SSM Health Saint Louis University Hospital — price list
← Hospital overviewVerified from SSM Health Saint Louis University Hospital’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.
23 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Suppos 325 MG Inpatient & outpatient | 104 CDM | $5.75 | $3.16 | — | — | |
| Bethanechol Chloride Tab 10 MG Inpatient & outpatient | 1043 CDM | $14.31 | $7.87 | — | — | |
| Bethanechol Chloride Tab 25 MG Inpatient & outpatient | 1044 CDM | $12.76 | $7.02 | — | — | |
| Bethanechol Chloride Tab 5 MG Inpatient & outpatient | 1045 CDM | $6.44 | $3.54 | — | — | |
| Lanreotide Acetate Extended Release Inj 120 MG/0.5ML Inpatient & outpatient | 104949 CDM | $76,299 | $41,964 | — | — | |
| Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG Inpatient & outpatient | 21045 CDM | $55,246 | $30,385 | — | — | |
| Levothyroxine Sodium Tab 112 MCG Inpatient & outpatient | 10404 CDM | $5.84 | $3.21 | — | — | |
| Levothyroxine Sodium Tab 88 MCG Inpatient & outpatient | 10403 CDM | $14.21 | $7.82 | — | — | |
| Lidocaine Inj 0.5% w/ Epinephrine-1:200000 Inpatient & outpatient | 10426 CDM | $33.25 | $18.29 | — | — | |
| Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF) Inpatient & outpatient | 10429 CDM | $46.55 | $25.60 | — | — | |
| Lidocaine Inj 1% w/ Epinephrine-1:100000 Inpatient & outpatient | 10427 CDM | $20.45 | $11.25 | — | — | |
| Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF) Inpatient & outpatient | 10428 CDM | $87.30 | $48.02 | — | — | |
| Lidocaine Inj 2% w/ Epinephrine-1:100000 Inpatient & outpatient | 10430 CDM | $28.74 | $15.81 | — | — | |
| Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF) Inpatient & outpatient | 10431 CDM | $202 | $111 | — | — | |
| Lidocaine-Prilocaine Cream 2.5-2.5% Inpatient & outpatient | 10434 CDM | $70.36 | $38.70 | — | — | |
| Liothyronine Sodium Tab 5 MCG Inpatient & outpatient | 10443 CDM | $5.75 | $3.16 | — | — | |
| Lisinopril Tab 10 MG Inpatient & outpatient | 10449 CDM | $8.84 | $4.86 | — | — | |
| Lisinopril Tab 40 MG Inpatient & outpatient | 10450 CDM | $11.13 | $6.12 | — | — | |
| Lithium Carbonate Tab ER 300 MG Inpatient & outpatient | 10454 CDM | $5.75 | $3.16 | — | — | |
| Lithium Carbonate Tab ER 450 MG Inpatient & outpatient | 10455 CDM | $5.75 | $3.16 | — | — | |
| Loratadine Tab 10 MG Inpatient & outpatient | 10466 CDM | $5.75 | $3.16 | — | — | |
| Lorazepam Inj 2 MG/ML Inpatient & outpatient | 10467 CDM | $16.50 | $9.08 | — | — | |
| Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq) Inpatient & outpatient | 10475 CDM | $43,426 | $23,884 | — | — |