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 |
|---|---|---|---|---|
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.11 – $88.16 | 8 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $204.42 – $204.42 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $143.00 | $260.00 | $20.39 – $44.46 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $128.15 | $233.00 | $20.39 – $44.46 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $18.85 – $44.24 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $29.70 | $54.00 | $11.74 – $25.59 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $13.77 – $30.00 | 9 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $50.31 – $51.76 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $161.15 | $293.00 | $21.89 – $47.73 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $154.00 | $280.00 | $50.03 – $150.34 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $363.55 | $661.00 | $76.98 – $291.26 | 9 |
| Immunoglobulin assay CPT 86023 | $34.10 | $62.00 | $12.21 – $26.61 | 9 |
| Immunology procedure CPT 86849 | not published | not published | $40.23 – $40.23 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $15.67 – $15.67 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $343.73 – $3,085.00 | 8 |
| Impedence cardiogram CPT 93701 | not published | not published | $28.42 – $159.92 | 6 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $2,298.00 – $21,074.55 | 9 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $456.98 – $4,793.00 | 6 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $3,209.46 | $5,835.38 | $521.39 – $521.39 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $977.37 – $1,255.86 | 6 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $876.01 – $19,784.88 | 9 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,000.85 – $3,148.00 | 6 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,544.64 – $3,148.00 | 6 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,927.64 – $3,148.00 | 6 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,006.37 – $3,148.00 | 6 |
| Implant cochlear device CPT 69930 | not published | not published | $1,495.63 – $34,016.12 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $16,910.93 | $30,747.15 | $4,082.78 – $4,082.78 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $1,016.35 – $14,394.75 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $68.74 – $3,085.00 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $301.67 – $3,886.00 | 5 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $365.09 – $3,148.00 | 6 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $638.03 – $3,148.00 | 6 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,900.53 – $3,148.00 | 6 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,027.84 – $23,317.72 | 9 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $194.43 – $11,495.51 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $187.48 – $7,659.94 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $370.44 – $6,574.78 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,242.20 – $3,148.00 | 6 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,987.04 – $3,148.00 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,053.67 – $31,834.74 | 9 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $2,176.00 – $3,886.00 | 3 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $97.61 – $1,140.77 | 6 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,833.00 – $3,928.00 | 5 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,640.64 – $3,148.00 | 6 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,068.75 – $8,721.52 | 9 |
| Implant spine infusion pump CPT 62361 | not published | not published | $535.04 – $18,594.54 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $476.32 – $18,594.54 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,600.01 – $6,559.00 | 6 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,132.35 – $3,148.00 | 6 |
| Implant ureth bulk agent HCPCS L8606 | not published | not published | $188.19 – $188.19 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,301.41 – $2,229.62 | 6 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,667.99 – $4,570.92 | 6 |
| Impl neurostim electr perc CPT 63650 | $5,705.15 | $10,373.00 | $505.18 – $7,960.00 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $262.60 – $3,886.00 | 5 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $492.94 – $9,053.72 | 9 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $735.07 – $15,431.29 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $803.33 – $15,431.29 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,313.47 – $13,245.19 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $466.94 – $3,148.00 | 6 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $112.26 – $3,148.00 | 6 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $464.88 – $4,968.11 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,061.00 – $6,559.00 | 6 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $212.80 – $212.80 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $7,231.16 – $7,231.16 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.02 – $528.86 | 7 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.93 – $1.93 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,931.03 – $3,984.97 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,924.18 – $3,984.97 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,176.00 – $3,984.97 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,733.83 – $3,984.97 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,775.86 – $7,115.26 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,931.03 – $7,115.26 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $232.49 – $3,085.00 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,176.00 – $7,115.26 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,669.35 – $3,984.97 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,549.90 – $3,984.97 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,793.53 – $3,984.97 | 9 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,038.06 – $3,085.00 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.46 – $58.61 | 8 |
| In-111 autologous plt stdy dx HCPCS A9571 | $5,424.94 | $9,863.53 | $9,051.41 – $9,051.41 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,031.39 – $1,323.83 | 7 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $0.02 – $2,076.35 | 6 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.02 – $798.02 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $772.64 – $997.75 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,080.32 | $5,600.58 | $715.29 – $894.74 | 7 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,914.61 – $2,401.13 | 7 |
| Inactivated je vacc im CPT 90738 | not published | not published | $634.42 – $634.42 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $538.66 – $3,932.74 | 9 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $706.43 – $7,485.97 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $613.65 – $3,886.00 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,219.95 – $8,721.52 | 9 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,833.34 – $8,721.52 | 9 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,835.62 – $8,721.52 | 9 |
| Incis addl spine segment CPT 22216 | not published | not published | $454.90 – $3,085.00 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,565.20 – $3,148.00 | 6 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $531.79 – $2,544.00 | 9 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $131.85 – $3,085.00 | 9 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $413.95 – $3,932.74 | 9 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $462.74 – $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.