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 |
|---|---|---|---|---|
| Laryngoscopy and dilation CPT 31529 | not published | not published | $174.01 – $3,886.00 | 7 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,820.50 | $3,310.00 | $171.36 – $3,886.00 | 7 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $210.33 – $3,886.00 | 7 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $150.90 – $2,302.00 | 6 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $204.04 – $3,886.00 | 7 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $226.69 – $3,886.00 | 7 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $260.52 – $3,886.00 | 7 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $228.52 – $3,886.00 | 7 |
| Laryngoscopy w/fb removal CPT 31530 | $1,778.70 | $3,234.00 | $211.24 – $3,886.00 | 7 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $132.35 – $3,886.00 | 7 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $130.86 – $3,886.00 | 7 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $1,242.45 | $2,259.00 | $118.76 – $3,886.00 | 7 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $369.36 – $4,306.00 | 7 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $284.61 – $3,886.00 | 7 |
| Laser surgery eye strands CPT 67031 | not published | not published | $369.26 – $3,886.00 | 7 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $141.30 – $3,886.00 | 7 |
| Laser surgery of prostate CPT 52647 | not published | not published | $687.53 – $8,775.00 | 7 |
| Laser surgery of prostate CPT 52648 | not published | not published | $733.28 – $8,775.00 | 7 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $99.69 – $3,886.00 | 7 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,003.51 – $5,974.00 | 7 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,084.79 – $5,974.00 | 7 |
| Lateral canthopexy CPT 21282 | not published | not published | $396.99 – $4,306.00 | 7 |
| Lat retinacular release open CPT 27425 | not published | not published | $473.64 – $5,974.00 | 7 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $111.42 – $3,886.00 | 7 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,194.98 – $9,965.00 | 7 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $778.94 – $3,886.00 | 7 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $1,992.77 | $3,623.21 | not published | 0 |
| Lead capillary CPT 83655 | $92.40 | $168.00 | $12.11 – $49.93 | 4 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $329.02 | $598.22 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $1,999.26 | $3,635.01 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,438.61 – $3,864.00 | 6 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,537.23 – $3,864.00 | 6 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,919.89 – $3,864.00 | 6 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,552.13 – $3,864.00 | 6 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,791.20 – $3,864.00 | 6 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $82.70 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $172.18 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,200.56 – $3,379.00 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,779.80 | $3,236.00 | $164.54 – $266.92 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $50.50 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $634.93 – $3,886.00 | 7 |
| Lengthening of palate CPT 42227 | not published | not published | $892.10 – $3,864.00 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $951.08 – $4,306.00 | 7 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,265.41 – $4,464.00 | 6 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $540.46 – $3,886.00 | 7 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $690.30 – $3,886.00 | 7 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $935.16 – $3,886.00 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,121.66 – $4,464.00 | 6 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $936.02 – $3,886.00 | 7 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,061.23 – $3,886.00 | 7 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,193.68 – $3,886.00 | 7 |
| Lens, intraocular (new tech) HCPCS C1780 | $153.86 | $279.75 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $386.04 | $701.89 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $155.63 | $282.97 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $0.01 – $0.01 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $4.60 – $7.83 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $73.25 – $257.15 | 4 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $34.70 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $181.06 – $317.28 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $2,023.72 – $2,750.19 | 3 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.01 – $0.01 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $23.23 – $24.06 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $257.16 – $621.74 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $59.89 – $104.66 | 3 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.35 – $0.54 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.07 – $0.10 | 2 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.06 – $0.11 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $67.65 | $123.00 | $13.25 – $54.64 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.60 – $2.28 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $8.97 – $8.97 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $291.61 – $8,380.00 | 4 |
| Liberta rc ipg HCPCS C1820 | $15,441.89 | $28,076.16 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.06 – $0.08 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $87.45 | $159.00 | $14.69 – $60.59 | 4 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,639.76 – $4,464.00 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $605.33 – $2,680.00 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $670.49 – $3,886.00 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $81.76 – $3,071.00 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,658.19 – $3,071.00 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $521.97 – $3,886.00 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $476.16 – $3,886.00 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $5,760.15 | $10,473.00 | $381.75 – $4,306.00 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $222.90 – $3,886.00 | 7 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,416.67 – $3,071.00 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $271.06 – $3,886.00 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $786.97 – $3,379.00 | 6 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $866.17 – $3,379.00 | 6 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $790.83 – $3,071.00 | 6 |
| Ligation major artery chest CPT 37616 | $2,114.20 | $3,844.00 | $1,201.07 – $3,071.00 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | $807.40 | $1,468.00 | $414.02 – $3,071.00 | 6 |
| Ligation major artery neck CPT 37615 | not published | not published | $543.33 – $3,071.00 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $604.61 – $3,886.00 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,459.22 – $3,379.00 | 6 |
| Ligation of femoral vein CPT 37650 | not published | not published | $507.71 – $3,886.00 | 7 |
| Ligation of inf vena cava CPT 37619 | $4,433.55 | $8,061.00 | $1,777.77 – $4,464.00 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $529.59 – $3,379.00 | 6 |
| Ligation of salivary duct CPT 42665 | not published | not published | $219.74 – $5,974.00 | 7 |
| Ligation of shunt CPT 49428 | not published | not published | $573.00 – $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.