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 |
|---|---|---|---|---|
| Frenulotomy of penis CPT 54164 | not published | not published | $204.11 – $3,886.00 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $183.15 | $333.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $110.55 | $201.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $19.30 – $149.16 | 4 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.84 – $336.71 | 4 |
| Frozen blood prep CPT 86930 | not published | not published | $112.55 – $395.52 | 4 |
| Frozen blood thaw CPT 86931 | $157.30 | $286.00 | $84.33 – $296.36 | 4 |
| Frozen cell preparation CPT 88241 | $301.95 | $549.00 | $12.09 – $41.65 | 4 |
| Frozen plasma, pooled, sd HCPCS P9023 | $140.80 | $256.00 | $0.99 – $0.99 | 1 |
| Fructosamine glycated protein CPT 82985 | $40.70 | $74.00 | $16.76 – $62.16 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $149.05 – $3,886.00 | 6 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $84.21 – $3,886.00 | 6 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $4,967.82 | 4 |
| Ftl cgen abnor five anal CPT 81512 | $155.10 | $282.00 | $69.52 – $232.20 | 4 |
| Ftl cgen abnor four anal CPT 81511 | $118.25 | $215.00 | $153.50 – $512.69 | 4 |
| Ftl cgen abnor three anal CPT 81510 | $92.95 | $169.00 | $55.54 – $185.50 | 4 |
| Ftl cgen abnor two proteins CPT 81508 | $101.20 | $184.00 | $54.30 – $181.36 | 4 |
| Full field erg w/i&r CPT 92273 | not published | not published | $95.95 – $95.95 | 1 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $40.88 – $460.26 | 4 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $903.96 – $3,886.00 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,465.10 | $4,482.00 | $648.08 – $3,886.00 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $429.55 | $781.00 | $76.38 – $3,886.00 | 6 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,226.95 | $4,049.00 | $843.11 – $3,886.00 | 7 |
| Functional brain mapping CPT 96020 | not published | not published | $89.25 – $89.25 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $55.21 – $55.21 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.02 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.00 – $1.01 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,167.00 – $3,500.11 | 6 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,484.25 – $3,071.00 | 6 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,595.28 – $3,071.00 | 6 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,504.02 – $3,071.00 | 6 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,411.40 – $3,071.00 | 6 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,588.14 – $3,071.00 | 6 |
| Fuse/graft added joint CPT 26863 | not published | not published | $245.06 – $3,886.00 | 6 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,641.79 – $3,071.00 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,167.00 – $3,278.92 | 6 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,795.92 – $3,071.00 | 6 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,411.59 – $3,071.00 | 6 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,175.76 – $3,071.00 | 6 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,456.13 – $3,071.00 | 6 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $748.07 – $3,886.00 | 7 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $833.72 – $3,886.00 | 7 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,099.85 – $4,464.00 | 7 |
| Fusion of big toe joint CPT 28750 | not published | not published | $629.74 – $4,464.00 | 7 |
| Fusion of big toe joint CPT 28755 | not published | not published | $349.73 – $3,886.00 | 7 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,223.64 – $3,071.00 | 6 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $110.93 – $3,886.00 | 6 |
| Fusion of finger joint CPT 26860 | not published | not published | $578.95 – $3,886.00 | 7 |
| Fusion of finger tendons CPT 26471 | not published | not published | $630.46 – $3,886.00 | 7 |
| Fusion of finger tendons CPT 26474 | not published | not published | $621.52 – $3,886.00 | 7 |
| Fusion of foot bones CPT 28730 | not published | not published | $777.43 – $4,464.00 | 7 |
| Fusion of foot bones CPT 28735 | not published | not published | $832.55 – $4,464.00 | 7 |
| Fusion of foot bones CPT 28740 | not published | not published | $662.68 – $4,464.00 | 7 |
| Fusion of hand joint CPT 26843 | not published | not published | $767.12 – $3,886.00 | 7 |
| Fusion of knee CPT 27580 | not published | not published | $1,530.80 – $4,464.00 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $712.00 – $3,886.00 | 7 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $720.12 – $3,886.00 | 7 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $859.65 – $3,886.00 | 7 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $850.87 – $3,886.00 | 7 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $820.81 – $3,886.00 | 7 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $858.32 – $3,886.00 | 7 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,131.60 – $3,886.00 | 7 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $726.54 – $3,886.00 | 7 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $678.80 – $3,886.00 | 7 |
| Fusion of thumb CPT 26841 | not published | not published | $748.41 – $3,886.00 | 7 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $727.87 – $4,464.00 | 7 |
| Fusion of toes CPT 28280 | not published | not published | $368.43 – $3,886.00 | 7 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,500.58 – $3,071.00 | 6 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,314.82 – $3,071.00 | 6 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,228.59 – $3,071.00 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $917.93 | 4 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $457.58 | 4 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $917.93 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $618.57 | 4 |
| G0180 home health certification HCPCS G0180 | not published | not published | $55.38 – $55.38 | 1 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $195.36 | 4 |
| G6pd full gene sequence CPT 81249 | $1,320.00 | $2,400.00 | $600.00 – $2,004.00 | 4 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $583.87 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,253.34 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $32.45 | $59.00 | $0.01 – $0.01 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $119.90 | $218.00 | $56.67 – $84.30 | 2 |
| Gabapentin non-blood CPT 80355 | $42.35 | $77.00 | $24.66 – $40.59 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.30 – $0.59 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.71 – $2.65 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.14 – $0.22 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $17.13 – $25.80 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $38.50 | $70.00 | $21.07 – $86.87 | 4 |
| Galactokinase - sendout CPT 82759 | $393.80 | $716.00 | $21.48 – $88.58 | 4 |
| Galactose transferase test CPT 82776 | $31.35 | $57.00 | $11.74 – $39.21 | 4 |
| Galectin-3 CPT 82777 | not published | not published | $31.26 – $147.80 | 4 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $704.99 – $10,806.00 | 7 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $6.68 – $7.73 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $614.08 – $776.84 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $793.42 – $882.60 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | $2,328.89 | $4,234.34 | $1,003.68 – $1,711.73 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $713.11 – $1,441.18 | 2 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.01 – $0.01 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $524.14 – $588.92 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $194.62 – $887.71 | 3 |
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.