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.
12 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Amoxicillin (Trihydrate) Cap 250 MG Inpatient & outpatient | 450 CDM | $3.30 | $1.82 | — | — | |
| Carboplatin IV Soln 450 MG/45ML Inpatient & outpatient | 39267 CDM | $187 | $103 | — | — | |
| Celecoxib Cap 100 MG Inpatient & outpatient | 24500 CDM | $15.24 | $8.38 | — | — | |
| Celecoxib Cap 200 MG Inpatient & outpatient | 24501 CDM | $25.02 | $13.76 | — | — | |
| Hydrocodone-Acetaminophen Tab 5-325 MG Inpatient & outpatient | 34505 CDM | $4.40 | $2.42 | — | — | |
| Lchg Ast Blood Inpatient & outpatient | 84450 HCPCS | $64.00 | $35.20 | — | — | |
| Lchg Ast Blood I Inpatient & outpatient | 84450 HCPCS | $55.00 | $30.25 | — | — | |
| Lchg Ast Blood Poct Inpatient & outpatient | 84450 HCPCS | $36.00 | $19.80 | — | — | |
| Lchg Ast Fluid Inpatient & outpatient | 84450 HCPCS | $107 | $58.85 | — | — | |
| Lidocaine HCl Soln 4% Inpatient & outpatient | 4450 CDM | $158 | $87.12 | — | — | |
| Lisinopril Tab 40 MG Inpatient & outpatient | 10450 CDM | $3.30 | $1.82 | — | — | |
| Lithium Carbonate Tab ER 450 MG Inpatient & outpatient | 10455 CDM | $3.30 | $1.82 | — | — |