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 |
|---|---|---|---|---|
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $85.09 | 1 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $8.03 – $12.02 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.47 – $0.47 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $17.34 – $19.72 | 2 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.10 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $69.30 | $126.00 | $17.90 – $72.28 | 4 |
| Hymenotomy CPT 56442 | not published | not published | $49.71 – $3,886.00 | 7 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $20.32 – $30.22 | 3 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,058.43 – $2,727.00 | 6 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $55.08 – $62.07 | 2 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $117.13 – $117.13 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $18.15 | $33.00 | $9.05 – $41.95 | 4 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $658.79 – $2,035.16 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $324.07 – $1,114.83 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $378.90 – $1,193.95 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $955.51 – $2,158.75 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $907.62 – $2,926.89 | 3 |
| Hypnotherapy CPT 90880 | not published | not published | $98.49 – $98.49 | 1 |
| Hypothermia ill neonate CPT 99184 | $2,676.85 | $4,867.00 | $245.89 – $245.89 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $21.42 – $29.90 | 3 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,198.49 – $3,071.00 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,041.01 – $5,834.00 | 6 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,107.08 – $5,834.00 | 6 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $955.93 – $4,223.00 | 6 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $1,215.50 | $2,210.00 | $305.65 – $3,071.00 | 5 |
| Hysterosalpingography s&i CPT 74740 | $531.30 | $966.00 | $55.93 – $460.26 | 4 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $361.14 – $10,806.00 | 7 |
| Hysteroscopy biopsy CPT 58558 | $4,617.80 | $8,396.00 | $281.99 – $10,806.00 | 7 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $200.63 – $5,286.00 | 7 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $360.43 – $5,286.00 | 7 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $306.94 – $5,286.00 | 7 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $577.50 – $5,286.00 | 7 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $407.58 – $5,286.00 | 7 |
| Hysterotomy abdominal 59100 CPT 59100 | $4,375.25 | $7,955.00 | $898.77 – $3,071.00 | 6 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $201.85 – $201.85 | 1 |
| I-123 iobenguane diag HCPCS A9582 | $3,929.75 | $7,145.00 | $3,423.44 – $4,962.45 | 2 |
| I-123 ioflupane diag HCPCS A9584 | $3,370.40 | $6,128.00 | $2,290.23 – $2,517.36 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $52.25 | $95.00 | $97.75 – $97.75 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.25 – $38.25 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $5,062.20 | $9,204.00 | $0.01 – $0.01 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $52.25 | $95.00 | $0.01 – $38.16 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $34.45 – $34.45 | 1 |
| I131 max 100uci HCPCS A9531 | $4.40 | $8.00 | not published | 0 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $80.75 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $31.35 | $57.00 | $13.42 – $49.43 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $188.10 | $342.00 | $35.09 – $144.72 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $50.60 | $92.00 | $18.09 – $60.42 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $47.29 | 2 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $35.88 – $44.80 | 2 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $4,130.94 | 3 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.02 – $3.02 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $308.50 – $310.61 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $81.47 – $222.85 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $10,602.65 | $19,277.54 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $14,535.92 | $26,428.94 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $6,516.54 | $11,848.25 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $3,342.04 | $6,076.44 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $192.46 – $2,302.00 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $13.65 – $13.65 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.12 – $1.12 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.70 – $4.70 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $968.83 – $4,464.00 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $420.56 – $3,886.00 | 7 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $43.16 – $75.13 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | $1,283.70 | $2,334.00 | $183.13 – $3,071.00 | 6 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.01 – $871,715.51 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $57.03 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $163.35 – $9,861.00 | 6 |
| Idet single level CPT 22526 | not published | not published | $358.69 – $9,861.00 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $548.82 – $3,886.00 | 7 |
| Idh1 common variants CPT 81120 | $291.50 | $530.00 | $193.25 – $645.46 | 4 |
| Idh2 common variants CPT 81121 | $445.50 | $810.00 | $295.79 – $987.94 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $461.77 – $3,886.00 | 7 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.64 – $2,363.00 | 6 |
| I&d lacrimal sac CPT 68420 | $1,117.05 | $2,031.00 | $175.77 – $4,306.00 | 6 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $877.90 – $877.90 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,281.40 | $4,148.00 | $228.53 – $3,886.00 | 7 |
| Idursulfase injection HCPCS J1743 | not published | not published | $365.42 – $894.66 | 3 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $327.27 – $3,886.00 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | $2,295.15 | $4,173.00 | $176.80 – $3,071.00 | 6 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $251.97 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $27.38 – $46.82 | 2 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $349.87 | 3 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $62.03 – $228.96 | 4 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $816.40 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | $365.20 | $664.00 | $294.52 – $1,214.42 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | $495.00 | $900.00 | $172.73 – $615.73 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $195.25 | $355.00 | $45.90 – $207.55 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $200.20 | $364.00 | $77.08 – $440.58 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $215.05 | $391.00 | $54.14 – $237.64 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.01 – $21.25 | 2 |
| Ikbkap gene CPT 81260 | $156.20 | $284.00 | $39.31 – $131.30 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,122.00 – $3,071.00 | 6 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,167.00 – $4,464.00 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,247.40 | $2,268.00 | $14.53 – $14.53 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $6,513.10 | $11,842.00 | $205.88 – $14,864.00 | 5 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $185.14 – $256.66 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.03 – $3.03 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $962.23 – $3,071.00 | 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.