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 |
|---|---|---|---|---|
| Lipase CPT 83690 | $60.50 | $110.00 | $6.75 – $14.72 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $4,323.00 | $7,860.00 | $436.74 – $3,886.00 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.18 – $58.58 | 9 |
| Lipoprotein blood quant CPT 83704 | $51.15 | $93.00 | $33.51 – $67.38 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $44.00 | $80.00 | $8.03 – $17.51 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $38.50 | $70.00 | $10.29 – $20.38 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $33.51 – $60.65 | 9 |
| Lip surgery procedure CPT 40799 | $498.30 | $906.00 | $232.49 – $3,085.00 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.02 – $1,043,508.33 | 8 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.93 – $28.16 | 9 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $138.40 – $237.10 | 6 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $82,358.44 | $149,742.61 | $55.53 – $95.11 | 6 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $433.14 – $742.08 | 6 |
| Lithium therapeutic drug level CPT 80178 | $49.50 | $90.00 | $6.48 – $14.12 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $6,696.80 | $12,176.00 | $163.89 – $1,234.00 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $57.20 | $104.00 | $1,093.32 – $3,148.00 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $114.40 | $208.00 | $1,301.92 – $3,148.00 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,045.00 | $1,900.00 | $1,483.78 – $3,148.00 | 6 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $172.67 – $181.48 | 7 |
| Liver elastography 91200 CPT 91200 | $242.55 | $441.00 | $24.73 – $154.66 | 6 |
| Liver Function Test CPT 80076 | $135.85 | $247.00 | $8.01 – $17.46 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,790.53 – $3,148.00 | 6 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $762.45 – $762.45 | 1 |
| Liver imaging CPT 78201 | $1,876.60 | $3,412.00 | $199.66 – $652.62 | 9 |
| Liver imaging (3d) CPT 78205 | not published | not published | $455.26 – $455.26 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $212.01 – $652.62 | 9 |
| Liver/spleen imag static only CPT 78215 | $591.25 | $1,075.00 | $203.78 – $480.50 | 9 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $117.37 – $480.50 | 9 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $86.23 – $3,241.00 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $563.31 – $3,886.00 | 9 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,436.55 – $4,174.39 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.78 – $3.87 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $261.20 – $261.20 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $212.12 – $288.00 | 8 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $96.74 – $165.74 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.35 – $2.55 | 3 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $58.17 – $71.23 | 6 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $66.78 – $114.40 | 6 |
| Loudness balance test CPT 92562 | not published | not published | $53.53 – $259.53 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $1,202.21 – $12,496.00 | 9 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $537.00 – $1,642.00 | 3 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,642.00 – $4,353.00 | 3 |
| Low cost skin substitute app HCPCS C5275 | $1,162.70 | $2,114.00 | $537.00 – $1,642.00 | 3 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $537.00 – $1,642.00 | 3 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $537.00 – $1,234.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $537.00 – $1,234.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $537.00 – $1,234.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $537.00 – $1,234.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,596.10 | $2,902.00 | $172.17 – $1,007.11 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,408.00 | $2,560.00 | $191.78 – $816.45 | 8 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $880.00 | $1,600.00 | $102.62 – $551.30 | 8 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,530.00 | $4,600.00 | $301.68 – $1,205.31 | 8 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,791.90 | $3,258.00 | $263.79 – $1,058.89 | 8 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,375.00 | $2,500.00 | $169.16 – $683.90 | 8 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $308.00 | $560.00 | $26.78 – $138.39 | 9 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,105.94 – $6,107.27 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $21.87 – $241.15 | 6 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $32.25 – $32.25 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $867.06 – $12,776.39 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,002.80 – $12,776.39 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $991.31 – $12,776.39 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,095.52 – $12,776.39 | 9 |
| Lso corset front HCPCS L0972 | not published | not published | $84.24 – $144.30 | 6 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $62.61 – $76.67 | 6 |
| Lso full corset HCPCS L0976 | not published | not published | $143.40 – $245.66 | 6 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $138.70 – $237.62 | 6 |
| Lso sag-coronal panel custom HCPCS L0638 | $3,743.67 | $6,806.68 | $1,129.73 – $1,935.52 | 6 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $886.57 – $1,085.59 | 6 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $120.87 – $148.01 | 6 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $861.51 – $1,475.96 | 6 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,417.06 – $2,427.78 | 6 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $245.61 – $420.80 | 6 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $214.03 – $262.08 | 6 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $896.33 – $1,535.60 | 6 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,020.21 – $1,747.86 | 6 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.55 – $46.95 | 9 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.53 – $1.53 | 1 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $51.20 – $87.72 | 6 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $62.50 – $107.06 | 6 |
| Lumbar diskogram s&i CPT 72295 | $1,026.30 | $1,866.00 | $62.99 – $2,347.05 | 9 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $63.47 – $108.76 | 6 |
| Lumbar sling HCPCS L1090 | not published | not published | $74.52 – $127.64 | 6 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,970.66 – $21,074.55 | 9 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.64 – $273.83 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $23.07 – $70.91 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | $343.75 | $625.00 | $32.12 – $259.53 | 7 |
| Lung perfusion imaging CPT 78580 | $1,075.25 | $1,955.00 | $242.42 – $518.77 | 9 |
| Lung transplant double CPT 32853 | not published | not published | $2,061.00 – $5,736.31 | 6 |
| Lung transplant single CPT 32851 | not published | not published | $2,061.00 – $4,101.08 | 6 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,061.00 – $4,496.48 | 6 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,061.00 – $6,088.99 | 6 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,834.85 – $3,148.00 | 6 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $204.90 – $384.22 | 8 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.28 – $77.88 | 8 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $296.25 – $420.25 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $1,075.17 | $1,954.85 | $241.21 – $320.78 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $438.28 – $750.91 | 6 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $28.39 – $3,085.00 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $242.12 – $414.80 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.65 – $42.83 | 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.