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 |
|---|---|---|---|---|
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,025.28 – $3,085.00 | 9 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,955.18 – $3,886.00 | 9 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,251.67 – $9,053.72 | 9 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $1,234.00 – $9,053.72 | 9 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $1,005.17 – $10,548.02 | 9 |
| Nerve surgery CPT 64859 | not published | not published | $311.06 – $3,886.00 | 5 |
| Nerve teasing preparations CPT 88362 | not published | not published | $161.98 – $968.38 | 9 |
| Nesiritide injection HCPCS J2325 | not published | not published | $0.02 – $46.50 | 2 |
| Neurectomy foot CPT 28055 | not published | not published | $461.94 – $3,241.00 | 9 |
| Neurectomy hamstring CPT 27325 | not published | not published | $622.39 – $2,544.00 | 9 |
| Neurectomy popliteal CPT 27326 | not published | not published | $624.38 – $2,544.00 | 9 |
| Neuroeltrd stim post tibial CPT 64566 | $129.49 | $235.44 | $37.15 – $1,632.00 | 9 |
| Neuroendoscopy add-on CPT 62160 | $571.45 | $1,039.00 | $243.81 – $3,085.00 | 4 |
| Neurolysis celiac plexus CPT 64680 | $1,065.90 | $1,938.00 | $205.62 – $2,187.00 | 9 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $268.29 – $2,020.00 | 9 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $486.20 | $884.00 | $56.00 – $154.66 | 6 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $605.09 – $3,241.00 | 9 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $383.82 – $3,241.00 | 9 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $1,237.57 – $10,548.02 | 9 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $1,120.87 – $3,886.00 | 9 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $41.29 – $43.39 | 7 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $78.02 – $105.38 | 7 |
| Neutron beam tx complex CPT 77423 | not published | not published | $75.36 – $664.12 | 8 |
| New Patient Office Visit (level 2) CPT 99202 | $202.95 | $369.00 | $60.04 – $60.04 | 1 |
| New Patient Office Visit (level 3) CPT 99203 | $218.35 | $397.00 | $92.50 – $92.50 | 1 |
| New Patient Office Visit (level 4) CPT 99204 | $368.50 | $670.00 | $156.39 – $156.39 | 1 |
| New Patient Office Visit (level 5) CPT 99205 | $420.20 | $764.00 | $203.31 – $203.31 | 1 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $252.30 – $265.17 | 7 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $257.73 – $443.62 | 8 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $1,132.57 – $3,241.00 | 6 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $19.57 – $42.49 | 9 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $41.98 – $91.48 | 9 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.14 – $0.19 | 2 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,061.00 – $4,054.72 | 6 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $2,061.00 – $4,125.04 | 6 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,631.85 | $2,967.00 | $842.92 – $1,265.15 | 7 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $815.69 – $4,039.41 | 9 |
| Nipple exploration CPT 19110 | not published | not published | $414.18 – $4,039.41 | 9 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.34 – $24.32 | 9 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $1,416.85 – $1,416.85 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $2.76 – $3.05 | 2 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $27.46 – $43.95 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $193.86 – $263.65 | 8 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $102.77 – $3,085.00 | 9 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,156.65 | $2,103.00 | $56.42 – $2,020.00 | 9 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $97.79 – $3,085.00 | 9 |
| Njx aa&/strd vagus nrv CPT 64408 | $100.19 | $182.16 | $104.79 – $3,085.00 | 9 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $109.61 – $537.00 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $74.27 – $537.00 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $81.92 – $537.00 | 2 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $711.19 – $3,241.00 | 9 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $44.57 – $537.00 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | $813.45 | $1,479.00 | $114.72 – $2,020.00 | 9 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $131.90 – $2,187.00 | 9 |
| Njx interlaminar lmbr/sac CPT 62326 | $27,933.40 | $50,788.00 | $112.34 – $2,020.00 | 9 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $119.65 – $2,187.00 | 9 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $6,620.35 | $12,037.00 | $205.37 – $2,020.00 | 9 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $647.90 – $5,531.57 | 9 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,449.58 – $3,148.00 | 6 |
| Nl removal calculus CPT 50060 | not published | not published | $1,394.04 – $3,148.00 | 6 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,783.28 – $3,148.00 | 6 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,479.07 – $3,148.00 | 6 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,375.00 | $2,500.00 | $356.06 – $759.86 | 9 |
| Nm imaging bone/joint whole body CPT 78306 | $1,045.00 | $1,900.00 | $251.51 – $669.29 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $860.20 | $1,564.00 | $218.60 – $480.50 | 9 |
| Nm imaging gastric emptying study CPT 78264 | $1,035.10 | $1,882.00 | $299.66 – $761.59 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $806.30 | $1,466.00 | $359.77 – $769.41 | 9 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,150.50 | $3,910.00 | $427.25 – $1,034.84 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,666.50 | $3,030.00 | $137.52 – $652.62 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,129.15 | $2,053.00 | $338.34 – $722.43 | 9 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $537.90 | $978.00 | $259.33 – $555.31 | 9 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,505.35 | $2,737.00 | $56.81 – $317.02 | 9 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $2,233.58 – $3,826.67 | 6 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,614.76 – $4,479.72 | 6 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $2,979.00 – $32,353.13 | 9 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $186.90 – $480.50 | 9 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $54.48 – $93.32 | 6 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $36.66 – $44.89 | 6 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $36.66 – $44.89 | 6 |
| Non-imaging heart function CPT 78414 | not published | not published | $82.80 – $652.62 | 9 |
| Noninv pace analysis CPT 93724 | $771.65 | $1,403.00 | $32.95 – $3,085.00 | 7 |
| Non-molded lacer HCPCS L2320 | not published | not published | $177.06 – $303.34 | 6 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $342.45 – $467.51 | 7 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.05 – $0.05 | 1 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $721.98 – $3,708.43 | 9 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $30.19 – $30.19 | 1 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $28.39 – $34.76 | 6 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $122.15 – $1,231.03 | 7 |
| Npm1 gene CPT 81310 | $1,020.25 | $1,855.00 | $241.59 – $426.48 | 9 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $289.63 – $7,115.26 | 9 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $208.08 – $7,115.26 | 9 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $27.99 – $27.99 | 1 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $4.75 – $4.75 | 1 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | not published | $25.41 – $25.41 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $130.91 – $448.51 | 6 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $100.75 – $100.75 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $18.14 – $22.21 | 6 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $28.16 – $34.48 | 6 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $9.92 – $12.14 | 6 |
| Nras gene variants exon 2&3 CPT 81311 | $1,133.00 | $2,060.00 | $289.87 – $511.72 | 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.