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 |
|---|---|---|---|---|
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $2,398.43 | $4,360.78 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $19.46 – $23.83 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $28.26 – $34.61 | 6 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.04 – $12.29 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $342.81 – $3,886.00 | 9 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $29.95 – $29.95 | 1 |
| Ph body fluid CPT 83986 | $44.55 | $81.00 | $3.51 – $7.65 | 9 |
| Phencyclidine (pcp) CPT 83992 | $127.60 | $232.00 | $23.98 – $62.31 | 4 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $55.96 – $58.82 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $73.70 | $134.00 | $14.99 – $26.47 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $75.84 – $801.40 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.02 – $0.02 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $94.38 – $115.57 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.84 – $1.42 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $73.70 | $134.00 | $12.98 – $28.30 | 9 |
| Phlebotomy therapeutic CPT 99195 | $271.15 | $493.00 | $116.64 – $236.45 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $562.59 – $3,795.09 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $687.70 – $3,795.09 | 9 |
| Phosphorus CPT 84100 | $33.00 | $60.00 | $4.65 – $10.12 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $33.00 | $60.00 | $5.66 – $11.05 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $117.01 | $212.75 | $57.91 – $70.91 | 6 |
| Photochemotherapy puva CPT 96912 | not published | not published | $57.91 – $70.91 | 6 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $149.43 – $488.61 | 6 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $32.05 – $537.00 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $69.78 – $537.00 | 2 |
| Photo patch test CPT 95052 | not published | not published | $7.85 – $70.91 | 6 |
| Photopheresis CPT 36522 | $5,705.15 | $10,373.00 | $123.34 – $5,235.04 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $51.47 – $159.92 | 6 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $91.08 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $55.51 – $204.77 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $91.69 | 9 |
| Physician standby services CPT 99360 | not published | not published | $73.72 – $73.72 | 1 |
| Phys review of motion tests CPT 96004 | not published | not published | $141.69 – $141.69 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $5.06 – $6.11 | 2 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $37.46 – $3,148.00 | 6 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $2,366.46 | $4,302.66 | $332.44 – $415.79 | 7 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $269.33 – $463.63 | 8 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $487.06 – $8,721.52 | 9 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $634.43 – $1,086.94 | 6 |
| Pin caspar distraction 12mm HCPCS C1821 | $6,312.34 | $11,476.98 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $537.00 – $2,187.00 | 9 |
| Pin finger dislocation CPT 26776 | not published | not published | $532.69 – $3,886.00 | 9 |
| Pin finger fracture each CPT 26756 | $7,381.55 | $13,421.00 | $500.67 – $3,886.00 | 9 |
| Pin hand dislocation CPT 26676 | not published | not published | $602.85 – $3,886.00 | 9 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $524.67 – $3,886.00 | 9 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $56.99 – $122.10 | 6 |
| Pinworm exam CPT 87172 | $60.50 | $110.00 | $4.18 – $9.12 | 9 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.18 – $9.12 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.99 – $2.39 | 2 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $567.89 – $1,237.69 | 9 |
| Place breast cath for rad CPT 19297 | not published | not published | $117.28 – $6,559.00 | 5 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $400.62 – $15,798.00 | 9 |
| Place cath intracranial art CPT 36228 | $4,607.90 | $8,378.00 | $294.86 – $3,085.00 | 4 |
| Place cath xtrnl carotid CPT 36227 | $10,055.65 | $18,283.00 | $145.09 – $3,085.00 | 4 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $275.13 – $3,085.00 | 9 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,358.64 – $3,085.00 | 8 |
| Place duod/jej tube perc CPT 49441 | $2,421.65 | $4,403.00 | $318.50 – $2,544.00 | 9 |
| Place endorectal app HCPCS C9725 | not published | not published | $912.83 – $3,085.00 | 9 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,284.97 – $3,148.00 | 6 |
| Place gastrostomy tube perc CPT 49440 | $4,229.50 | $7,690.00 | $276.10 – $2,544.00 | 9 |
| Placement bile duct support CPT 47801 | not published | not published | $1,235.34 – $3,148.00 | 6 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,567.40 | $4,668.00 | $125.43 – $2,544.00 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,654.95 | $3,009.00 | $63.61 – $1,632.00 | 4 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,654.95 | $3,009.00 | $107.07 – $2,020.00 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $6,846.40 | $12,448.00 | $271.73 – $3,438.00 | 9 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $280.50 | $510.00 | $537.00 – $7,906.00 | 2 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,061.00 – $3,148.00 | 6 |
| Placement of seton CPT 46020 | not published | not published | $285.23 – $3,336.17 | 9 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,700.00 | $14,000.00 | $571.73 – $14,257.00 | 9 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $407.31 – $4,353.00 | 9 |
| Place needles h&n for right CPT 41019 | not published | not published | $569.38 – $7,115.26 | 9 |
| Place needles pelvic for right CPT 55920 | not published | not published | $544.50 – $15,798.00 | 9 |
| Place non-slctv cath thoracic arta CPT 36221 | $7,960.70 | $14,474.00 | $269.51 – $6,559.00 | 9 |
| Placental lactogen CPT 83632 | not published | not published | $19.82 – $43.20 | 9 |
| Place po breast cath for rad CPT 19296 | not published | not published | $259.73 – $15,798.00 | 9 |
| Place right device/marker pros CPT 55876 | $2,224.75 | $4,045.00 | $122.81 – $15,798.00 | 9 |
| Place slctv cath carotd art uni CPT 36224 | $26,018.30 | $47,306.00 | $456.46 – $6,688.16 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,379.80 | $15,236.00 | $369.55 – $6,559.00 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $22,624.25 | $41,135.00 | $404.02 – $6,688.16 | 9 |
| Place slctv cath subclavian art CPT 36225 | $10,055.65 | $18,283.00 | $403.39 – $6,559.00 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $13,342.45 | $24,259.00 | $453.90 – $6,688.16 | 9 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $34.61 – $42.38 | 6 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $7.95 – $9.73 | 6 |
| Plasma volume multiple CPT 78111 | not published | not published | $102.12 – $1,658.54 | 9 |
| Plasma volume single CPT 78110 | not published | not published | $104.56 – $1,658.54 | 9 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $94.98 – $162.74 | 6 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $128.34 – $219.86 | 6 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,379.79 – $2,363.93 | 6 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,373.00 – $3,148.00 | 4 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,191.04 – $5,467.02 | 6 |
| Platelet aggregation each agent teg CPT 85576 | $153.45 | $279.00 | $24.41 – $45.88 | 9 |
| Platelet automated CPT 85049 | $22.00 | $40.00 | $4.39 – $9.57 | 9 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $14.49 – $3,085.00 | 9 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,097.70 | $3,814.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $304.70 | $554.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,437.15 | $2,613.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,455.75 | $4,465.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,192.40 | $2,168.00 | $501.36 – $613.91 | 6 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,613.70 | $2,934.00 | $667.00 – $816.73 | 6 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $413.60 | $752.00 | $595.28 – $728.92 | 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.