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 |
|---|---|---|---|---|
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $217.22 – $4,306.00 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $106.99 – $3,071.00 | 6 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $269.55 – $3,071.00 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $215.06 – $8,775.00 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $183.00 – $3,886.00 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,571.80 | $4,676.00 | $135.91 – $3,886.00 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $188.66 – $3,886.00 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | $1,129.15 | $2,053.00 | $119.58 – $3,886.00 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $845.90 | $1,538.00 | $101.39 – $3,886.00 | 7 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $89.15 – $3,071.00 | 7 |
| Esophagoscopy flex remove fb CPT 43215 | $1,086.80 | $1,976.00 | $161.67 – $2,363.00 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $224.65 – $8,775.00 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $154.77 – $3,886.00 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $291.14 – $4,306.00 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $199.50 – $4,306.00 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $164.60 – $3,071.00 | 7 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $599.19 – $8,775.00 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $183.19 – $3,886.00 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $224.31 – $3,886.00 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $211.40 – $4,306.00 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $182.44 – $4,306.00 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $182.79 – $4,306.00 | 7 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $206.49 – $4,306.00 | 6 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,412.12 – $3,071.00 | 6 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $161.09 – $3,886.00 | 7 |
| Esophagus motility study CPT 91010 | $1,388.75 | $2,525.00 | $110.76 – $1,444.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $394.59 – $541.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | $1,254.00 | $2,280.00 | $175.97 – $3,886.00 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $149.70 – $3,886.00 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $878.33 – $7,480.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,229.10 – $5,327.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $14.71 – $541.00 | 2 |
| Esoph imped function test CPT 91037 | $539.00 | $980.00 | $111.83 – $541.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $401.75 – $541.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $152.30 – $4,306.00 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $156.26 – $3,886.00 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $119.21 – $3,886.00 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,167.00 – $7,480.00 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $474.01 – $474.01 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $248.29 – $248.29 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $497.07 – $497.07 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $570.66 – $570.66 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $191.79 – $191.79 | 1 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $548.64 – $548.64 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $309.36 – $309.36 | 1 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $826.50 – $826.50 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $984.12 – $984.12 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $856.69 – $856.69 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $334.93 – $334.93 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $455.06 – $455.06 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $249.42 – $249.42 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $478.86 – $478.86 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $296.59 – $296.59 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $675.00 – $675.00 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.96 – $15.96 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $18.92 – $18.92 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.15 – $8.15 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $16.32 – $16.32 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $454.05 – $8,775.00 | 7 |
| Establish access to aorta CPT 36160 | $875.60 | $1,592.00 | $134.80 – $2,302.00 | 5 |
| Establish access to artery CPT 36100 | $1,145.65 | $2,083.00 | $168.49 – $2,302.00 | 5 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,145.56 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,768.64 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $630.89 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,070.41 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,520.02 – $3,071.00 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,123.51 – $3,071.00 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $121.00 | $220.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $91.30 | $166.00 | $1,216.00 – $1,216.00 | 1 |
| Established Patient Office Visit (level 3) CPT 99213 | $115.50 | $210.00 | $1,865.00 – $1,865.00 | 1 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.85 | $307.00 | $2,302.00 – $2,302.00 | 1 |
| Established Patient Office Visit (level 5) CPT 99215 | $287.10 | $522.00 | $2,624.00 – $2,624.00 | 1 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $192.17 – $3,886.00 | 6 |
| Estradiol total CPT 82670 | $254.10 | $462.00 | $27.94 – $115.20 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.98 – $16.16 | 2 |
| Estrogens total-sendout CPT 82672 | $47.30 | $86.00 | $21.70 – $89.45 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $972.05 – $1,304.79 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $605.24 – $829.39 | 3 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $125.17 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $932.74 – $3,886.00 | 7 |
| Ethylene glycol -sendout CPT 82693 | $108.35 | $197.00 | $14.90 – $61.46 | 4 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,179.41 – $1,179.41 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.51 – $1.74 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $88.26 – $134.06 | 2 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $133.37 – $222.77 | 3 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $34.67 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $503.37 – $4,306.00 | 7 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $18.50 – $18.50 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $79.54 – $79.54 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $128.79 – $128.79 | 1 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $40.78 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $162.25 | $295.00 | $91.53 – $327.69 | 4 |
| Evaluation heart device CPT 93640 | $2,113.10 | $3,842.00 | $326.32 – $8,427.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $112.08 – $112.08 | 1 |
| Evaluation psychiatric diagnostic CPT 90791 | $250.25 | $455.00 | $132.91 – $132.91 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,722.40 | $6,768.00 | $559.68 – $18,730.00 | 6 |
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.