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 |
|---|---|---|---|---|
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $63.80 | $116.00 | $18.58 – $76.62 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $611.95 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $86.35 | $157.00 | $18.52 – $76.35 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $21.79 – $21.79 | 1 |
| Goniotomy CPT 65820 | not published | not published | $774.32 – $3,886.00 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $855.28 – $1,160.05 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,339.92 | $2,436.22 | $31.01 – $53.20 | 2 |
| Graft axiofill 1000mg HCPCS J3590 | $3,129.51 | $5,690.01 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,454.81 – $2,560.73 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $7,414.57 | $13,481.04 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $922.71 – $3,886.00 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $8,011.53 | $14,566.41 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,532.40 | $8,240.73 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $886.38 | $1,611.60 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $45.60 – $68.34 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,560.21 | $2,836.75 | $114.91 – $181.60 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,170.41 – $8,028.00 | 6 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,369.10 | $4,307.46 | $142.64 – $238.57 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $900.18 | $1,636.69 | $41.23 – $78.74 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $4,308.44 | $7,833.52 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $276.91 – $276.91 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $578.59 | $1,051.98 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $200.88 | $365.23 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $3.06 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.27 – $0.67 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,178.00 | $3,960.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,167.00 – $3,864.00 | 6 |
| Great toe with reduction 28495 CPT 28495 | $479.60 | $872.00 | $159.22 – $2,302.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $626.32 – $8,775.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $528.67 – $8,775.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $508.44 – $2,167.00 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $506.28 – $8,775.00 | 6 |
| Ground mileage HCPCS A0425 | not published | not published | $5.84 – $5.84 | 1 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $12.24 – $12.24 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $35.20 | $64.00 | $15.86 – $15.86 | 1 |
| Growth hormone antibody CPT 86277 | $141.35 | $257.00 | $15.74 – $64.90 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $275.05 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $111.53 – $431.96 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $31.26 – $252.50 | 4 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,069.12 – $3,071.00 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,378.76 – $31,535.00 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,735.85 – $31,535.00 | 6 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,942.31 – $31,535.00 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,223.06 – $31,535.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $748.74 – $3,071.00 | 6 |
| G-tube reposition CPT 43761 | $1,601.60 | $2,912.00 | $111.12 – $3,886.00 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,650.00 | $3,000.00 | $65.97 – $3,585.98 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,927.75 | $3,505.00 | $166.04 – $2,167.00 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,720.34 | $4,946.08 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,087.31 | $1,976.92 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $207.65 | $377.54 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $364.65 | $663.00 | $38.97 – $173.78 | 3 |
| Gum graft CPT 41870 | not published | not published | $325.11 – $3,071.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $2,498.03 | $4,541.88 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $436.04 – $3,886.00 | 7 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $20.41 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $80.44 – $2,444.00 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $228.16 – $3,886.00 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $366.20 – $3,886.00 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $5.45 – $15.36 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.98 – $2.49 | 2 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $5.90 | 2 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $2,302.00 – $2,302.00 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $806.53 – $3,886.00 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $641.10 – $3,886.00 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $737.04 – $3,886.00 | 7 |
| Hand X-ray CPT 73130 | $206.25 | $375.00 | $21.53 – $161.80 | 4 |
| Haptoglobin quantitative CPT 83010 | $68.20 | $124.00 | $12.58 – $51.87 | 4 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $87.37 – $3,071.00 | 6 |
| Harvest auto stem cells CPT 38206 | not published | not published | $88.09 – $3,071.00 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $135.89 – $3,886.00 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $427.76 – $3,886.00 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $381.93 – $2,444.00 | 4 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $50.48 – $2,444.00 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $353.83 – $2,444.00 | 5 |
| Hast w/i&r phys/qhp CPT 94452 | $301.95 | $549.00 | $43.75 – $43.75 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $61.67 – $61.67 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,188.00 | $2,160.00 | $600.00 – $2,004.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $435.60 | $792.00 | $202.40 – $676.02 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,253.34 | 4 |
| Hbb full gene sequence CPT 81364 | $1,188.00 | $2,160.00 | $324.58 – $1,084.10 | 4 |
| Hbb gene com variants CPT 81361 | $345.95 | $629.00 | $174.81 – $583.87 | 4 |
| Hbb gene dup/del variants CPT 81363 | $530.20 | $964.00 | $202.40 – $676.02 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,253.34 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $40.05 | 4 |
| Hbot, full body chamber, 30m HCPCS G0277 | $526.90 | $958.00 | $47.36 – $47.36 | 1 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $21.75 – $21.75 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $672.10 | $1,222.00 | $150.90 – $547.08 | 4 |
| Hcg free betachain test CPT 84704 | $250.25 | $455.00 | $9.93 – $62.09 | 4 |
| Hcg qualitative CPT 84703 | $51.15 | $93.00 | $7.52 – $31.03 | 4 |
| Hcg quantitative CPT 84702 | $125.40 | $228.00 | $9.93 – $62.09 | 4 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $37.98 – $37.98 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $22.86 – $22.86 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $73.75 – $73.75 | 1 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $57.90 – $57.90 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $45.65 | $83.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $2,423.85 | $4,407.00 | $137.12 – $3,886.00 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $399.35 – $2,167.00 | 6 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $213.17 – $2,167.00 | 5 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $358.64 – $2,302.00 | 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.