SSM Health St. Joseph Hospital- Wentzville
500 Medical Drive, Wentzville, MO · SSM Health · · NPI 1851833305
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $134.75 | $245.00 | $29.28 – $120.71 | 4 |
| 17-hydroxypregnenolone CPT 84143 | $76.45 | $139.00 | $19.55 – $94.05 | 4 |
| 17-ketosteroids CPT 83586 | $41.25 | $75.00 | $12.80 – $52.77 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $37.51 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $30.13 – $30.13 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,660.25 | $6,655.00 | $700.68 – $2,141.10 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,977.80 | $3,596.00 | $474.16 – $2,141.10 | 2 |
| 2nd order venous cath CPT 36012 | $846.45 | $1,539.00 | $189.68 – $2,302.00 | 5 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $176.10 – $176.10 | 1 |
| 3d ech img cgen car anomal CPT 93319 | $200.20 | $364.00 | $26.02 – $26.02 | 1 |
| 3-d radiotherapy plan CPT 77295 | $4,687.10 | $8,522.00 | $267.48 – $845.01 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $828.85 | $1,507.00 | $12.93 – $41.29 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $29.15 | $53.00 | $11.15 – $45.99 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $39.05 | $71.00 | $19.19 – $51.90 | 4 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $30.80 | $56.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $30.80 | $56.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $30.80 | $56.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $30.80 | $56.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $30.80 | $56.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $30.80 | $56.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $30.80 | $56.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,167.00 – $3,421.28 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $51.83 – $75.54 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $52.25 | $95.00 | $12.01 – $49.50 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.01 – $0.01 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $2,633.40 | $4,788.00 | $82.45 – $5,723.32 | 4 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,287.80 – $3,071.00 | 6 |
| Abd/low ext cath 1st CPT 36245 | $2,825.90 | $5,138.00 | $275.01 – $2,302.00 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $3,385.80 | $6,156.00 | $294.02 – $2,302.00 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $2,384.80 | $4,336.00 | $347.62 – $2,302.00 | 5 |
| Abd/low ext cath addl CPT 36248 | $964.70 | $1,754.00 | $53.62 – $2,302.00 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,222.65 | $2,223.00 | $192.11 – $753.75 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,018.60 | $1,852.00 | $166.67 – $655.22 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $815.10 | $1,482.00 | $89.98 – $352.63 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,442.00 | $4,440.00 | $393.54 – $1,496.04 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $1,705.00 | $3,100.00 | $368.45 – $1,397.71 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $1,485.00 | $2,700.00 | $259.84 – $987.30 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,311.10 | $4,202.00 | $117.12 – $3,886.00 | 7 |
| Abdominal Ultrasound (complete) CPT 76700 | $636.35 | $1,157.00 | $83.17 – $253.77 | 4 |
| Abdominal Ultrasound (limited) CPT 76705 | $567.05 | $1,031.00 | $62.74 – $217.94 | 4 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,242.63 – $3,886.00 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,632.40 | $2,968.00 | $80.31 – $3,886.00 | 7 |
| Abl1 gene CPT 81170 | $777.70 | $1,414.00 | $300.00 – $1,002.00 | 4 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $541.00 – $2,624.00 | 3 |
| Ablate arrhythmia add on CPT 93655 | $1,862.85 | $3,387.00 | $457.26 – $14,460.00 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,469.28 – $3,071.00 | 6 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,114.47 – $3,071.00 | 6 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $710.63 – $3,071.00 | 6 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,005.09 – $3,071.00 | 6 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $8,384.20 | $15,244.00 | $422.76 – $4,464.00 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | $12,366.20 | $22,484.00 | $409.04 – $3,864.00 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | $6,096.20 | $11,084.00 | $650.06 – $14,460.00 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $199.64 – $3,886.00 | 7 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $142.46 – $3,886.00 | 7 |
| Ablate pulm tumor perq crybl CPT 32994 | $6,923.95 | $12,589.00 | $523.70 – $4,464.00 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | $4,746.50 | $8,630.00 | $308.95 – $8,775.00 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,773.45 | $8,679.00 | $541.00 – $541.00 | 1 |
| Ablation cryo abd perit om CPT 49999 | $2,145.55 | $3,901.00 | $1,444.00 – $3,071.00 | 5 |
| Ablation cryo adrenal tumor CPT 60699 | $4,741.55 | $8,621.00 | $1,444.00 – $4,464.00 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $541.00 – $3,071.00 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $6,253.50 | $11,370.00 | $514.89 – $8,775.00 | 6 |
| Ablation cryo retro lymph node CPT 38999 | $806.85 | $1,467.00 | $541.00 – $3,071.00 | 5 |
| Ablation cryo thigh/knee CPT 27599 | $386.10 | $702.00 | $541.00 – $3,071.00 | 5 |
| Ablation of upper extremity nerves rf CPT 64999 | $598.40 | $1,088.00 | $541.00 – $3,071.00 | 5 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,444.00 – $2,624.00 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,024.95 – $8,775.00 | 5 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $2,224.00 – $5,362.00 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $10.68 – $15.42 | 3 |
| Abortion CPT 59850 | not published | not published | $368.34 – $2,680.00 | 6 |
| Abortion (mpr) CPT 59866 | not published | not published | $230.37 – $2,444.00 | 6 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $18.17 – $2,444.00 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $142.07 – $2,444.00 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,903.45 | $5,279.00 | $230.50 – $8,775.00 | 6 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $2,670.25 | $4,855.00 | $140.49 – $5,327.00 | 5 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $320.79 – $2,444.00 | 5 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.07 | 2 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $75.09 | $136.52 | not published | 0 |
| Acetaminophen level CPT 80143 | not published | not published | $18.64 – $31.44 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $20.07 – $49.21 | 2 |
| Acetone qualitative CPT 82009 | $45.65 | $83.00 | $4.52 – $18.64 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $47.30 | $86.00 | $12.05 – $12.58 | 2 |
| Acetylcholinesterase assay CPT 82013 | $94.05 | $171.00 | $12.29 – $46.06 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.43 – $1.22 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $10.36 – $11.95 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $91.05 – $541.00 | 2 |
| Acne surgery 10040 CPT 10040 | not published | not published | $92.03 – $2,444.00 | 6 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $178.34 – $178.34 | 1 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $120.35 – $120.35 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $200.75 | $365.00 | $159.17 – $159.17 | 1 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $15.84 | $28.80 | $10.00 – $10.00 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $35.20 | $64.00 | $15.86 – $15.86 | 1 |
| Acoustic immitance testing CPT 92570 | not published | not published | $31.09 – $31.09 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $15.93 – $15.93 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $646.31 – $4,306.00 | 7 |
| Actigraphy testing CPT 95803 | not published | not published | $99.29 – $99.29 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $20.81 – $20.81 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $34.89 – $34.89 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $32.30 – $32.30 | 1 |
| Acute hepatitis panel CPT 80074 | $144.10 | $262.00 | $47.63 – $196.43 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $283.93 – $2,611.88 | 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.