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 |
|---|---|---|---|---|
| Platelet survival CPT 78191 | not published | not published | $162.66 – $480.50 | 9 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $74.31 – $127.30 | 6 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $285.53 – $504.05 | 9 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $7,748.95 | $14,089.00 | $377.81 – $4,353.00 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $22,550.00 | $41,000.00 | $231.89 – $3,085.00 | 4 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,459.10 | $13,562.00 | $268.78 – $4,353.00 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $8,717.50 | $15,850.00 | $441.08 – $4,353.00 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $1,001.90 – $6,559.00 | 6 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,508.10 | $2,742.00 | $106.30 – $2,020.00 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $4,516.05 | $8,211.00 | $53.58 – $1,632.00 | 4 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $2,410.10 | $4,382.00 | $405.45 – $6,559.00 | 6 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $3,710.85 | $6,747.00 | $82.38 – $1,632.00 | 4 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,922.25 | $3,495.00 | $64.02 – $1,632.00 | 4 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $2,681.25 | $4,875.00 | $54.21 – $1,632.00 | 4 |
| Plerixafor injection HCPCS J2562 | not published | not published | $25.58 – $310.25 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $315.70 | $574.00 | $46.94 – $448.51 | 6 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,117.62 – $3,148.00 | 6 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $349.20 – $7,781.13 | 9 |
| Plmt biliary drainage cath CPT 47534 | $7,748.95 | $14,089.00 | $501.33 – $4,353.00 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $4,564.45 | $8,299.00 | $335.15 – $4,236.81 | 9 |
| Plmt ureteral stent prq CPT 50694 | $7,459.10 | $13,562.00 | $347.49 – $4,353.00 | 9 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $62.44 – $106.98 | 6 |
| Pm device progr eval dual CPT 93280 | $68.20 | $124.00 | $23.07 – $44.86 | 6 |
| Pm device progr eval multi CPT 93281 | not published | not published | $26.78 – $44.86 | 6 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $203.16 – $442.78 | 9 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $743.19 – $1,311.96 | 9 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $754.19 – $1,331.37 | 9 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $45.67 – $91.43 | 9 |
| Pm phone r-strip device eval CPT 93293 | $145.20 | $264.00 | $36.63 – $44.86 | 6 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $199.43 – $352.06 | 9 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $662.97 – $1,223.14 | 9 |
| Pms2 known familial variants CPT 81318 | $894.30 | $1,626.00 | $220.81 – $572.63 | 9 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $151.95 – $260.33 | 6 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $112.62 – $3,085.00 | 9 |
| #pnh-flow cytometry interp CPT 88187 | $106.15 | $193.00 | $36.64 – $85.94 | 4 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $11.64 – $11.64 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $90.75 | $165.00 | $25.55 – $45.10 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $132.92 – $253.52 | 8 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $161.85 – $277.31 | 6 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $842.92 – $1,032.15 | 6 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $597.69 – $1,032.15 | 6 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $609.72 – $1,032.15 | 6 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.30 – $20.48 | 9 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,228.42 – $50,144.45 | 2 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $9.29 – $9.29 | 1 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $9.29 – $9.29 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $1,653.28 – $7,485.97 | 9 |
| Positional nystagmus test CPT 92532 | not published | not published | $20.31 – $20.31 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $72.79 – $777.04 | 6 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $105.57 – $777.04 | 6 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $157.07 – $777.04 | 6 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $16.14 – $43.25 | 9 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $72.49 – $122.10 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $956.21 – $7,960.00 | 4 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $405.69 – $695.05 | 6 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,765.36 | $3,209.74 | $422.07 – $723.12 | 6 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $553.61 – $948.48 | 6 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,160.73 – $1,988.60 | 6 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,563.81 – $2,679.17 | 6 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $512.22 – $877.54 | 6 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $431.45 – $739.15 | 6 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,289.98 – $2,210.03 | 6 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,097.76 – $1,880.76 | 6 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $391.51 – $670.73 | 6 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,543.03 – $2,643.59 | 6 |
| Post-op hip abduct custom fa HCPCS L1685 | $4,442.65 | $8,077.55 | $957.39 – $1,640.23 | 6 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $366.28 – $448.51 | 6 |
| Postpartum Care Only CPT 59430 | not published | not published | $174.13 – $3,148.00 | 5 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $958.75 – $12,335.00 | 4 |
| Potassium 24 hour urine CPT 84133 | $55.00 | $100.00 | $4.64 – $9.20 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.21 – $0.37 | 2 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.71 – $10.09 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.05 | $71.00 | $4.66 – $9.83 | 9 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.06 – $2.06 | 1 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.53 – $3.53 | 1 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.49 – $5.49 | 1 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.36 – $4.36 | 1 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.21 – $2.21 | 1 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.59 – $3.59 | 1 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.60 – $3.60 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $134.26 – $237.01 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $979.55 | $1,781.00 | $136.40 – $290.96 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | $631.40 | $1,148.00 | $81.91 – $174.96 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,115.45 | $11,119.00 | $621.73 – $8,721.52 | 9 |
| Pq thr inj ext pse CPT 36002 | $935.00 | $1,700.00 | $133.09 – $3,085.00 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $261.45 – $9,291.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,527.80 | $4,596.00 | $558.84 – $8,050.00 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,527.80 | $4,596.00 | $524.67 – $8,050.00 | 9 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $373.77 – $728.33 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $78.81 – $121.77 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,971.00 | $7,220.00 | $771.52 – $3,886.00 | 9 |
| Pr application of long arm splint CPT 29105 | $891.55 | $1,621.00 | $72.88 – $3,085.00 | 9 |
| Pr application splint static short arm CPT 29125 | $389.40 | $708.00 | $47.23 – $3,085.00 | 9 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $6.20 – $44.89 | 6 |
| Pr biopsy skin punch single lesion CPT 11104 | $489.50 | $890.00 | $88.90 – $1,632.00 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $710.85 – $13,245.19 | 9 |
| Pr correction hammertoe CPT 28285 | not published | not published | $458.99 – $3,886.00 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $69.30 | $126.00 | $14.93 – $45.03 | 6 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $97.85 – $5,554.00 | 6 |
| Prcrd drg 6+yr without anomly CPT 33017 | $462.00 | $840.00 | $195.77 – $5,554.00 | 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.