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 |
|---|---|---|---|---|
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.11 – $30.43 | 6 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.02 – $0.02 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $210.53 – $3,085.00 | 4 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $45.87 – $51.49 | 6 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.08 – $7.67 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | $499.95 | $909.00 | $81.07 – $1,632.00 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.11 – $12.56 | 8 |
| Inj dx for sinogram CPT 20501 | $338.80 | $616.00 | $46.94 – $3,085.00 | 4 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $537.00 – $3,085.00 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,156.65 | $2,103.00 | $58.24 – $2,020.00 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $368.50 | $670.00 | $86.50 – $3,085.00 | 4 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $50.28 – $97.34 | 8 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $469.73 – $898.08 | 8 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $18.82 – $24.33 | 7 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $822.39 – $1,007.00 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $378.40 | $688.00 | $70.61 – $3,085.00 | 9 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $162.85 – $199.41 | 7 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.02 – $0.02 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $65.32 – $132.39 | 8 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $1.01 – $1.01 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.65 – $0.80 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $88.00 | $160.00 | $65.09 – $7,906.00 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $6.33 – $38.94 | 8 |
| Injection epidural blood patch or clot CPT 62273 | $2,228.05 | $4,051.00 | $139.71 – $2,020.00 | 9 |
| Injection eye drug CPT 67028 | $768.90 | $1,398.00 | $119.55 – $3,085.00 | 9 |
| Injection for arthrography wrist (both sides) CPT 25246 | $335.50 | $610.00 | $92.97 – $3,085.00 | 4 |
| Injection for bladder x-ray CPT 51600 | $1,089.00 | $1,980.00 | $55.06 – $3,085.00 | 3 |
| Injection for hip x-ray CPT 27095 | not published | not published | $101.83 – $3,085.00 | 4 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,089.00 | $1,980.00 | $63.14 – $3,085.00 | 4 |
| Injection for spleen x-ray CPT 38200 | $2,342.45 | $4,259.00 | $166.41 – $3,085.00 | 4 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $67.19 – $3,085.00 | 4 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $60.94 – $3,085.00 | 4 |
| Injection for ureter x-ray CPT 50690 | $1,089.00 | $1,980.00 | $86.53 – $3,085.00 | 4 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $82.71 – $82.71 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.66 – $15.01 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $52.27 – $171.57 | 3 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $440.12 – $538.92 | 6 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.28 – $22.85 | 8 |
| Injection into brain canal CPT 61026 | not published | not published | $127.15 – $2,020.00 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $150.03 – $1,632.00 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $157.57 – $3,085.00 | 9 |
| Injection into spinal artery CPT 62294 | $1,026.30 | $1,866.00 | $868.18 – $2,496.00 | 9 |
| Injection into vocal cord CPT 31513 | $415.80 | $756.00 | $162.63 – $2,187.00 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $133.58 – $3,148.00 | 6 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.99 – $1.23 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $54.57 – $3,085.00 | 4 |
| Injection jugular CPT 36299 | $715.00 | $1,300.00 | $537.00 – $3,085.00 | 2 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.41 – $2.64 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.62 – $10.63 | 8 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $16.28 – $86.54 | 6 |
| Injection of sinus tract CPT 20500 | not published | not published | $103.30 – $3,085.00 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.38 – $12.05 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $210.06 – $210.06 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.64 – $2.01 | 7 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $0.02 – $0.02 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $101.28 – $3,085.00 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $470.80 | $856.00 | $48.10 – $3,085.00 | 9 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.08 – $50.08 | 8 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.67 – $68.20 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $589.05 | $1,071.00 | $692.88 – $2,979.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,450.25 | $4,455.00 | $81.05 – $3,085.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,562.45 | $4,659.00 | $55.57 – $3,085.00 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,794.00 | $5,080.00 | $137.90 – $2,020.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,258.95 | $2,289.00 | $74.15 – $3,886.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $4,068.35 | $7,397.00 | $130.79 – $2,020.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,228.05 | $4,051.00 | $63.94 – $3,886.00 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $5,424.65 | $9,863.00 | $111.59 – $2,020.00 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,487.55 | $6,341.00 | $135.01 – $2,187.00 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,948.10 | $3,542.00 | $123.05 – $2,187.00 | 9 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $155.97 – $307.62 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $571.45 | $1,039.00 | $51.11 – $3,085.00 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,113.75 | $2,025.00 | $45.90 – $3,085.00 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,336.50 | $2,430.00 | $52.28 – $3,085.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $184.80 | $336.00 | $26.15 – $56.28 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $137.50 | $250.00 | $11.86 – $11.86 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $267.30 | $486.00 | $66.27 – $255.66 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $161.15 | $293.00 | $29.57 – $86.54 | 6 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $0.02 – $0.02 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.02 – $2.89 | 2 |
| Injection treatment of eye CPT 66020 | $3,843.95 | $6,989.00 | $156.59 – $2,773.86 | 9 |
| Injection treatment of eye CPT 66030 | $2,935.90 | $5,338.00 | $132.03 – $2,773.86 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $434.16 – $3,241.00 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $603.90 – $3,241.00 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $281.06 – $2,187.00 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $72.21 – $3,085.00 | 9 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $102.81 – $3,085.00 | 5 |
| Inject/treat eye socket CPT 67500 | not published | not published | $87.47 – $3,085.00 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $97.79 – $3,085.00 | 9 |
| Inject/treat eye socket CPT 67515 | $61.04 | $110.98 | $107.13 – $3,085.00 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.14 – $34.96 | 6 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $40.34 – $45.28 | 6 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.10 – $45.33 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.14 – $42.42 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $376.57 – $518.27 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $52.02 – $104.07 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,963.50 | $3,570.00 | $125.19 – $2,020.00 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,713.25 | $3,115.00 | $107.70 – $2,020.00 | 9 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.35 – $2.42 | 7 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.56 – $31.10 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.42 – $2.96 | 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.