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.

22 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient & outpatient	250 CDM	$3.30	$1.82	—	—
Aminocaproic Acid Inj 250 MG/ML Inpatient & outpatient	403 CDM	$23.07	$12.69	—	—
Amoxicillin (Trihydrate) Cap 250 MG Inpatient & outpatient	450 CDM	$3.30	$1.82	—	—
Azithromycin Tab 250 MG Inpatient & outpatient	20943 CDM	$4.89	$2.69	—	—
Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv) Inpatient & outpatient	159897 CDM	$318	$175	—	—
Cefdinir For Susp 250 MG/5ML Inpatient & outpatient	39522 CDM	$328	$180	—	—
Ciprofloxacin HCl Tab 250 MG (Base Equiv) Inpatient & outpatient	25118 CDM	$15.12	$8.32	—	—
Diphenhydramine HCl Cap 25 MG Inpatient & outpatient	2509 CDM	$3.30	$1.82	—	—
Diphenhydramine HCl Inj 50 MG/ML Inpatient & outpatient	2508 CDM	$16.50	$9.08	—	—
Disulfiram Tab 250 MG Inpatient & outpatient	2540 CDM	$13.33	$7.33	—	—
Divalproex Sodium Tab ER 24 HR 250 MG Inpatient & outpatient	34418 CDM	$5.12	$2.82	—	—
Dofetilide Cap 250 MCG (0.25 MG) Inpatient & outpatient	26966 CDM	$32.16	$17.69	—	—
Erythromycin Tab 250 MG Inpatient & outpatient	2889 CDM	$43.66	$24.01	—	—
Fentanyl Citrate 2 MCG/ML-Ropivacaine 0.2%-NaCl 0.9% Inj,Fentanyl 0.5 mg/250ml-ropiv 0.2%-NaCl 0.9% epidural inj,Fentanyl Cit 0.2 MG/100ML-Ropiv 0.2%-NaCl 0.9% Epidural Inj Inpatient & outpatient	34272 CDM	$186	$102	—	—
Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML Inpatient & outpatient	150580 CDM	$124	$68.24	—	—
Gabapentin Oral Soln 250 MG/5ML Inpatient & outpatient	29169 CDM	$7.93	$4.36	—	—
Heparin Sod (Porcine) in NaCl IV Soln 25000 Unit/250ML-0.45% Inpatient & outpatient	152617 CDM	$59.40	$32.67	—	—
Lchg Factor Ix Assay Inpatient & outpatient	85250 HCPCS	$338	$186	—	—
Lchg Factor Ix Assay Ii Inpatient & outpatient	85250 HCPCS	$81.00	$44.55	—	—
Levetiracetam Tab 250 MG Inpatient & outpatient	26816 CDM	$3.30	$1.82	—	—
Levofloxacin in D5W IV Soln 250 MG/50ML Inpatient & outpatient	124699 CDM	$16.50	$9.08	—	—
Levofloxacin Tab 250 MG Inpatient & outpatient	18918 CDM	$55.48	$30.51	—	—