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 |
|---|---|---|---|---|
| Incision of urethra CPT 53000 | not published | not published | $180.63 – $3,241.00 | 9 |
| Incision of urethra CPT 53010 | not published | not published | $357.00 – $5,531.57 | 9 |
| Incision of urethra CPT 53020 | not published | not published | $118.40 – $3,241.00 | 9 |
| Incision of urethra CPT 53025 | not published | not published | $83.21 – $3,241.00 | 9 |
| Incision of vagus nerve CPT 64760 | not published | not published | $630.44 – $3,148.00 | 6 |
| Incision of windpipe CPT 31601 | not published | not published | $337.29 – $7,115.26 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $867.46 – $7,115.26 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $547.40 – $3,886.00 | 9 |
| Incision secondary cataract CPT 66820 | not published | not published | $465.81 – $3,085.00 | 9 |
| Incision tendon sheath CPT 26055 | $2,263.25 | $4,115.00 | $371.97 – $2,544.00 | 9 |
| Incisn of toe tndn CPT 28010 | not published | not published | $254.26 – $3,241.00 | 9 |
| Incisn windpipe CPT 31600 | $2,852.85 | $5,187.00 | $490.78 – $3,984.97 | 9 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $537.00 – $3,085.00 | 4 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,628.00 – $8,721.52 | 9 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,628.00 – $8,721.52 | 9 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.18 – $10.33 | 8 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $112.26 – $3,085.00 | 4 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $9.11 – $11.16 | 6 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $602.34 – $3,148.00 | 6 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $630.73 – $3,148.00 | 6 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $511.79 – $3,148.00 | 6 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $489.81 – $3,148.00 | 6 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $611.01 – $3,148.00 | 6 |
| Induced abortion d&c CPT 59840 | not published | not published | $256.38 – $3,886.00 | 9 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $445.49 – $3,886.00 | 9 |
| Induction of vomiting CPT 99175 | not published | not published | $19.79 – $19.79 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $68.80 – $72.31 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $785.40 | $1,428.00 | $127.74 – $278.39 | 9 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $14.70 – $25.95 | 9 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $13.85 – $25.60 | 9 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $3,135.00 | $5,700.00 | $252.30 – $549.86 | 9 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $407.55 | $741.00 | $252.30 – $549.86 | 9 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $622.60 | $1,132.00 | $126.16 – $274.93 | 9 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $622.60 | $1,132.00 | $252.30 – $549.86 | 9 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.11 – $56.69 | 9 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $19.57 – $61.05 | 9 |
| Infect ag ia optc obs influenza CPT 87804 | $77.00 | $140.00 | $16.22 – $28.63 | 9 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.74 – $25.60 | 9 |
| Infect ag if hep delta agent CPT 87380 | $234.30 | $426.00 | $17.99 – $35.05 | 9 |
| Infect ag if influenza a CPT 87276 | $162.25 | $295.00 | $15.75 – $27.80 | 9 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.00 – $25.60 | 9 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.29 – $26.99 | 9 |
| Infect ag if nos ea CPT 87299 | $78.10 | $142.00 | $15.78 – $27.85 | 9 |
| Infect ag if pneumocystis carinii CPT 87281 | $31.90 | $58.00 | $11.74 – $25.60 | 9 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.15 – $25.60 | 9 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $52.40 – $92.50 | 9 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $34.39 – $74.96 | 9 |
| Infect ag na herpes simplex quant CPT 87530 | $352.00 | $640.00 | $41.98 – $91.48 | 9 |
| Infect ag na hpv high-risk types CPT 87624 | $77.00 | $140.00 | $34.39 – $74.96 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $187.00 | $340.00 | $93.88 – $181.75 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $50.28 – $109.60 | 9 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $63.80 | $116.00 | $50.28 – $86.32 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $770.00 | $1,400.00 | $408.44 – $890.17 | 9 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,108.25 | $2,015.00 | $478.89 – $1,043.67 | 9 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $59.40 | $108.00 | $25.55 – $55.67 | 9 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $40.55 – $42.62 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $99.00 | $180.00 | $11.74 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.15 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $47.85 | $87.00 | $13.54 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $80.85 | $147.00 | $11.74 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $83.60 | $152.00 | $12.19 – $30.72 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $58.30 | $106.00 | $10.12 – $22.06 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $110.00 | $200.00 | $10.12 – $22.06 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $126.50 | $230.00 | $23.60 – $51.43 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $412.50 | $750.00 | $11.74 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $66.00 | $120.00 | $11.74 – $25.60 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.74 – $25.60 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $660.00 | $1,200.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $143.00 | $260.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $198.00 | $360.00 | $36.52 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $945.45 | $1,719.00 | $408.44 – $890.17 | 9 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $126.50 | $230.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $74.25 | $135.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $137.50 | $250.00 | $40.85 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $187.00 | $340.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $104.50 | $190.00 | $50.28 – $52.85 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $212.85 | $387.00 | $139.78 – $146.91 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $212.85 | $387.00 | $139.78 – $146.91 | 7 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $49.50 | $90.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $132.00 | $240.00 | $34.39 – $74.96 | 9 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $68.78 – $72.29 | 6 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $200.20 | $364.00 | $75.23 – $79.07 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $666.17 – $700.16 | 6 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,595.00 | $2,900.00 | $408.44 – $890.17 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $125.72 – $274.00 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $616.00 | $1,120.00 | $257.73 – $455.84 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $232.10 | $422.00 | $41.98 – $91.48 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $187.00 | $340.00 | $41.98 – $91.48 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $220.00 | $400.00 | $41.98 – $91.48 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $146.85 | $267.00 | $83.40 – $181.75 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $218.90 | $398.00 | $139.78 – $274.00 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.53 – $84.78 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.83 – $37.85 | 8 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $11.55 – $37.08 | 8 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $28.64 – $50.55 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $83.49 – $182.09 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $62.07 | 3 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $5,290.45 | $9,619.00 | $253.72 – $2,187.00 | 4 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,061.00 – $3,852.05 | 6 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,061.00 – $3,747.94 | 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.