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 |
|---|---|---|---|---|
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $997.90 – $7,485.97 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,355.11 – $15,431.29 | 9 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $796.05 – $7,485.97 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.36 – $2.36 | 1 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $45.24 – $45.24 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $2.72 – $2.72 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.59 – $3.59 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.75 – $4.75 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.74 – $1.74 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $9.03 – $9.03 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.50 – $8.50 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $321.75 | $585.00 | $91.92 – $112.56 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $187.00 | $340.00 | $91.92 – $112.56 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $214.50 | $390.00 | $93.59 – $117.84 | 6 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,298.00 – $8,721.52 | 9 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $22.67 – $47.77 | 9 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $15.25 – $44.89 | 6 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $12.37 – $34.76 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $103.40 | $188.00 | $47.51 – $58.18 | 6 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $115.50 | $210.00 | $41.23 – $50.48 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $71.50 | $130.00 | $26.38 – $32.30 | 6 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $25.32 | $46.04 | $11.49 – $11.49 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $578.43 – $3,886.00 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $169.95 | $309.00 | $61.73 – $80.09 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $91.30 | $166.00 | $33.16 – $40.61 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $91.30 | $166.00 | $17.87 – $21.88 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.30 | $166.00 | $19.19 – $23.50 | 6 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $88.00 | $160.00 | $26.62 – $32.59 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $91.30 | $166.00 | $31.13 – $38.12 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $82.50 | $150.00 | $30.72 – $37.62 | 6 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,951.61 – $3,148.00 | 6 |
| Out of office emerg med serv CPT 99060 | not published | not published | $28.79 – $28.79 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $44.55 – $76.31 | 6 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $123.89 – $212.26 | 6 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $907.43 – $6,012.63 | 9 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $0.02 – $0.02 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.45 – $21.97 | 9 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.46 – $1.76 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.08 – $13.33 | 3 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $0.02 – $0.02 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $1.27 – $1.87 | 2 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $0.02 – $0.02 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $333.89 | 7 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $134.26 – $237.01 | 9 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.88 – $1.88 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.14 – $0.25 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.45 – $19.56 | 9 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $339.20 – $1,141.07 | 8 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $295.32 – $508.22 | 8 |
| Palifermin injection HCPCS J2425 | not published | not published | $15.45 – $65.95 | 9 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $122.15 – $647.42 | 7 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.73 – $28.03 | 8 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $428.02 – $719.87 | 7 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.36 – $48.04 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $9.74 – $125.79 | 3 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,061.00 – $3,878.62 | 6 |
| Pancreatectomy CPT 48146 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Pancreatectomy CPT 48152 | not published | not published | $2,061.00 – $3,571.60 | 6 |
| Pancreatectomy CPT 48154 | not published | not published | $2,061.00 – $3,587.86 | 6 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,061.00 – $3,826.76 | 6 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,930.80 – $3,148.00 | 6 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,661.90 – $3,148.00 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $165.71 – $320.97 | 8 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $4.06 – $4.06 | 1 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $80.63 – $80.63 | 1 |
| Parathormone (pth) intact CPT 83970 | $181.50 | $330.00 | $40.45 – $88.16 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,707.90 – $3,148.00 | 6 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,021.35 | $1,857.00 | $400.09 – $866.00 | 9 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $302.31 – $3,085.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $806.30 | $1,466.00 | $312.82 – $669.29 | 9 |
| Parathyroid planar img w/tomo spect CPT 78071 | $860.20 | $1,564.00 | $358.91 – $766.81 | 9 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $988.60 – $6,012.63 | 9 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $17.61 – $17.61 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,101.16 – $6,850.41 | 9 |
| Paricalcitol HCPCS J2501 | not published | not published | $1.44 – $1.76 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $328.90 | $598.00 | $19.67 – $3,085.00 | 9 |
| Parotid duct diversion CPT 42507 | not published | not published | $626.78 – $6,107.27 | 9 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,035.72 – $6,107.27 | 9 |
| Parotid duct diversion CPT 42510 | not published | not published | $769.63 – $3,928.00 | 9 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,007.45 – $12,496.00 | 9 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $225.06 – $3,886.00 | 9 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,553.10 – $3,148.00 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $857.16 – $3,886.00 | 9 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $536.61 – $3,886.00 | 9 |
| Partial excision of lip CPT 40500 | not published | not published | $443.61 – $3,886.00 | 9 |
| Partial hip replacement CPT 27125 | not published | not published | $1,388.82 – $15,431.29 | 9 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,169.66 – $3,764.00 | 6 |
| Partial proctectomy CPT 45113 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,381.75 – $4,737.00 | 6 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,061.00 – $3,946.21 | 6 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,061.00 – $5,273.89 | 6 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,061.00 – $5,816.35 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $595.92 – $2,544.00 | 9 |
| Partial removal finger bone CPT 26236 | $2,905.65 | $5,283.00 | $531.26 – $2,544.00 | 9 |
| Partial removal foot fascia CPT 28060 | not published | not published | $433.05 – $3,886.00 | 9 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,037.37 – $3,886.00 | 9 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,179.54 – $3,148.00 | 6 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,061.00 – $6,459.32 | 6 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,061.00 – $4,754.30 | 6 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,061.00 – $3,578.43 | 6 |
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.