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 |
|---|---|---|---|---|
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $197.82 – $3,886.00 | 7 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $442.13 – $3,886.00 | 7 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,231.53 – $3,379.00 | 6 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,488.62 – $3,379.00 | 6 |
| Revision of knee joint CPT 27440 | not published | not published | $849.45 – $10,814.00 | 6 |
| Revision of knee joint CPT 27441 | not published | not published | $878.04 – $10,814.00 | 7 |
| Revision of knee joint CPT 27442 | not published | not published | $925.11 – $10,814.00 | 7 |
| Revision of knee joint CPT 27443 | not published | not published | $869.51 – $10,814.00 | 7 |
| Revision of knee joint CPT 27446 | not published | not published | $1,238.41 – $10,814.00 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $1,337.30 – $10,814.00 | 6 |
| Revision of larynx CPT 31400 | not published | not published | $1,047.91 – $3,886.00 | 7 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $280.36 – $3,886.00 | 7 |
| Revision of lung CPT 32940 | not published | not published | $1,342.09 – $3,071.00 | 6 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,554.56 – $3,071.00 | 6 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,816.53 – $3,071.00 | 6 |
| Revision of neck muscle CPT 21700 | not published | not published | $395.54 – $3,886.00 | 7 |
| Revision of neck muscle CPT 21720 | not published | not published | $507.97 – $3,886.00 | 7 |
| Revision of neck muscle CPT 21725 | not published | not published | $574.08 – $3,886.00 | 7 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $590.91 – $4,464.00 | 6 |
| Revision of nose CPT 30120 | not published | not published | $458.13 – $3,886.00 | 7 |
| Revision of nose CPT 30430 | not published | not published | $901.96 – $3,886.00 | 7 |
| Revision of nose CPT 30435 | not published | not published | $1,301.45 – $4,306.00 | 7 |
| Revision of nose CPT 30450 | not published | not published | $1,569.92 – $5,974.00 | 7 |
| Revision of nose CPT 30460 | not published | not published | $854.10 – $5,974.00 | 7 |
| Revision of nose CPT 30462 | not published | not published | $1,491.01 – $8,775.00 | 7 |
| Revision of pelvis CPT 27158 | not published | not published | $1,501.39 – $4,464.00 | 6 |
| Revision of penis CPT 54300 | not published | not published | $681.61 – $3,886.00 | 7 |
| Revision of penis CPT 54304 | not published | not published | $797.52 – $3,886.00 | 7 |
| Revision of penis CPT 54420 | not published | not published | $748.42 – $3,886.00 | 7 |
| Revision of penis CPT 54430 | not published | not published | $679.52 – $3,071.00 | 6 |
| Revision of penis CPT 54435 | $2,232.45 | $4,059.00 | $441.03 – $3,886.00 | 7 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,000.99 – $5,974.00 | 7 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,673.29 – $3,071.00 | 6 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Revision of radius CPT 25350 | not published | not published | $712.05 – $3,886.00 | 7 |
| Revision of radius CPT 25355 | not published | not published | $814.84 – $3,886.00 | 7 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $607.19 – $3,886.00 | 7 |
| Revision of scrotum CPT 55175 | not published | not published | $384.02 – $3,886.00 | 7 |
| Revision of scrotum CPT 55180 | not published | not published | $731.98 – $3,886.00 | 7 |
| Revision of spinal shunt CPT 63744 | not published | not published | $738.72 – $8,028.00 | 7 |
| Revision of testis CPT 54660 | not published | not published | $377.98 – $3,886.00 | 7 |
| Revision of thigh muscles CPT 27430 | not published | not published | $781.99 – $3,886.00 | 7 |
| Revision of toe CPT 28312 | not published | not published | $343.31 – $3,886.00 | 7 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,167.00 – $3,071.00 | 6 |
| Revision of ulna CPT 25360 | not published | not published | $691.83 – $3,886.00 | 7 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $785.62 – $3,886.00 | 7 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $788.76 – $5,974.00 | 7 |
| Revision of upper arm CPT 24940 | not published | not published | $1,005.18 – $4,464.00 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $985.26 – $3,071.00 | 6 |
| Revision of urethra CPT 53450 | not published | not published | $433.49 – $3,886.00 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $485.16 – $2,727.00 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $334.50 – $3,886.00 | 7 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,301.87 – $4,223.00 | 6 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $832.74 – $4,464.00 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $886.57 – $5,974.00 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $795.91 – $3,886.00 | 7 |
| Revision tips CPT 37183 | $16,160.65 | $29,383.00 | $428.38 – $7,554.00 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,738.36 – $10,814.00 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,880.50 – $10,814.00 | 6 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1,075.64 – $1,075.64 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,376.42 – $8,775.00 | 6 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,337.58 – $8,775.00 | 6 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,108.03 – $5,974.00 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,176.96 – $5,974.00 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,072.14 – $31,535.00 | 6 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,509.24 – $3,886.00 | 7 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,444.00 – $3,379.00 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,151.66 – $5,974.00 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $3,236.75 | $5,885.00 | $396.89 – $8,028.00 | 7 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,261.48 – $3,071.00 | 6 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $3,891.80 | $7,076.00 | $152.28 – $3,886.00 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $134.08 – $3,886.00 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,079.04 – $5,362.00 | 6 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,878.34 – $5,362.00 | 6 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $599.13 – $5,362.00 | 6 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,908.21 – $3,632.00 | 6 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $831.70 – $5,362.00 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | $7,815.50 | $14,210.00 | $313.16 – $14,864.00 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $12.37 – $17.19 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,118.05 | $3,851.00 | $562.30 – $5,974.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $39.60 | $72.00 | $6.14 – $23.38 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $51.15 | $93.00 | $5.67 – $23.38 | 4 |
| Rh ig IV CPT 90386 | not published | not published | $10.21 – $10.21 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $30.44 – $30.44 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,050.34 – $3,886.00 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $5.79 – $8.44 | 2 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $32.46 – $41.64 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $35.85 – $57.69 | 3 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $96.02 – $142.04 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $84.49 – $84.49 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $299.72 – $8,427.00 | 5 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $194.65 – $8,427.00 | 5 |
| Rhythm ecg with report CPT 93040 | not published | not published | $13.21 – $13.21 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $809.70 – $5,974.00 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,116.50 – $2,116.50 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.19 – $0.19 | 1 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,302.00 – $4,261.00 | 2 |
| Right ventric recording CPT 93603 | $3,681.70 | $6,694.00 | $76.76 – $8,427.00 | 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.