SSM Health DePaul Hospital - St. Louis — price list
← Hospital overviewVerified from SSM Health DePaul Hospital - St. Louis’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
111 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $3.27 | $1.80 | — | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient & outpatient | 150533 CDM | $517 | $284 | — | — | |
| Ado-Trastuzumab Emtansine For IV Soln 100 MG Inpatient & outpatient | 137242 CDM | $15,799 | $8,689 | — | — | |
| Allopurinol Tab 100 MG Inpatient & outpatient | 310 CDM | $3.30 | $1.82 | — | — | |
| Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG Inpatient & outpatient | 36577 CDM | $2,409 | $1,325 | — | — | |
| Amantadine HCl Cap 100 MG Inpatient & outpatient | 364 CDM | $5.55 | $3.05 | — | — | |
| Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML Inpatient & outpatient | 126312 CDM | $137 | $75.50 | — | — | |
| Amiodarone HCl Tab 100 MG Inpatient & outpatient | 36959 CDM | $24.52 | $13.49 | — | — | |
| Amitriptyline HCl Tab 100 MG Inpatient & outpatient | 433 CDM | $8.38 | $4.61 | — | — | |
| Azacitidine For Inj 100 MG Inpatient & outpatient | 38536 CDM | $2,318 | $1,275 | — | — | |
| Benztropine Mesylate Tab 2 MG Inpatient & outpatient | 1000 CDM | $3.30 | $1.82 | — | — | |
| Bevacizumab-awwb IV Soln 100 MG/4ML (For Infusion) Inpatient & outpatient | 166038 CDM | $2,763 | $1,520 | — | — | |
| Bezlotoxumab IV Soln 1000 MG/40ML (25 MG/ML) Inpatient & outpatient | 154135 CDM | $15,048 | $8,276 | — | — | |
| Brentuximab Vedotin For IV Soln 50 MG Inpatient & outpatient | 128100 CDM | $50,196 | $27,608 | — | — | |
| Bupropion HCl Tab ER 12HR 100 MG Inpatient & outpatient | 18385 CDM | $3.30 | $1.82 | — | — | |
| Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML) Inpatient & outpatient | 166109 CDM | $156 | $86.03 | — | — | |
| Carbamazepine Cap ER 12HR 100 MG Inpatient & outpatient | 37567 CDM | $6.48 | $3.56 | — | — | |
| Carbamazepine Chew Tab 100 MG Inpatient & outpatient | 1355 CDM | $3.30 | $1.82 | — | — | |
| Carbamazepine Susp 100 MG/5ML Inpatient & outpatient | 1356 CDM | $11.98 | $6.59 | — | — | |
| Carbidopa & Levodopa Tab ER 25-100 MG Inpatient & outpatient | 28264 CDM | $3.30 | $1.82 | — | — | |
| Celecoxib Cap 100 MG Inpatient & outpatient | 24500 CDM | $15.24 | $8.38 | — | — | |
| Cetuximab IV Soln 100 MG/50ML (2 MG/ML) Inpatient & outpatient | 37989 CDM | $3,313 | $1,822 | — | — | |
| Cetuximab IV Soln 200 MG/100ML (2 MG/ML) Inpatient & outpatient | 124781 CDM | $6,625 | $3,644 | — | — | |
| Chlorpromazine HCl Tab 100 MG Inpatient & outpatient | 1654 CDM | $49.13 | $27.02 | — | — | |
| Cilostazol Tab 100 MG Inpatient & outpatient | 24474 CDM | $7.43 | $4.09 | — | — | |
| Cinacalcet HCl Tab 30 MG (Base Equiv) Inpatient & outpatient | 38100 CDM | $101 | $55.64 | — | — | |
| Ciprofloxacin 200 MG/100ML in D5W Inpatient & outpatient | 175759 CDM | $16.50 | $9.08 | — | — | |
| Cisplatin Inj 100 MG/100ML (1 MG/ML) Inpatient & outpatient | 104009 CDM | $160 | $87.85 | — | — | |
| Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML Inpatient & outpatient | 19333 CDM | $16.50 | $9.08 | — | — | |
| Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG) Inpatient & outpatient | 107771 CDM | $16.50 | $9.08 | — | — |