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 |
|---|---|---|---|---|
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $372.10 – $894.70 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $435.07 – $958.20 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $542.37 – $1,732.50 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $542.37 – $2,348.97 | 8 |
| Hypnotherapy CPT 90880 | not published | not published | $99.72 – $122.10 | 6 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $282.34 – $282.34 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.69 – $33.67 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,376.15 – $3,148.00 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,195.32 – $3,764.00 | 6 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,271.19 – $3,764.00 | 6 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,097.63 – $3,656.00 | 6 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $350.95 – $3,148.00 | 5 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $64.22 – $292.27 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $414.67 – $6,559.00 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $323.79 – $3,886.00 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $230.37 – $3,886.00 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $413.86 – $5,160.84 | 9 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $352.44 – $3,886.00 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $663.10 – $5,160.84 | 9 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $468.00 – $5,160.84 | 9 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,031.99 – $6,012.63 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $463.35 – $463.35 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $2,781.00 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $12,273.97 | $22,316.31 | $1,359.99 – $1,665.29 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $231.28 | $420.50 | $228.42 – $228.42 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $80.63 – $779.57 | 6 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $0.02 – $1,143.61 | 6 |
| I131 iodide cap, rx HCPCS A9517 | $618.66 | $1,124.83 | $0.02 – $28.88 | 8 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.35 – $24.92 | 7 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $838.50 – $838.50 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.15 – $25.60 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $34.39 – $74.96 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.73 – $31.30 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $44.37 – $46.64 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $53.08 – $66.22 | 2 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,399.59 – $4,130.94 | 8 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.19 – $5.75 | 7 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $172.37 – $529.34 | 8 |
| Icatibant injection HCPCS J1744 | not published | not published | $135.06 – $150.35 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $29,105.58 | $52,919.24 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $26,063.83 | $47,388.79 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $10,857.79 | $19,741.43 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,238.25 | $14,978.63 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $211.95 – $3,085.00 | 7 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $15.67 – $44.89 | 6 |
| Icut allergy test drug/bug CPT 95024 | $7.92 | $14.40 | $1.28 – $70.91 | 6 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $5.40 – $34.76 | 6 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,112.44 – $8,721.52 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $482.90 – $3,886.00 | 9 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $37.04 – $496.58 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $210.27 – $3,085.00 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,959,989.46 | $3,563,617.20 | $0.02 – $1,033,824.77 | 8 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $62.63 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $187.56 – $9,291.00 | 6 |
| Idet single level CPT 22526 | not published | not published | $411.85 – $9,291.00 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $630.18 – $3,886.00 | 9 |
| Idh1 common variants CPT 81120 | $1,475.10 | $2,682.00 | $189.38 – $334.32 | 9 |
| Idh2 common variants CPT 81121 | $1,475.10 | $2,682.00 | $289.87 – $511.72 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $10,989.00 | $19,980.00 | $530.22 – $3,336.17 | 9 |
| I&d lacrimal gland CPT 68400 | not published | not published | $158.04 – $3,085.00 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $201.82 – $3,085.00 | 9 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1,008.04 – $1,008.04 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,187.90 | $3,978.00 | $262.41 – $3,491.29 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.22 – $737.08 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $375.79 – $3,491.29 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $203.01 – $3,491.29 | 9 |
| Ifnl3 gene CPT 81283 | not published | not published | $71.90 – $130.51 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $25.46 – $66.02 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $203.16 – $349.87 | 8 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $67.18 – $118.59 | 9 |
| Igh gene rearrange amp meth CPT 81261 | $492.25 | $895.00 | $194.03 – $422.86 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,529.55 | $2,781.00 | $288.63 – $629.03 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | $495.00 | $900.00 | $169.28 – $318.93 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $492.80 | $896.00 | $52.70 – $107.50 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $225.50 | $410.00 | $88.51 – $430.83 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $245.85 | $447.00 | $62.16 – $204.77 | 9 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.02 – $12.88 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $38.52 – $68.01 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,288.31 – $3,148.00 | 6 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,298.00 – $8,721.52 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,425.05 | $2,591.00 | $16.68 – $16.68 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $7,045.50 | $12,810.00 | $236.40 – $16,449.00 | 5 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $294.79 – $341.68 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $6.39 – $6.39 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,104.86 – $3,148.00 | 6 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $55.47 – $105.79 | 8 |
| Img rta detcj/mntr ds staff CPT 92227 | $81.40 | $148.00 | $16.90 – $70.91 | 6 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $16.08 – $44.89 | 6 |
| Img rta detc/mntr ds poc aly CPT 92229 | $89.10 | $162.00 | $55.04 – $96.60 | 7 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $22.44 – $22.44 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $41.92 – $41.92 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $49.97 – $49.97 | 1 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $83.83 – $143.63 | 6 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $118.75 – $203.45 | 6 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $68.30 – $83.63 | 6 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $101.38 – $173.70 | 6 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,216.86 – $8,432.18 | 9 |
| Immune complex assay CPT 86332 | $63.80 | $116.00 | $23.88 – $52.06 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $37.93 – $84.06 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $56.74 – $146.16 | 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.