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 |
|---|---|---|---|---|
| Pelvic CT scan (with contrast) CPT 72193 | $1,375.00 | $2,500.00 | $172.17 – $819.92 | 8 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,126.40 | $2,048.00 | $102.62 – $447.28 | 8 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,061.00 – $3,347.71 | 6 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,194.30 – $2,046.13 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,311.65 | $4,203.00 | $342.45 – $1,438.59 | 8 |
| Pelvic MRI (with contrast) CPT 72196 | $1,989.35 | $3,617.00 | $342.45 – $1,187.60 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $1,720.40 | $3,128.00 | $234.21 – $1,037.83 | 8 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,308.45 – $8,721.52 | 9 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,181.84 – $8,721.52 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $550.00 | $1,000.00 | $87.68 – $187.99 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $407.00 | $740.00 | $26.37 – $138.39 | 9 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $119.23 – $204.25 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.60 – $111.84 | 8 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $5.27 – $8.08 | 8 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $36.22 | 8 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $4.37 – $55.67 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.47 – $1.89 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $17.49 – $47.19 | 3 |
| Penile injection CPT 54235 | $641.30 | $1,166.00 | $89.97 – $3,085.00 | 9 |
| Penile vascular study CPT 93980 | not published | not published | $68.34 – $125.66 | 7 |
| Penile vascular study CPT 93981 | not published | not published | $58.88 – $125.66 | 7 |
| Penile venous occlusion CPT 37790 | not published | not published | $594.03 – $3,886.00 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $880.08 – $3,928.00 | 9 |
| Penis study CPT 54240 | not published | not published | $40.77 – $3,085.00 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $129.35 – $177.10 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.02 – $0.02 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.02 – $0.02 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $18.91 – $23.16 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,634.24 – $4,838.13 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $12,592.80 | $22,896.00 | $595.74 – $12,776.39 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $18,150.00 | $33,000.00 | $537.00 – $18,971.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $19,250.00 | $35,000.00 | $2,979.00 – $22,033.48 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $17,047.25 | $30,995.00 | $537.00 – $18,971.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,950.00 | $29,000.00 | $2,979.00 – $18,971.00 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | $16,500.00 | $30,000.00 | $537.00 – $18,971.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $16,500.00 | $30,000.00 | $2,979.00 – $22,033.48 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $8,800.00 | $16,000.00 | $537.00 – $18,971.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $12,100.00 | $22,000.00 | $2,979.00 – $18,971.00 | 9 |
| Perc rf ablate renal tumor CPT 50592 | $10,655.70 | $19,374.00 | $450.21 – $7,266.35 | 9 |
| Percut ablate liver rf CPT 47382 | $9,900.00 | $18,000.00 | $958.72 – $7,266.35 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $453.43 – $3,148.00 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $41.06 – $101.83 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $174.74 – $5,554.00 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Pericardiocentesis wwo imaging CPT 33016 | $948.75 | $1,725.00 | $96.60 – $3,438.00 | 9 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,093.22 – $3,148.00 | 6 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $950.29 – $4,039.41 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $314.51 – $3,886.00 | 9 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $22.26 – $70.91 | 6 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $15.25 – $15.25 | 1 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $14.02 – $14.02 | 1 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $547.51 – $5,740.67 | 9 |
| Peritoneogram rs&i CPT 74190 | $239.25 | $435.00 | $56.53 – $656.76 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $515.90 | $938.00 | $247.81 – $548.35 | 9 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $24.57 – $24.57 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $14.05 – $24.08 | 6 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,505.09 – $2,578.55 | 6 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.01 – $1.01 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $7,417.30 | $13,486.00 | $964.33 – $6,559.00 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $3,245.00 | $5,900.00 | $993.06 – $5,554.00 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $3,710.85 | $6,747.00 | $169.22 – $2,020.00 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | $2,167.55 | $3,941.00 | $125.85 – $2,020.00 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,561.60 – $11,378.09 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,062.91 – $11,378.09 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $1,024.64 – $13,875.39 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $869.46 – $22,033.48 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $899.89 – $13,875.39 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $684.70 – $13,875.39 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $343.93 – $3,508.00 | 4 |
| Perq plmt bile duct stent CPT 47538 | $8,620.70 | $15,674.00 | $406.05 – $7,266.35 | 9 |
| Perq plmt bile duct stent CPT 47539 | $4,338.95 | $7,889.00 | $549.08 – $7,266.35 | 9 |
| Perq plmt bile duct stent CPT 47540 | $4,338.95 | $7,889.00 | $655.42 – $7,266.35 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $380.60 | $692.00 | $104.20 – $1,632.00 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $642.89 – $3,886.00 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $584.37 – $3,932.74 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,632.00 – $3,886.00 | 5 |
| Perq transcath closure each CPT 93592 | $715.00 | $1,300.00 | $537.00 – $5,554.00 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $835.32 – $22,033.48 | 7 |
| Perq transcath cls aortic CPT 93591 | $33,389.40 | $60,708.00 | $1,234.13 – $22,033.48 | 7 |
| Perq transcath cls mitral CPT 93590 | $16,600.10 | $30,182.00 | $1,487.05 – $22,033.48 | 7 |
| Perq transcath septal reduxn CPT 93583 | $1,375.00 | $2,500.00 | $931.21 – $3,038.00 | 3 |
| Perq trluml angp nt/recr coa CPT 33897 | $880.00 | $1,600.00 | $686.17 – $4,793.00 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $2,971.65 | $5,403.00 | $288.25 – $3,886.00 | 9 |
| Perq tx malar fracture CPT 21355 | not published | not published | $435.17 – $3,928.00 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $409.12 – $6,107.27 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $969.15 – $3,928.00 | 9 |
| Pertussis ag if CPT 87265 | not published | not published | $11.74 – $25.60 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $16.19 – $31.57 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $58.70 – $115.19 | 8 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $50.55 – $50.55 | 1 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $20.31 – $20.31 | 1 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,740.00 | $6,800.00 | $1,403.61 – $5,930.89 | 8 |
| Pet CT whole body initial CPT 78816 | $4,070.00 | $7,400.00 | $1,403.61 – $5,930.89 | 8 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,655.85 | $6,647.00 | $1,403.61 – $5,930.89 | 8 |
| Pet image full body CPT 78813 | $5,732.65 | $10,423.00 | $1,403.61 – $5,930.89 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $1,270.80 – $5,179.08 | 8 |
| Pet image skull-thigh CPT 78812 | $5,732.65 | $10,423.00 | $1,403.61 – $5,930.89 | 8 |
| Pet image w/ct lmtd CPT 78814 | $3,025.00 | $5,500.00 | $1,403.61 – $5,930.89 | 8 |
| Pet not otherwise specified HCPCS G0235 | $8,939.15 | $16,253.00 | $392.41 – $480.50 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,467.46 – $5,930.89 | 2 |
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.