – $3,085.00 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $57.96 – $3,085.00 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $406.28 – $3,085.00 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | $159.50 | $290.00 | $50.23 – $159.92 | 6 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $70.81 – $159.92 | 6 |
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.