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 |
|---|---|---|---|---|
| Ot evaluation low complexity patient/family CPT 97165 | $198.00 | $360.00 | $81.51 – $81.51 | 1 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $223.85 | $407.00 | $81.51 – $81.51 | 1 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,165.87 – $3,864.00 | 6 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $92.22 | 4 |
| Oth resp proc, group HCPCS G0239 | $154.00 | $280.00 | $13.28 – $13.28 | 1 |
| Oth resp proc, indiv HCPCS G0238 | $87.45 | $159.00 | $10.78 – $10.78 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $108.35 | $197.00 | $50.20 – $50.20 | 1 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $99.55 | $181.00 | $39.16 – $39.16 | 1 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $91.85 | $167.00 | $30.86 – $30.86 | 1 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $10.00 – $10.00 | 1 |
| Otoplasty 69300 CPT 69300 | not published | not published | $503.76 – $3,886.00 | 7 |
| Ot re-evaluation patient/family CPT 97168 | $317.35 | $577.00 | $53.76 – $53.76 | 1 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $84.70 | $154.00 | $35.89 – $35.89 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $67.10 | $122.00 | $24.29 – $24.29 | 1 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $67.10 | $122.00 | $25.05 – $25.05 | 1 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $95.15 | $173.00 | $33.43 – $33.43 | 1 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $100.65 | $183.00 | $34.47 – $34.47 | 1 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $75.35 | $137.00 | $35.90 – $35.90 | 1 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,699.66 – $3,071.00 | 6 |
| Out of office emerg med serv CPT 99060 | not published | not published | $25.07 – $25.07 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $790.28 – $3,379.00 | 6 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $0.01 – $0.01 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $42.42 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.96 – $1.84 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.10 – $0.13 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $0.01 – $0.01 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $1.43 – $1.43 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $0.01 – $0.01 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $295.55 – $310.97 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $457.58 | 4 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.19 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $14.12 – $25.01 | 3 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $295.41 – $1,141.07 | 3 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $508.22 | 3 |
| Palifermin injection HCPCS J2425 | not published | not published | $32.75 – $56.08 | 2 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $380.88 – $670.69 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $17.57 – $25.06 | 3 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,187.79 – $1,857.07 | 2 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.52 – $1.48 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $13.00 – $15.53 | 2 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,167.00 – $3,377.90 | 6 |
| Pancreatectomy CPT 48146 | not published | not published | $2,021.16 – $3,071.00 | 6 |
| Pancreatectomy CPT 48152 | not published | not published | $2,167.00 – $3,110.52 | 6 |
| Pancreatectomy CPT 48154 | not published | not published | $2,167.00 – $3,124.68 | 6 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,167.00 – $3,332.74 | 6 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,681.54 – $3,071.00 | 6 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,447.36 – $3,071.00 | 6 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $201.02 – $273.42 | 3 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $2.20 – $2.20 | 1 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $38.25 – $38.25 | 1 |
| Parathormone (pth) intact CPT 83970 | $104.50 | $190.00 | $41.28 – $170.21 | 4 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,487.42 – $3,071.00 | 6 |
| Parathyrd planar w/spect&ct CPT 78072 | $767.25 | $1,395.00 | $348.44 – $1,079.06 | 4 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $263.28 – $2,224.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $591.25 | $1,075.00 | $272.44 – $833.95 | 4 |
| Parathyroid planar img w/tomo spect CPT 78071 | $747.45 | $1,359.00 | $312.58 – $955.47 | 4 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $860.97 – $3,864.00 | 6 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $959.00 – $5,974.00 | 7 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.78 – $1.17 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $455.95 | $829.00 | $17.13 – $2,302.00 | 6 |
| Parotid duct diversion CPT 42507 | not published | not published | $545.87 – $3,886.00 | 7 |
| Parotid duct diversion CPT 42509 | not published | not published | $902.01 – $3,886.00 | 7 |
| Parotid duct diversion CPT 42510 | not published | not published | $670.27 – $3,886.00 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $877.39 – $8,775.00 | 6 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $196.00 – $3,886.00 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,352.60 – $3,071.00 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $746.51 – $3,886.00 | 7 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $467.33 – $3,886.00 | 7 |
| Partial excision of lip CPT 40500 | not published | not published | $386.34 – $3,886.00 | 7 |
| Partial hip replacement CPT 27125 | not published | not published | $1,209.53 – $10,814.00 | 6 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,018.66 – $5,834.00 | 6 |
| Partial proctectomy CPT 45113 | not published | not published | $2,026.27 – $3,071.00 | 6 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,203.37 – $4,464.00 | 6 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,167.00 – $3,436.77 | 6 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,167.00 – $4,593.05 | 6 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,167.00 – $5,065.48 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $518.99 – $3,886.00 | 7 |
| Partial removal finger bone CPT 26236 | $1,515.80 | $2,756.00 | $462.68 – $3,886.00 | 7 |
| Partial removal foot fascia CPT 28060 | not published | not published | $377.15 – $3,886.00 | 7 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $903.44 – $4,306.00 | 7 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,027.27 – $3,071.00 | 6 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,167.00 – $5,625.45 | 6 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,167.00 – $4,140.53 | 6 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,167.00 – $3,116.46 | 6 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,167.00 – $5,144.60 | 6 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $489.85 – $3,886.00 | 7 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $563.36 – $3,886.00 | 7 |
| Partial removal of fibula CPT 27641 | not published | not published | $711.29 – $3,886.00 | 7 |
| Partial removal of foot bone CPT 28288 | not published | not published | $453.72 – $3,886.00 | 7 |
| Partial removal of hand bone CPT 26230 | not published | not published | $525.26 – $5,974.00 | 7 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,072.79 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,042.33 – $3,071.00 | 6 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Partial removal of lip CPT 40530 | not published | not published | $429.89 – $3,886.00 | 7 |
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.