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 |
|---|---|---|---|---|
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $359.29 – $1,416.08 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $358.88 – $1,419.30 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | $2,634.50 | $4,790.00 | $342.45 – $1,177.77 | 8 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,419.45 | $4,399.00 | $234.21 – $1,082.56 | 8 |
| MRA spinal canal CPT 72159 | not published | not published | $374.92 – $1,131.31 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $365.87 – $1,131.31 | 3 |
| MRA w/cont, abd HCPCS C8900 | $2,150.50 | $3,910.00 | $342.45 – $1,177.77 | 8 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,558.60 | $4,652.00 | $342.45 – $2,126.68 | 8 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,666.50 | $3,030.00 | $342.45 – $2,126.68 | 8 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,908.50 | $3,470.00 | $342.45 – $1,177.77 | 8 |
| MRA without cont, abd HCPCS C8901 | $1,720.40 | $3,128.00 | $234.21 – $1,082.56 | 8 |
| MRA without cont, lwr ext HCPCS C8913 | $2,280.85 | $4,147.00 | $234.21 – $1,082.56 | 8 |
| Mra, without dye, spinal canal HCPCS C8932 | $1,612.60 | $2,932.00 | $234.21 – $1,082.56 | 8 |
| Mra, without dye, upper extr HCPCS C8935 | $1,789.15 | $3,253.00 | $234.21 – $1,082.56 | 8 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,171.85 | $5,767.00 | $342.45 – $2,126.68 | 8 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,759.90 | $5,018.00 | $342.45 – $2,126.68 | 8 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,688.40 | $4,888.00 | $342.45 – $2,126.68 | 8 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,102.65 | $3,823.00 | $342.45 – $1,177.77 | 8 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,219.80 | $4,036.00 | $342.45 – $1,177.77 | 8 |
| Mr elastography CPT 76391 | $182.05 | $331.00 | $210.57 – $818.34 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,394.22 – $13,392.82 | 9 |
| MRI brain w/dye CPT 70558 | $591.25 | $1,075.00 | $172.17 – $1,129.54 | 8 |
| MRI brain without dye CPT 70557 | $422.40 | $768.00 | $327.99 – $1,037.83 | 8 |
| MRI brain without & w/dye CPT 70559 | $645.15 | $1,173.00 | $172.17 – $1,129.54 | 8 |
| MRI breast c- unilateral CPT 77046 | $183.15 | $333.00 | $205.60 – $799.00 | 8 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $338.67 – $1,316.17 | 3 |
| MRI breast without cont bi CPT 77047 | $366.85 | $667.00 | $204.35 – $794.16 | 8 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $337.01 – $1,309.69 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $699.05 | $1,271.00 | $230.87 – $971.89 | 8 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,612.60 | $2,932.00 | $339.09 – $1,393.53 | 8 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $408.26 – $1,681.51 | 8 |
| MRI chest without contrast CPT 71550 | $1,666.50 | $3,030.00 | $234.21 – $1,037.83 | 8 |
| MRI chest without & w/contrast CPT 71552 | $2,795.65 | $5,083.00 | $342.45 – $2,040.43 | 8 |
| MRI chest w IV cont CPT 71551 | $2,221.45 | $4,039.00 | $426.36 – $1,687.95 | 8 |
| MRI compatible system HCPCS L0859 | $4,974.19 | $9,043.98 | $980.53 – $1,679.87 | 6 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $162.80 – $659.76 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | $3,026.65 | $5,503.00 | $234.21 – $1,037.83 | 8 |
| MRI guid ndl plc s&i CPT 77021 | $2,197.80 | $3,996.00 | $386.83 – $1,443.25 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $306.60 – $1,209.46 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,201.45 – $1,588.14 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | $2,035.00 | $3,700.00 | $342.45 – $1,129.68 | 8 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,485.00 | $2,700.00 | $234.21 – $1,037.83 | 8 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,207.15 | $4,013.00 | $342.45 – $1,448.23 | 8 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,720.40 | $3,128.00 | $234.21 – $926.83 | 8 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,311.65 | $4,203.00 | $342.45 – $1,351.73 | 8 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,989.35 | $3,617.00 | $342.45 – $1,094.31 | 8 |
| MRI tmj CPT 70336 | $1,774.30 | $3,226.00 | $234.21 – $1,038.02 | 8 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,666.50 | $3,030.00 | $234.21 – $1,039.60 | 8 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,204.40 | $4,008.00 | $342.45 – $1,786.08 | 8 |
| MRI upper extremity w/dye CPT 73219 | $1,989.35 | $3,617.00 | $342.45 – $1,465.94 | 8 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,881.55 | $3,421.00 | $342.45 – $2,126.68 | 8 |
| MRI w/cont, breast, uni HCPCS C8903 | $941.05 | $1,711.00 | $172.17 – $1,177.77 | 8 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,688.40 | $4,888.00 | $342.45 – $2,126.68 | 8 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,344.20 | $2,444.00 | $342.45 – $2,126.68 | 8 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $50.25 – $111.82 | 7 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $88.64 – $116.57 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $58.79 – $58.79 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.91 – $75.44 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $12.21 – $34.76 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $211.33 – $306.98 | 7 |
| Mr spectroscopy CPT 76390 | $1,720.40 | $3,128.00 | $85.42 – $1,726.39 | 8 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $181.46 – $369.01 | 9 |
| Msh2 gene full seq CPT 81295 | not published | not published | $181.46 – $660.34 | 9 |
| Msh2 gene known variants CPT 81296 | $894.30 | $1,626.00 | $154.94 – $584.27 | 9 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $193.39 – $411.74 | 9 |
| Msh6 gene full seq CPT 81298 | not published | not published | $344.27 – $1,110.40 | 9 |
| Msh6 gene known variants CPT 81299 | $894.30 | $1,626.00 | $192.86 – $532.84 | 9 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,298.00 – $8,721.52 | 9 |
| Mthfr gene analy common variants CPT 81291 | $421.30 | $766.00 | $64.03 – $113.04 | 9 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.34 – $46.50 | 9 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $41.98 – $91.48 | 9 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.74 – $12.53 | 9 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.93 – $49.31 | 9 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.70 – $28.16 | 9 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $34.19 – $45.03 | 6 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,528.58 – $6,045.34 | 6 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $612.56 – $1,049.48 | 6 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $38.64 – $38.64 | 1 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $25.89 – $25.89 | 1 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $578.55 – $991.22 | 6 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $585.35 – $1,002.86 | 6 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $37.86 – $213.34 | 6 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $65.35 – $154.66 | 6 |
| Multiple sleep latency test CPT 95805 | not published | not published | $417.84 – $1,032.15 | 6 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $2,706.85 – $4,637.50 | 6 |
| Mumps antibody igg CPT 86735 | $206.25 | $375.00 | $12.79 – $27.87 | 9 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,388.34 – $2,544.00 | 9 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,504.02 – $3,886.00 | 9 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,610.67 – $3,886.00 | 9 |
| Muscle test cran nerv unilat CPT 95867 | $726.55 | $1,321.00 | $59.69 – $259.53 | 6 |
| Muscle test hemidiaphragm CPT 95866 | $164.45 | $299.00 | $75.75 – $154.66 | 6 |
| Muscle test larynx CPT 95865 | $284.35 | $517.00 | $69.57 – $159.92 | 6 |
| Muscle test one fiber CPT 95872 | $969.10 | $1,762.00 | $50.23 – $259.53 | 6 |
| Muscle transfers CPT 23397 | not published | not published | $1,400.20 – $7,485.97 | 9 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,569.31 – $7,485.97 | 9 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,285.39 – $4,353.00 | 9 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $907.20 – $7,485.97 | 9 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $47.28 – $83.46 | 9 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.65 – $42.83 | 9 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $41.98 – $91.48 | 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.