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.
27 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide Tab 250 MG Inpatient & outpatient | 113 CDM | $9.11 | $5.01 | — | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient & outpatient | 250 CDM | $4.61 | $2.54 | — | — | |
| Aminocaproic Acid Inj 250 MG/ML Inpatient & outpatient | 403 CDM | $32.52 | $17.89 | — | — | |
| Amoxicillin (Trihydrate) Cap 250 MG Inpatient & outpatient | 450 CDM | $3.30 | $1.82 | — | — | |
| Azithromycin Tab 250 MG Inpatient & outpatient | 20943 CDM | $8.30 | $4.56 | — | — | |
| Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv) Inpatient & outpatient | 159897 CDM | $3,753 | $2,064 | — | — | |
| Calcium Carbonate (Antacid) Susp 1250 MG/5ML Inpatient & outpatient | 157704 CDM | $10.15 | $5.58 | — | — | |
| Cefdinir For Susp 250 MG/5ML Inpatient & outpatient | 39522 CDM | $328 | $180 | — | — | |
| Ciprofloxacin HCl Tab 250 MG (Base Equiv) Inpatient & outpatient | 25118 CDM | $14.64 | $8.05 | — | — | |
| Dicloxacillin Sodium Cap 250 MG Inpatient & outpatient | 2414 CDM | $4.55 | $2.50 | — | — | |
| 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 Delayed Release 250 MG Inpatient & outpatient | 2552 CDM | $3.54 | $1.95 | — | — | |
| Divalproex Sodium Tab ER 24 HR 250 MG Inpatient & outpatient | 34418 CDM | $8.08 | $4.44 | — | — | |
| Dofetilide Cap 250 MCG (0.25 MG) Inpatient & outpatient | 26966 CDM | $28.23 | $15.53 | — | — | |
| Erythromycin Tab 250 MG Inpatient & outpatient | 2889 CDM | $43.66 | $24.01 | — | — | |
| Fentanyl Citrate 2 MCG/ML-Bupivacaine 0.125%-NaCl 0.9% Inj,Fentanyl 0.2 MG/100ML-Bupiv 0.125%-NaCl 0.9% Epidural Inj,Fentanyl 0.5 MG/250ML-Bupiv 0.125%-NaCl 0.9% Epidural Inj Inpatient & outpatient | 30862 CDM | $89.10 | $49.00 | — | — | |
| Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML Inpatient & outpatient | 150548 CDM | $16.50 | $9.08 | — | — | |
| Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML Inpatient & outpatient | 150580 CDM | $99.00 | $54.45 | — | — | |
| 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 | — | — | |
| Hydrocortisone Sodium Succinate PF For Inj 250 MG Inpatient & outpatient | 141876 CDM | $176 | $96.99 | — | — | |
| 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 Tab 250 MG Inpatient & outpatient | 18918 CDM | $48.60 | $26.73 | — | — |