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 |
|---|---|---|---|---|
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $7.78 – $11.06 | 3 |
| Inj dx for sinogram CPT 20501 | $526.35 | $957.00 | $40.88 – $2,167.00 | 4 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $541.00 – $1,444.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,713.80 | $3,116.00 | $50.72 – $2,167.00 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $316.80 | $576.00 | $75.34 – $2,167.00 | 4 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $60.63 – $85.55 | 3 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $561.03 – $776.13 | 3 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.47 – $31.05 | 2 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $764.26 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $664.95 | $1,209.00 | $61.50 – $2,302.00 | 6 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $192.00 | 2 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.01 – $0.01 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $81.36 – $107.98 | 3 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.48 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.43 – $0.67 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $559.35 | $1,017.00 | $56.68 – $8,380.00 | 3 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $21.95 – $38.18 | 3 |
| Injection epidural blood patch or clot CPT 62273 | $1,833.70 | $3,334.00 | $121.67 – $3,886.00 | 7 |
| Injection eye drug CPT 67028 | not published | not published | $104.12 – $3,886.00 | 7 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.92 – $0.92 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $288.20 | $524.00 | $80.96 – $2,167.00 | 4 |
| Injection for bladder x-ray CPT 51600 | $691.90 | $1,258.00 | $47.95 – $2,444.00 | 4 |
| Injection for hip x-ray CPT 27095 | $379.50 | $690.00 | $88.68 – $2,302.00 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $374.55 | $681.00 | $54.99 – $2,302.00 | 5 |
| Injection for spleen x-ray CPT 38200 | $2,957.90 | $5,378.00 | $144.93 – $2,302.00 | 5 |
| Injection for tear sac x-ray CPT 68850 | $178.75 | $325.00 | $58.51 – $2,167.00 | 4 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $53.07 – $2,167.00 | 4 |
| Injection for ureter x-ray CPT 50690 | $238.15 | $433.00 | $75.36 – $2,167.00 | 4 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $37.65 – $37.65 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $8.13 – $14.78 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $58.65 – $283.09 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $419.98 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $14.39 – $21.24 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $110.74 – $3,886.00 | 7 |
| Injection into brain canal CPT 61055 | $1,089.55 | $1,981.00 | $130.66 – $3,886.00 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $137.23 – $3,071.00 | 6 |
| Injection into spinal artery CPT 62294 | not published | not published | $843.22 – $3,886.00 | 7 |
| Injection into vocal cord CPT 31513 | not published | not published | $141.64 – $3,886.00 | 7 |
| Injection intraop add-on CPT 48400 | not published | not published | $116.34 – $3,071.00 | 6 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.05 – $1.63 | 2 |
| Injection jaw joint x-ray CPT 21116 | $643.50 | $1,170.00 | $47.53 – $2,302.00 | 5 |
| Injection jugular CPT 36299 | not published | not published | $541.00 – $2,444.00 | 4 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.30 – $2.67 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $6.68 – $10.04 | 3 |
| Injection of sinus tract CPT 20500 | $1,310.65 | $2,383.00 | $89.97 – $2,363.00 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $7.57 – $11.07 | 3 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $99.65 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $2.77 | 2 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $0.01 – $0.01 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $88.20 – $2,444.00 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $569.25 | $1,035.00 | $41.89 – $2,302.00 | 6 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $29.18 – $53.92 | 3 |
| Injection, ruconest HCPCS J0596 | not published | not published | $42.80 – $58.64 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $4,290.00 | $7,800.00 | $1,216.00 – $3,886.00 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,531.75 | $2,785.00 | $70.58 – $3,886.00 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,431.55 | $4,421.00 | $48.39 – $3,886.00 | 7 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,279.10 | $5,962.00 | $120.09 – $3,886.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,817.75 | $3,305.00 | $64.58 – $3,886.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,678.60 | $3,052.00 | $113.90 – $3,886.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,222.00 | $4,040.00 | $55.68 – $3,886.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,107.50 | $5,650.00 | $97.18 – $3,886.00 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,141.15 | $3,893.00 | $117.58 – $2,167.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,976.70 | $3,594.00 | $107.17 – $2,167.00 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $188.68 – $260.65 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $845.35 | $1,537.00 | $44.51 – $3,886.00 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,072.50 | $1,950.00 | $39.98 – $3,886.00 | 7 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $982.85 | $1,787.00 | $45.53 – $2,302.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $200.20 | $364.00 | $22.78 – $22.78 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $190.85 | $347.00 | $10.33 – $10.33 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $261.25 | $475.00 | $57.72 – $57.72 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $138.05 | $251.00 | $25.75 – $25.75 | 1 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $0.01 – $0.01 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.01 – $0.01 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $136.38 – $3,886.00 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $114.99 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $378.11 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64610 | $2,649.90 | $4,818.00 | $525.94 – $3,886.00 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $244.77 – $3,886.00 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $62.89 – $2,444.00 | 6 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $89.54 – $2,302.00 | 6 |
| Inject/treat eye socket CPT 67500 | not published | not published | $76.18 – $2,444.00 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $85.16 – $2,302.00 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $93.30 – $3,886.00 | 7 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $35.46 – $35.46 | 1 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $45.60 – $45.60 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $39.31 – $54.62 | 3 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $24.60 – $51.94 | 3 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $425.27 – $621.34 | 3 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $66.91 – $88.63 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,927.75 | $3,505.00 | $109.02 – $2,167.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,772.10 | $3,222.00 | $93.80 – $2,167.00 | 6 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $3.13 – $5.08 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.50 – $1.97 | 2 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $19.40 – $19.40 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.01 – $4.01 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $192.00 | 2 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $202.80 – $307.41 | 3 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $20.24 – $29.70 | 3 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.01 – $3,847,800.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $11.55 – $15.95 | 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.