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.
14 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Aminocaproic Acid Inj 250 MG/ML Inpatient & outpatient | 403 CDM | $23.07 | $12.69 | — | — | |
| Dexmedetomidine HCl IV Soln 200 MCG/2ML Inpatient & outpatient | 140374 CDM | $16.50 | $9.08 | — | — | |
| Diltiazem HCl-Sodium Chloride IV Soln 100 MG/100ML-0.72% Inpatient & outpatient | 304037 CDM | $152 | $83.67 | — | — | |
| Isopropyl Alcohol 70% Inpatient & outpatient | 4030 CDM | $3.30 | $1.82 | — | — | |
| Isoproterenol HCl Inj 0.2 MG/ML Inpatient & outpatient | 4034 CDM | $16.50 | $9.08 | — | — | |
| Lchg Cryptococcus Antigen Blood Inpatient & outpatient | 86403 HCPCS | $147 | $80.85 | — | — | |
| Lchg Cryptococcus Antigen Csf Inpatient & outpatient | 86403 HCPCS | $137 | $75.35 | — | — | |
| Lchg Mopath Procedure Level 4 Inpatient & outpatient | 81403 HCPCS | $488 | $268 | — | — | |
| Lchg Mopath Procedure Level 4 Hbb Inpatient & outpatient | 81403 HCPCS | $488 | $268 | — | — | |
| Lchg Mopath Procedure Level 4 Jak2 Inpatient & outpatient | 81403 HCPCS | $870 | $479 | — | — | |
| Lchg Mopath Procedure Level 4 Jak2 I Inpatient & outpatient | 81403 HCPCS | $572 | $315 | — | — | |
| Lchg Particle Agglutination Inpatient & outpatient | 86403 HCPCS | $111 | $61.05 | — | — | |
| Lchg Strep Pneumo Antigen Csf Inpatient & outpatient | 86403 HCPCS | $147 | $80.85 | — | — | |
| Lchg Testosterone Total Male Inpatient & outpatient | 84403 HCPCS | $157 | $86.35 | — | — |