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 |
|---|---|---|---|---|
| Cytopath fl nongyn filter CPT 88106 | $82.50 | $150.00 | $24.67 – $145.39 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $80.85 | $147.00 | $36.22 – $130.43 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $62.70 | $114.00 | $26.15 – $109.25 | 4 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $55.00 | $100.00 | $20.26 – $83.53 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $99.55 | $181.00 | $33.84 – $123.48 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $67.65 | $123.00 | $33.84 – $141.95 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $51.70 | $94.00 | $7.33 – $25.38 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $198.55 | $361.00 | $19.74 – $149.16 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $132.55 | $241.00 | $49.76 – $266.60 | 4 |
| Cytopath smear other source CPT 88160 | $56.65 | $103.00 | $24.67 – $150.00 | 4 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $187.04 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | $116.05 | $211.00 | $24.67 – $131.56 | 4 |
| Cytopath tbs c/v manual CPT 88164 | $62.70 | $114.00 | $15.02 – $48.93 | 4 |
| Cytotoxic antibody screening CPT 86807 | $137.50 | $250.00 | $56.25 – $262.69 | 4 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $122.38 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $291.26 – $1,568.33 | 4 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.45 – $6.53 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $352.90 – $1,170.58 | 3 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $18.12 – $26.77 | 3 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $21.02 – $30.44 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.07 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.07 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $63.69 – $85.83 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.50 – $5.12 | 3 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.50 – $5.12 | 3 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $297.18 – $409.88 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $23.02 – $62.42 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $251.22 – $1,444.00 | 3 |
| D&c after delivery 59160 CPT 59160 | $2,605.90 | $4,738.00 | $186.84 – $3,886.00 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,528.35 | $4,597.00 | $231.35 – $3,886.00 | 7 |
| Dch glucoscan CPT 82948 | not published | not published | $4.49 – $16.83 | 4 |
| Dch pulmonary stress test CPT 94621 | $905.30 | $1,646.00 | $96.10 – $96.10 | 1 |
| Dch validity tests CPT 81002 | $18.70 | $34.00 | $2.97 – $11.62 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,746.40 | $10,448.00 | $609.55 – $8,775.00 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,637.63 – $3,864.00 | 6 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $291.76 – $3,886.00 | 7 |
| D&c of cervical stump CPT 57558 | not published | not published | $119.24 – $3,886.00 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $94.05 | $171.00 | $11.53 – $20.58 | 3 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $755.07 – $3,071.00 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $826.10 | $1,502.00 | $30.54 – $3,886.00 | 7 |
| Debridement (>20 cm) charge pt CPT 97598 | $482.90 | $878.00 | $12.31 – $1,444.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,949.55 | $7,181.00 | $248.07 – $3,886.00 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $924.00 | $1,680.00 | $59.53 – $2,167.00 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,970.65 | $3,583.00 | $106.42 – $2,167.00 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,514.15 | $2,753.00 | $65.46 – $3,886.00 | 7 |
| Debride nail1-5 11720 CPT 11720 | $173.25 | $315.00 | $15.64 – $2,302.00 | 6 |
| Debride nail6 or more 11721 CPT 11721 | $259.05 | $471.00 | $26.08 – $2,302.00 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,756.15 | $3,193.00 | $317.57 – $3,886.00 | 7 |
| Debride skin bone at fx site CPT 11012 | $2,423.85 | $4,407.00 | $452.71 – $3,886.00 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $623.48 – $3,071.00 | 6 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $843.00 – $3,071.00 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $886.05 | $1,611.00 | $27.90 – $2,167.00 | 5 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $65.48 – $2,444.00 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,612.60 | $2,932.00 | $297.15 – $3,886.00 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $14.89 – $2,167.00 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,340.25 | $4,255.00 | $165.80 – $3,886.00 | 7 |
| Decalcification CPT 88311 | $61.05 | $111.00 | $8.27 – $30.09 | 4 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.85 – $2.97 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,117.05 | $2,031.00 | $31.20 – $1,444.00 | 5 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $528.53 – $3,886.00 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $600.97 – $3,886.00 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,309.87 – $3,886.00 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $595.89 – $3,783.00 | 6 |
| Decompress fingers/hand CPT 26035 | not published | not published | $909.90 – $3,783.00 | 6 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,161.68 – $3,886.00 | 7 |
| Decompress forearm 2 spaces CPT 25024 | $3,600.85 | $6,547.00 | $824.79 – $3,886.00 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $573.10 – $3,886.00 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $582.98 – $3,886.00 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $646.96 – $3,886.00 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $922.10 – $3,886.00 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $442.13 – $3,886.00 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $475.88 – $3,886.00 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $576.43 – $4,306.00 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $627.65 – $3,886.00 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $695.64 – $3,886.00 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $744.67 – $3,886.00 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $377.07 – $3,886.00 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $393.42 – $3,886.00 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,199.57 – $3,886.00 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,782.17 – $8,775.00 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $1,048.85 – $3,071.00 | 6 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,611.07 – $8,775.00 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,930.83 – $8,775.00 | 6 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $350.32 – $8,028.00 | 5 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $167.28 – $3,886.00 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $10.51 – $15.04 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $5.08 – $7.33 | 3 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $973.60 – $4,464.00 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $253.38 – $3,886.00 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $364.02 – $3,886.00 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $341.88 – $3,886.00 | 7 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $216.41 – $3,886.00 | 7 |
| Delivery of placenta 59414 CPT 59414 | $3,293.40 | $5,988.00 | $99.53 – $3,071.00 | 6 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,029.17 – $3,071.00 | 5 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,400.95 – $3,071.00 | 5 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $743.28 – $5,327.00 | 6 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $112.58 – $112.58 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $138.60 | $252.00 | $17.59 – $17.59 | 1 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,137.78 – $3,886.00 | 7 |
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.