Supplies, drugs & other prices at SSM Health Saint Louis University Hospital

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

114 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,942.50 $5,350 3.7×
2d tte w or w/o fol w/con,co (C8923) $829.40 $1,508 1.1×
2d tte w or w/o fol w/con,fu (C8924) $543.40 $988 1.6×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $2,783.55 $5,061 1.7×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $4,175.05 $7,591 1.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,899.70 $3,454 1.0×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $6,861.80 $12,476 0.8×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,988.70 $5,434 1.5×
Admin hepatitis b vaccine (G0010) $62.15 $113 1.3×
Admin influenza virus vac (G0008) $47.85 $87 1.0×
Admin pneumococcal vaccine (G0009) $76.45 $139 1.6×
Alcohol/subs interv 15-30mn (G0396) $45.92 $83.50 1.2×
Alcohol/subs interv >30 min (G0397) $225.22 $409.50 1.3×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $445.50 $810 11.9×
Behavior counsel obesity 15m (G0447) $21.78 $39.60 0.2×
Ca screen;pelvic/breast exam (G0101) $123.20 $224 1.2×
Chemo extend iv infus w/pump (G0498) $623.70 $1,134 1.9×
Diab manage trn per indiv (G0108) $34.67 $63.03 0.6×
Direct refer hospital observ (G0379) $453.20 $824 0.8×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $181.50 $330 1.9×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $181.50 $330 1.9×
Elec stim other than wound (G0283) $87.45 $159 6.9×
Electrophysiologic eval icds w/ss electrode (0577T) $2,750 $5,000 2.3×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $2,266.55 $4,121 0.7×
Ephys eval ccm-d ld 1st impl (0930T) $1,669.25 $3,035 1.4×
Ephys eval ccm-d ld separate (0931T) $1,669.25 $3,035 1.4×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $6,221.05 $11,311 0.5×
Extraction erupted tooth/exr (D7140) $2,349.05 $4,271 3.6×
Fecal microbiota prep instil (G0455) $1,257.85 $2,287 1.4×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $13,750 $25,000 0.8×
Hospital outpt clinic visit (G0463) $64.91 $118.01 0.5×
In-person interrogation device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0685T) $335.50 $610 9.0×
In-person programming device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0683T) $335.50 $610 9.0×
Initial preventive exam (G0402) $185.90 $338 1.4×
Inj for sacroiliac jt anesth (G0260) $589.05 $1,071 0.8×
Insertion of substernal implantable defibrillator electrode (0572T) $12,678.05 $23,051 1.5×
Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T)
likely a partial charge, not the full procedure
$4,565 $8,300 0.2×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $8,511.80 $15,476 1.0×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $25,021.15 $45,493 0.8×
Mra w/cont, abd (C8900) $2,150.50 $3,910 6.2×
Mra w/cont, chest (C8909) $1,916.75 $3,485 5.5×
Mra w/cont, lwr ext (C8912) $2,558.60 $4,652 7.3×
Mra w/cont, pelvis (C8918) $2,634.50 $4,790 7.5×
Mra w/o cont, abd (C8901) $1,720.40 $3,128 7.2×
Mra w/o cont, chest (C8910) $1,720.40 $3,128 7.2×
Mra w/o cont, lwr ext (C8913) $2,280.85 $4,147 9.5×
Mra w/o cont, pelvis (C8919) $2,419.45 $4,399 10.1×
Mra w/o fol w/cont, abd (C8902) $3,171.85 $5,767 9.1×
Mra w/o fol w/cont, chest (C8911) $3,064.60 $5,572 8.8×
Mra w/o fol w/cont, lwr ext (C8914) $2,759.90 $5,018 7.9×
Mra w/o fol w/cont, pelvis (C8920) $2,688.40 $4,888 7.7×
Mra, w/dye, spinal canal (C8931) $1,666.50 $3,030 4.8×
Mra, w/dye, upper extremity (C8934) $1,908.50 $3,470 5.5×
Mra, w/o dye, spinal canal (C8932) $1,612.60 $2,932 6.7×
Mra, w/o dye, upper extr (C8935) $1,789.15 $3,253 7.5×
Mra, w/o&w/dye, spinal canal (C8933) $2,102.65 $3,823 6.0×
Mra, w/o&w/dye, upper extr (C8936) $2,219.80 $4,036 6.4×
Mri w/cont, breast, bi (C8906) $1,881.55 $3,421 5.4×
Mri w/cont, breast, uni (C8903) $941.05 $1,711 5.4×
Mri w/o fol w/cont, breast, (C8908) $2,688.40 $4,888 7.7×
Mri w/o fol w/cont, brst, un (C8905) $1,344.20 $2,444 3.8×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $349.80 $636 0.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $330 $600 0.7×
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) $275 $500 1.3×
Perc d-e cor revasc chro sin (C9607) $19,250 $35,000 1.0×
Perc d-e cor revasc t cabg s (C9604) $15,950 $29,000 1.4×
Perc d-e cor stent ather s (C9602) $16,500 $30,000 0.9×
Perc drug-el cor stent sing (C9600) $12,100 $22,000 1.0×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T)
unusually low: confirm this is the full procedure
$2,466.75 $4,485 0.4×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $14,052.50 $25,550 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $8,079.50 $14,690 1.1×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $13,627.90 $24,778 1.2×
Pet not otherwise specified (G0235) $8,939.15 $16,253 22.3×
Psa screening (G0103) $93.50 $170 4.8×
Pulp cap direct (D3110) $2,365.55 $4,301 3.7×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $258.50 $470 0.3×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $258.50 $470 0.3×
Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) $4,565 $8,300 1.3×
Relocation skin pocket implanted ccm-d pg (0925T) $2,515.15 $4,573 1.2×
Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) $3,575 $6,500 1.0×
Removal perm ccm-d system pulse generator only (0919T) $5,003.90 $9,098 1.3×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $905.30 $1,646 1.4×
Revasc intra lithotrip-ather (C9766) $17,416.85 $31,667 0.9×
Revasc intra lithotrip-stent (C9765) $17,416.85 $31,667 0.9×
Revasc intravasc lithotripsy (C9764) $10,892.75 $19,805 0.9×
Revasc lith-sten-ath tib/per (C9775) $17,670.40 $32,128 1.0×
Revasc lithotr-ather tib/per (C9774) $17,670.40 $32,128 1.0×
Revasc lithotr-stent tib/per (C9773) $17,670.40 $32,128 1.0×
Revasc lithotrip tibi/perone (C9772) $11,047.30 $20,086 1.0×
Revasc lithotrip-stent-ather (C9767) $17,416.85 $31,667 0.9×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $2,631.75 $4,785 0.8×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $5,003.90 $9,098 1.3×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $5,003.90 $9,098 1.3×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $5,003.90 $9,098 1.3×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
likely a partial charge, not the full procedure
$3,363.25 $6,115 0.2×
Screen pap by tech w md supv (P3000) $34.65 $63 1.9×
Spine device implant surgery (C9757) $12,975.05 $23,591 1.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $23,973.40 $43,588 1.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $23,973.40 $43,588 1.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,353.15 $9,733 0.9×
Tee w or w/o fol w/cont,cong (C8926) $2,383.70 $4,334 3.0×
Tooth reimplantation (D7270) $1,313.95 $2,389 2.0×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $14,509.55 $26,381 1.3×
Trauma respons w/hosp criti (G0390) $14,729 $26,780 11.0×
Trluml Perip Athrc Renal Art (0234T) $14,509.55 $26,381 1.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $14,509.55 $26,381 1.3×
Trluml peripheral atherectomy iliac artery ea (0238T) $14,509.55 $26,381 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,549.90 $2,818 2.0×
Tte w or w/o fol w/con,stres (C8928) $1,282.60 $2,332 1.6×
Tte w or w/o fol w/cont, com (C8921) $829.40 $1,508 1.1×
Tte w or wo fol wcon,doppler (C8929) $3,080 $5,600 3.9×
U/s trtmt, not leiomyomata (C9734) $21,976.90 $39,958 1.7×
Unsched dialysis esrd pt hos (G0257) $2,130.70 $3,874 3.1×
Visit to determ ldct elig (G0296) $123.20 $224 1.2×