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 |
|---|---|---|---|---|
| Urinalysis (without microscopy) CPT 81003 | $23.10 | $42.00 | $2.25 – $9.25 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $71.70 – $223.41 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $157.02 – $2,444.00 | 6 |
| Urine Culture Test CPT 87086 | $60.50 | $110.00 | $8.07 – $33.27 | 4 |
| Urine flow measurement 51736 CPT 51736 | $26.40 | $48.00 | $7.20 – $2,444.00 | 6 |
| Urine pregnancy test CPT 81025 | $72.05 | $131.00 | $8.61 – $28.76 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.64 – $100.13 | 4 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,301.62 – $3,071.00 | 6 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $1,444.00 | 5 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.01 – $0.01 | 1 |
| Urography, antegrade CPT 74425 | $470.80 | $856.00 | $59.18 – $736.24 | 4 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.81 – $357.10 | 4 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.01 – $0.01 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.01 – $0.01 | 1 |
| Use 1st target lesion CPT 76982 | $245.30 | $446.00 | $67.52 – $217.94 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $15.48 – $22.07 | 3 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $257.20 – $330.18 | 3 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $8,775.00 – $8,775.00 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $188.32 – $266.72 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $171.32 – $242.65 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $181.62 – $257.24 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $102.26 – $144.84 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $76.37 – $108.16 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $28.99 – $28.99 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $99.29 – $99.29 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $61.80 – $61.80 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $153.10 – $153.10 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $116.18 – $116.18 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $31.06 – $31.06 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $42.90 | $78.00 | $12.29 – $12.29 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $84.67 – $122.95 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $128.47 – $128.47 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $87.55 – $124.00 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $81.99 – $116.13 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $206.86 – $277.70 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $36.90 – $50.77 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $316.80 | $576.00 | $313.63 – $313.63 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.01 – $0.01 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $97.27 – $137.76 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $97.27 – $137.76 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $25.47 – $36.07 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.75 | $45.00 | $26.04 – $36.88 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.68 – $18.68 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $69.22 – $69.22 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $0.01 – $0.01 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $24.20 | $44.00 | $20.00 – $20.00 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $9.34 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.86 – $50.14 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $65.67 – $65.67 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $42.93 – $60.80 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $12.73 – $18.03 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $228.10 – $228.10 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $193.94 – $193.94 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $170.20 – $170.20 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $160.37 – $160.37 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $93.96 – $93.96 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $283.21 – $283.21 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $155.49 – $220.23 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $300.56 – $425.68 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $304.24 – $418.37 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $423.72 | $770.40 | $364.53 – $491.77 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $43.37 – $43.37 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $363.51 – $568.30 | 3 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $300.90 – $300.90 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $530.15 – $530.15 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $530.15 – $530.15 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $299.88 – $299.88 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $141.39 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $100.67 – $100.67 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $80.52 | $146.40 | $46.26 – $67.04 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $42.37 – $53.11 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $142.38 – $142.38 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $186.53 – $186.53 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $209.58 – $209.58 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 2 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,042.14 – $8,775.00 | 6 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,310.99 – $5,834.00 | 6 |
| Vag hyst including t/o CPT 58262 | not published | not published | $972.33 – $8,775.00 | 6 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,383.09 – $5,834.00 | 6 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,281.62 – $5,834.00 | 6 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $929.44 – $8,775.00 | 6 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,444.00 – $2,444.00 | 1 |
| Vaginal bx CPT 58999 | $227.15 | $413.00 | $541.00 – $3,071.00 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $993.77 – $3,071.00 | 6 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,167.00 – $3,071.00 | 5 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $870.42 – $8,775.00 | 6 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,444.00 – $3,071.00 | 6 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,688.93 – $3,379.00 | 6 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $942.56 – $3,071.00 | 6 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $121.92 – $3,071.00 | 6 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,293.41 – $3,071.00 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,265.89 – $3,071.00 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $51.70 | $94.00 | $13.54 – $55.84 | 4 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,603.96 – $2,386.74 | 3 |
| Valvuloplasty aortic CPT 92986 | $5,536.30 | $10,066.00 | $1,436.61 – $18,730.00 | 6 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,064.82 – $3,597.00 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,275.00 – $3,597.00 | 3 |
| Valvuloplasty mitral CPT 92987 | $6,930.00 | $12,600.00 | $1,480.52 – $18,730.00 | 6 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,171.61 – $18,730.00 | 5 |
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.