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 |
|---|---|---|---|---|
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $462.00 | $840.00 | $114.16 – $248.81 | 9 |
| Mayo chromium CPT 82495 | $74.80 | $136.00 | $19.87 – $43.32 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $98.45 | $179.00 | $20.31 – $40.59 | 3 |
| Mayo coccidioides antibody CPT 86635 | $72.60 | $132.00 | $11.24 – $24.51 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $392.15 | $713.00 | $23.61 – $41.68 | 9 |
| Mayo cortisol free CPT 82530 | $58.85 | $107.00 | $16.38 – $35.69 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $45.65 | $83.00 | $41.29 – $43.39 | 7 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $158.40 | $288.00 | $5.76 – $25.90 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $30.80 | $56.00 | $26.50 – $38.23 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $30.80 | $56.00 | $18.21 – $26.28 | 2 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.01 – $41.43 | 9 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $149.16 – $977.23 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $114.95 | $209.00 | $12.98 – $28.29 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $24.76 – $53.98 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $77.00 | $140.00 | $28.69 – $56.28 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.45 – $18.11 | 9 |
| Mayo efpo chloride stool CPT 82438 | $110.00 | $200.00 | $4.90 – $10.43 | 9 |
| Mayo estriol CPT 82677 | $110.55 | $201.00 | $23.70 – $51.64 | 9 |
| Mayo estrone CPT 82679 | $156.75 | $285.00 | $24.45 – $53.30 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $86.35 | $157.00 | $16.01 – $34.89 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | $262.90 | $478.00 | $13.46 – $29.34 | 9 |
| Mayo factor ii CPT 85210 | $421.30 | $766.00 | $12.72 – $27.73 | 9 |
| Mayo factor v CPT 85220 | $368.50 | $670.00 | $17.30 – $37.70 | 9 |
| Mayo factor vii CPT 85230 | $348.70 | $634.00 | $17.54 – $38.23 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $270.05 | $491.00 | $22.48 – $48.99 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $851.40 | $1,548.00 | $22.48 – $48.99 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $525.25 | $955.00 | $22.48 – $48.99 | 9 |
| Mayo factor x CPT 85260 | $421.30 | $766.00 | $17.54 – $38.23 | 9 |
| Mayo factor xi CPT 85270 | $368.50 | $670.00 | $17.54 – $38.23 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $203.50 | $370.00 | $10.47 – $35.90 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $88.00 | $160.00 | $11.39 – $35.40 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $14.05 – $139.20 | 9 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $7.66 – $13.53 | 9 |
| Mayo fibrinogen antigen CPT 85385 | $347.60 | $632.00 | $13.86 – $25.02 | 9 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $268.95 | $489.00 | $21.24 – $37.49 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,208.15 | $5,833.00 | $191.15 – $191.15 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $128.15 | $233.00 | $4.66 – $10.14 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $181.50 | $330.00 | $34.39 – $74.96 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $65.45 | $119.00 | $34.39 – $74.96 | 9 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $191.40 | $348.00 | $13.51 – $26.69 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $86.35 | $157.00 | $25.29 – $55.12 | 9 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $82.50 | $150.00 | $8.71 – $18.98 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $82.50 | $150.00 | $13.25 – $28.87 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $41.80 | $76.00 | $26.63 – $58.02 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $625.35 | $1,137.00 | $16.92 – $29.88 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $14.69 – $32.01 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $198.00 | $360.00 | $20.39 – $44.46 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $93.50 | $170.00 | $20.39 – $44.46 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $34.39 – $36.14 | 7 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $176.55 | $321.00 | $15.75 – $27.80 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $326.15 | $593.00 | $11.74 – $25.60 | 9 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $346.50 | $630.00 | $34.39 – $74.96 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $473.00 | $860.00 | $34.39 – $59.45 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $154.00 | $280.00 | $34.39 – $74.96 | 9 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $34.39 – $36.14 | 7 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $232.65 | $423.00 | $41.98 – $91.48 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $283.25 | $515.00 | $70.75 – $124.89 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $897.05 | $1,631.00 | $37.80 – $65.17 | 8 |
| Mayo inhab inhibin a CPT 86336 | $125.40 | $228.00 | $15.28 – $33.29 | 9 |
| Mayo insft insulin free CPT 83527 | $21.45 | $39.00 | $12.69 – $27.65 | 9 |
| Mayo insulin antibodies CPT 86337 | $125.40 | $228.00 | $20.98 – $45.72 | 9 |
| Mayo iodine CPT 83789 | $660.00 | $1,200.00 | $23.63 – $41.71 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $442.75 | $805.00 | $26.57 – $45.73 | 8 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $234.85 | $427.00 | $26.57 – $45.73 | 8 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $97.90 | $178.00 | $12.98 – $28.30 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $96.80 | $176.00 | $12.53 – $27.33 | 9 |
| Mayo legionella antibody CPT 86713 | $153.45 | $279.00 | $14.99 – $32.68 | 9 |
| Mayo leptospira antibody igm CPT 86720 | $86.35 | $157.00 | $15.88 – $28.16 | 9 |
| Mayo lipoprotein electrophoresis CPT 83700 | $29.15 | $53.00 | $11.03 – $24.05 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $149.60 | $272.00 | $15.18 – $33.09 | 9 |
| Mayo manganese CPT 83785 | $96.25 | $175.00 | $26.12 – $52.54 | 9 |
| Mayo metanephrines plasma CPT 83835 | $147.95 | $269.00 | $16.60 – $36.19 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $101.20 | $184.00 | $21.50 – $40.59 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $55.00 | $100.00 | $11.81 – $20.58 | 8 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $10.45 | $19.00 | $18.03 – $18.95 | 7 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $221.10 | $402.00 | $14.26 – $31.07 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $589.60 | $1,072.00 | $18.27 – $32.25 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,042.80 | $1,896.00 | $134.26 – $237.01 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $181.50 – $312.71 | 8 |
| Mayo muramidase CPT 85549 | $185.90 | $338.00 | $18.38 – $40.05 | 9 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $22.00 | $40.00 | $18.03 – $18.95 | 7 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $239.80 | $436.00 | $17.69 – $38.54 | 9 |
| Mayo myoglobin CPT 83874 | $109.45 | $199.00 | $12.66 – $27.59 | 9 |
| Mayo nickel CPT 83885 | not published | not published | $24.02 – $52.35 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $175.45 | $319.00 | $28.08 – $40.59 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $507.65 | $923.00 | $22.70 – $40.59 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $119.35 | $217.00 | $23.29 – $40.59 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $273.35 | $497.00 | $20.79 – $36.69 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | $292.60 | $532.00 | $16.12 – $35.14 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $181.50 | $330.00 | $14.16 – $27.49 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.30 – $24.64 | 9 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $150.15 | $273.00 | $14.73 – $32.11 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $710.05 | $1,291.00 | $11.81 – $31.71 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $99.00 | $180.00 | $34.39 – $74.96 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $34.10 | $62.00 | $17.62 – $38.39 | 9 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $96.25 | $175.00 | $13.48 – $29.39 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $56.10 | $102.00 | $6.83 – $18.03 | 9 |
| Mayo pregnenolone CPT 84140 | $235.95 | $429.00 | $20.26 – $44.15 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $108.35 | $197.00 | $16.26 – $35.43 | 9 |
| Mayo proinsulin CPT 84206 | $160.60 | $292.00 | $26.16 – $46.17 | 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.