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SSM Health St. Mary's Hospital - St. Louisprice list

← Hospital overviewVerified from SSM Health St. Mary's Hospital - St. 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.

8 prices shown (filtered).

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
Acetazolamide Tab 125 MG
Inpatient & outpatient
112
CDM
$7.19$3.95
Artemether-Lumefantrine Tab 20-120 MG
Inpatient & outpatient
112835
CDM
$22.24$12.23
Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML)
Inpatient & outpatient
112838
CDM
$16.50$9.08
Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr
Inpatient & outpatient
145112
CDM
$1,303$716
Lacosamide IV Inj 200 MG/20ML (10 MG/ML)
Inpatient & outpatient
112243
CDM
$98.09$53.95
Lacosamide Tab 100 MG
Inpatient & outpatient
112240
CDM
$8.12$4.47
Lacosamide Tab 50 MG
Inpatient & outpatient
112239
CDM
$37.93$20.86
Levothyroxine Sodium Tab 112 MCG
Inpatient & outpatient
10404
CDM
$3.30$1.82
SSM Health St. Mary's Hospital - St. Louis price list · HospitalPricer