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 |
|---|---|---|---|---|
| Partial removal of liver CPT 47125 | not published | not published | $2,167.00 – $3,309.99 | 6 |
| Partial removal of liver CPT 47130 | not published | not published | $2,167.00 – $3,557.83 | 6 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,597.29 – $3,071.00 | 6 |
| Partial removal of nose CPT 30150 | not published | not published | $806.27 – $3,886.00 | 7 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,759.28 – $3,071.00 | 6 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,167.00 – $3,350.28 | 6 |
| Partial removal of penis CPT 54120 | not published | not published | $671.60 – $3,886.00 | 7 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,503.59 – $5,974.00 | 7 |
| Partial removal of radius CPT 25151 | not published | not published | $622.12 – $3,886.00 | 7 |
| Partial removal of radius CPT 25230 | not published | not published | $455.36 – $3,886.00 | 7 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,167.88 – $3,071.00 | 6 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,959.62 – $3,071.00 | 6 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,663.48 – $3,071.00 | 6 |
| Partial removal of rib CPT 21600 | not published | not published | $591.85 – $3,886.00 | 7 |
| Partial removal of sternum CPT 21620 | not published | not published | $537.95 – $3,864.00 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $755.07 – $4,464.00 | 7 |
| Partial removal of thyroid CPT 60225 | not published | not published | $996.88 – $4,464.00 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $891.12 – $3,886.00 | 7 |
| Partial removal of toe CPT 28160 | not published | not published | $286.34 – $3,886.00 | 7 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,114.46 – $4,306.00 | 7 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,383.42 – $3,071.00 | 6 |
| Partial removal of ulna CPT 25119 | not published | not published | $526.37 – $3,886.00 | 7 |
| Partial removal of ulna CPT 25150 | not published | not published | $601.03 – $3,886.00 | 7 |
| Partial removal of ulna CPT 25240 | not published | not published | $448.94 – $3,886.00 | 7 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $521.27 – $3,071.00 | 6 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,007.59 – $3,886.00 | 7 |
| Partial thyroid excision CPT 60210 | not published | not published | $755.37 – $4,464.00 | 6 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,079.61 – $4,464.00 | 6 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $2,745.19 | $4,991.26 | $4.45 – $4.45 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $970.44 – $4,464.00 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $306.77 – $3,886.00 | 7 |
| Part removal of metatarsal CPT 28113 | not published | not published | $452.71 – $3,886.00 | 7 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $332.73 – $3,886.00 | 7 |
| Part remove hip bone super CPT 27070 | not published | not published | $900.39 – $4,464.00 | 6 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $93.58 – $152.32 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $49.66 – $152.32 | 3 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $48.95 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $23.24 – $50.75 | 3 |
| Patient recorded spirometry CPT 94014 | not published | not published | $57.58 – $57.58 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $30.85 – $30.85 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $851.87 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $381.99 – $541.02 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,100.56 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $194.45 – $541.00 | 2 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $811.24 – $3,886.00 | 7 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $48.30 – $48.30 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $228.63 – $228.63 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $707.71 – $3,886.00 | 7 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.01 – $0.01 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $33,114.03 – $45,117.55 | 3 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $32.97 – $88.69 | 3 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $109.17 – $193.07 | 3 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $158.49 – $223.66 | 3 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $266.91 – $575.12 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $120.82 – $214.44 | 3 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $173.83 – $353.45 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.01 – $0.01 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,135.69 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $4,239.27 – $5,899.38 | 3 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $268.28 – $374.20 | 3 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,222.65 | $2,223.00 | $199.27 – $780.12 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,018.60 | $1,852.00 | $167.38 – $656.59 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $815.10 | $1,482.00 | $91.41 – $358.18 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,277.55 | $4,141.00 | $392.47 – $1,491.07 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $1,619.75 | $2,945.00 | $324.37 – $1,230.93 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $1,410.75 | $2,565.00 | $285.67 – $1,075.69 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,139.53 – $8,775.00 | 4 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $1,029.27 – $4,464.00 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $604.45 | $1,099.00 | $76.36 – $234.24 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $405.90 | $738.00 | $22.96 – $217.94 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $68.22 – $97.54 | 3 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.35 – $8.70 | 3 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $1,136.25 – $1,136.25 | 1 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $20.24 – $30.76 | 3 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $34.13 – $44.25 | 3 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.03 – $1.35 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $46.87 – $77.86 | 2 |
| Penile injection CPT 54235 | $424.60 | $772.00 | $78.35 – $2,444.00 | 6 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $7,320.88 | $13,310.69 | not published | 0 |
| Penile vascular study CPT 93980 | $561.00 | $1,020.00 | $59.51 – $98.31 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $51.28 – $84.02 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $517.35 – $3,886.00 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $766.46 – $3,886.00 | 7 |
| Penis study CPT 54240 | $746.35 | $1,357.00 | $35.51 – $2,302.00 | 6 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $91.38 – $95.96 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.01 – $0.01 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.01 – $0.01 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $53.88 – $53.88 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,963.63 – $4,508.67 | 3 |
| Perc cryo ablate renal tum CPT 50593 | $9,635.45 | $17,519.00 | $518.83 – $8,775.00 | 6 |
| Perc d-e cor revasc chro add HCPCS C9608 | $9,769.65 | $17,763.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $13,677.40 | $24,868.00 | $2,302.00 – $5,362.00 | 3 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,072.05 | $20,131.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,072.05 | $20,131.00 | $2,302.00 – $5,362.00 | 3 |
| Perc d-e cor stent ather br HCPCS C9603 | $11,072.05 | $20,131.00 | $541.00 – $2,444.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $12,375.00 | $22,500.00 | $2,302.00 – $5,362.00 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,601.20 | $10,184.00 | $541.00 – $2,302.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,467.25 | $15,395.00 | $2,302.00 – $5,362.00 | 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.