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 |
|---|---|---|---|---|
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,201.37 – $3,148.00 | 6 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,160.46 – $3,148.00 | 6 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,263.30 – $3,148.00 | 6 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,147.24 – $3,148.00 | 6 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $6.11 – $12.62 | 3 |
| Pyruvate CPT 84210 | $134.75 | $245.00 | $14.19 – $25.05 | 9 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.25 – $20.17 | 9 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $241.06 – $412.98 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $6.66 – $159.92 | 6 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $789.80 | $1,436.00 | $317.35 – $676.32 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $752.40 | $1,368.00 | $199.22 – $480.50 | 9 |
| Quest t3 uptake CPT 84479 | $51.70 | $94.00 | $6.34 – $13.81 | 9 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $504.38 – $864.13 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $0.02 – $205.18 | 3 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $345.39 – $422.93 | 7 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $238.33 – $412.27 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $201.52 – $519.13 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $232.12 – $284.23 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $289.00 – $3,656.00 | 6 |
| Radiation handling CPT 77790 | not published | not published | $37.50 – $113.73 | 2 |
| Radiation physics consult CPT 77336 | $1,046.65 | $1,903.00 | $88.53 – $224.16 | 8 |
| Radiation therapy dose plan CPT 77300 | $744.15 | $1,353.00 | $35.83 – $161.55 | 8 |
| Radiation therapy management CPT 77431 | not published | not published | $121.61 – $261.88 | 2 |
| Radiation treatment aid(s) CPT 77332 | $723.80 | $1,316.00 | $24.57 – $161.55 | 8 |
| Radiation treatment aid(s) CPT 77333 | $806.30 | $1,466.00 | $10.73 – $168.06 | 8 |
| Radiation treatment aid(s) CPT 77334 | $2,093.30 | $3,806.00 | $101.67 – $450.04 | 8 |
| Radiation treatment delivery CPT 77401 | not published | not published | $23.90 – $70.30 | 3 |
| Radiation treatment delivery CPT 77402 | $475.20 | $864.00 | $100.15 – $362.88 | 8 |
| Radiation treatment delivery CPT 77412 | $1,069.20 | $1,944.00 | $320.87 – $672.69 | 8 |
| Radiation tx management x5 CPT 77427 | not published | not published | $222.15 – $476.56 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,061.00 – $3,656.00 | 6 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,863.62 – $8,721.52 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,403.81 – $8,721.52 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,192.00 – $8,721.52 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,428.98 – $8,721.52 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,473.09 – $8,721.52 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,292.01 – $3,508.00 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,754.30 – $4,866.00 | 9 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $419.03 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,547.75 – $7,791.41 | 6 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $729.04 – $1,249.03 | 6 |
| Radiology port images(s) CPT 77417 | $409.75 | $745.00 | $12.37 – $27.92 | 2 |
| Radiotherapy dose plan imrt CPT 77301 | $7,722.00 | $14,040.00 | $1,358.64 – $3,888.41 | 8 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $168.71 – $199.70 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,236.40 | $2,248.00 | $338.36 – $1,658.54 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,290.30 | $2,346.00 | $532.97 – $1,658.54 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,150.50 | $3,910.00 | $748.17 – $1,658.54 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,344.20 | $2,444.00 | $346.18 – $1,658.54 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $484.00 | $880.00 | $188.52 – $480.50 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | $24.75 | $45.00 | $96.77 – $96.77 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,833.00 – $8,721.52 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,397.42 – $3,491.29 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,625.42 – $4,866.00 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,265.27 – $3,491.29 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $894.18 – $3,491.29 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,632.61 – $4,866.00 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $904.66 – $3,491.29 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,285.94 – $4,866.00 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,660.32 – $8,721.52 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,173.88 – $3,491.29 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $72.91 – $137.94 | 8 |
| Range of motion measurements CPT 95852 | not published | not published | $4.86 – $5.95 | 6 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $50.07 – $160.24 | 8 |
| Rapid desensitization CPT 95180 | not published | not published | $121.79 – $536.93 | 6 |
| Rapid Strep Test CPT 87880 | $66.00 | $120.00 | $16.20 – $28.60 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $226.16 – $700.30 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.59 – $299.30 | 8 |
| Rbc count only automated CPT 85041 | $29.15 | $53.00 | $2.96 – $6.45 | 9 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,192.40 | $2,168.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | $881.10 | $1,602.00 | $57.96 – $3,085.00 | 9 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.43 – $18.37 | 9 |
| Rbc osmotic fragility CPT 85555 | $255.20 | $464.00 | $7.32 – $14.27 | 9 |
| Rbc serum pretx incubj drugs CPT 86975 | $294.25 | $535.00 | $34.87 – $536.93 | 9 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $187.65 – $187.65 | 1 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $97.38 – $97.38 | 1 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $32.99 – $32.99 | 1 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $40.40 – $40.40 | 1 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $54.62 – $54.62 | 1 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $52.08 – $52.08 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,628.00 – $7,115.26 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,875.57 – $7,115.26 | 9 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,598.94 – $7,115.26 | 9 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,002.41 – $7,115.26 | 9 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,085.33 – $7,115.26 | 9 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,298.00 – $7,115.26 | 9 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $847.75 – $3,984.97 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,068.85 – $7,115.26 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,367.89 – $7,115.26 | 9 |
| Realignment of knee CPT 27457 | not published | not published | $1,176.71 – $8,721.52 | 9 |
| Realignment of knee CPT 27455 | not published | not published | $1,153.63 – $8,721.52 | 9 |
| Realignment of tendons CPT 26437 | not published | not published | $736.31 – $3,886.00 | 9 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,596.05 – $8,721.52 | 9 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,307.35 – $6,107.27 | 9 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,265.09 – $6,107.27 | 9 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,671.64 – $6,107.27 | 9 |
| Rebuild outer ear canal CPT 69310 | $12,126.40 | $22,048.00 | $1,315.88 – $6,107.27 | 9 |
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.