SSM Health St. Clare Hospital - Fenton — price list
← Hospital overviewVerified from SSM Health St. Clare Hospital - Fenton’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.
81 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $2.80 | $1.54 | — | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient & outpatient | 150533 CDM | $517 | $284 | — | — | |
| Allopurinol Tab 100 MG Inpatient & outpatient | 310 CDM | $3.30 | $1.82 | — | — | |
| Amantadine HCl Cap 100 MG Inpatient & outpatient | 364 CDM | $6.40 | $3.52 | — | — | |
| 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 | — | — | |
| Bupropion HCl Tab ER 12HR 100 MG Inpatient & outpatient | 18385 CDM | $6.40 | $3.52 | — | — | |
| 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 | $3.30 | $1.82 | — | — | |
| 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 | — | — | |
| Cilostazol Tab 100 MG Inpatient & outpatient | 24474 CDM | $6.02 | $3.31 | — | — | |
| 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 | — | — | |
| 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 | — | — | |
| Cyanocobalamin Inj 1000 MCG/ML Inpatient & outpatient | 2007 CDM | $16.50 | $9.08 | — | — | |
| Cyclosporine Modified Oral Soln 100 MG/ML Inpatient & outpatient | 28844 CDM | $2,538 | $1,396 | — | — | |
| Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML Inpatient & outpatient | 138058 CDM | $127 | $69.70 | — | — | |
| Dexmedetomidine HCl-Dextrose IV Soln 400 MCG/100ML-5% Inpatient & outpatient | 163358 CDM | $143 | $78.41 | — | — | |
| Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML Inpatient & outpatient | 15816 CDM | $1.56 | $0.86 | — | — | |
| Diltiazem HCl Cap ER 12HR 60 MG Inpatient & outpatient | 14100 CDM | $10.47 | $5.76 | — | — | |
| Docusate Sodium Cap 100 MG Inpatient & outpatient | 2566 CDM | $1.00 | $0.55 | — | — | |
| Doxycycline Hyclate For Inj 100 MG Inpatient & outpatient | 2622 CDM | $68.57 | $37.71 | — | — | |
| Droxidopa Cap 100 MG Inpatient & outpatient | 143590 CDM | $119 | $65.27 | — | — | |
| Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML Inpatient & outpatient | 121513 CDM | $92.21 | $50.72 | — | — | |
| Epoetin Alfa-epbx Inj 10000 Unit/ML Inpatient & outpatient | 160705 CDM | $437 | $240 | — | — | |
| Famotidine For Susp 40 MG/5ML Inpatient & outpatient | 10010 CDM | $584 | $321 | — | — |