SSM Health St. Joseph Hospital - Lake Saint Louis — price list
← Hospital overviewVerified from SSM Health St. Joseph Hospital - Lake Saint 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.
76 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen Soln 160 MG/5ML Inpatient & outpatient | 100 CDM | $1.00 | $0.55 | — | — | |
| 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 | $11.49 | $6.32 | — | — | |
| 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 | $5.49 | $3.02 | — | — | |
| Calcium Gluconate-NaCl IV Soln 2 GM/100ML-0.675% (20 MG/ML) Inpatient & outpatient | 166109 CDM | $80.19 | $44.10 | — | — | |
| 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 | — | — | |
| 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 | — | — | |
| Cyanocobalamin Inj 1000 MCG/ML Inpatient & outpatient | 2007 CDM | $16.50 | $9.08 | — | — | |
| Cyclosporine Modified Cap 100 MG Inpatient & outpatient | 28843 CDM | $18.14 | $9.98 | — | — | |
| Cytarabine Inj PF 100 MG/ML Inpatient & outpatient | 20156 CDM | $80.45 | $44.25 | — | — | |
| Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML Inpatient & outpatient | 148267 CDM | $3,065 | $1,686 | — | — | |
| Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv) Inpatient & outpatient | 175602 CDM | $37.84 | $20.81 | — | — | |
| Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML Inpatient & outpatient | 138058 CDM | $106 | $58.08 | — | — | |
| 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 | $2.08 | $1.14 | — | — | |
| Diltiazem HCl-Sodium Chloride IV Soln 100 MG/100ML-0.72% Inpatient & outpatient | 304037 CDM | $152 | $83.67 | — | — | |
| Docusate Sodium Cap 100 MG Inpatient & outpatient | 2566 CDM | $1.00 | $0.55 | — | — | |
| Doxycycline Hyclate For Inj 100 MG Inpatient & outpatient | 2622 CDM | $92.30 | $50.76 | — | — | |
| Droxidopa Cap 100 MG Inpatient & outpatient | 143590 CDM | $121 | $66.75 | — | — | |
| 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 | — | — | |
| Etoposide Inj 100 MG/5ML (20 MG/ML) Inpatient & outpatient | 141868 CDM | $27.50 | $15.12 | — | — | |
| Famotidine For Susp 40 MG/5ML Inpatient & outpatient | 10010 CDM | $584 | $321 | — | — |