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 psaft prostate specific antigen free CPT 84154 | $77.00 | $140.00 | $18.02 – $39.29 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $759.00 | $1,380.00 | $18.03 – $31.83 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.09 – $28.53 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | $107.25 | $195.00 | $35.84 – $78.09 | 9 |
| Mayo renin CPT 84244 | $198.00 | $360.00 | $21.55 – $46.97 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $99.00 | $180.00 | $17.47 – $38.08 | 9 |
| Mayo selenium CPT 84255 | $141.35 | $257.00 | $25.02 – $54.53 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.19 – $33.09 | 9 |
| Mayo serotonin CPT 84260 | $255.20 | $464.00 | $30.36 – $66.17 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $128.70 | $234.00 | $18.96 – $41.35 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $160.05 | $291.00 | $13.46 – $29.34 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $69.30 | $126.00 | $90.19 – $94.79 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $58.85 | $107.00 | $4.18 – $9.12 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $126.34 – $132.79 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $798.60 | $1,452.00 | $204.74 – $446.20 | 9 |
| Mayo tgrp testosterone free CPT 84402 | $147.95 | $269.00 | $24.96 – $54.41 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $221.65 | $403.00 | $25.29 – $55.14 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $62.15 | $113.00 | $21.73 – $37.16 | 8 |
| Mayo thyroglobulin CPT 84432 | $152.35 | $277.00 | $15.74 – $34.31 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $135.30 | $246.00 | $9.98 – $21.73 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $1,116.50 | $2,030.00 | $9.56 – $26.45 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $138.05 | $251.00 | $20.31 – $40.59 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $57.20 | $104.00 | $50.25 – $109.54 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $94.60 | $172.00 | $13.88 – $24.50 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $158.40 | $288.00 | $13.27 – $28.93 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $364.10 | $662.00 | $9.71 – $75.46 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $83.60 | $152.00 | $19.84 – $43.22 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $167.75 | $305.00 | $14.99 – $29.51 | 9 |
| Mayo vitamin k CPT 84597 | $433.40 | $788.00 | $13.45 – $29.31 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $162.25 | $295.00 | $12.98 – $28.30 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,045.60 – $3,148.00 | 6 |
| Mcoln1 gene CPT 81290 | not published | not published | $38.52 – $68.01 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $506.81 – $3,886.00 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $636.37 – $4,737.00 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $590.45 – $3,764.00 | 9 |
| Mcrscp xm hair pluck/clipped CPT 96902 | $28.38 | $51.60 | $25.13 – $25.13 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,125.00 – $4,353.00 | 9 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $11.08 – $11.08 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $10.65 – $10.65 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $37.62 – $448.51 | 6 |
| Measure kidney pressure CPT 50396 | not published | not published | $146.24 – $2,020.00 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $135.30 | $246.00 | $21.84 – $3,085.00 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $114.96 – $3,085.00 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $790.40 – $790.40 | 1 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $353.10 – $604.94 | 6 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $0.02 – $199.21 | 2 |
| #mec-opiates CPT 80356 | $33.00 | $60.00 | $26.28 – $40.59 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $147.00 – $259.50 | 9 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $517.31 – $913.22 | 9 |
| Mecp2 gene known variant CPT 81303 | $894.30 | $1,626.00 | $117.60 – $207.60 | 9 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $57.29 – $57.29 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $684.10 – $3,928.00 | 9 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $503.80 – $7,266.35 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $385.45 – $7,266.35 | 9 |
| Medical services after hrs CPT 99050 | not published | not published | $21.58 – $21.58 | 1 |
| Med physic dos eval rad exps CPT 76145 | $283.25 | $515.00 | $161.12 – $812.45 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.02 – $0.02 | 1 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $21.58 – $21.58 | 1 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $21.58 – $21.58 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.60 – $0.60 | 1 |
| Meg evoked each addl CPT 95967 | $1,468.50 | $2,670.00 | $494.16 – $494.16 | 1 |
| Meg evoked single CPT 95966 | $1,854.05 | $3,371.00 | $842.92 – $1,032.15 | 6 |
| Meg spontaneous CPT 95965 | $1,854.05 | $3,371.00 | $842.92 – $1,032.15 | 6 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $6.33 – $8.32 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $122.15 – $380.19 | 7 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $122.15 – $250.21 | 7 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $32.87 – $49.39 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $122.15 – $337.95 | 7 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $141,517.30 – $141,517.30 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $122.15 – $299.81 | 7 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $70.90 – $166.48 | 7 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $115.78 – $149.57 | 7 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $509.34 – $509.34 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $2,059.87 – $7,485.97 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $1.01 – $29.11 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.69 – $58.01 | 8 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $6.64 – $6.64 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.43 – $8.63 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $312.04 – $4,866.00 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.88 – $29.76 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $126.50 | $230.00 | $8.29 – $18.06 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $165.00 | $300.00 | $10.35 – $22.56 | 9 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.46 – $23.75 | 9 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,348.48 – $2,310.28 | 6 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $300.16 – $300.16 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.50 – $3.26 | 3 |
| Methadone injection HCPCS J1230 | not published | not published | $35.85 – $49.26 | 2 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.67 – $0.67 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.83 – $39.27 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.35 – $0.43 | 2 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $4.86 – $5.22 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $37.80 – $65.17 | 8 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.02 – $0.02 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.02 – $0.02 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $8.90 – $13.05 | 7 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $7.57 – $38.43 | 3 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $3.05 – $3.05 | 1 |
| Methylphenidate CPT 80360 | $110.00 | $200.00 | $17.92 – $40.59 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.20 – $0.49 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.12 – $0.22 | 3 |
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.