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 |
|---|---|---|---|---|
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $18.55 – $44.86 | 6 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $45.52 – $114.27 | 6 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $106.28 – $369.16 | 6 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $24.50 – $114.27 | 6 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $14,595.54 – $25,005.68 | 6 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $12,945.62 – $22,178.96 | 6 |
| Interstitial brachy inter CPT 77799 | not published | not published | $100.15 – $205.69 | 7 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,705.42 – $15,431.29 | 9 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,323.59 – $3,148.00 | 6 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $2,061.00 – $3,148.00 | 5 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $272.58 – $3,336.17 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $274.83 – $3,336.17 | 9 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,128.90 – $1,934.09 | 6 |
| Intra-atrial pacing CPT 93610 | $2,044.35 | $3,717.00 | $71.38 – $9,374.71 | 8 |
| Intra-atrial recording CPT 93602 | $2,747.80 | $4,996.00 | $58.10 – $9,374.71 | 8 |
| Intracard echo interv w/s&i CPT 93662 | $7,513.00 | $13,660.00 | $264.46 – $8,484.00 | 3 |
| Intracran angioplsty w/stent CPT 61635 | $17,686.35 | $32,157.00 | $1,737.45 – $3,148.00 | 6 |
| Intracranial angioplasty CPT 61630 | $13,692.80 | $24,896.00 | $1,645.35 – $16,449.00 | 6 |
| Intracranial complete study CPT 93886 | $1,509.20 | $2,744.00 | $217.32 – $385.83 | 7 |
| Intracranial limited study CPT 93888 | $558.25 | $1,015.00 | $102.62 – $230.36 | 7 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,061.00 – $5,301.90 | 6 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,061.00 – $3,619.47 | 6 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,061.00 – $5,739.49 | 6 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,061.00 – $4,666.15 | 6 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $84.13 – $3,085.00 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $747.08 – $6,107.27 | 9 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $208.81 – $3,085.00 | 3 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,756.56 – $9,640.00 | 5 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $415.18 – $537.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $2,615.25 | $4,755.00 | $139.05 – $3,085.00 | 9 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $12.65 – $104.60 | 6 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $68.36 – $263.20 | 6 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $426.30 – $3,085.00 | 9 |
| Intraventricular pacing CPT 93612 | not published | not published | $84.68 – $9,374.71 | 8 |
| Intrinsic factor antibody CPT 86340 | $59.95 | $109.00 | $14.78 – $32.20 | 9 |
| Intrm oph exam est patient CPT 92012 | $34.06 | $61.92 | $62.77 – $160.02 | 6 |
| Intro cath dialysis circuit CPT 36901 | $3,080.00 | $5,600.00 | $180.26 – $2,544.00 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,700.00 | $14,000.00 | $268.54 – $14,257.00 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $25,300.00 | $46,000.00 | $367.57 – $13,875.39 | 8 |
| Intro catheter aorta CPT 36200 | $1,591.70 | $2,894.00 | $193.02 – $3,085.00 | 4 |
| Intro cath svc/ivc CPT 36010 | $1,675.85 | $3,047.00 | $153.26 – $3,085.00 | 4 |
| Intro long gi tube CPT 44500 | $2,339.70 | $4,254.00 | $30.29 – $3,085.00 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $361.35 | $657.00 | $136.40 – $290.96 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $184.00 – $2,544.00 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,381.75 | $9,785.00 | $115.38 – $1,632.00 | 4 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $4,602.40 | $8,368.00 | $92.33 – $1,632.00 | 4 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,378.30 | $2,506.00 | $135.83 – $3,085.00 | 9 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $55.94 – $55.94 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $21.25 – $70.91 | 6 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $211.27 | $384.12 | $0.02 – $0.02 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $475.58 | 7 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $688.84 – $688.84 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $36.63 – $44.86 | 6 |
| Ionm in operatng room 15 min CPT 95940 | $234.30 | $426.00 | $39.58 – $39.58 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.28 – $0.83 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.15 – $0.28 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $383.11 – $817.36 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,229.64 – $12,924.73 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,229.64 – $12,924.73 | 7 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.02 – $0.02 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $180.05 – $244.81 | 8 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $138.56 – $138.56 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $199.88 – $199.88 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $241.76 – $241.76 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $90.89 – $90.89 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.72 – $0.84 | 2 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.77 – $36.88 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.22 – $122.43 | 8 |
| Iron CPT 83540 | $36.30 | $66.00 | $6.34 – $13.82 | 9 |
| Iron binding capacity CPT 83550 | not published | not published | $8.57 – $18.67 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $12.05 – $33.59 | 9 |
| Iron stain peripheral blood CPT 85536 | $213.40 | $388.00 | $6.74 – $13.81 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.23 – $0.77 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $98.45 | $179.00 | $32.41 – $51.36 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $187.00 | $340.00 | $28.91 – $70.91 | 6 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $231.32 – $3,085.00 | 9 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.05 – $3.05 | 1 |
| Irrigation tray HCPCS A4320 | not published | not published | $4.99 – $4.99 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $34.99 – $3,085.00 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $79.35 – $151.92 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,034.60 – $2,544.00 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $196.89 – $765.28 | 6 |
| Ivc venogram s&i CPT 75825 | $5,865.20 | $10,664.00 | $92.20 – $3,795.09 | 9 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $177.10 | $322.00 | $35.37 – $86.54 | 6 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $207.90 | $378.00 | $24.22 – $24.22 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $138.60 | $252.00 | $22.18 – $56.28 | 6 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $427.90 | $778.00 | $81.18 – $255.66 | 6 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $52.70 – $653.21 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $136.52 – $3,085.00 | 9 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $128.83 – $274.13 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $729.85 | $1,327.00 | $97.56 – $226.76 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $136.43 – $258.24 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | $447.15 | $813.00 | $181.50 – $312.71 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $630.68 – $3,886.00 | 9 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $782.53 – $3,886.00 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $312.17 – $2,544.00 | 9 |
| John cunningham antibody CPT 86711 | not published | not published | $16.55 – $30.74 | 9 |
| J-tube placement CPT 44015 | not published | not published | $177.31 – $3,148.00 | 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.