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 |
|---|---|---|---|---|
| Prq card revasc mi 1 vsl CPT 92941 | $9,350.00 | $17,000.00 | $843.21 – $18,971.00 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $18,150.00 | $33,000.00 | $2,061.00 – $18,971.00 | 5 |
| Prq card stent/ath/angio CPT 92934 | $10,466.50 | $19,030.00 | $4,737.00 – $18,971.00 | 3 |
| Prq card stent w/angio addl CPT 92929 | $11,000.00 | $20,000.00 | $4,737.00 – $18,971.00 | 3 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $8,235.70 | $14,974.00 | $751.98 – $18,971.00 | 8 |
| Prq revasc byp graft addl CPT 92938 | $8,235.70 | $14,974.00 | $4,737.00 – $18,971.00 | 3 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $640.15 – $7,485.97 | 9 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $872.65 – $3,241.00 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $906.12 – $7,485.97 | 9 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $544.67 – $7,485.97 | 9 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $385.13 – $7,485.97 | 9 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,750.00 | $25,000.00 | $752.41 – $18,971.00 | 8 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $17,994.01 – $22,033.48 | 6 |
| Prq trlml c athrc st angiop1 CPT 92933 | $27,500.00 | $50,000.00 | $841.92 – $22,033.48 | 8 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,331.57 – $13,875.39 | 6 |
| Prq trluml c angiop 1art&/br CPT 92920 | $8,800.00 | $16,000.00 | $678.29 – $18,971.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $22,550.00 | $41,000.00 | $804.64 – $18,971.00 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $8,800.00 | $16,000.00 | $842.32 – $18,971.00 | 8 |
| Pr removal drug delivery implant CPT 11982 | $542.85 | $987.00 | $123.30 – $3,085.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $238.15 | $433.00 | $70.10 – $3,085.00 | 9 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $82.37 – $3,085.00 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,742.95 | $3,169.00 | $235.55 – $3,085.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $755.15 | $1,373.00 | $67.55 – $3,085.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $801.35 | $1,457.00 | $76.12 – $3,085.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $752.40 | $1,368.00 | $54.22 – $3,085.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $813.45 | $1,479.00 | $71.83 – $3,085.00 | 9 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $2,176.00 – $3,148.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $870.88 – $2,544.00 | 9 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $49.89 – $49.89 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $756.98 – $3,886.00 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $721.27 – $7,485.97 | 9 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $131.88 – $4,793.00 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $814.07 – $7,485.97 | 9 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $802.71 – $7,485.97 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,119.05 | $5,671.00 | $210.90 – $2,020.00 | 9 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $18.74 – $18.74 | 1 |
| PSA (Prostate) Test CPT 84153 | $77.00 | $140.00 | $18.02 – $39.29 | 9 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.52 – $34.76 | 6 |
| Psychoanalysis CPT 90845 | not published | not published | $108.81 – $213.34 | 6 |
| Psychophysiological therapy CPT 90875 | not published | not published | $73.72 – $73.72 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $118.09 – $118.09 | 1 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $30.42 – $122.10 | 6 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $75.89 – $213.34 | 6 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $100.76 – $213.34 | 6 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $151.78 – $213.34 | 6 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $132.58 – $259.53 | 6 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $102.01 – $102.01 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $44.82 – $536.93 | 6 |
| Psy evaluation of records CPT 90885 | not published | not published | $59.67 – $59.67 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $30.09 – $159.92 | 6 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $23.68 – $23.68 | 1 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $44.82 – $44.82 | 1 |
| Psytx complex interactive CPT 90785 | not published | not published | $17.14 – $17.14 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $77.95 – $77.95 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $99.36 – $99.36 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $131.06 – $131.06 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $109.45 | $199.00 | $13.58 – $16.63 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $7.15 – $7.15 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $85.25 | $155.00 | $18.19 – $22.27 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $66.55 | $121.00 | $13.75 – $16.84 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $60.50 | $110.00 | $13.25 – $16.22 | 6 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $63.42 – $63.42 | 1 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $104.78 – $519.00 | 9 |
| Pten gene full sequence CPT 81321 | not published | not published | $588.00 – $1,038.00 | 9 |
| Pten gene known fam variant CPT 81322 | $894.30 | $1,626.00 | $45.67 – $91.43 | 9 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $925.62 – $7,115.26 | 9 |
| Pt evaluation high complexity patient/family CPT 97163 | $225.50 | $410.00 | $89.67 – $109.80 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $224.95 | $409.00 | $89.67 – $109.80 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $214.50 | $390.00 | $93.74 – $114.78 | 6 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $5.35 – $45.03 | 6 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.89 – $29.26 | 6 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,233.42 – $2,113.14 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $176.00 | $320.00 | $61.37 – $75.14 | 6 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $109.45 | $199.00 | $28.84 – $35.32 | 6 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $87.45 | $159.00 | $11.57 – $14.17 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $71.50 | $130.00 | $27.66 – $33.86 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $85.25 | $155.00 | $28.30 – $34.66 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $60.50 | $110.00 | $29.56 – $36.19 | 6 |
| Pul art balloon repr percut CPT 92997 | $11,387.75 | $20,705.00 | $822.97 – $14,257.00 | 7 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $402.99 – $9,717.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,301.41 – $9,312.05 | 8 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,061.00 – $5,262.98 | 6 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,229.88 – $3,148.00 | 6 |
| Pulmonary vent imaging CPT 78579 | $766.15 | $1,393.00 | $193.04 – $480.50 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $369.05 | $671.00 | $28.42 – $154.66 | 6 |
| Pulse ox multiple CPT 94761 | $134.20 | $244.00 | $5.79 – $10.69 | 2 |
| Pulse ox single CPT 94760 | not published | not published | $3.73 – $3.73 | 1 |
| Punc of shunt for asp or inj CPT 61070 | $3,341.80 | $6,076.00 | $70.96 – $2,020.00 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $107.80 | $196.00 | $18.79 – $537.00 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,336.50 | $2,430.00 | $115.65 – $3,085.00 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $62.51 – $3,886.00 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,004.75 | $3,645.00 | $96.70 – $2,020.00 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $122.15 – $181.68 | 7 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $122.15 – $149.57 | 7 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $66.80 – $1,632.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $102.73 – $2,020.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | $2,178.00 | $3,960.00 | $105.95 – $2,020.00 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $588.91 – $1,008.94 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $13,950.50 – $23,900.58 | 6 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,176.00 – $3,148.00 | 4 |
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.