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.
11 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide Tab 125 MG Inpatient & outpatient | 112 CDM | $14.93 | $8.21 | — | — | |
| Artemether-Lumefantrine Tab 20-120 MG Inpatient & outpatient | 112835 CDM | $48.18 | $26.50 | — | — | |
| Barium Sulfate Oral/Rectal Susp 105% Inpatient & outpatient | 112073 CDM | $299 | $164 | — | — | |
| Daptomycin For IV Soln 350 MG Inpatient & outpatient | 161126 CDM | $215 | $118 | — | — | |
| Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr Inpatient & outpatient | 145112 CDM | $2,823 | $1,552 | — | — | |
| Insulin Regular (Human) Soln Pen-Injector 500 Unit/ML Inpatient & outpatient | 151112 CDM | $2,463 | $1,355 | — | — | |
| Lacosamide IV Inj 200 MG/20ML (10 MG/ML) Inpatient & outpatient | 112243 CDM | $141 | $77.29 | — | — | |
| Lacosamide Tab 100 MG Inpatient & outpatient | 112240 CDM | $17.60 | $9.68 | — | — | |
| Lacosamide Tab 50 MG Inpatient & outpatient | 112239 CDM | $82.18 | $45.20 | — | — | |
| Levothyroxine Sodium Tab 112 MCG Inpatient & outpatient | 10404 CDM | $5.84 | $3.21 | — | — | |
| Methacholine Chloride Inhalation Soln Kit Inpatient & outpatient | 171121 CDM | $1,158 | $637 | — | — |