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 |
|---|---|---|---|---|
| Excision of uvula CPT 42140 | not published | not published | $165.90 – $3,886.00 | 7 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $167.31 – $3,886.00 | 7 |
| Excision olecranon bursa CPT 24105 | not published | not published | $368.23 – $3,886.00 | 7 |
| Excision perinephric cyst CPT 50290 | not published | not published | $955.48 – $3,071.00 | 6 |
| Excision radial head CPT 24130 | not published | not published | $535.60 – $3,886.00 | 7 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $141.60 – $2,363.00 | 6 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $500.20 – $8,775.00 | 7 |
| Excis partial tal calc CPT 28120 | not published | not published | $528.44 – $5,974.00 | 7 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,294.37 – $3,864.00 | 6 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $729.85 – $8,775.00 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $501.68 – $3,886.00 | 7 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $155.03 – $3,886.00 | 7 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $191.22 – $3,886.00 | 7 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $426.70 – $3,886.00 | 7 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $137.62 – $3,071.00 | 6 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,087.97 – $5,327.00 | 6 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $135.82 – $5,327.00 | 6 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $860.52 – $5,327.00 | 6 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,431.65 | $2,603.00 | $131.75 – $3,886.00 | 7 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $1,816.10 | $3,302.00 | $194.26 – $3,886.00 | 7 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $2,411.20 | $4,384.00 | $301.90 – $3,886.00 | 7 |
| Exc malig feenl >4cm 11646 CPT 11646 | $3,020.05 | $5,491.00 | $420.72 – $3,886.00 | 7 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $127.39 – $3,886.00 | 7 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $1,816.10 | $3,302.00 | $158.40 – $2,302.00 | 6 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,542.65 | $4,623.00 | $224.35 – $3,886.00 | 7 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,762.20 | $3,204.00 | $125.92 – $3,886.00 | 7 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $156.92 – $3,886.00 | 7 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,868.90 | $3,398.00 | $172.01 – $3,886.00 | 7 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $2,019.60 | $3,672.00 | $206.52 – $3,886.00 | 7 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $249.88 | $454.32 | $227.75 – $3,886.00 | 7 |
| Exc mandible 21025 CPT 21025 | not published | not published | $802.51 – $3,886.00 | 7 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $563.34 – $3,886.00 | 7 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $780.32 – $8,775.00 | 6 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $529.91 – $3,886.00 | 7 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,167.85 – $3,071.00 | 6 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $845.64 – $3,071.00 | 6 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $426.34 – $3,886.00 | 7 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $2,614.70 | $4,754.00 | $195.87 – $3,886.00 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $349.26 – $3,886.00 | 7 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $864.68 – $8,775.00 | 7 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $639.24 – $4,306.00 | 6 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $897.42 – $3,886.00 | 7 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,164.42 – $3,886.00 | 7 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $728.85 – $3,886.00 | 7 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $987.71 – $3,886.00 | 7 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $572.23 – $3,886.00 | 7 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $342.13 – $3,886.00 | 7 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $266.76 – $3,886.00 | 7 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $344.97 – $3,886.00 | 7 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $180.92 – $3,886.00 | 7 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $254.14 – $3,886.00 | 7 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $3,631.65 | $6,603.00 | $313.39 – $3,886.00 | 7 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $325.21 – $3,886.00 | 7 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $475.27 – $8,775.00 | 7 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $323.80 – $3,886.00 | 7 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $371.76 – $3,886.00 | 7 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $332.76 – $3,886.00 | 7 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $440.38 – $8,775.00 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $445.28 – $8,775.00 | 7 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $443.85 – $8,775.00 | 7 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $441.15 – $8,775.00 | 7 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $499.86 – $8,775.00 | 6 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $348.95 – $3,886.00 | 7 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $331.42 – $3,886.00 | 7 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $660.77 – $3,886.00 | 7 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $802.73 – $8,775.00 | 7 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,972.20 | $5,404.00 | $118.24 – $2,363.00 | 6 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $345.32 – $3,886.00 | 7 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $313.39 – $3,071.00 | 6 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $925.28 – $3,886.00 | 7 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $951.86 – $3,886.00 | 7 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,048.84 – $3,886.00 | 7 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $1,217.44 – $3,886.00 | 7 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $1,243.82 – $3,886.00 | 7 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $624.02 – $3,886.00 | 7 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,212.10 | $4,022.00 | $339.00 – $3,886.00 | 7 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $1,016.96 – $3,071.00 | 6 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $182.18 – $3,886.00 | 7 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.95 – $1.95 | 1 |
| Exercise tst brncspsm w/ecg CPT 94617 | $211.75 | $385.00 | $63.16 – $63.16 | 1 |
| Exercise tst brncspsm wo ecg CPT 94619 | $106.15 | $193.00 | $51.50 – $51.50 | 1 |
| Exercise w/hemodynamic meas CPT 93464 | $1,833.15 | $3,333.00 | $189.27 – $541.00 | 2 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.58 – $22.57 | 4 |
| Exome re-evaluation CPT 81417 | not published | not published | $320.00 – $1,068.80 | 4 |
| Exome sequence analysis CPT 81415 | $9,464.40 | $17,208.00 | $4,780.00 – $15,965.20 | 4 |
| Exome sequence analysis CPT 81416 | not published | not published | $12,000.00 – $40,080.00 | 4 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $149.77 – $2,680.00 | 6 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,244.58 | $2,262.88 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,216.44 | $2,211.70 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $11,965.80 | $21,756.00 | $826.62 – $3,379.00 | 6 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $614.50 – $3,071.00 | 6 |
| Exploration for testis CPT 54550 | not published | not published | $522.33 – $3,886.00 | 7 |
| Exploration for testis CPT 54560 | not published | not published | $719.59 – $3,071.00 | 6 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $555.52 – $3,886.00 | 7 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $211.44 – $3,886.00 | 7 |
| Exploration of ankle joint CPT 27612 | not published | not published | $599.29 – $3,886.00 | 7 |
| Exploration of bile ducts CPT 47700 | not published | not published | $1,129.14 – $3,071.00 | 6 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $533.61 – $3,071.00 | 6 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $850.51 – $3,071.00 | 6 |
| Exploration of foot joint CPT 28020 | not published | not published | $386.48 – $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.