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.
20 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Suppos 120 MG Inpatient & outpatient | 103 CDM | $3.30 | $1.82 | — | — | |
| Cadexomer Iodine Gel Pad 0.9% Inpatient & outpatient | 103899 CDM | $47.59 | $26.17 | — | — | |
| Diazepam Rectal Gel Delivery System 10 MG Inpatient & outpatient | 103895 CDM | $1,201 | $661 | — | — | |
| Diazepam Rectal Gel Delivery System 2.5 MG Inpatient & outpatient | 103893 CDM | $1,013 | $557 | — | — | |
| Formoterol Fumarate Soln Nebu 20 MCG/2ML Inpatient & outpatient | 103613 CDM | $81.15 | $44.63 | — | — | |
| Iopamidol Inj 41% Inpatient & outpatient | 10325 CDM | $256 | $141 | — | — | |
| Iopamidol Inj 51% Inpatient & outpatient | 10326 CDM | $158 | $87.12 | — | — | |
| Iopamidol Inj 61% Inpatient & outpatient | 10327 CDM | $340 | $187 | — | — | |
| Iopamidol IV Soln 76% Inpatient & outpatient | 10328 CDM | $1,007 | $554 | — | — | |
| Isosorbide Mononitrate Tab 10 MG Inpatient & outpatient | 10356 CDM | $3.30 | $1.82 | — | — | |
| Isosulfan Blue Subcutaneous Soln 1% Inpatient & outpatient | 10358 CDM | $481 | $264 | — | — | |
| Itraconazole Cap 100 MG Inpatient & outpatient | 10364 CDM | $13.20 | $7.26 | — | — | |
| Ketoconazole Cream 2% Inpatient & outpatient | 10368 CDM | $172 | $94.58 | — | — | |
| Labetalol HCl IV Soln 5 MG/ML Inpatient & outpatient | 10372 CDM | $16.50 | $9.08 | — | — | |
| Labetalol HCl Tab 100 MG Inpatient & outpatient | 10373 CDM | $3.30 | $1.82 | — | — | |
| Lacosamide Oral Solution 10 MG/ML Inpatient & outpatient | 121034 CDM | $97.05 | $53.38 | — | — | |
| Lactic Acid (Ammonium Lactate) Lotion 12% Inpatient & outpatient | 10380 CDM | $59.40 | $32.67 | — | — | |
| Lchg Culture Blood Fungus Quant Inpatient & outpatient | 87103 HCPCS | $144 | $79.20 | — | — | |
| Lchg Prostate Specific Antigen Screen Inpatient & outpatientapprox. match | G0103 HCPCS | $114 | $62.70 | — | — | |
| Leuprolide Acetate For Inj Kit 7.5 MG Inpatient & outpatient | 10392 CDM | $8,499 | $4,675 | — | — |