SSM Health St. Joseph Hospital- Wentzville — price list
← Hospital overviewVerified from SSM Health St. Joseph Hospital- Wentzville’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 | — | — | |
| Calcium Gluconate Gel 2.5% Inpatient & outpatient | 103271 CDM | $125 | $68.97 | — | — | |
| Diazepam Rectal Gel Delivery System 10 MG Inpatient & outpatient | 103895 CDM | $694 | $382 | — | — | |
| Formoterol Fumarate Soln Nebu 20 MCG/2ML Inpatient & outpatient | 103613 CDM | $19.17 | $10.54 | — | — | |
| Iopamidol Inj 41% Inpatient & outpatient | 10325 CDM | $256 | $141 | — | — | |
| Iopamidol Inj 51% Inpatient & outpatient | 10326 CDM | $89.27 | $49.10 | — | — | |
| Iopamidol Inj 61% Inpatient & outpatient | 10327 CDM | $340 | $187 | — | — | |
| Iopamidol IV Soln 76% Inpatient & outpatient | 10328 CDM | $683 | $376 | — | — | |
| Iothalamate Meglumine Inj 17.2% Inpatient & outpatient | 10330 CDM | $119 | $65.34 | — | — | |
| Iothalamate Meglumine Inj 43% Inpatient & outpatient | 10332 CDM | $128 | $70.42 | — | — | |
| Isosorbide Mononitrate Tab 10 MG Inpatient & outpatient | 10356 CDM | $11.68 | $6.42 | — | — | |
| Isosulfan Blue Subcutaneous Soln 1% Inpatient & outpatient | 10358 CDM | $481 | $264 | — | — | |
| Ketoconazole Cream 2% Inpatient & outpatient | 10368 CDM | $102 | $56.08 | — | — | |
| Ketorolac Tromethamine Tab 10 MG Inpatient & outpatient | 10371 CDM | $7.12 | $3.92 | — | — | |
| 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 | $40.79 | $22.43 | — | — | |
| 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 | — | — |