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 |
|---|---|---|---|---|
| Partial removal of esophagus CPT 43123 | not published | not published | $2,061.00 – $5,907.20 | 6 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,061.00 – $3,177.04 | 6 |
| Partial removal of eye fluid CPT 67005 | $4,470.40 | $8,128.00 | $562.46 – $3,241.00 | 9 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $646.87 – $3,241.00 | 9 |
| Partial removal of fibula CPT 27641 | not published | not published | $816.73 – $3,886.00 | 9 |
| Partial removal of foot bone CPT 28288 | not published | not published | $520.97 – $3,886.00 | 9 |
| Partial removal of hand bone CPT 26230 | not published | not published | $603.12 – $4,866.00 | 9 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of lip CPT 40530 | not published | not published | $493.61 – $3,886.00 | 9 |
| Partial removal of liver CPT 47125 | not published | not published | $2,061.00 – $3,800.64 | 6 |
| Partial removal of liver CPT 47130 | not published | not published | $2,061.00 – $4,085.21 | 6 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,834.06 – $3,148.00 | 6 |
| Partial removal of nose CPT 30150 | not published | not published | $925.79 – $6,107.27 | 9 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,020.06 – $3,148.00 | 6 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,061.00 – $3,846.90 | 6 |
| Partial removal of penis CPT 54120 | not published | not published | $771.15 – $3,886.00 | 9 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,726.48 – $6,107.27 | 9 |
| Partial removal of radius CPT 25151 | not published | not published | $714.34 – $3,886.00 | 9 |
| Partial removal of radius CPT 25230 | not published | not published | $522.86 – $3,886.00 | 9 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,341.00 – $3,148.00 | 6 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,910.06 – $3,148.00 | 6 |
| Partial removal of rib CPT 21600 | not published | not published | $679.58 – $7,485.97 | 9 |
| Partial removal of sternum CPT 21620 | not published | not published | $617.69 – $3,932.74 | 9 |
| Partial removal of thyroid CPT 60220 | not published | not published | $867.00 – $6,236.95 | 9 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,144.65 – $7,266.35 | 9 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,023.22 – $3,886.00 | 9 |
| Partial removal of toe CPT 28160 | not published | not published | $328.78 – $3,886.00 | 9 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,279.66 – $6,107.27 | 9 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,588.48 – $3,148.00 | 6 |
| Partial removal of ulna CPT 25119 | not published | not published | $604.39 – $3,886.00 | 9 |
| Partial removal of ulna CPT 25150 | not published | not published | $690.12 – $3,886.00 | 9 |
| Partial removal of ulna CPT 25240 | not published | not published | $515.49 – $3,886.00 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $598.54 – $3,890.82 | 9 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,156.95 – $4,055.88 | 9 |
| Partial thyroid excision CPT 60210 | not published | not published | $867.35 – $7,266.35 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,239.64 – $7,266.35 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $3,794.19 | $6,898.53 | $4.72 – $4.72 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,114.29 – $4,737.00 | 9 |
| Part removal of metatarsal CPT 28110 | not published | not published | $352.25 – $3,886.00 | 9 |
| Part removal of metatarsal CPT 28113 | not published | not published | $519.82 – $3,886.00 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $382.06 – $3,886.00 | 9 |
| Part remove hip bone super CPT 27070 | not published | not published | $1,033.85 – $4,737.00 | 9 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $103.59 – $177.46 | 6 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $5.72 – $5.72 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $102.53 – $204.77 | 8 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $53.97 – $204.77 | 8 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $51.27 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $25.06 – $62.63 | 8 |
| Patient recorded spirometry CPT 94014 | not published | not published | $66.12 – $536.93 | 6 |
| Patient recorded spirometry CPT 94015 | not published | not published | $35.42 – $259.53 | 6 |
| Patten bottom HCPCS L2370 | not published | not published | $275.49 – $471.97 | 6 |
| Pca3/klk3 antigen CPT 81313 | $909.15 | $1,653.00 | $249.95 – $441.24 | 9 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $704.96 | 3 |
| Pdgfra gene CPT 81314 | $1,192.40 | $2,168.00 | $322.92 – $570.05 | 9 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $19.61 – $33.59 | 6 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $196.94 – $537.00 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $931.50 – $2,544.00 | 9 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $692.96 – $692.96 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $417.42 – $417.42 | 1 |
| Ped crit care transport CPT 99466 | not published | not published | $296.27 – $296.27 | 1 |
| Ped crit care transport addl CPT 99467 | not published | not published | $148.77 – $148.77 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $1,047.74 – $1,047.74 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $490.86 – $490.86 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $55.46 – $154.66 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $126.30 – $154.66 | 6 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $4,735.34 – $8,112.79 | 6 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,385.99 – $2,374.55 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | $465.86 | $847.01 | $812.62 – $2,544.00 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,135.69 – $1,945.69 | 6 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,340.81 – $2,297.12 | 6 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,062.41 – $1,820.15 | 6 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $577.03 – $988.57 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.02 – $0.02 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.02 – $0.02 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $3,511.25 – $52,726.63 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $165.73 | 8 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $117.01 – $243.30 | 8 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.55 – $197.25 | 8 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $140.80 – $343.00 | 8 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $65.68 – $183.88 | 8 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $103.01 – $255.93 | 8 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.02 – $0.02 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $2,393.85 – $2,393.85 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,550.05 – $6,790.85 | 8 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $221.15 – $308.28 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $419.23 – $718.24 | 6 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $363.57 – $622.87 | 6 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $270.48 – $463.40 | 6 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $199.31 – $341.46 | 6 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $271.73 – $465.52 | 6 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $373.56 – $639.98 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,668.70 | $3,034.00 | $172.17 – $974.18 | 8 |
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.