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 |
|---|---|---|---|---|
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $19.71 | 4 |
| Macroscopic exam arthropod CPT 87168 | $84.70 | $154.00 | $4.27 – $17.60 | 4 |
| Macroscopic exam parasite CPT 87169 | $74.25 | $135.00 | $4.31 – $17.60 | 4 |
| Magnesium CPT 83735 | $51.70 | $94.00 | $6.70 – $27.62 | 4 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.58 – $1.21 | 2 |
| Magnetic image bone marrow CPT 77084 | $1,152.80 | $2,096.00 | $285.67 – $1,075.69 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.62 – $22.80 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $54.38 | 4 |
| Male sling procedure CPT 53440 | not published | not published | $800.55 – $5,362.00 | 7 |
| Mammosite ced HCPCS C1728 | $230.59 | $419.25 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,167.00 – $3,265.79 | 6 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $346.15 – $2,302.00 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $435.22 – $3,071.00 | 6 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $123.75 | $225.00 | $29.05 – $29.05 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $233.20 | $424.00 | $26.57 – $26.57 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $193.22 – $3,886.00 | 7 |
| Manipulation of spine CPT 22505 | not published | not published | $141.41 – $3,886.00 | 7 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $79.03 – $3,886.00 | 7 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.61 – $4.54 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.71 – $6.71 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $16.93 | 4 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $88.18 – $88.18 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $148.73 – $2,167.00 | 5 |
| Map tachycard site(s) CPT 93609 | $2,735.70 | $4,974.00 | $124.36 – $8,427.00 | 5 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $58.77 – $82.34 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $723.69 | $1,315.80 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $658.22 | $1,196.76 | $1,877.63 – $1,877.63 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,217.99 – $3,071.00 | 6 |
| Mastectomy partial CPT 19301 | not published | not published | $694.89 – $3,886.00 | 7 |
| Mast mod rad CPT 19307 | not published | not published | $1,274.51 – $8,775.00 | 6 |
| Mastoidectomy CPT 69501 | not published | not published | $773.82 – $5,974.00 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,030.67 – $5,974.00 | 7 |
| Mastoids complete CPT 70130 | $374.00 | $680.00 | $37.29 – $217.94 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,329.62 – $5,974.00 | 7 |
| Mastopexy CPT 19316 | not published | not published | $815.23 – $3,886.00 | 7 |
| Mast radical CPT 19305 | not published | not published | $1,200.52 – $3,071.00 | 6 |
| Mast rad urban type CPT 19306 | not published | not published | $1,275.89 – $3,071.00 | 6 |
| Mast simple complete CPT 19303 | not published | not published | $1,076.85 – $3,886.00 | 7 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $182.38 – $182.38 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.56 – $32.46 | 2 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $144.72 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $91.15 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $176.62 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $550.65 – $3,886.00 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $150.70 | $274.00 | $14.46 – $59.65 | 4 |
| Mayo aathr protein s free CPT 85306 | $137.50 | $250.00 | $15.32 – $63.19 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | $159.50 | $290.00 | $15.32 – $63.19 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $275.00 | $500.00 | $38.57 – $65.17 | 3 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $110.00 | $200.00 | $13.34 – $42.65 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $44.00 | $80.00 | $24.66 – $40.59 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $45.65 | $83.00 | $14.78 – $60.96 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $151.25 | $275.00 | $24.66 – $65.73 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $66.00 | $120.00 | $13.44 – $55.41 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $59.40 | $108.00 | $15.08 – $62.16 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $33.00 | $60.00 | $12.98 – $41.52 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $119.35 | $217.00 | $24.66 – $40.59 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $903.10 | $1,642.00 | $121.63 – $501.53 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $636.35 | $1,157.00 | $91.66 – $377.99 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $322.30 | $586.00 | $137.00 – $457.58 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $4,158.00 | $7,560.00 | $1,160.00 – $3,874.40 | 4 |
| Mayo androstenedione CPT 82157 | $77.00 | $140.00 | $29.28 – $120.71 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $62.15 | $113.00 | $14.60 – $60.22 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $37.95 | $69.00 | $10.81 – $44.59 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $54.45 | $99.00 | $15.05 – $62.09 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $146.85 | $267.00 | $30.86 – $103.07 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $103.40 | $188.00 | $35.09 – $59.45 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $101.20 | $184.00 | $24.66 – $40.59 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $20.90 | $38.00 | $9.05 – $41.95 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $312.40 | $568.00 | $144.84 – $597.23 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $716.83 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $45.65 | $83.00 | $12.90 – $53.21 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $160.60 | $292.00 | $24.66 – $40.59 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $36.30 | $66.00 | $13.19 – $54.38 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $37.40 | $68.00 | $8.93 – $36.84 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $168.30 | $306.00 | $13.60 – $56.08 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $106.70 | $194.00 | $24.66 – $42.65 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $73.15 | $133.00 | $16.87 – $69.57 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $187.55 | $341.00 | $13.04 – $110.42 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $332.75 | $605.00 | $122.22 – $503.97 | 4 |
| Mayo ceruloplasmin CPT 82390 | $43.45 | $79.00 | $10.74 – $44.29 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $215.60 | $392.00 | $14.12 – $58.22 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $68.75 | $125.00 | $12.88 – $53.11 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $44.55 | $81.00 | $11.82 – $48.76 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $47.85 | $87.00 | $12.68 – $52.30 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $396.00 | $720.00 | $116.49 – $480.36 | 4 |
| Mayo chromium CPT 82495 | $63.25 | $115.00 | $20.28 – $83.63 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $106.70 | $194.00 | $24.66 – $40.59 | 3 |
| Mayo coccidioides antibody CPT 86635 | $132.55 | $241.00 | $11.47 – $47.33 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $315.70 | $574.00 | $24.09 – $80.46 | 4 |
| Mayo cortisol free CPT 82530 | $137.50 | $250.00 | $16.71 – $68.90 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $53.35 | $97.00 | $42.13 – $44.00 | 2 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $114.95 | $209.00 | $5.01 – $50.00 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $106.70 | $194.00 | $23.08 – $73.81 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $101.20 | $184.00 | $15.86 – $50.73 | 2 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $19.40 – $79.99 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $149.16 – $1,886.67 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $52.25 | $95.00 | $13.25 – $54.61 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $108.90 | $198.00 | $25.27 – $104.21 | 4 |
| Mayo dihydrotestosterone CPT 82642 | $117.70 | $214.00 | $29.28 – $108.65 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $34.97 | 4 |
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.