SSM Health St. Mary's Hospital - St. Louis — price 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.

30 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetazolamide Tab 250 MG Inpatient & outpatient	113 CDM	$13.82	$7.60	—	—
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	—	—
Amoxicillin & K Clavulanate Tab 250-125 MG Inpatient & outpatient	22992 CDM	$19.53	$10.74	—	—
Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion) Inpatient & outpatient	28947 CDM	$752	$414	—	—
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	—	—
Calcium Carbonate (Antacid) Susp 1250 MG/5ML Inpatient & outpatient	157704 CDM	$3.30	$1.82	—	—
Cefdinir For Susp 250 MG/5ML Inpatient & outpatient	39522 CDM	$328	$181	—	—
Ciprofloxacin HCl Tab 250 MG (Base Equiv) Inpatient & outpatient	25118 CDM	$14.64	$8.05	—	—
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	$3.30	$1.82	—	—
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-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	$330	$182	—	—
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	$99.00	$54.45	—	—
Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML) Inpatient & outpatient	150567 CDM	$1,900	$1,045	—	—
Fulvestrant Inj Soln Pref Syr 250 MG/5ML Inpatient & outpatient	124678 CDM	$198	$109	—	—
Gabapentin Oral Soln 250 MG/5ML Inpatient & outpatient	29169 CDM	$7.93	$4.36	—	—
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 in D5W IV Soln 250 MG/50ML Inpatient & outpatient	124699 CDM	$16.50	$9.08	—	—
Levofloxacin Tab 250 MG Inpatient & outpatient	18918 CDM	$48.60	$26.73	—	—