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 |
|---|---|---|---|---|
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $876.81 – $7,485.97 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,478.77 – $7,115.26 | 9 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,124.22 – $7,115.26 | 9 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $780.22 – $7,115.26 | 9 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,543.59 – $7,115.26 | 9 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $693.49 – $4,737.00 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $951.86 – $7,485.97 | 9 |
| Optx lunate dislocation CPT 25695 | not published | not published | $772.02 – $7,485.97 | 9 |
| Optx medial ankle fx CPT 27766 | not published | not published | $745.55 – $7,485.97 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,141.42 – $6,107.27 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,139.36 – $6,107.27 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $700.23 – $6,107.27 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $763.80 – $6,107.27 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $821.06 – $7,115.26 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $964.34 – $7,115.26 | 9 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,333.09 – $13,245.19 | 9 |
| Optx post ankle fx CPT 27769 | not published | not published | $886.48 – $8,721.52 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | $12,976.70 | $23,594.00 | $1,078.89 – $13,245.19 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,520.19 – $18,088.99 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $814.45 – $7,485.97 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $765.27 – $7,485.97 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $733.77 – $7,485.97 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $955.05 – $7,485.97 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,167.91 – $7,485.97 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,096.16 – $7,485.97 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $819.43 – $7,485.97 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,197.70 – $7,485.97 | 9 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,071.54 – $7,485.97 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,135.52 – $13,245.19 | 9 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $760.53 – $7,485.97 | 9 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $697.82 – $7,485.97 | 9 |
| Optx thigh fx CPT 27269 | not published | not published | $1,527.51 – $8,721.52 | 9 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,126.63 – $3,928.00 | 9 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $898.73 – $7,485.97 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | $26,602.40 | $48,368.00 | $756.22 – $7,485.97 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $757.02 – $7,485.97 | 9 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.75 – $7.42 | 3 |
| Oral busulfan HCPCS J8510 | not published | not published | $4.36 – $84.21 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.54 – $4.28 | 2 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.74 – $25.60 | 9 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $16.14 – $34.25 | 8 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $20.71 – $42.07 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $399.87 – $784.47 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,061.00 – $3,579.75 | 6 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,061.00 – $4,056.58 | 6 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,061.00 – $3,995.72 | 6 |
| Orchiectomy partial CPT 54522 | not published | not published | $719.56 – $3,886.00 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $867.60 – $4,303.42 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $583.75 – $3,886.00 | 9 |
| Organic acids total quant ea spec CPT 83918 | $292.60 | $532.00 | $23.13 – $40.83 | 9 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.32 – $78.80 | 8 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.53 – $53.20 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,007.40 | $5,468.00 | $137.60 – $3,085.00 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $20.32 – $20.75 | 2 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.32 – $35.90 | 6 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $225.12 – $385.70 | 6 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $389.86 – $667.92 | 6 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $999.59 – $1,712.53 | 6 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $553.43 – $948.16 | 6 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $211.14 – $361.73 | 6 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $250.40 – $428.96 | 6 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $82.33 – $141.02 | 6 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $211.14 – $361.73 | 6 |
| Orthopantogram CPT 70355 | $212.85 | $387.00 | $10.31 – $104.60 | 9 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $25.04 – $42.90 | 6 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $41.18 – $41.18 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $30.16 – $70.91 | 6 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $43.58 – $74.65 | 6 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $27.24 – $46.64 | 6 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $25.04 – $42.90 | 6 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $35.93 – $61.55 | 6 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $111.62 – $191.23 | 6 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $346.72 – $594.01 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $92.14 – $212.46 | 8 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $267.87 – $458.93 | 6 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $773.08 – $1,324.48 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $139.70 | $254.00 | $41.21 – $263.20 | 6 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $27.24 – $46.64 | 6 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $19.61 – $33.59 | 6 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $73.00 – $125.06 | 6 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $55.57 – $95.18 | 6 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $7.65 – $13.13 | 6 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $45.76 – $78.41 | 6 |
| Osmolality blood CPT 83930 | $27.50 | $50.00 | $6.48 – $14.12 | 9 |
| Osmolality urine CPT 83935 | $33.00 | $60.00 | $6.68 – $14.57 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $399.38 – $3,886.00 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $696.09 – $3,886.00 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,173.81 – $7,960.00 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,687.49 – $15,431.29 | 9 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,200.90 – $8,721.52 | 9 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,502.20 – $8,721.52 | 9 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $21.19 – $25.95 | 6 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $21.19 – $25.95 | 6 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $21.19 – $25.95 | 6 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,213.37 – $7,485.97 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,974.47 – $8,721.52 | 9 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $452.31 – $3,085.00 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,950.25 – $8,721.52 | 9 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,921.80 – $8,721.52 | 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.